Case Investigator Claims 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...
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...
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...
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...
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...
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...
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...
TechData is hiring Outcome Research Statistician, Biostatistician(Some can be remote), SAS Programmers (Some can be telecommuting), Drug Safety Specialist and Trial Safety Manager, Medical Data Manager,Clinical Data Manager, Document Specialist in Central and Northern NJ. Please see below requirements and send your resume to: email@example.com or firstname.lastname@example.org. TechData...
The Manager, Fraud & Risk Management is responsible for overseeing fraud prevention, detection, investigation and loss recovery strategies for the Credit Union and will supervise and direct the activities of a team of investigators and perform both internal and external investigations of fraud activities that involve Lending, Retail Branch, Shared Branch, Co-Op ATM locations, as well as remote cha...
Req# 14634BR Title Business Assurance Consultant Location Springfield NJ (0031) Job Function Operations Job Description • Using proactive and preemptive tactics, protects PSEG’s workforce, property, critical infrastructure, public image, brand, and other tangible and intangible assets, (including PSEG’s self-insured retention), from harm, misuse, theft, diversion, false or unqualified damage claim...
Clinical Project Manager (Non-MD) - C Location: Alameda, CA Duration: 3 +Months Rate on W2 PRIMARY FUNCTION: Works on extremely complex problems in which analysis of situations or data requires an evaluation of intangible variables. Exercises independent judgment in developing methods, techniques and evaluation criteria for obtaining results. Manages, designs, implements, and monitors multi or sin...
Job Title: CRA - B Position Description The Clinical Research Associate (CRA) designs, implements, and monitors clinical studies of new and modified Company and competitive products. Ensures that the clinical studies of Company products are designed to validate product performance claims and support the products intended use. Prepares clinical data reviews and data summaries. Participates in the p...
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Insurance Career Tools
Case Investigator - Claims
$31,200.00 - $72,100.00
Typical Salary for Case Investigator - Claims
Source: Monster.com Careerbenchmarking Tool
Education / Training
Some College Coursework Completed
Some High School Coursework
Source: Monster.com Careerbenchmarking Tool
Case Investigator - Claims
Develops and explores claim information.
Rate of Growth
Size of Industry in 2006:
Source: Bureau of Labor Statistics, May 2006
Data Entry Skills
Maintain strict confidentiality when dealing with all investigations and associated work.
Resolve complex, severe exposure claims, using high service oriented file handling.
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