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Insurance Investigator Jobs
17 matches | 1 - 17 displayed
Healthcare Fraud Investigator Supporting the US Attorneys Offic
Milwaukee, WI 53201
Focused on delivering unsurpassed services in support of law enforcement and homeland security, FSA, a rapidly growing joint venture owned by trusted solutions providers Engility and AECOM, has an anticipated vacancy for a Civil Investigator. In this role, you w
Workers' Compensation Specialist (Level 3)
Reporting to Workers' Compensation Compliance Supervisor and Workers' Compensation Compliance Manager, the Claims Review Specialist III will assist in the monitoring and administering of Aerotek's workers compensation program to ensure the maximum cost containment. Seek to ensure that T
Claims Processor/Claims Examiner - ST
What are the top 5-10 responsibilities for this position?
Provide expertise or general support by reviewing, researching, investigating, processing and adjusting EPS enrollments
Authorize enrollment or refer to investigators for further review
Analyze and identify trends and provides reports as nece
Supervising Welfare Fraud Investigator
Under direction, to plan, organize, coordinate, and supervise the investigative and office support work of an investigation unit engaged in investigating cases of suspected fraudulent receipt of public assistance; to serve as liaison with the District Attorney's
Claims Recovery Specialist
Paid Time Off
PRG is looking for a Claims Recovery Specialist!
We have an immediate need for a talented, self-motivated and full-time Claims Specialist for our Outside Plant Damage Recovery group.
Claims Processor ($20-25/Hr, Westchester/Los Angeles, CA)
Position: Claims Processor
Location: Los Angeles, CA 90045 (LAX Area)
Duration: 3 Month contract to start
1.Positions in this function are responsible for providing expertise or general claims support to
teams in reviewing, researching, investiga
Sr. Clinical Coding Consultant
\n\nJob Description\nAre you an experienced Sr. Clinical Coding Consultant looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered ?yes\ to any of these questions ? this is the position f
Job Description:Primary Responsibilities:?Creates and analyzes all claims and loss ratio performance metrics for all plan designs of ABC?Obtain all claims data from our TPAs and PBMs on a regular basis?Manipulate claims data into various custom reports for team review?Engage with third party claims
Senior Life Claims Case Managers
This is an exciting time to join this innovative, forward thinking Life Insurer. This position offers job security, career development along with a great culture. The role: We are currently looking for Senior Claims Case Management professionals with experience to assess and manage lump sum a
Now Hiring: Claims Processor
Are you ready for a life-changing opportunity? Are you ready to learn and work with a Top Fortune 500 company? Then embrace this rewarding opportunity NOW!
Apply today because openings are limited!!
Provide expertise or gene
JOB REQUIREMENTS: Basic Function To conduct fraud investigations regarding alleged intentional program violations and fraudulent activity within various public benefit programs and provide information and referral for the Economic Support Division. Essential Duties 1. Conduct investigations relative
USA-NJ-Egg Harbor City
Work Location Egg Harbor Twp, NJ
Job Title Claims Service Analyst (Adjuster)
Duration 2 months
? Under close supervision, investigates, adjusts and pays lost time Workers? Compensation claims in a timely manner in acc
JOB REQUIREMENTS: Basic Function To conduct fraud investigations regarding alleged intentional program violations and fraudulent activity within various public benefit programs and provide information and referral for the Economic S
CS - Claims Processor - Intermediate
Our Healthcare client is looking for a Claims Processor in Los Angeles, CA (90045).
*** this is a contract (temp) position ***
1.Positions in this function are responsible for providing expertise or general claims support to teams in reviewing, researching, investig
What are the top 5-10 responsibilities for this position? (please be detailed on what they will be doing day to day) -
-Provide expertise or general support by reviewing, researching, investigating, processing and adjusting EPS enrollments
- Authorize enrollment or refer to investigator
\n\nJob Description\nRef ID: 01502-9501663445Classification: Account Executive/Staffing ManagerCompensation: $14.00 to $16.00 per hourResponsibilities: ? Review banking transactions to detect and prevent financial crimes activities ? Monitor and review complex account activity and claims ? Document