departments to defend against fraudulent claims submitted against various... clients. - Research, prepare, file, and litigate fraud actions on behalf of the law firm, including Racketeer Influenced and Corrupt Organizations Act (RICO) and other affirmative actions. - Prepare litigation strategies,...
its Pittsburgh, PA office. This role involves handling a high volume of fraud-related cases, defending insurance clients against fraudulent claims, and litigating affirmative... actions including RICO-based matters. The position requires a strong foundation in litigation strategy, legal writing, and fr...
The following jobs are no longer active but were real openings previously posted by employers.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.
Special Investigator Duties: Investigate low to moderately complex, suspicious or unlawful activity directed at policyholder and corporate assets in a prompt and expeditious manner. Monitor suspicious claims and claims payment operations... in pursuit of fraudulent activities and the prevention... of future fraudulent payments. Investigate assigned claims... suspected of insurance fraud... and other irregularities. Conducts low to moderately complex investigations with minimal direction... 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Note: This job is no longer active.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
Health Care Transactional/Regulatory - Senior Associate/Counsel Level The candidate must have extensive experience in managing health care physician reimbursement, payor audit and billing related issues (including false/fraudulent claims, CPT guidelines, etc.) with... an emphasis in emergency medicine and pathology. A corporate and transactional health care background in negotiating managed care contracts (commercial/ governmental) and hands on experience in provider/payor disp... 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 Associate - Forensics and Litigation Services Duties: Serve as a key member of the Financial Forensics, and Litigation Services team, taking substantial responsibility in performing analytical and investigative services to attorneys, legal counsel, audit committees, government agencies, regulators, corporate boards, insurance companies, law enforcement, and management of companies. Assisting with investigations related to embezzlement, whistleblower, fina... 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 Specialist Duties: Reviews, assesses and analyzes a wide scope of suspected fraudulent situations and other sensitive... company-wide matters, including NLTC and NMIS. Provides anti-fraud training for insurance claims, underwriting, POS, Annuities, Law... and Compliance. Directing surveillances and other specialized investigations in consultation with internal departments and outside agencies. Acts as a resource to other areas of the Company in investigative techniques and rel... 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 Counsel, Commercial Contracts ## Overview Anaplan is a market-leading, cloud-native, enterprise SaaS company, transforming how enterprises across industries see, plan, and drive business performance. Join Anaplan’s Global Legal team to be part of one of the fastest growing cloud vendors and making your mark on the industry. ## Your Impact We have an excellent opportunity to join Anaplan as Senior Counsel, Commercial Contracts. The successful candidate will ma... 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
Lien Specialist Responsibilities: In Workers’ Compensation Claims Team, will help manage... the caseloads of liens for the Claims Adjusters. Will focus on... developing the skills and expertise to defend against unnecessary medical treatment and known or suspected fraudulent liens. Will report directly... to the Claims Manager in the Claims... Medical Bill Repricing Unit.... Focus on each lien by conducting a thorough Bill Review and Repricing each lien to CA Medical Fee Schedule. Review 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
Entry-level Administrative Legal Assistant The candidate will help manage the caseloads of liens for the Claims Adjusters. Will focus on... developing the skills and expertise to defend against unnecessary medical treatment and known or suspected fraudulent liens. Report directly to... the Claims Manager in the Claims... Medical Bill Repricing Unit.... Must have an interest in learning the industry and own and develop a new process in the department. Focus on each lien by conducting a t... 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
Entry-level Administrative Legal Assistant The candidate will help manage the caseloads of liens for the Claims Adjusters. Will focus on... developing the skills and expertise to defend against unnecessary medical treatment and known or suspected fraudulent liens. Report directly to... the Claims Manager in the Claims... Medical Bill Repricing Unit.... Must have an interest in learning the industry and own and develop a new process in the department. Focus on each lien by conducting a t... 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
Administrative Legal Assistant The candidate will be a dynamic addition to Workers’ Compensation Claims Team which will help... manage the caseloads of liens for the Claims Adjusters. Will focus on... developing the skills and expertise to defend against unnecessary medical treatment and known or suspected fraudulent liens. Will report directly... to the Claims Manager in the Claims... Medical Bill Repricing Unit.... Focus on each lien by conducting a thorough Bill Review and Repricing eac... 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
preferably have extensive experience in managing healthcare physician reimbursement, payor audit and billing related issues (including false/fraudulent claims, CPT guidelines) with an... emphasis in emergency medicine and pathology. A corporate and transactional healthcare background in negotiating managed care contracts (commerc... 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