Title: Sr Investigator Job Responsibilities: The Sr Investigator is tasked with the independent identification, investigation, and development of complex cases against individuals or entities perpetrating healthcare fraud. The primary aim is to recover corporate and client funds that have been paid on...
aimed at ensuring that medical necessity appeals are investigated... include: - Supporting legal, management, and executive leadership by managing State Fair Hearing and External Medical Review requests. - Acting as... a resource for both clinical and non-clinical teams, conducting thorough investigations...
Title: Senior Risk Management Professional Job Responsibilities: The Senior Risk Management Professional is responsible for identifying and analyzing potential sources of loss to minimize risk within the organization. The role involves developing and implementing controls and cost-effective approaches to minimize risk specifically...
Title: Insurance Bad Faith Discovery Analyst Job Responsibilities: The Insurance Bad Faith Discovery Analyst is tasked with managing the records within the Suits Against the Exchanges (SAE) group. This includes the acquisition and administration of documents and evidence from various functions and...
Job Title: Paralegal Specialist - Investments Job Responsibilities: As... a Paralegal Specialist at the company,... you will be entrusted with delivering top-quality legal assistance and support to the legal staff. Your core responsibilities will include: - Providing legal research, drafting communications, and preparing...
Title Insurance Bad Faith Discovery Analyst Job Responsibilities - Manage the records management function within the Suits Against the Exchanges (SAE) group, including acquisition and administration of documents and evidence from all functions and levels of the organization on highly...