Claims Case Investigator Jobs in Florida

Currently, there are no Claims Case Investigator jobs available in Florida which match this search. You may wish to explore similar job titles on the Business jobs in Florida page or view related jobs below.
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GlobalOptions Services is a nationwide investigative firm servicing the insurance, government, and legal communities. We perform investigations on Workers’ Compensation, auto liability, general liability, and long and short term disability claims. We are currently seeking experienced surveillance investigators in the Tallahassee, FL area. Surveillance investigators must have experience performing...
GlobalOptions Services is a nationwide investigative firm servicing the insurance, government, and legal communities. We perform investigations on Workers’ Compensation, auto liability, general liability, and long and short term disability claims. We are currently seeking experienced surveillance investigators in the Pensacola, FL area. Surveillance investigators must have experience performing s...
GlobalOptions Services is a nationwide investigative firm servicing the insurance, government, and legal communities. We perform investigations on Workers’ Compensation, auto liability, general liability, and long and short term disability claims. We are currently seeking experienced surveillance investigators in the Orlando, FL area. Surveillance investigators must have experience performing stat...
Claims Examiner Liability - Location TBD CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, Sedgwick has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Se...
Description: Position Description: The role of an M&R Claims Appeals Coordinator is to serve as a trusted resource in providing problem resolution and support for our Medicare members regarding their questions on their health care coverage or payments made on an insurance claim. This means developing and maintaining member relationships both on the phone and in writing through the process o...
Hewlett-Packard Company Miramar, FL, 33023
SafeGuard Services (SGS), a subsidiary of Hewlett-Packard Enterprise Services, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse. Since 1999, SGS has prevented approximately $4 billion in inappropriate payments utilizing proactive claims processing system edits. SGS has additionally identified over $1 ...
Examination Management Services, Inc. Jacksonville, FL, 32277
See below Job Description: About EMSI: Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, healthcare, legal, wellness and business communities. We empower our customers with comprehensive information to help them make informed decisions and improve the lives of those they serve. About EMSI's Investigative Serv...
Examination Management Services, Inc. Jacksonville, FL, 32277
Responsibilities - The primary responsibilities of this position include the following activities related to insurance claims investigations: Conducting surveillance (fixed/mobile) Obtaining videotaped documentation of subjects Conducting background/activity checks and courthouse research Written and recorded statements Writing investigative reports Skills/Experience: Must be eligible for regist...
About EMSI: Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, healthcare, legal, wellness and business communities. We empower our customers with comprehensive information to help them make informed decisions and improve the lives of those they serve. About EMSI’s Investigative Services Division, ICS Merrill: ...
About EMSI: Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, healthcare, legal, wellness and business communities. We empower our customers with comprehensive information to help them make informed decisions and improve the lives of those they serve. About EMSI’s Investigative Services Division, ICS Merrill: ...
About EMSI: Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, healthcare, legal, wellness and business communities. We empower our customers with comprehensive information to help them make informed decisions and improve the lives of those they serve. About EMSI’s Investigative Services Division, ICS Merrill: ...
WellCare Health Plans Inc. Tampa, FL, 33602
Department: Compliance, SIU Reports To: Sr. Director, SIU Compliance Location: Tampa, 33634 Hours: M-F Day Shift Conduct healthcare fraud and abuse investigations as a member of the Special Investigations unit within the Corporate Compliance department. Essential Functions: Investigates allegations and issues pertaining to potential health care fraud by providers or members. Documents inves...
Assurant Solutions Miami, FL
Description Supervises activities in the Special Investigations Unit and oversees the protection of assets of the corporation by avoiding the payment of fraudulent claims in accordance with the state applicable law and policy provisions. ESSENTIAL DUTIES AND ACCOUNTABILITIES: • Conducts timely investigations of suspected fraudulent claims to ensure a prompt and accurate claims decision. • Cond...
Supervises activities in the Special Investigations Unit and oversees the protection of assets of the corporation by avoiding the payment of fraudulent claims in accordance with the state applicable law and policy provisions. ESSENTIAL DUTIES AND ACCOUNTABILITIES: • Conducts timely investigations of suspected fraudulent claims to ensure a prompt and accurate claims decision. • Conducts complex t...
Hewlett-Packard Company Miramar, FL, 33023
This position is on site in Miramar, FL SafeGuard Services (SGS), a subsidiary of Hewlett-Packard Enterprise Services, performs data analysis, investigation, and medical review to detect, prevent, deter, reduce, and make referrals to recover fraud, waste, and abuse. Since 1999, SGS has prevented approximately $4 billion in inappropriate payments utilizing proactive claims processing system edits. ...
State of Florida Lakeland, FL, 33810
Occupational Profile: Job Family: Community and Social Services Occupational Group: Counseling and Social Work Occupation: Community and Social Services Specialist, All Other Description: WHEN SECONDS COUNT…A CHILD CANNOT WAIT Children in crisis need quick action from strong, compassionate individuals dedicated to ensuring their safety. This demanding and challenging career could be your opp...
State of Florida Lakeland, FL, 33810
OCCUPATION PROFILE JOB FAMILY: COMMUNITY AND SOCIAL SERVICES OCCUPATIONAL GROUP: COUNSELING AND SOCIAL WORK OCCUPATION: COMMUNITY AND SOCIAL SERVICE SPECIALISTS, ALL OTHER Duties and Responsibilities: This is professional work protecting children, working with families and conducting investigations of alleged abused, abandoned, neglected or exploited children. This position will assume an ind...
State of Florida Lake City, FL, 32055
OCCUPATION PROFILE JOB FAMILY: COMMUNITY AND SOCIAL SERVICES OCCUPATIONAL GROUP: COUNSELING AND SOCIAL WORK OCCUPATION: COMMUNITY AND SOCIAL SERVICE SPECIALISTS, ALL OTHER 21-1099 DESCRIPTION Duties and Responsibilities: This is professional work protecting children and working with families to conduct investigations of alleged abused, abandoned, neglected or exploited children. Senior Chil...
State of Florida Bunnell, FL, 32110
OCCUPATION PROFILE JOB FAMILY: COMMUNITY AND SOCIAL SERVICES OCCUPATIONAL GROUP: COUNSELING AND SOCIAL WORK OCCUPATION: COMMUNITY AND SOCIAL SERVICE SPECIALISTS, ALL OTHER 21-1099 This is an anticipated vacancy covering Flagler, St. Johns & Putnam Counties. DESCRIPTION Vulnerable adults in crisis need quick action from strong, compassionate individuals dedicated to ensuring their safety. Th...
Fontainebleau Miami Beach Miami Beach, FL, 33109
General Summary of Duties: Responsible for assisting the Assistant Director of Safety and Security in loss prevention, apprehension and trend analysis, through physical and covert investigations. Typical Physical/Mental Demands: Requires mobility. Requires prolonged sitting, standing, walking, bending, stooping, and kneeling. Ability to climb stairs and ladders at a rapid pace. Ability to grasp...

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Business Career Tools

Case Investigator - Claims

Salaries

$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims in Florida
(36 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
47.8%
Associates
13%
Master's
13%
High School
8.7%
Some College Coursework Completed
8.7%
Some High School Coursework
4.3%
Professional
4.3%
(23 Respondents)
Source: Monster.com Careerbenchmarking Tool
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