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 6772
Sr. Research Investigator, Applied Technology The successful candidate will join a new effort focused on the discovery and validation of cancer targets. The candidate will be responsible for the design and execution of experiments using modern gene editing, molecular and pharmacological strategies to identify and validate novel targets for immuno- or targeted oncology therapies. The candidate sho...
WHO WE’RE LOOKING FOR Mattel, Inc. is searching for a Senior Investigator to work within the Global Security and Investigations Team. The investigator will perform a variety of complex, highly skilled investigative assignments, conduct internal investigations, litigation support, and forensics. The position is based in El Segundo, CA with some global travel required. Essential Job Functions: Un...
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...
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
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 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...
Core-Tech LLC Barceloneta, PR, PR
Start Date: 05/04/2015 End Date: 10/31/2015 Job Description: Exempt position. The candidate must have a Bachelor Degree in Biochemical / Pharmaceutical Sciences, Engineering or Statistics Technical area (Engineering, Biology, or Chemistry) plus 6 years of related work experience required, preferably in technical and operations environment and/or Master Degree in Biochemical/Pharmaceutical Scien...
R&D - Research NA-United States, NJ
Description Bristol-Myers Squibb is a global biopharmaceutical company whose mission is to discover, develop and deliver innovative medicines that help patients prevail over serious diseases. One shared journey is moving us forward at Bristol-Myers Squibb. Around the world, we are passionate about making an impact on the lives of patients with serious disease. We are empowered to apply our indivi...
JOB SUMMARY: About the Agency This position is located in an agency’s Division office. The specialist is assigned ongoing responsibility for personally administering the Federal Motor Carrier Safety Program on a State-wide basis. This encompasses motor carriers and shippers of all types and sizes. In promoting and enforcing compliance with the applicable laws and regulations, the specialist acts...
Advance your Career at Liberty Mutual Insurance - A Fortune 100 Company The Personal Insurance Property Product Team is charged with developing comprehensive claim handling strategy, identifying process improvement opportunities, and designing and implementing property processes countrywide. The Property Product team equips staff and management with develops tools and frameworks that enable our C...
Marten Transport Foster City, CA
Sr. Administrative Assistant, Litigation & InvestigationsRequisition Number: 20021Country: USState: CaliforniaCity: Foster CityLocation: Foster CityFunctional Area: GENERAL & ADMINISTRATIVEPosition Type: RegularFull-Time / Part-Time: Full-TimeShift: DaysSpecific Responsibilities: The Sr. Administrative Assistant will report to a senior attorney in the Litigation & Investigations group and will sup...
Career Development Partners District of Columbia, DC
Position you are looking for: Audit Investigations (Manager/Sr Manager) LOCATION: Washington DC (Relocation Provided) â?¢ Big 4 audit (NO tax) Manager or higher, currently at Big 4 or no more than 3 years out of Big 4 (may consider BDO or GT or large regional with SEC experience) â?¢ At least 40% of audits on public company audits (NO Federal gov auditors) Why should you be interested: â?¢ Mi...
Capital One Wilmington, DE
Description Title: AML Sr. Investigator II Level: Senior Associate Job Description: Capital One is a diversified bank that offers a broad array of financial products and services to consumers, small business and commercial clients. Ranked #127 on the Fortune 500, Capital One is one of the nation’s top 10 banks and has one of the most widely recognized brands in America. We nurture a work envir...
HireMinds MA
Looking to get out of the QC Lab???? Global Biologics company here in MA seeking a Sr. QC Specialist to focus on non-lab support activities. Such as but not limited to: data analysis, data trending, project and testing coordination, product and material specification management, inspection support, investigation leads, operational excellence leads, document revisions, initiating/completing quality...
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...
General Description Loss Prevention Investigation Sr. Specialist J.C. Penney Company, Inc. Plano, Texas J.C. Penney Company, Inc. (NYSE: JCP), one of the nation's largest apparel and home furnishing retailers, is undergoing a resurgence to become America's preferred retail destination for unmatched style, quality and value. Across 1,100 stores and at jcp.com, customers will discover an inspiri...
Department: CMC Location: Wilmington, DE Sr. Principal Investigator/Director, CMC To develop appropriate process technologies and analytical methodologies to assist the development of large molecule drug substances and drug products. Partner with colleagues in Pharmaceutical Development, Process Chemistry, Quality Assurance, Clinical Development, Regulatory Affairs, and external Development Par...
Boehringer Ingelheim Saint Joseph, MO
Job Description Description: Perform investigations of manufacturing deviations and document the investigation in a written report. Light Work (Level 2) – Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently. As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development and delivery of our products to our patients and c...
Department: Applied Technology Location: Wilmington, DE Sr. Research Investigator, Applied Technology The successful candidate will join a new effort focused on the discovery and validation of cancer targets. The candidate will be responsible for the design and execution of experiments using modern gene editing, molecular and pharmacological strategies to identify and validate novel targets for...
Liberty Mutual Boston, MA
Sr. Business Analyst - Segmentation Investigation-59020 Description Advance your Career at Liberty Mutual Insurance - A Fortune 100 Company The Personal Insurance Property Product Team is charged with developing comprehensive claim handling strategy, identifying process improvement opportunities, and designing and implementing property processes countrywide. The Property Product team equips sta...

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