Fraud Claims Investigator Jobs in Austin, Texas
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Investigate, negotiate, evaluate and settle first property claims within given authority while providing fair, timely, reliable and professional claims service to our policyholders. CAT adjusters are required to travel nationally with little to no notice. Travel may be up to 75% of the year while handling high claim volume. Essential Job Functions: · Investigate claims o Physically inspecting the...
Primary Function: The Compliance Investigations Department manages the Austin investigations program. The department staff writes and reviews exception documents for compliance to procedures. The Compliance Investigator will: Write, coordinate, develop, track and manage investigations per procedures. Assure all exception documentation adequately address root cause, corrective & preventive actions...
BOARD OF NUSING TEXAS Investigator II State Nursing Board seeking applicants for an investigator II position to conduct investigations of alleged violations of the nurse practice act and board rules. Minimum of a high school diploma or equivalent and one year of investigative experience required. Between $2,500 and $2,700/month. Go to agency website at www.bon.texas.gov for job description and app...
Job Description: Typical duties include inputting and validating medical claims data on all medical claims received. Analyzing rejected claims data. Reviewing documentation authorizing benefits payments, and determine appropriate amount due to recipient and process all necessary payment transactions. Qualifications: Must be familiar with Current Procedural Terminology (CPT), Healthcare Common P...
Starting Pay: $12.11 to $14.85 Hourly Handles customer questions, complaints, and billing inquiries with the highest degree of courtesy and professionalism to resolve customer issues with one call resolution. Offers alternative solutions where appropriate with the objective of retaining customer's business. Handles business transactions in connection with activation of new customer accounts on a c...
Kforce Government Solutions is seeking a Senior EDI Business Analyst in Austin, Texas (TX). Qualified candidates will have three plus years of experience working within a large organization's EDI operation to exchange data with multiple trading partners, establishing trading partner connections and managing trading partner agreements, performing business analysis, including project planning; requi...
Xerox Corporation is a $22 billion leading global enterprise for business process and document management. Through its broad portfolio of technology and services, Xerox provides the essential back-office support that clears the way for clients to focus on what they do best: their real business. Headquartered in Norwalk, Conn., Xerox provides leading-edge document technology, services, software and...
Claims Customer Service Representative - Part Time Start Date: July 22, 2013 We offer paid training! Training Schedule: Weeks 1-3: 10 am to 7 pm Monday - Friday Week 4: 2 pm to 11 pm Monday - Friday Work Schedule (after training): 2nd shift: 2 pm to 11 pm Required days to work are: Monday, Friday and Saturday OR Sunday and 2 additional weekdays Days off: Tues, Wed, OR Thurs and Sat OR Sun Pay Rate...
State Auto Insurance Companies, through its workers’ compensation division, RTW, Inc., is transforming the workers’ compensation system with highly innovative programs that dramatically reduce employers cost. We are an industry leader in providing integrated disability and productivity solutions. We offer our services for insured customers and for self-insured, large deductible and state fund empl...
Company Confidential
Austin, TX, 78734
Life insurance company seeking an organized, detail-oriented individual who works well with numbers and has strong analytical and interpersonal skills to join our growing company. Claims Specialist will be responsible for review of incoming claim and legal documents, benefit determination, system processing, payments, communication regarding missing information, adhering to compliance standards an...
Are you looking for a job where you can increase customer loyalty? Would you like to have the empowerment to resolve customer issues on the first call? Do you like educating customers on best practices? Can you help develop customers by teaching them effective ways to better their business? If you are interested in this type of work, eBay customer service is perfect for you! Customer Solutions Tea...
The Association of Certified Fraud Examiners (ACFE), an equal opportunity employer, is seeking an Accounting Writer to join our Research Department at our Austin, TX, headquarters. The ACFE offers a competitive compensation package and a premium benefits package to employees. Out-of-area applicants will be considered; however, relocation assistance is not offered for this position. BENEFITS INCLUD...
Lumeris™ provides the information technology, guidance, and operational services necessary for hospitals and health plans to transform their organizations into high-performing accountable delivery systems. Our revolutionary technology platform for accountable care integrates data from disparate systems across the continuum of care, provides complete visibility into the clinical and financial perfo...
Our client is seeking a Business Analyst for a direct hire opportunity in Austin, TX. Responsibilities: Coordinate enhancement discussions between Business and IT Responsible to understand the applications and help the Business refine their requirements towards the best solution. Understand Business enhancement requests and provide recommendations on best directions for the application. Write deta...
The Business Unit Manager (BUM) is responsible for the direction and coordination of all manufacturing activities for one or more of the plant manufacturing units or a product Line. Key objectives of the BUM include producing scheduled output, achieving the current profit plan and achieving existing quality standards. To do so, the BUM must develop and maintain an employee relations environment wh...
We are CoreLogic - a leading provider of business information, analytics and outsourcing services. Together, we are a global company with proven experts in the areas where we work and are passionate about helping our clients succeed. More than one million users rely on CoreLogic to assess risk, support underwriting, investment and marketing decisions, prevent fraud, and improve business performanc...
Company Confidential
Austin, TX
Our client is an established, global, software company. This company is red-hot and driving revenue and leading market share in their niche. Their end-to-end supply chain software-related offerings help to solve large scale business problems for global Fortune 2000 companies around the world. As a result of their ongoing growth this company is seeking a candidate with a proven business intelligenc...
Hi, Greetings from North Point IT Corp, Please Review the Following and let me know if you’re Interested. Please send your Updated Profile with Contact Details Title:Hadoop Architect/Developer Location:Austin, TX Duration:Longterm Primary responsibilities: Understand the Security Analytics business requirements and work with technology teams to recommend best approach to delivering solutions on th...
. In this field based position, the Business Relations Director will be responsible for successfully hiring and leading a team to become the field subject matter expert relating to financial, reimbursement and access issues for a newly developed product for Multiple Sclerosis (MS) throughout the defined territory. Within a highly competitive marketplace, the Director will be called upon to success...
Description: Analyze, design, build and test changes to CA GEN based application for one or more of the following functional areas: Provider, Member, Claims Processing, Payment. Review design and build deliverables from other developers in the project team. Assist team lead in planning and overseeing work products of other developers in the project team. Work closely with business analysts to unde...
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Answers for Fraud Claims Investigator Jobs
Questions & Answers Powered by Yahoo! Answers
My ideal career is to investigate disability/welfare claims. Is there anything out there?
I'm a senior criminal justice student, and would love to (would even love to VOLUNTEER) investigate and validate welfare and disability claims. It really does make me sick how easily people are able ...
How do you get a consumer protecting agency to do their job?
When presented a clear cut case of fraud, agency investigator looks instead for the way out of prosecuting. Looking the other way when he stated the was no doubt that the person's testimony was a lie,...
Business Career Tools
Claims Investigator - Fraud
Salaries
$27,040.00 - $89,670.00
Typical Salary for Claims Investigator - Fraud in Austin
(88 Respondents)
Source: Monster.com Careerbenchmarking Tool
Education / Training
Bachelor's
56.9%
Some College Coursework Completed
13.8%
Master's
13.8%
Associates
8.6%
High School
6.9%
(58 Respondents)
Source: Monster.com Careerbenchmarking Tool
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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: 2013.1.5.22-306