Claims Case Investigator Jobs in Wisconsin

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30 Wisconsin Claims Case Investigator jobs found on Monster.

Jobs 1 to 20 of 30
Nationwide Mutual Insurance Company Appleton, WI
Job Description: This position will be support northern CA, and will handle major case SIU claims. Ideal candidates will possess claims/investigative experience, strong medical background, strong oral and written communication skills, and ability to provide outstanding customer service to both internal and external customers. JOB SUMMARY: Serves as an investigative consultant, investigator and p...
Role: Investigator Assignment: Special Investigations Unit Location: Work at Home Nationwide, preferred in KY, FL, GA, AZ, TX, CA adn WI Assignment Capsule The purpose of this position is to manage large case loads of non-complex fraud cases and provide expertise in their assigned lines of business. Investigators are primarily aligned to support investigations within a specific line of busines...
Department Overview Cahaba Safeguard Administrators LLC Benefit Integrity Investigations (BI) leads efforts to identify, investigate and reduce fraud and abuse to the Medicare Program. By working with Medical Review and Data Analysis partners, BI identifies potential aberrancies that require further review to determine if an actual loss to the Program has occurred. Once a loss has been identified...
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...
Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) Primary Responsibilities: Supervise, monitor, track and direct day to day operations of sta...
Employers Holdings, Inc. Brookfield, WI, 53005
As a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS®! Headquartered in Reno, Nevada, EMPLOY...
CUNA Mutual Group Madison, WI, 53706
Work Location: Madison, WI We are seeking an uncommon professional to join our team as a Sr. Claim Professional. Job Purpose This professional level claim specialist conducts the review and investigation, liability determination, and management of short term and long term disability claims. This position acts independently and autonomously managing the claim by conducting a thorough review and ...
American Family Insurance Group Madison, WI, 53706
Position Objective Depending on qualifications, the selected candidate may be considered for a higher level position. The Physical Damage and Certified Repair Program Claim Desk Adjuster position supports the Claims Operations division goal of ensuring customer service industry leadership and partners with agency to deliver seamless claim service. An experienced adjuster who can work on moderate...
Under technical direction, works within significant limits and authority on specialty claims assignments of highly technical complexity and coordination. Investigates and maintains specialty claims suchas environmental (asbestos, toxic tort, long term exposure). Grade level commensurate with experience. JOB SUMMARY: Primarily investigates commercial bodily injury claims of low severity and comple...
Sedgwick Claims Management Services, Inc. Sun Prairie, WI, 53591
Claims Examiner 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 place for y...
Berkshire Hathaway Travel Protection Stevens Point, WI, 54492
This position is primarily responsible for the creation and management of Berkshire Hathaway Travel Protection’s claims operation. We are seeking a candidate with a strong desire to create a new claims operation that focuses on providing exemplary service to claimants by leveraging both new technologies and customer advocacy. Description Essential Duties and Responsibilities include the followin...
Sedgwick Claims Management Services, Inc. Brookfield, WI, 53005
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...
Ameriprise Financial De Pere, WI, 54115
Evaluate and negotiate litigated files. Responsible for file strategy, direction and expense management. Work closely with involved parties to indemnify (compensate for loss or damage) our clients and the company. Present case(s) to peers as needed for roundtable evaluation. Responsibilities • This position is part of a team that handles litigated claims including bodily injury, uninsured/ underin...
MINISTRY HEALTH CARE WI
Description Network Health a wholly owned subsidiary of Ministry Health Care is looking for a Claims Coding Specialist who will maintain the unique rules customization of the claims adjudication software. Stay current with coding changes to apply specified coding methodology for claims adjudication. Provide decision support and analysis to Claims Management. Will review submitted member medical r...
UnitedHealth Group Inc. Wausau, WI, 54402
Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.(sm) Primary Responsibilities: Supervise, monitor, track and direct day to day operations of staff - a team of...
Ministry Health Care Menasha, WI, 54952
Network Health a wholly owned subsidiary of Ministry Health Care is looking for a Claims Coding Specialist who will maintain the unique rules customization of the claims adjudication software. Stay current with coding changes to apply specified coding methodology for claims adjudication. Provide decision support and analysis to Claims Management. Will review submitted member medical records from p...
Description: Position Description: Welcome to one of the toughest and most fulfilling ways to help people, including yourself. We offer the latest tools, most intensive training program in the industry and nearly limitless opportunities for advancement. Join us and start doing your life's best work.SM UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 2...
Occupational Health Nurse The Occupational Health Nurse is responsible for the administration, practice, and management of applicable medical services in accordance with company policy, practices, procedures, regulations and standards to achieve desired goals and objectives. Incumbent will assist with the treatment and management of illnesses and injury, Workers Compensation case management, Retu...
Prodigy Government Services Milwaukee, WI, 53201
Workers Compensation Analyst Position Description OIG Workers Compensation Analysts (WCAs) provide local investigative support to OIG Special Agents investigating two types of suspected workers compensation fraud: claimant fraud and medical provider fraud. Special Agents work closely with the Postal Service’s District Health and Human Resource Management (HRM) and U.S. Department of Labor (DOL) ...
American Family Insurance Group Pewaukee, WI, 53072
Position Objective The Medical Services Specialist reviews files to identify medical legal issues. Prepares file summaries and complex reviews of medical claim information on Casualty/Bodily Injury files for Claims in a variety of high impact areas. Provides medical document summaries and critiques complicated, complex files for settlement factors, negotiation, discovery, and trial preparation. F...

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Business Career Tools

Case Investigator - Claims

Salaries

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