Claims Case Investigator Jobs in Texas

RSS

208 Texas Claims Case Investigator jobs found on Monster.

Jobs 1 to 20 of 208
GENERAL PURPOSE OF JOB: Responsible for triaging, investigating and resolving all assigned allegations of healthcare Fraud Waste and Abuse by medical professionals, facilities, and members. Healthcare FWA examples include, but are not limited to, member identify theft, misappropriation of services, up-coding, services not rendered, unbundling, etc. All assigned cases require thorough investigatio...
Universal American Houston, TX, 77020
The SIU Medicare Parts C and D Investigator functions as part of the SIU, which is the designated unit responsible for the detection, prevention, investigation, education, correction, and resolution of Medicare Parts C and D FWA. This position is responsible for triaging, investigating and resolving all instances of potential Medicare Parts C and D FWA, which may include, but is not limited to, in...
Texas Health & Human Services Commission Austin, TX, 78719
Investigator III Claims Investigator performs moderately complex investigative work in HHS programs. Ensures investigations are conducted and reported in compliance with law, agency policy, and professional standards. Conducts fraud investigations and collects evidence following guidelines in the Association of Inspectors General Principles and Standards for Offices of Inspectors General. Screens...
APS Healthcare Houston, TX, 77020
The SIU Medicare Parts C and D Investigator functions as part of the SIU, which is the designated unit responsible for the detection, prevention, investigation, education, correction, and resolution of Medicare Parts C and D FWA. This position is responsible for triaging, investigating and resolving all instances of potential Medicare Parts C and D FWA, which may include, but is not limited to, in...
G4S Security Solutions USA Lubbock, TX, 79401
Do you thrive on unraveling mysteries? Are you looking for a rewarding career opportunity with long-term stability? As the global leader in our marketplace, G4S Compliance & Investigations stays true to our promise of supplying our expert employees with the latest innovation, paramount educational opportunities, and breadth through our global footprint. With the strength of our core values and pro...
Davis Vision Inc. San Antonio, TX, 78245
Provide administrative, compliance and technical business solutions support in fraud, waste and abuse (FWA) and privacy to the Compliance department. Responsibilities include, but not limited to, prompt and accurate investigation of HIPAA privacy and FWA incidents, identifying areas for improvements and/or new processes, assistance in defining operational privacy and fraud business requirements, d...
Job Purpose Protects the rights of plaintiffs in personal injury cases by representing plaintiffs in cases dealing with matters, such as motor vehicle accidents, premises liability, property damage, slip and fall, and wrongful death. Resolves claims by reviewing, investigating, and negotiating claims filed by our clients against insurance companies. Acts as paralegal and/or legal assistant by per...
Claims Examiner - Liability 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 place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the p...
Claims Examiner Liability 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 place where you can do great things for those whose lives you touch while maximizing your own career possibilities, Sedgwick is the pla...
Claims Examiner Workers Compensation 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, Sedgwi...
Claims Examiner Workers Compensation 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, Sedgw...
Claims Examiner Liability 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, Sedgwick is the p...
This opportunity is a Material Damage Specialist opportunity supporting the Dallas TX territory. JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution personal lines material/physical damage of a moderate to severe nature. Promotes and provides ""On Your Side"" customer service. Responsible for the handling of claims in accordance with prescribed authorization and clai...
Feeling like your current job is just, well, a job? You’re meeting deadlines, pushing projects forward, even getting accolades from the boss. So why the empty feeling? You need a mission, you need to know that what you are doing is making a difference, not just helping the bottom line. For more than a decade 21CT has been on a mission to secure our world through data analytics and visualization wo...
Position Description: Do you love healthcare and helping others? Do you excel at teaching members about their health and well-being? Are you looking for an opportunity to empower others, while maintaining a strong work/life balance? Universal American is the place for you! Universal American is a New York Stock Exchange company with annual revenues of more than $2 billion. Through our family of ...
*This is a field material damage claims opportunity supporting the Houston TX territory JOB SUMMARY: Investigates, evaluates, negotiates and brings to a final resolution personal lines material/physical damage of a moderate to severe nature. Promotes and provides ""On Your Side"" customer service. Responsible for the handling of claims in accordance with prescribed authorization and claims best p...
Required Qualifications: 5+ years of Workers' Compensation claims handling experience Excellent oral and written communication skills, including presentation skills PC literate, including Microsoft Office products Effective analytical and interpretive skills Strong organizational skills Ability to work in a team environment Fundamental knowledge of the insurance industry, claims, and the in...
The Travelers Companies Richardson, TX, 75080
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: Manage all accepted lost time claims, except s...
The Travelers Companies Richardson, TX, 75080
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 ...
Liberty Mutual Richardson, TX
Bodily Injury Claims Specialist - Safeco - Richardson, TX-56279 Description Advance your career at Liberty Mutual Insurance - A Fortune 100 Company! Are you looking for an opportunity to join a claims team with a responsible company that has consistently outpaced the industry in year over year growth? Liberty Mutual Insurance has an excellent claims opportunity available. As a Casualty Claims ...

Get new jobs by email for this search
We'll keep looking and send you new jobs that match this search.
email me

Upload your resume and let employers find you!
It's that simple!

Business Career Tools

Case Investigator - Claims

Salaries

$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims in Texas
(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
For Employers: Post Jobs | Search Resumes | Advertise
About Monster | Work for Monster | Advertise with Us | AdChoices | Partner with Us | Investor Relations | Social Media
Terms of Use | Privacy Center | Accessibility Center | Help | Security | Contact Us | Sitemap | Mobile
©2014 Monster - All Rights Reserved U.S. Patents No. 5,832,497; 7,599,930 B1; 7,827,125 and 7,836,060 MWW - Looking for Monster Cable? - V: 2014.4.70.65-324
eTrustLogo