Claims Investigator Jobs
Job Title: Claims Investigator Location: Connecticut, Massachusetts, Vermont, New Hampshire, Maine, Rhode Island. About the Company Hettrick, Cyr & Associates Inc., (HC&A) is a recognized leader within the safety, risk control, and insurance claims investigation industry. HC&A offers excellent career and growth opportunities. We pride ourselves on delivering only the highest level of service possi...
Complete Claims Services, Inc. is a full service insurance defense investigation company based in Jacksonville, FL and offering service throughout the US. We are committed solely to identification, documentation and reporting of matters related to all lines of insurance claims, and are currently seeking the right surveillance investigator based out of Columbia, SC. All CCS investigators work from...
Complete Claims Services, Inc. is a full service insurance defense investigation company based in Jacksonville, FL and offering service throughout the US. We are committed solely to identification, documentation and reporting of matters related to all lines of insurance claims, and are currently seeking the right surveillance investigator based out of Atlanta, GA. All CCS investigators work from t...
#201301592 (Federal Aid Administrator I) & #201301593 (Insurance Claims Investigator II), Lincoln. Please visit our website at www.statejobs.nebraska.gov for job duties, requirements, and to apply. Must complete State application on or before closing date: 5/24/13. NE State Personnel, Special Accommodations, under ADA call: (402) 471-2075. TDD calls only: (402) 471-4693. EEO/VET...
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...
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...
Terrier Claims Services has become the choice for more insurance professionals than any other independent firm in the Northeast region and Florida. The opportunities provided and our ability to attract top quality professionals is the reason why." - Daniel J. Sullivan, CEO If you are a self- motivated, detail oriented, reliable individual, Terrier Claims Services is seeking several experienced ins...
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...
WellPoint is one of the nation's leading health benefits companies and a Fortune 50 company. The Clinical Fraud Investigator II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse through the review of submitted medical record claims. Primary duties may include, but are not limited to: Conducts data mining activities using available to...
If you are a keen observer with an eye for detail and always gives 110% in order to achieve success, then a career as a private investigator is custom-made for you! Claims Verification Inc. (CVI) is looking for qualified candidates for INSURANCE FRAUD INVESTIGATOR TRAINEE position in the Tulsa, OK area. Qualified candidates must live in the area and cover the adjoining areas of the state as needed...
If you are a keen observer with an eye for detail and always gives 110% in order to achieve success, then a career as a private investigator is custom-made for you! Claims Verification Inc. (CVI) is looking for qualified candidates for INSURANCE FRAUD INVESTIGATOR TRAINEE position in the Birmingham, AL area. Qualified candidates must live in the area and cover the adjoining areas of the state as n...
Ensures that the organization’s client’s and account holder base are provided with professional, courteous and efficient customer satisfaction. Confirms that all account holder claims of fraud are processed, investigated and resolved in accordance with all Federal, State and Local laws and regulations, VISA/MasterCard operating regulations, client requirements and the organizations policies/proced...
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...
If you are a keen observer with an eye for detail and always gives 110% in order to achieve success, then a career as a private investigator is custom-made for you! Claims Verification Inc. (CVI) is looking for qualified candidates for INSURANCE FRAUD INVESTIGATOR TRAINEE position in the Rochester, NY area. Qualified candidates must live in the area and cover the adjoining areas of the state as ne...
VNSNY SPECIAL INVESTIGATOR, FULL-TIME (MIDTOWN MANHATTAN) PURPOSE OF POSITION Performs desk and on-site medical record audits in possible cases of insurance fraud, assists in assembling evidence, and recommends action steps. Develops a broad presence in the company and availability to assist operational areas with questions about cases of possible fraud. Prepares timely and complete investigations...
TITLE: INVESTIGATOR II—Title Insurance LOCATION: Investigations Section Division of Consumer Affairs Jefferson City, MO Domicile SALARY: $35,340 (Salary will be commensurate with relevant qualifications and experience.) CLOSING DATE: Applications must be postmarked by June 3, 2013. Go to www.DIFP.mo.gov for application. DEFINITION: This is advanced investigative work in investigating complaints ag...
Job Purpose: Protects assets by investigating claims; preventing losses. Duties: * Must possess a Texas Private Investigator license. * Experience in Workers' Compensation surveillance. * Must own vehicle with tinted windows, computer and HD camcorder. * Must have clean record with no criminal history. * Criminal Justice degree preferred. * This position requires a flexible schedule. Candidate sho...
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...
SUMMARY: This position performs surveillance and research investigations to detect fraudulent claims, by employees on extended leave, against WMATA. The incumbent provides investigative expertise to limit exposure and protect the Authoritys assets. These investigations include all lines of absences where employees are off work for an extended period of time. The incumbent conducts investigations w...
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. Primary Responsibilities: An RN, LPN, or Certified Coder with strong medical knowledge Work with th...
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Answers for Claims Investigator Jobs
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What should I do if my job accuses me of stealing/wrongdoing?
My job is accusing me of something, but they won't say what. They claim they have "evidence" against me that they won't divulge until they take me to court. But I haven't done anything wrong. What ...
What ENTRY-level jobs can I take in health insurance which will lead me to becoming a fraud investig...
I graduated with a BA in history almost 2 years now. It seems accounting is the best way to get into fraud investigation; however, I am not willing to back to school for a degree in accounting. ...
Any jobs that start with letter I?
My sister want to know 15 jobs that start with letter I. Because it is her homework.
What has Obama done for jobs and the economy other than blaming Bush?
If Obama spent as much time creating an environment for jobs - as he does stomping his feet and blaming powerless Republicans - would the recession be over by now?
Business Career Tools
$27,040.00 - $86,250.00
Typical Salary for Claims Investigator
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Source: Monster.com Careerbenchmarking Tool
Protects assets by investigating claims; preventing losses.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Maintains quality service by following organization standards.
Evaluates documents by reviewing documents provided; highlighting items pertinent to claim or underwriting decision.
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