- Allied Solutions (Plano, TX)
- …and exceed all established recovery and claim service standards and benchmarks for a Claims Investigator . + Promptly and effectively respond to both carrier and ... is responsible for the initial setup and investigation of claims prior to the assignment of the claim to...will involve the initial processing and investigation of 20-40 claims per day. This position ensures that all claim… more
- Command Investigations (Laredo, TX)
- …for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... Auto, or Homeowners Investigations. + Writing accurate, detailed reports + Strong initiative, integrity, and work ethic + Securing written/recorded statements + Accident scene investigations + Possession of a valid driver's license + Ability to prioritize and… more
- Allied Universal (Houston, TX)
- …perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations Unit (SIU) Specialists investigate claims with ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services....+ Ability to be properly licensed as a Private Investigator as required by the state where work Is… more
- Prime Therapeutics (Austin, TX)
- …passion and drives every decision we make. **Job Posting Title** SIU Investigator - Remote **Job Description** The Special Investigations Unit (SIU) Investigator ... and/or prescriber fraud, waste and abuse (FWA). This position conducts claims data mining, fraud analysis and auditing/monitoring activities and proactively… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions on… more
- Elevance Health (Grand Prairie, TX)
- ** Investigator Sr** _Location: This is a Hybrid 1...to recover corporate and client funds paid on fraudulent claims . **This is how you will make an impact:** ... will live within 50 miles of an Elevance Health Pulsepoint._ The ** Investigator Sr** will be responsible for the independent identification, investigation and… more
- Elevance Health (Grand Prairie, TX)
- ** Investigator Senior** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office)._ _Alternate ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Senior** is responsible for the independent identification, investigation… more
- Molina Healthcare (TX)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, investigation, ... audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical determinations… more
- Elevance Health (Grand Prairie, TX)
- ** Investigator II** _Location: This is a Hybrid 1...to recover corporate and client funds paid on fraudulent claims . **How you will make your impact:** + Claim ... will live within 50 miles of an Elevance Health Pulsepoint._ The ** Investigator II** is responsible for the identification, investigation and development of cases… more
- Elevance Health (Grand Prairie, TX)
- ** Investigator II** _Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles ... to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator II is responsible for the identification, investigation and development… more