Claims Case Investigator Jobs in Wisconsin
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: SIU Pharmacy 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 as it relates to (pharmacy providers). Investigators are primarily aligned to support investigations within a specific ...
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...
Description: Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of l...
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...
Job Description We are seeking a hard-working and highly motivated Surveillance Insurance Claims Investigator to join our growing team of professionals. The Surveillance Insurance Claims Investigator is primarily focused on conducting surveillance investigations in order to gather potential evidence of fraud on an insurance claim. This position reports directly to the Case Manager and Operations ...
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 ...
Nationwide Wausau, WI, 54402
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...
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...
UnitedHealth Group Inc. Eau Claire, WI, 54701
Careers at UnitedHealthcare Medicare & Retirement. The Boomer generation is the fastest growing market segment in health care. And we are the largest business in the nation dedicated to serving their unique health and well-being needs. Up for the challenge of a lifetime? Join a team of the best and the brightest to find bold new ways to proactively improve the health and quality of life of these 9...
MINISTRY HEALTH CARE WI
Description Network Health's success is rooted in its mission to enhance the life, health and wellness of the people we serve. it drives the decisions we make, including the people we choose to join our growing team. Network Health is seeking a Claims Coding Specialist who will maintain the unique rules customization of the claims adjudication software. Stay current with coding changes to apply s...
Ministry Health Care Menasha, WI, 54952
Network Health's success is rooted in its mission to enhance the life, health and wellness of the people we serve. it drives the decisions we make, including the people we choose to join our growing team. Network Health is seeking a Claims Coding Specialist who will maintain the unique rules customization of the claims adjudication software. Stay current with coding changes to apply specified codi...
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. UnitedHealth Group is working to create the health care system of tomorrow. Already Fortune 25,...
Description: We'll put you in the driver's seat on vital projects that have strategic importance to our mission of helping people lead healthier lives. Yes, we share a mission that inspires. We need your organizational talents and business discipline to help fuel ours. It's the opportunity to do your life's best work.(sm) Positions in this function include those responsible for designing/develop...
Job Description: Full time (40 hrs/week, 1.0 FTE) position located at our west side Administrative Offices. Behavioral Health Utilization Management Reviewer (9.14) POSITION SUMMARY: Using a collaborative process, the Behavioral Health (BH) Utilization Management Reviewer will review, plan, implement, monitor, and evaluate the options and services required to meet an individual’s health needs,...
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) ...
Hanover Insurance Group Brookfield, WI, 53005
“ 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 2010 and 2011, we were recognized by The Boston Globe ...
American Family Insurance Group Pewaukee, WI, 53072
Position Details This is a field position that will handle the Dayton/Springfield territory. Position will work out of employees home office with a company vehicle provided. Position Objective The Property Claim Field Adjuster position supports the Claim Division goal of ensuring customer service industry leadership and partners with agency to deliver seamless claim service. An experienced adju...
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Case Investigator - Claims
$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims in Wisconsin
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
Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.
Plans investigations by reviewing case documents; identifying areas for confirmation and development.