perpetrators to recover funds paid on fraudulent claims. The primary duties... include: - Conducting claim reviews for appropriate coding, data mining, entity review, law enforcement referrals, and utilizing proprietary data and claim systems for the review of facility, professional, and ph...
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 referrals, and utilizing proprietary data and claim systems for the review of facili...
The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.
Senior Investigator, Insurance Fraud The candidate will be responsible for the identification, investigation and development of complex cases against perpetrators of fraud in order to recover corporate and client funds paid on fraudulent claims, utilizing Health and... Human Services-Office of Inspector General (HHS-OIG), FBI and other law enforcement resources, and state of the art investigation techniques. Will be responsible for enterprise-wide specific investigations that m... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Claims Specialist III, SIU Field... Investigation Duties: Conducts complex investigations of suspicious or unlawful activity directed at policyholder and corporate assets in a prompt and expeditious manner. Reviews and makes recommendations on outcomes of investigations in a prompt and expeditious manner. Provides guidance and recommendations to claims leadership and associates on... claims resolution. Promotes and provides... "On Your Side" customer service. Monitors suspicious cl... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Claims Specialist III, SIU Field... Investigator Duties: Conducts complex investigations of suspicious or unlawful activity directed at policyholder and corporate assets in a prompt and expeditious manner. Reviews and makes recommendations on outcomes of investigations in a prompt and expeditious manner. Provides guidance and recommendations to claims leadership and associates on... claims resolution. Promotes and provides... On-Your-Side customer service. Monitors suspicious claim... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
SIU - Field Investigator Duties: Independently conducts complex investigations of suspicious or unlawful activity directed at policyholder and corporate assets in a prompt and expeditious manner. Reviews and makes recommendations on outcomes of investigations in a prompt and expeditious manner. Provides guidance and recommendations to claims leadership and associates on... claims resolution. Promotes and provides... "On Your Side" customer service. Continuously monitors suspicio... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Investigator - Job Title H1: Senior Investigator - Join Our Team at **Members Only** Bold Headlines: - Join Our Team at **Members Only** Committed to Equal Pay Opportunities and Pay Equity Laws - Advancement Op... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Senior Investigator (Investigator Sr) **Members Only** Job Family: Enterprise Operations Type: Full Time Date Posted: Feb 21, 2024 Anticipated End Date: Mar 20, 2024 Reference: JR101688 Description: - Work hybrid model (remote and office) - Ideal candidate within 50 miles of read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
H1: Senior Investigator - Virginia Medicaid H2: Job Description and Responsibilities - Responsible for identifying and investigating complex cases of healthcare fraud against perpetrators in order to recover corporate and client funds - Conducts claim reviews, data mining, and entity reviews to detect fraudulent claims - Interfaces with... senior level management and legal department throughout the investigative process - Develops and maintains relationships with law enfo... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here
Senior Investigator Job Description: Identify, Investigate, and Develop Cases Against Healthcare Fraud Perpetrators H2: Join **Members Only**, a Fortune 25 healthcare company, is seeking a Senior Investigator for a hybrid role (remote and office) with a... read more
Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here