• Claims / Surveillance Investigator

    Allied Universal (Beckley, WV)
    …for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for ... in our communities and customers we serve. We offer medical , dental and vision coverage, life insurance, retirement plan,...Insurance claims through scene Investigations, claimant and witness Interviews, document… more
    Allied Universal (05/30/24)
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  • Paralegal Claims Investigator

    City of Norfolk, Virginia (Norfolk, VA)
    Paralegal Claims Investigator Print (https://www.governmentjobs.com/careers/norfolk/jobs/newprint/4519534) Apply  Paralegal Claims Investigator Salary ... City and related entities, and their employees. The Paralegal Claims Investigator 's role involves assistance in pre-litigation...or suits against the City; evaluation and analysis of medical records related to personal injury claims ;… more
    City of Norfolk, Virginia (05/28/24)
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  • Claims / SIU Investigator

    Allied Universal (Tallulah, LA)
    …jobs! Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... in our communities and customers we serve. We offer medical , dental and vision coverage, life insurance, retirement plan,...policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for… more
    Allied Universal (05/30/24)
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  • Claims /Field Investigator

    Command Investigations (Raleigh, NC)
    …for hire. Visit our website and find out why at www.GoCommand.com. The Claims /Field Investigator should demonstrate proficiency in the following areas: + ... in Criminal Justice or similar + Bilingual candidates Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Extensive performance bonus program… more
    Command Investigations (04/20/24)
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  • Claims /WC Investigator - Remote

    Command Investigations (Orlando, FL)
    …for hire. Visit our website and find out why at www.GoCommand.com. The Claims /Field Investigator should demonstrate proficiency in the following areas: + Writing ... Degree in Criminal Justice or similar + Bilingual candidates Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Dynamic and fast paced work… more
    Command Investigations (03/03/24)
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  • Claims /Field Investigator

    Command Investigations (Buffalo, NY)
    …is a W-2 role; subcontractors will not be considered. The SIU/Insurance Investigator should demonstrate proficiency in the following areas: + P&C investigations + ... to include Microsoft Word and Microsoft Outlook email Full-Time benefits Include: + Medical , dental and vision insurance + 401K + Extensive performance bonus program… more
    Command Investigations (04/04/24)
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  • Third Party Liability Program Investigator

    Commonwealth of Pennsylvania (PA)
    medical assistance funds, notifying relevant parties of DHS interest, initiate requests of medical claims for review, and follow up to ensure payment of the ... + Credits/Clock Hours 10 WORK BEHAVIOR 2 - INVESTIGATES PERSONAL INJURY CLAIMS AND THEIR ESTATES Investigates medical assistance recipients' personal injury… more
    Commonwealth of Pennsylvania (05/22/24)
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  • Special Investigator

    CDPHP (Albany, NY)
    …and invites you to be a part of that experience. The SIU Special Investigator will be responsible for investigating complex insurance cases to detect internal and ... external fraud and abuse. The Special Investigator will research and document cases utilizing resources available to identify suspicious billing patterns and trends.… more
    CDPHP (05/21/24)
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  • FWA Investigator Coder Sr. Associate…

    Commonwealth Care Alliance (Boston, MA)
    …reports. **What You'll Be Doing:** **Essential Duties & Responsibilities:** + Conduct prospective medical record review of claims as part of a prepayment review ... Role is Important to Us:** **Position Summary:** The FWA Investigator Coder Sr. Associate is an integral part of...recommendations. + Review and analyze internal and external referrals, claims and associated medical records to identify… more
    Commonwealth Care Alliance (05/15/24)
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  • Nurse Investigator

    State of Georgia (Fulton County, GA)
    …AND two (2) years of clinical experience AND one (1) year experience working with medical claims . Preference will be given to applicants who hold a Bachelor's of ... Nurse Investigator Georgia - Fulton - Atlanta (https://careers.georgia.gov/jobs/51086/other-jobs-matching/location-only) Hot...experience; additional years of experience in the analysis of medical claims and/or claims data;… more
    State of Georgia (03/22/24)
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