Claims Case Investigator Jobs

1000+ jobs

GlobalOptions Services is a nationwide investigative firm servicing the insurance, government, and legal communities. We perform insurance defense investigations pertaining to varying lines of business. We are currently seeking experienced surveillance investigators in the Minneapolis, MN area. Surveillance investigators must have experience performing stationary and mobile surveillance in a varie...

Job Description We are looking for a skilled and experienced Insurance Claims and Surveillance Investigator to join our growing team of professionals. The Insurance Claims and Surveillance Investigator will primarily focus on conducting all facets of an insurance investigation and writing detailed reports to document their findings. This position reports directly to the Case Manager. Job Respons...

Case Investigator - Braintree, MA The Phia Group, LLC is a thriving, service-oriented company representing health insurance carriers nationwide. We seek to provide our clients with innovative cost saving solutions and are constantly expanding our service offerings. We continue to enjoy growth tanks to our passion, as well as a belief that our talented and committed team is our most valuable resou...

Combined Insurance, an ACE Group Company, is seeking an SIU Manager to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of over 90 years. Come join our team of hard-working, talented professionals! JOB SUMMARY: Oversee the anti-fraud program, manage case referrals to the SIU and partner with claims management in the identificat...

Company Description: HUB Enterprises, Inc. is a privately held corporation based in Lafayette, Louisiana that provides security services, insurance defense investigations and catastrophic/daily adjusting services throughout the United States. With personnel domiciled throughout the United States, HUB can meet the geographical staffing needs of our clients. Each division of HUB Enterprises operate...

Company Description: Sherlock Investigations: investigators and surveillance specialists providing claims research to the insurance defense community. Sherlock has been providing insurance carriers with expert assessment and documentation of their Michigan claimantsâÃÂàactivities since 1995. Sherlock offers a great work environment that is truly team based and will support you as you develop....

Company Description: HUB Enterprises, Inc. is a privately held corporation based in Lafayette, Louisiana that provides security services, insurance defense investigations and catastrophic/daily adjusting services throughout the United States. With personnel domiciled throughout the United States, HUB can meet the geographical staffing needs of our clients. Each division of HUB Enterprises operate...

Company Description: HUB Enterprises, Inc. is a privately held corporation based in Lafayette, Louisiana that provides security services, insurance defense investigations and catastrophic/daily adjusting services throughout the United States. With personnel domiciled throughout the United States, HUB can meet the geographical staffing needs of our clients. Each division of HUB Enterprises operate...

JOB SUMMARY: As an Investigations Case Analyst for Federal Investigative Services (FIS) in Centralized Investigative Support, you will audit and analyze individual reports of investigations to ensure cases meet requirements, quality standards and issue resolution. This position is also being announced under the Agency's Merit Promotion Plan to federal employees and non-competitive appointment el...

SUMMARY: Investigate, evaluate, and adjust assigned claims in accordance with Policy terms and conditions, and in compliance with Dept. of Insurance requirements. Provide quality claim handling and superior customer service on assigned claim’s Promptly manage claims by completing essential functions including contacts, investigation, evaluation and disposition. PRIMARY DUTIES: Timely coverage a...

Quality Distribution Inc. is a mid-sized, publicly traded company headquartered right here in Tampa. We employ just over 200 people in our Tampa based corporate office and have an affiliated network of over 100 locations across the US. We are the nation’s #1 and largest tank trucking company. Quality transports a broad range of chemical products and provides our customers with value added services...

At Great American, we focus on building relationships and linking people to various career paths. Whether it’s underwriting, claims, accounting, IT, legal, or customer service, Great American Insurance Group combines a "small company" entrepreneurial atmosphere with "big company" expertise. Great American has more than 25 specialty insurance divisions within our Property & Casualty Group, and our ...

Description: Position Description: Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healt...

Description: Position Description: Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healt...

About EMSI: Examination Management Services, Inc. (EMSI) provides medical information, risk management and investigative services to the insurance, legal, clinical, and business communities. We empower our customers with accurate, comprehensive information to make informed, reliable business decisions. We work collaboratively with our clients to develop strategies that increase profits, enhance p...

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...

Description: Position Description: Energize your career with one of Healthcare's fastest growing companies. You dream of a great career with a great company where you can make an impact and help people. We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it's a dream that definitely can come true. Already one of the world's leading Healt...

Position Description: 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, bu...

Position Description: Job Summary: The SIU (Special Investigative Unit) Associate will assist the Associate Director of Compliance and Regulatory Affairs and SIU Investigator in the execution and maintenance of the Navitus fraud, abuse and waste program, controls, and associated policies and procedures. The SIU Associate will initiate case files, gather necessary preliminary data to provide to S...

Description: Bring us your experience, your head for strategy, your strength with relationships and your eye for opportunity. In return we offer an unmatched place to grow and develop your career among a richly diverse group of businesses driven by the power and stability of a leading health care organization. Come help us heal and strengthen the health care system as you do your life's best work...