Claims Case Investigator Jobs
18 Claims Case Investigator jobs found on Monster.
Company Confidential
Lynbrook, NY
We are a prominent and full-service investigation firm who is seeking fulltime claims investigators for the Queens, Nassau and Suffolk areas. The investigators will be responsible for handling insurance related claims. This is a unique opportunity to work for a fast growing, innovative business. Essential Duties/Responsibilities: · Obtain written or recorded statements from subjects depending on c...
Description: Position Description: Positions in this function are responsible for investigating, reviewing, and resolving Facility provider claims on behalf of our commercial and government customers and their health plans. The Clinical Investigator will ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. Primary Responsibilities: Investigates...
Description: Position Description: Positions in this function are responsible for investigating, reviewing, and resolving Facility provider claims on behalf of our commercial and government customers and their health plans. The Clinical Investigator will ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. Primary Responsibilities: Investigates...
EMSI
Telecommute
About the Company: Examination Management Services, Inc is a national firm that provides a variety of risk management services to the insurance and business communities. We are customer driven and technology focused, with a commitment to providing cutting edge business solutions and service excellence to our customers. About the Opportunity: Our Investigative Services Division, ICS Merrill, is see...
EMSI
Telecommute
About the Company: Examination Management Services, Inc is a national firm that provides a variety of risk management services to the insurance and business communities. We are customer driven and technology focused, with a commitment to providing cutting edge business solutions and service excellence to our customers. About the Opportunity: Our Investigative Services Division, ICS Merrill, is see...
EMSI
Telecommute
About the Company: Examination Management Services, Inc is a national firm that provides a variety of risk management services to the insurance and business communities. We are customer driven and technology focused, with a commitment to providing cutting edge business solutions and service excellence to our customers. About the Opportunity: Our Investigative Services Division, ICS Merrill, is see...
Basic Function - Identify and investigate questionable claims/risks and deliver facts and assistance to internal and external customers. Investigations involve handling all aspects of the investigation. Duties and Responsibilities - Receives referral, communicates with referring sources, verifies need for investigation and documents all appropriate information. Manager and/or Team Lead reviews and...
Position Description: Job Summary: The SIU (Special Investigative Unit) Investigator will assist the Associate Director of Compliance and Regulatory Affairs in the development, maintenance and execution of the Navitus fraud, abuse and waste program, controls, and associated policies and procedures. The SIU Investigator will conduct prompt, accurate investigations of questionable cases, in a manner...
This position is located in our MD, Towson facility ViPS, a General Dynamics Information Technology company, provides services to healthcare payers for the detection, investigation, and disposition of cases of potential healthcare fraud, waste, and abuse. The scope of these services includes data analysis, prioritization and triaging of workload, selecting random samples, performing medical review...
Investigator 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 place for you. As...
Company Confidential
Lynbrook, NY, 11563
We are a prominent and full-service investigation firm who is seeking a surveillance investigator for the Syracuse area. The investigators will be responsible for handling insurance related claims. This is a unique opportunity to work for a fast growing, innovative business. Essential Duties/Responsibilities: · Conduct stationary and mobile surveillance. · Conduct undercover investigations. · Cond...
Job Title: Fraud Investigator/Account Protection Team starting 07/08 - Westerville Job ID: 18147 Location: Columbus,OH, US Full/Part Time:Full-Time Regular/Temporary: Regular Line of Business:Alliance Data About the Opportunity As a Fraud Investigator, you will be responsible for reducing losses on fraud cases by investigating cases for recovery opportunities. Opportunities are achieved through re...
Job Title: Bi-lingual Spanish Fraud Investigator/Account Protection Team starting 07/08 - Westerville Job ID: 18144 Location: Columbus,OH, US Full/Part Time:Full-Time Regular/Temporary: Regular Line of Business:Alliance Data About the Opportunity As a Fraud Investigator, you will be responsible for reducing losses on fraud cases by investigating cases for recovery opportunities. Opportunities are...
Description: Position Description: Positions in this function are responsible for investigating, reviewing, and resolving Professional provider claims on behalf of our commercial and government customers and their health plans. Ensure adherence to state and federal compliance policies, reimbursement policies and contract compliance. Primary Responsibilities: Investigates, reviews, and provides cli...
UnitedHealth Group
Multiple
Description: Position Description: Positions in this function are responsible for investigating, reviewing, recovering and resolving all types of claims as well as recovery and resolution for health plans, commercial customers and government entities. This may include participation in telephone calls or meetings with providers, clients and investigative team. Ensure adherence to state and federal...
Company Confidential
Lynbrook, NY
We are a prominent and full-service investigation firm who is seeking fulltime surveillance investigators for the Queens, Nassau and Suffolk areas. The investigators will be responsible for handling insurance related claims. This is a unique opportunity to work for a fast growing, innovative business. Essential Duties/Responsibilities: · Conduct stationary and mobile surveillance. · Conduct underc...
This position is located in our MD, Towson facility General Dynamics Information Technology company, provides services to healthcare payers for the detection, investigation, and disposition of cases of potential healthcare fraud, waste, and abuse. The scope of these services includes data analysis, prioritization and triaging of workload, selecting random samples, performing medical review, interv...
Description: The Fraud Analyst position is responsible for identifying and analyzing claims data and categorizing areas of fraud, waste and abuse within a Medicare Advantage plan. This position requires proactive analytics and data mining to assist in identifying potential fraudulent activity and requires a well developed understanding of the health insurance industry and an in-depth understanding...
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Popular Claims Case Investigator Job Searches
Business Career Tools
Case Investigator - Claims
Salaries
$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims
(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
Popular Claims Case Investigator Articles
Sample Resume for an Insurance Claims Processor
Use this sample resume for an automotive insurance claims processor to help you stake your claim on your next insurance job.
Prove Your Resume Claims with a Career Performance Portfolio
Employers can be skeptical of the facts on your resume. Learn how to prove your worth with a career performance portfolio.
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©2013 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: 2013.5.0.223-219 
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©2013 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: 2013.5.0.223-219