Case Investigator Claims 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...

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...

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....

Job Summary Aggressively investigate lost time claims, determine compensability, and assert our customers legal rights to pay or deny the claim. Marketing Description Bilingual candidates are encouraged to apply 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...

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...

Position Summary: Independently investigate, evaluate, negotiate, settle and adjust claims in accordance with MD Workers’ Compensation Law and Chesapeake Employers Guidelines. Duties and Responsibilities: § Independently investigates assigned claims, following sound claims handling techniques in accordance with company claim philosophy and standards, and in accordance with the Maryland Compensa...

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 ...

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Part-time, Per-Diem Private Investigator/Surveillance Specialist position available with boutique New Jersey Private Detective Agency. Position requires daily surveillance of suspected fraudulent insurance claims and other private investigation matters requiring surveillance primarily in New Jersey and the tri state area. A minimum of 1 to 2 years surveillance experience is preferred. Applicants ...

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...

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...

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 ...