- MultiPlan (Atlanta, GA)
- …bright people come to shine! JOB SUMMARY: This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been ... benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. JOB ROLES AND...mining and coordination of benefits techniques to client paid claims data.3. Evaluate medical claims for coding… more
- Dexian - DISYS (Baltimore, MD)
- …are timely, effective and result in an overall achievement of unit goals. Investigator researches and analyzes claims data using company anti-fraud software, ... Job Description: Job Duties: The role of the Special Investigations Unit (SIU) Investigator is to assist in the reduction and recuperation of losses through the… more
- nTech Solutions, Inc. (Baltimore, MD)
- …of financial business records, provider and subscriber medical data, claims , systems' reports, medical records, analysis of contract documents, provider/subscriber ... claims history, benefits, external data banks and other documents...for offsite audits/investigations and interviews when requested. Research provider/subscriber claims activity, operations manuals, data systems, medical policies, job… more
- Cambia Health Solutions, Inc (Renton, WA)
- …As the face of Cambia, our CSPs play multiple roles - listener, problem-solver, investigator and advocate - all in service of making our members' health journeys ... answer incoming calls on recorded lines, providing guidance and resources on benefits, claims and eligibility. You'll advocate for our members, track down answers to… more
- Allied Universal (Charleston, 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 ... Insurance claims through scene Investigations, claimant and witness Interviews, document...+ Ability to be properly licensed as a Private Investigator as required by the states in which you… more
- Allied Universal (Chattanooga, TN)
- …compliance and investigation jobs! Allied Universal(R) is hiring a SIU / Claims Investigator . Special Investigations Unit (SIU) Specialists investigate claims ... policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for...+ Ability to be properly licensed as a Private Investigator as required by the state where work Is… more
- Allied Solutions (Plano, TX)
- …and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim… more
- State of Indiana (Fort Wayne, IN)
- Claims Investigator Date Posted: Apr 26, 2024 Requisition ID: 442419 Location: Fort Wayne, IN, US, 46805 Work for Indiana Begin a fulfilling career with the ... or three (3) years of comparable experience. + Successfully completed the Claims Investigator Trainee Program. + The ability to quickly acquire general knowledge… more
- Xcel Energy (Denver, CO)
- …utility and claims -related exp., including 3 years gas/electric Utility Claims Investigator exp. or equivalent. - Advanced knowledge of applicable ... investigations and to maintain site control for high profile cases/ claims , major incidents, public claims , and company damage claims where company facilities… more
- 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: + ... Multi-Lines Experience with an emphasis on Personal Lines + Writing accurate and detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license +… more
- 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 ... accurate and detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and organize multiple tasks + Computer literacy… more
- New York State Civil Service (Albany, NY)
- … 1 (Korean Language), License Investigator 1 (Spanish Language), Compensation Claims Investigator 1, or Rent Administration Investigator 1.Only the ... (Korean Language), License Investigator 1 (Spanish Language), Compensation Claims Investigator 1, or Rent Administration Investigator 1. Duties… more
- 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 + ... Writing accurate and detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Ability to prioritize and organize multiple tasks + Computer literacy to include Microsoft Word and Microsoft Outlook email Full-Time… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... Employment Opportunity & Diversity Office seeks to hire an experienced EEO Investigator who will be responsible for conducting complex complaint investigations, as… more
- City of New York (New York, NY)
- …for clarification from the employee and/or seek documented evidence supporting their claims . The EEO Investigator Specialist would also collect documentation ... Opportunity & Diversity Office seeks to hire an EEO Investigator Specialist who will report directly to the Assistant...fact and questions of law. In addition, the EEO Investigator Specialist will be tasked with interviewing charging parties,… more
- Greystone Power (Douglasville, GA)
- …ensure payments are received before the work orders close\. 99. Works with Utility Claims Investigator on written off accounts as well as communicates with GSPC ... 99. Directs the reviewing and researching insurance coverage for accounts receivable claims \. Contacts insurance companies, files claims and follows up until… more
- The Hartford (NJ)
- SIU Investigator - CF08BE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here ... our team as we help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU). This position will be based out… more
- State of Colorado (Denver, CO)
- Labor Law - Compliance Investigator II Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4496216) Apply Labor Law - Compliance Investigator ... Division of Labor Standards and Statistic is hiring three Senior Compliance Investigator II ("CI II") positions. The Strategic Enforcement Policy and Investigations… more
- EFI Global (Edina, MN)
- …requirements for consideration.** **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **Investigates assigned claims suspected of insurance fraud, this includes large loss, ... large fire loss, and multiple claims .** **Ensures that assigned cases are investigated and reported back to the requesting party in adherence to best practices.… more
- Comerica (Farmington, MI)
- Fraud Prevention Investigator The Fraud Prevention Investigator works in the Enterprise Fraud Management Fraud Resolution Center and assists customers with ... claims of unauthorized activity on their accounts, Elder Abuse and Identity Theft. The investigator is the single point of contact for the customer, handling the… more
