Claims Case Investigator Jobs in Boston, Massachusetts
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The Phia Group, LLC is a thriving, service-oriented company representing health insurance carriers and third party administrators nationwide. We seek to provide our clients with innovative cost saving solutions, and are constantly expanding our service offerings. We continue to enjoy growth thanks to our passion, as well as a belief that our talented and committed team is our most valuable resourc...
PRIVATE INVESTIGATOR - needed for growing company. Position requires daily surveillance of suspected fraudulent insurance claims in our service area. We are currently in need of investigators in the Boston, MA area. We are currently looking for people who have 1-2 years of experience for full time surveillance positions. All investigators must check in with office manager throughout the day to pro...
Investigator II, DMPK Business Unit: Research Cambridge Division: Novartis Institutes for BioMedical Research (NIBR) Company/Legal Entity: China Novartis Institutes for BioMedical Research Co., Ltd Job Reference Code: 129763BR Job Purpose Manage projects (with a TA focus), interpret and present information and negotiate an optimal PK/PD strategy for early and late development in liaison with TA-PK...
Rimkus is seeking a Fire Investigator for our Little Rock office whose chief duties consist of determining the origin and cause of fires involving a myriad of incidents including residential, commercial structure, vehicle, and marine fires. Duties include gathering photographic and physical evidence, conducting investigations to document onsite conditions and overseeing field- testing. This includ...
General Description/Primary Purpose The Field Investigations Specialist (FIS) reports directly to the Market Investigation Manager (MIM). The FIS will assist the MIM with the investigation of external theft, with an emphasis on Organized Retail Crime activity. As directed by the MIM, the FIS will strategically deploy to assigned markets to apprehend boosters or obtain additional case information....
Forfeiture Support Associates (FSA), LLC is currently looking for an Independent Contractor to act as a Senior Financial Analyst/Investigator: A Senior Financial Analyst/Investigator performs, but is not limited to the following duties: Assists attorneys or prosecutors in reviewing and analyzing financial records obtained during investigations to determine the source and flow of funds, the nature...
Are you ready to explore the corporate side of retail? The TJX Companies, Inc. is the leading off-price apparel and home fashions retailer in the U.S. and worldwide, operating four major divisions - Marmaxx (T.J. Maxx and Marshalls) and HomeGoods in the United States; TJX Canada (Winners, HomeSense and Marshalls); and TJX Europe (T.K. Maxx and HomeSense). In late 2012, we acquired Sierra Trading P...
Job Summary: The Assistant CTOM is responsible for assisting the CTOM the overall operational planning and activities for the implementation and conduct of studies (clinical trials, observational studies, compassionate use and registries) including data management activities in compliance with GCP’s, SOPs and standards within established timelines and budgets. The assistant CTOM is involved in ens...
Description: Responsible for several clinical trials and may have responsibility for a clinical program including supporting Cluster Head, Cluster Physician/Clinical Scientific Lead and CPL in determining the overall clinical strategy and objectives, as well as ensuring overall alignment across the program Management of clinical trial timelines, authorship of clinical documents, budget management...
Healthcare Opportunities Dell is looking for Sr. Level Claims Examiners, Claims Examiners with Facets experience to join our team as part of this new exciting organization. Through the process of change, we are challenging ourselves to work faster, smarter, and more efficiently. These roles will be a key component in shaping how the business will work in the short, medium, and long term. The succe...
Who we are: Incapsulate provides services from conception to delivery. We are a team of developers, designers, and analysts who are committed to helping businesses solve problems using state-of-the-art technology. We believe that the best results are achieved by people who are passionate about what they do and continually strive to be better - those are the people want to hire. Who We Are Looking...
The Claims Home Office team is seeking a Claims Compliance Analyst to join their team! This is a highly visible role within the Claims organization. As a Claims Compliance Analyst you will provide guidance, leadership, and analytical support for special project. Working with our field team you will collect data, map critical processes, and evaluate claims strategic initiatives. A key success facto...
Company Confidential Boston, MA, 02108
DIRECTOR, CLINICAL OPERATIONS Emerging leader in molecular imaging with an emphasis in PET imaging, Alzheimer’s diagnosis and diagnostic imaging in oncology has an exciting opportunity for a Director of Clinical Operations in Boston, MA. Company offers very generous compensation package. * Would like someone with Phase IV / Health Economic Outcomes experience. Diagnostic Imaging experience highly...
Harvard Clinical Research Institute (HCRI) designs and runs clinical trials with world-class academic researchers and industry sponsors. We combine the logistical capabilities of a contract research organization with world-class academic scientific leadership. HCRI is committed to excellence. The Institute’s environment of professional development and education enhances the personal growth of its...
An inVentiv Health company, Adheris is the nation’s largest provider of tailored, direct-to-patient medication adherence programs. Medication adherence programs, that include refill reminders and disease education, help millions of chronically ill people stay on their doctor-prescribed treatment, improving patient outcomes. Adheris’ unmatched network, of more than 40 pharmacy partners composed of...
Adheris, Inc, an inVentiv Health company, is the industry leader in education and adherence programs that help patients stay on prescribed chronic drug therapy. Working with a national network of retail pharmacies and major pharmaceutical manufacturers, we design and administer programs designed to manage chronic disease, educate patients about their condition, and increase patient’s compliance wi...
Current Need Behavioral Health RN Case Manager (Home-Based) Seeking RNs throughout the state of MA to join our team immediately! Position Description The Behavioral Health RN Case Manager in the Blended role provides case management and disease management nursing services and care coordination to high risk Medicaid patients in a geographical region. The RN provides education, counseling and on-dem...
Sanofi, a global and diversified healthcare leader, discovers, develops and distributes therapeutic solutions focused on patients' needs. Sanofi has core strengths in the field of healthcare with seven growth platforms: diabetes solutions, human vaccines, innovative drugs, rare diseases, consumer healthcare, emerging markets and animal health. Sanofi is listed in Paris (EURONEXT: SAN) and in New Y...
Site Operations Associate Japanese Speaking Ora (www.oraclinical.com) is the world’s leading independent ophthalmic drug and device development firm that provides technology-based, concept-to-market services and solutions that accelerate development timelines and improves the scientific quality of clinical research. With over 1,200 ophthalmic clinical trials and consulting projects completed to da...
Grants Manager Pre & Post Award Grants - Top University! Grants Manager Pre & Post Award Grants - Top Tier University! The Grants Manager is responsible for management of the daily financial aspects of organization's research operation. Responsible for overseeing pre-award and post-award grants management activities; oversight of research activity; managing diverse portfolio of principal investiga...
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Answers for Claims Case Investigator Jobs
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How do you get a consumer protecting agency to do their job?
When presented a clear cut case of fraud, agency investigator looks instead for the way out of prosecuting. Looking the other way when he stated the was no doubt that the person's testimony was a lie,...
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I was wondering if people could give me some advice. I am going to start my college career soon and I was thinking about becoming a criminologist. Though I don' t know if I should major in physiology/...
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Lookin to go camping where they have been said to patrol. Hopin to bring some booze and some bud. I have medical marijuana in the state of CA. What could happen with under an ounce?
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A number of posters here tonight have claimed that the figure of 'false rape' claims is as high as 90 per cent, so that must mean 90 per cent of male rape victims lie too, mustn't it? And other pos...
Business Career Tools
Case Investigator - Claims
$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims in Boston
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Some High School Coursework
Source: Monster.com Careerbenchmarking Tool
Case Investigator - Claims
Develops and explores claim information.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Data Entry Skills
Examine claims investigated by insurance adjusters, further investigating questionable claims to determine whether to authorize payments.
Present cases and participate in their discussion at claim committee meetings.