Claims Case Investigator Jobs in Cambridge, 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...
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...
We are seeking a motivated, licensed private investigator to conduct surveillance on insurance fraud cases in the Boston, MA and surrounding areas. WE PROVIDE THE VEHICLE AND EQUIPMENT! WE CAN PROVIDE FULL-TIME WORK, WITH AT LEAST 40 HOURS A WEEK! Are you tired of trying to compete your skills against the "big" nationwide investigative companies? Are you tired of the wear and tear investigations d...
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...
Schedule Details/Location This position is located in Dorchester, MA. Job Duties The Senior FIU Investigator is responsible, as assigned by management, for various operations across the Financial Intelligence Unit including AML investigations, SAR filing, customer risk rating, high-risk customer surveillance, enhanced due diligence processes, special investigations, and OFAC compliance. The incumb...
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....
Director DPU MS - 00243871-28703 Description Genzyme has pioneered the development and delivery of transformative therapies for patients affected by rare and debilitating diseases for over 30 years. We accomplish our goals through world-class research, collaboration with the global patient community, and with the compassion and commitment of our employees. With a focus on rare diseases and multipl...
Lead Research Investigator-Bio I, Boston - RD18557 Description Job Responsibilities/Department Description: * Lead and carry out in vivo pharmacology studies in engineered mouse models focused on the evaluation of targeted immunomodulation and therapeutic vaccine approaches for the treatment of allergic diseases within Sanofi Global Biotherapeutics. * Lead and carry out ex vivo studies to characte...
Qualifications Sanofi, an integrated global 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, consumer healthcare, emerging markets, animal health and the new Genzyme. Job Title: Senior Research Investigator- C...
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...
Assistant Clinical Trial Operations Manager - RD19476 Description 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 establi...
EMD Serono is the biopharmaceutical division of Merck KGaA, Darmstadt, Germany, a global pharmaceutical and chemical group. We strive to create value and benefit patients by transforming medical science into breakthrough solutions in our core therapeutic areas of neurodegenerative diseases, fertility and metabolic endocrinology, as well as oncology and autoimmune/inflammatory diseases as emerging...
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...
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...
Get Referred to this job Schedule: Full-time Organization: Financial Services Location: New York, Florham Park/NJ, Boston, Reston/DC, Philadelphia, Charlotte, Atlanta, Chicago, Minneapolis, Detroit, Dallas, Houston, and San Francisco Travel: 80% (Monday - Thursday) Join Accenture and help transform leading organizations and communities around the world. The sheer scale of our capabilities and clie...
Claims Reviewer Do you have experience as a Claims Reviewer? Are you interested in being a part of an organization with a mission to promote the health and wellness? If so, this is the position for you! Our client is looking for a candidate who would be responsible for the adjudication of claims adhering to current administrative policies and procedures, clinical guidelines, unbundling software an...
Homesite is seeking an experienced professional to develop and execute a comprehensive training program within the Claims Department. Responsibilities will include the training, mentoring and coaching of claims adjusters, team leads and managers with regard to their technical competencies, customer service skills and overall claim handling abilities. This process will involve taking the current pr...
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...
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...
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Business Career Tools
Case Investigator - Claims
$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims in Cambridge
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
Plans investigations by reviewing case documents; identifying areas for confirmation and development.
Maintain claim files such as records of settled claims and an inventory of claims requiring detailed analysis.