Job Title: Senior Complex Claims Specialist - General Liability... Defect) Job Responsibilities: The Senior Complex Claims Specialist is the most... with managing and adjudicating claims with a focus on... and maximizing early settlement opportunities for targeted claims. - Demonstrating proficient knowledge regarding... coverage...
Job Title: Senior Complex Claims Specialist - General Liability... Defect) Job Responsibilities: The Senior Complex Claims Specialist is recognized as... tasked with adjudicating assigned claims within a specified authority... and supporting the claims team operationally. Key responsibilities... include: - Strategizing and maximizing early...
Job Title: Senior Complex Claims Specialist - General Liability... Defect) Job Responsibilities: The Senior Complex Claims Specialist is the most... focusing on adjudicating assigned claims within given authority and... operational support to the claims team. The key responsibilities... 3rd Party Property Damage Claims. - Dem...
Job Title: Senior Complex Claims Specialist - General Liability... Responsibilities: The Senior Complex Claims Specialist is tasked with... overseeing complex claims within the General Liability... operational support to the claims team. Specific responsibilities include: -... Strategizing and maximizing early settlement opportunities...
fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include:... - Conducting claim reviews for appropriate coding, data mining, entity review, law enforcement referrals, and using proprietary data and claim systems to review facility, profess...
The role is pivotal in recovering corporate and client funds that have been paid out on fraudulent claims. Key responsibilities include:... - Conducting claim reviews to ensure appropriate coding, engaging in data mining, entity review, and making referrals t...
perpetrators. The primary objective is to recover corporate and client funds that have been paid on fraudulent claims. Key responsibilities include:... - Conducting claim reviews for appropriate coding, data mining, entity review, law enforcement referrals, and utilizing proprietary dat...
healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include:... - Conducting claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and utilizing proprietary data and claim systems to review facilit...
healthcare fraud, with the aim of recovering corporate and client funds paid on fraudulent claims. Key responsibilities include:... - Conducting claim reviews for appropriate coding, data mining, entity reviews, and law enforcement referrals, utilizing proprietary data and claim syste...
client funds paid on fraudulent claims. - Conduct claim... reviews for appropriate coding, data mining, entity review, law enforcement referral, and utilize proprietary data and claim systems for reviewing facility, professional, and pharmacy claims. - Develop enterprise-wide specific... healthcare...
perpetrators of healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: -... Conducting claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and using proprietary data and claim systems for reviewing facil...
fraud perpetrators to recover corporate and client funds paid on fraudulent claims. The role involves: -... Conducting claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and utilizing proprietary data and claim systems for reviewing facility, professional,...
to recover corporate and client funds paid on fraudulent claims. The role requires... conducting claim reviews for appropriate coding, engaging in data mining, entity review, making law enforcement referrals, and utilizing proprietary data and claim systems to review facility, professional,...
primary goal is to recover corporate and client funds that were paid out on fraudulent claims. Key responsibilities include: -... Conducting claim reviews to ensure appropriate coding, data mining, entity review, and law enforcement referral. - Utilizing proprietary data and claim sys...
healthcare fraud to recover corporate and client funds paid on fraudulent claims. Key responsibilities include: -... Conducting claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and using proprietary data and claim systems for the review of...
targeting healthcare fraud perpetrators, with the intent to recover corporate and client funds that have been disbursed due to fraudulent claims. Key responsibilities include: -... Conducting claim reviews for appropriate coding, data mining, entity review, and law enforcement referral. - Utilizing pr...
healthcare fraud. This role is pivotal in recovering corporate and client funds that have been paid out on fraudulent claims. The responsibilities include: -... Conducting claim reviews to ensure appropriate coding and utilizing data mining, entity review, and law enforcement referrals...
of healthcare fraud. This role is crucial in recovering corporate and client funds that have been paid out on fraudulent claims. Key responsibilities include: -... Conducting claim reviews to ensure appropriate coding, data mining, entity review, and law enforcement referrals. - U...
corporate and client funds paid on fraudulent claims. - Conduct claim reviews... for appropriate coding, data mining, entity review, law enforcement referral, and use proprietary data and claim systems for reviewing facility, professional, and pharmacy claims. - Develop enterprise-wide specific healthcare... investiga...
Title: Associate, Legal Ops - United States (Remote) Job Responsibilities: Legal Ops Associates at the company play a crucial role in ensuring that demand letters, which are legal documents with accompanying exhibits detailing an injured party's economic and non-economic damages from personal...
Title: Associate, Legal Ops - United States (Remote) Job Responsibilities: Legal Ops Associates are integral to ensuring that demand letters, which are legal documents accompanied by exhibits detailing an injured party's economic and non-economic damages from personal injury incidents, are accurate, effective,...
corporate and client funds paid on fraudulent claims. - Conduct claim reviews... for appropriate coding, data mining, entity review, law enforcement referral, and use proprietary data and claim systems for facility, professional, and pharmacy claims review. - Develop enterprise-wide specific... healthcare investigatio...
Title: Associate, Legal Ops - United States (Remote) Job Responsibilities: Legal Ops Associates play a crucial role in delivering accurate, effective, and high-quality demand letters to clients. These letters are legal documents that include exhibits illustrating an injured party's economic...
Title: Associate, Legal Ops - United States (Remote) Job Responsibilities: Legal Ops Associates at the company play a crucial role in ensuring that the demand letters delivered to clients are accurate, effective, and of high quality. These letters are legal documents that...
This position offers a competitive salary based on experience and qualifications. Job Title: Investigator Senior Experience: Minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience,...
Senior - Salary, Job Title, and Experience Information Salary: The salary for this position is not mentioned in the job description. However, it is stated that **MEMBERS ONLY**SIGN UP NOW***. offers a range of market-competitive total rewards that include merit increases,...
perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. This role is... crucial in supporting the Payment Integrity line of business and requires a deep understanding of health insurance policies, claims handling, an...
Title: Investigator Senior Department: Payment Integrity Experience: Minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience, which would provide an equivalent background. Salary: $78,400 to $141,120 per...
Senior - Job Title - Salary information: Competitive salary based on experience and qualifications - Experience information: Minimum 5 years related experience in healthcare insurance and investigation - Location: Hybrid model (remote and office) with options for alternate locations...
Senior - Job Summary: - Investigator Senior role within the Payment Integrity line of business - Location: Hybrid model (remote and office) with alternate locations considered - Must live within 50 miles of a PulsePoint location - Part of...
Information: - Competitive salary based on experience and qualifications - Benefits package including medical, dental, and vision insurance - 401(k) plan with company match - Paid time off and holidays - Incentive bonus programs available - Stock purchase plan -...
Senior - Job Summary - Location: This position will work a hybrid model (remote and office). Alternate locations may be considered. The Ideal candidate must live within 50 miles of one of our posted PulsePoint locations. - Job Reference:...
Senior - Exciting Opportunity in Healthcare Industry! Location: New York - Hybrid Model (Remote & Office) Carelon Payment Integrity, part of the **MEMBERS ONLY**SIGN UP NOW***. family, is seeking a skilled Investigator Senior to join our team. We are dedicated to...
Senior - Payment Integrity Carelon Payment Integrity is seeking a highly skilled and experienced Investigator Senior to join their team in New York. As a member of the **MEMBERS ONLY**SIGN UP NOW***. family of companies, Carelon Insights is dedicated to recovering,...
Senior - Support the Payment Integrity line of business Location: Hybrid model (remote and office) - Alternate locations considered - Must live within 50 miles of posted PulsePoint locations Carelon Payment Integrity (formerly Payment Integrity) is part of...
is a full-time position within Carelon Payment Integrity, a member of the **MEMBERS ONLY**SIGN UP NOW***. family of companies. The role involves identifying, investigating, and developing complex cases of healthcare fraud in order to recover funds paid on fraudulent claims. The i...
Senior is a full-time position with an anticipated end date of May 15, 2025. The position requires a Bachelor's degree and a minimum of 5 years of experience in healthcare insurance and investigation. The ideal candidate must live within 50...
Information: This position offers a competitive salary and benefits package, including medical, dental, vision, 401(k) + match, paid time off, and incentive bonus programs. The salary range for this position is $80,000-$100,000 annually, depending on experience and...
friendly job title: Fraud and Waste Investigator - Remote, Louisiana - Full Time - **MEMBERS ONLY**SIGN UP NOW***. H1 heading: Join Our Team as a Fraud and Waste Investigator and Help Put Health First H2 heading: Job Description and Requirements...
Attorney with 5+ Years of Experience at Award-Winning Law Firm H1: Join the Team at **MEMBERS ONLY**SIGN UP NOW***.: Seeking Experienced Associate Attorney H2: Take on Industry Giants and Bring Justice to Plaintiffs Are you a committed attorney with 5+...
miles of an **MEMBERS ONLY**SIGN UP NOW***. PulsePoint location - Responsible for identifying and investigating cases of healthcare fraud, recovering funds from fraudulent claims - Conducts claim... reviews, interfaces with management and legal departments, and may represent the company in court...
Title: Commercial Legal Counsel Location: New York, NY (with remote work options) Salary Range: $130,000 - $160,000 per year H1: Join Our Legal Team at **MEMBERS ONLY**SIGN UP NOW***. in New York H2: Exciting Opportunity for a Commercial Legal Counsel...
Organization: Economic Justice Division, New York State Attorney General's Office Position: Assistant Attorney General, Consumer Frauds and Protection Bureau Experience: 5+ years of civil litigation experience (less may be considered) Salary: $81,159 - $173,265 + $3,400 location pay Location:...
**MEMBERS ONLY**SIGN UP NOW***. (OAG) Department: Consumer Frauds and Protection Bureau (CFP) Job Title: Senior Enforcement Counsel Experience Level: Minimum of 10 years of civil litigation experience required Salary Range: $81,159 - $173,265 + $3,400 in...
Complex Claims Specialist - MPL ... Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get... the opportunity to learn multiple insurance products and interact with business leade...
Complex Claims Specialist - MPL ... Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get... the opportunity to learn multiple insurance products and interact with business leade...
Complex Claims Specialist - MPL Apply... Hiscox Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get... the opportunity to learn multiple insurance products and interact with busines...
Complex Claims Specialist - MPL ... Bring your Passion and Enthusiasm to our Team! We are a fun, innovative and growing Claims team where you’ll get... the opportunity to learn multiple insurance products and interact with business leade...
multiple tasks simultaneously Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint) Knowledge of claims systems (., Guidewire) is... a plus Professional designations (., CPCU, AIC) are a plus Ability to work b...
Job Title: Senior Claims Specialist - Excess Casualty... Experience: 7-10+ years of claims experience (minimum 3-5 years... general liability claims adjusting experience required) ... Department: North America Claims Company: AXIS... H1: Senior Claims Specialist - Excess Casualty......