Skip to main content

Claims Case Investigator Jobs

1000+ jobs

Overview UI Claims Investigator – Restricted Position (Re-Announcement) in Richmond, VAVA Employment Commission Branch RichmondVAUS Position:UI Claims Investigator – Restricted Position (Re-Announcement)Location:Richmond, VA knowledge of unemployment insurance regulations and… use of Microsoft Word and Excel. Strong customer service skills. Demonstrated ability to interview parties… Responsib...

Company Pacific Gas and Electric Company, a subsidiary of PG&E Corporation (NYSE:PCG), is one of the largest combined natural gas and electric utilities in the United States. Based in San Francisco, with 20,000 employees, the company delivers some of the nation's cleanest energy to 15 million people in Northern and Central California. Pacific Gas and Electric Company is an Affirmative Action and...

Company Pacific Gas and Electric Company, a subsidiary of PG&E Corporation (NYSE:PCG), is one of the largest combined natural gas and electric utilities in the United States. Based in San Francisco, with 20,000 employees, the company delivers some of the nation's cleanest energy to 15 million people in Northern and Central California. Pacific Gas and Electric Company is an Affirmative Action and...

Company Pacific Gas and Electric Company, a subsidiary of PG&E Corporation (NYSE:PCG), is one of the largest combined natural gas and electric utilities in the United States. Based in San Francisco, with 20,000 employees, the company delivers some of the nation's cleanest energy to 15 million people in Northern and Central California. Pacific Gas and Electric Company is an Affirmative Action and...

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...

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 Rochester, NY area. Surveillance investigators must have experience performing stationary and mobile surveillance in a variety...

Job description: We are looking for experienced and energetic Surveillance Investigators to join our growing team. The job will focus on conducting surveillance and claims investigations and writing detailed updates to document their findings. Experienced investigators needed for full-time positions. Entry level positions available, we will train. Job details and responsibilities: You will be r...

Job Opening ID 3268BR Title Investigative Case Mgr Country United States State/Region/Province Tennessee City Franklin Job Category Claim Position Type Experienced/Professional Company Information 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 -...

Job Summary Aggressively investigate lost time claims, determine compensability, and assert our customers legal rights to pay or deny the claim. Primary Job Duties & Responsibilities Conduct initial investigation of lost time claims to resolve compensability, coverage and offset issues on new notices. If controverted or coverage is unconfirmed, retain and manage assigned claims to conclusion. If n...

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...

Located in Mahwah, NJ Robert J Trobe, Corp a Private Investigation firm seeking full time and part time Field Investigators. Candidate must possess a college degree, with prior Police and/or Casualty Claims Investigations experience. Responsibilities include conducting comprehensive interviews, conduct surveillance, subpoena service, and general trial prep. Candidates must demonstrate proficiency...

Claims Manager, Special Investigation Unit( Job Number: 306169) Description 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...

MetroPlus provides access to health care services to New York City residents in Brooklyn, Queens, the Bronx and Manhattan through New York State's Medicaid Managed Care, Child Health Plus, Family Health Plus and Partnership in Care, an HIV Special Needs Program through its network of participating providers. Purpose of Position: MetroPlus Health Plan is seeking a highly qualified candidate for a...

Job Summary: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan’s member and provider fraud, waste, and abuse (FWA) detection, investigation, remediation, and prevention efforts. The Investigator utilizes preliminary recommendations provided by the SIU Data Analyst to develop, conduct, resolve, document, and report on investigations of tips, allegations, or data ...

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party Perform data mining ...

CNA Insurance is currently recruiting for a highly-specialized position in the Major Investigations Team of our Special Investigations Unit. The individual in this position will work on a team dedicated specifically to uncovering provider fraud and associated organized crimes. We seek an experienced investigator with special knowledge of medical and provider investigations, medical billing codes a...

Apply Now Investigator Special Investigations Unit Job Location: Manchester, NH Job Description Job Summary: The Investigator, Special Investigations Unit (SIU) is a key contributor to the Plan’s member and provider fraud, waste, and abuse (FWA) detection, investigation, remediation, and prevention efforts. The Investigator utilizes preliminary recommendations provided by the SIU Data Analyst ...

Detailed Description THE COMPANY E*TRADE Financial is a leading financial services company and a pioneer in the online brokerage industry. Having executed the first‐ever electronic trade by an individual investor more than 30 years ago, the Company has long been at the forefront of offering easy‐to‐use solutions for individual investors and stock plan participants. Founded on the principle of inn...

Recruitment Information Recruitment Number 215337 - Downtown, Island of Oahu Employment Only - $4,447 to $6,330 per month (SR-24, Step C to Step L) for designated positions with the Department of the Attorney General. Actual starting salary information will be provided at the time of interview. Note: Hiring rates will be based on availability of funds, the applicant's qualifications, and other r...

Pharmacy Investigator - Special Investigations Unit Requisition ID 142778 Business Overview At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely ha...