Sr. Investigator Jobs

Insurance Senior Investigator Overview


Being responsible for investigating, triaging and resolving fraudulent insurance claims, Senior Investigators utilize data analysis, confidential investigations and members' information to determine abusive conduct, documenting any relevant findings for later review. These professionals report any illegal activities to the appropriate authorities, according to current insurance laws and regulations. Senior Investigators conduct on-site provider clinical and claim audits through the analysis of any relevant documentation, acting as the subject matter for the identification, communication and recovery of losses. Individuals who wish to become Senior Claims Investigators need to be prepared to work irregular hours due to surveillance needs and client meetings. These professionals may choose to hone their skills in a similar area of expertise, such as a Claims Assessor, Claims Examiner or Claims Adjuster.

Insurance Senior Investigator Education Requirements


Even though a high school diploma or the equivalent is the minimum requirement for Insurance Investigators, many companies prefer hiring those who have undergone training as a Law Enforcement Officer, Claims Adjuster, Private Investigator or Examiner. This training will provide investigators with the interrogation and interviewing skills they need to succeed in this career. Most companies prefer hiring candidates who have previous experience in abuse, waste and fraud investigations.

Extensive on-the-job training is required in order to advance to senior status. Claims Investigators will start out working on small claims under experienced supervision, and the more they learn, the more complex the cases will become. With certification varying by state, Senior Investigators may need to complete an applicable pre-licensing education and exam. These professionals need to keep their licensure up to date by taking continuing education courses, writing articles or giving lectures.

Insurance Senior Investigator Job Market


With statistics reporting an increase of 3 percent in employment by 2022, projected job growth is slow, but interested individuals can take advantage of the additional 10,800 Insurance Senior Investigator jobs available across the nation over the next decade.

Insurance Senior Investigator Salary


Recent studies show that senior investigators can make upwards of $89,810 per year with the annual median wage being $59,960.
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1000+ Sr. Investigator jobs found on Monster.

Jobs 1 to 20 of 5697
Our client, a growing pharmaceutical company in Mercer County, NJ is currently seeking a PERMANENT Sr. Bioanalytical Research Investigator. Successful candidate will be experienced with interfacing with CROs to support therapeuticprotein methods development/validation, protein characterization, stabilitytesting, and will be knowledgeable of drug development process. This job will have the followi...
Min Qualifications Master’s degree in a relevant field and 2 years of experience in higher education, Human Resources, or Title IX compliance, or experience interpreting related laws and regulations through academic/scholarly work. JOB DESCRIPTION Responsible for investigating allegations of unlawful discrimination and retaliation in violation of Title IX, Title VII, ADA, Section 504 of the Reh...
Novartis Pharmaceuticals Corporation Cambridge, MA
151876BR Metabolism and Pharmacokinetics Investigator/Sr. Investigator Novartis Institutes for BioMedical Research (NIBR) Research Cambridge USA Cambridge, MA NIBRI Research & Development Full Time Regular Metabolism and Pharmacokinetics Investigator/Sr. Investigator - Oncology Project Team Representative The Metabolism and Pharmacokinetics (MAP) Group at Novartis Institutes of Biomedic...
Novartis Pharmaceuticals Corporation Cambridge, MA
145260BR in vitro ADME Investigator/Sr. Investigator Novartis Institutes for BioMedical Research (NIBR) Research Cambridge USA Cambridge, MA USA Novartis Institutes for BioMedical Research, Inc., Cambridge, MA Research Full Time Regular Lead a team of highly qualified professionals performing in vitro ADME assays to support drug discovery programs with emphasis on in vitro metabolism ass...
Novartis Pharmaceuticals Cambridge, MA, 02138
Metabolism and Pharmacokinetics Investigator/Sr. Investigator - Oncology Project Team Representative The Metabolism and Pharmacokinetics (MAP) Group at Novartis Institutes of Biomedical Research in Cambridge is seeking a highly motivated drug metabolism and pharmacokinetics scientist. The successful candidate will be deployed as a MAP project team representative to discovery projects to provide t...
Eurofins is the world leader in the food, bio/pharmaceutical product testing. It is also number one in the field of environmental laboratory services and one of the global market leaders in agroscience, genomics, discovery pharmacology, and central laboratory services. With over $1 billion in annual revenues and 13,000 employees across 170 sites in 35 countries, Eurofins is a leading international...
Company Confidential Jersey City, NJ, 07097
Our client, an International Bank with offices in Jersey City, NJ is seeking a Senior Specialist to join their Investigations and Reconciliations Operations team. The incumbent will be responsible for performing investigations and resolving money transfer and treasury operations issues involving sensitive customers. This person will also be responsible for resolving foreign currency compensation c...
Description: Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the i...
Description: Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the i...
E Trade Financial Corp Menlo Park, CA
Detailed Description E*TRADE Financial Corporation, the online investing & trading pioneer, with 4.7 million total accounts and over $265 billion in customer assets, is continuing to reinvent the online trading industry. Our unique culture of innovation creates an environment where you will be continually learning and challenged to develop your career. SUMMARY Reporting directly to the Senior M...
Job Title:Sr Program Manager-Background Investigations (Chantilly, VA) Requisition ID:1400PN8 Job Category:Project/Program Management Primary Location:USA-VA: VIRGINIA-CHANTILLY Schedule:Full-time Job Type:Regular Employee Status:Regular Travel:Yes, 25 % of the Time Job Posting:Oct 31, 2014 Description: CSC , an emerging leader in the background investigations industry, is seeking a Prog...
ZenBanx is a financial services technology firm poised to change the world of international money transfers, and we’re looking for a talented and self-motivated Fraud Investigations Manager. Our candidate will be responsible for all aspects of Fraud risk, advising and assisting Sr. Management in making and implementing strategic decisions and objectives, providing business-oriented advice to all m...
Description: Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the i...
Description: Health care fraud is a serious problem affecting every patient and consumer. The devastating situation is rooted not only in the excessive financial losses incurred, which extend into the billions of dollars every year, but also in patient harm. According to the National Health Care Antifraud Association (NHCAA), health care fraud, waste and abuse strips nearly $70 billion from the i...
R&D - Research Princeton, NJ
Description As a member of the Oncology Translational Research Team, this individual will be responsible for implementing innovative translational research approaches to support the progression of Oncology and Immuno-Oncology agents through clinical development. The successful candidate will play a major role in defining the translational research strategy for Discovery and Clinical programs. The...
R&D - Research Princeton, NJ
Description The successful candidate will be responsible for running an independent program in the areas of immunology and inflammation. This includes designing and conducting cell-based assays for the evaluation of targets in the area of cell immunology. This individual will work independently and provide guidance in the design, execution and interpretation of cellular and tissue-based assays. A...
Citizens Bank Norwood, MA
Responsibilities As required by the Bank Secrecy Act and the US Patriot Act, the purpose of this position is to investigate cases of both potential money laundering/terrorist financing crimes and BSA/AML violations throughout the entire CFG footprint utilizing an internal AML application, referrals from business lines, and open source intelligence such as negative media, internet research, inform...
Hawaii County, Hawaii Captain Cook, HI, 96704
Duties Summary Benefits Supplemental Questions Independently conducts complete investigations of felony and misdemeanor cases being considered and/or readied for prosecution; gathers supporting information, evidence, and facts to clarify and substantiate law enforcement agency’s findings; prepares reports; and performs other related duties as required. There is one immediate vacancy in Hilo and...
Smith & Nephew Memphis, TN
Description The Complaint Management group is focused on ensuring ASD complies with key US and international regulatory requirements, including: complaints processing, vigilance reporting, Post Market Surveillance, product safety assessments including Health Hazard Evaluations, Quality Holds and Field Action/Recall implementation. This position is responsible for investigation of devices and inf...
Sr. Manufacturing Lead Investigator 7819BR Technical Operations Internal Manufacturing (10000586) Regular SRPR I United States - MA - Alewife Manufacturing Primary Role The Lead Investigator’s responsibilities will be to lead and manage major/critical deviations and related reports to closure within the established timelines for the manufacturing department. Will conduct comprehensive inv...

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Insurance Career Tools

Sr. Investigator

Salaries

$36,672.00 - $128,800.00
Typical Salary for Sr. Investigator
(35 Respondents)
Source: Monster.com Careerbenchmarking Tool

Education / Training

Bachelor's
35.7%
Some College Coursework Completed
28.6%
Associates
10.7%
Master's
7.1%
Doctorate
7.1%
Professional
7.1%
High School
3.6%
(28 Respondents)
Source: Monster.com Careerbenchmarking Tool

Popular Sr. Investigator Articles

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