Claims Case Investigator Jobs in Massachusetts

Currently, there are no Claims Case Investigator jobs available in Massachusetts which match this search. You may wish to explore similar job titles on the Business jobs in Massachusetts page or view related jobs below.
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Job Location: Boston, MA Job Description Job Summary: The SIU Coordinator is responsible for completing certain SIU processes including, but not limited to, the intake of cases triaged to the SIU, scheduling audits, ordering records, and tracking case information. The SIU Coordinator facilitates the opportunities for established metrics and target recovery goals to be achieved by the SIU Depart...
The Travelers Companies Middleboro, MA, 02344
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. SUMMARY: Aggressively investigate lost time claims, det...
BMC HealthNet Plan Boston, MA, 02298
Job Summary: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan’s member and provider fraud, waste, and abuse (FWA) detection, investigation, remediation, and prevention efforts. The Investigator utilizes preliminary recommendations provided by the SIU Data Analyst to develop, conduct, resolve, document, and report on investigations of tips, allegations, or data ...
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 Boston, MA area. Surveillance investigators must have experience performing stati...
The Travelers Companies Middleboro, MA, 02344
Solid reputation, passionate people and endless opportunities. That's Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. Summary Investigate, evaluate, reserve, negotiate and r...
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 Massachusetts 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...
University of Massachusetts Medical School Charlestown, MA, 02129
Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunit...
Hanover Insurance Group Worcester, MA, 01601
“Delivering on promises for over 160 years!” Hanover Insurance is a winning company comprised of outstanding professionals focused on a single vision: to be the very best in our business. At The Hanover you will have the opportunity to: Grow Your Career, Love What You Do and Be Valued for Your Contributions. Apply today and discover: Why , in 2013 and 2014, we were recognized by The Boston Globe a...
University of Massachusetts Medical School Charlestown, MA, 02129
Overview: Located in Charlestown, MA, the Commonwealth Medicine Center for Health Care Financing (CHCF) helps state agencies, our primary clients, identify opportunities to increase savings and reimbursements through federal and other third party sources, establish effective savings and reimbursement programs and capitalize on all possible revenue streams. At the same time, we identify opportunit...
BMC HealthNet Plan Boston, MA, 02298
Job Summary: The SIU Coordinator is responsible for completing certain SIU processes including, but not limited to, the intake of cases triaged to the SIU, scheduling audits, ordering records, and tracking case information. The SIU Coordinator facilitates the opportunities for established metrics and target recovery goals to be achieved by the SIU Department. The SIU Coordinator may assist the SI...
Examination Management Services, Inc. Boston, MA, 02298
Responsibilities - The primary responsibilities of this position include the following activities related to insurance claims investigations: Detailed claim review with ability to ascertain relevant issues such as material misrepresentation, coverage, exclusions, fraud and red flags. Development of investigative plan of action Written and recorded statements In-person interviews Court, public and ...
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: ...
Examination Management Services, Inc. Boston, MA, 02298
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: ...
Liberty Mutual Insurance At Liberty Mutual Insurance, doing the right thing is essential to all that we do. Our commitment to building and sustaining a talented and diverse workforce has helped us to become a global leader in property and casualty insurance. As of December 31, 2012, Liberty Mutual Insurance had $36.9 billion in annual consolidated revenue. Our financial strength and profitability...
Liberty Mutual Insurance At Liberty Mutual Insurance, doing the right thing is essential to all that we do. Our commitment to building and sustaining a talented and diverse workforce has helped us to become a global leader in property and casualty insurance. As of December 31, 2012, Liberty Mutual Insurance had $36.9 billion in annual consolidated revenue. Our financial strength and profitability...
*This position may be staffed in the Harleysville Office in Worcester, MA, supporting the commercial and personal lines property department. *Ideal candidate will possess as college degree, customer service experience, a construction background, and will be mobile to relocate in the future for career opportunities. *This position may be staffed at another level, based on experience and/or qualif...
Job Location: Boston, MA Job Description Job Summary: The Medical Claims Auditor manages the process by which claims failing established clinical-related adjudication parameters are evaluated for payment. Leveraging clinical and or/coding expertise in the performance of the key functions of the position, the MCA considers a variety of factors including, but not limited to, Plan benefit, reimbur...
Higher tiered levels may be available commensurate with experience. Assist the company’s subrogation effort by investigating, evaluating and settling both first and third party subrogation claims for the most appropriate percent attainable while considering costs. Responsible for maintaining a current caseload and negotiating settlements within approved authority levels. Responsible for managing ...

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Business Career Tools

Case Investigator - Claims

Salaries

$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims in Massachusetts
(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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