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Payment Integrity Investigator - Must Reside in Colorado

Denver Health and Hospitals Authority Inc
Denver, CO
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We are recruiting for a motivated Payment Integrity Investigator - Must ...
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Summary
About the job:
Reside in Colorado to join our team! We are here for life’s journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department Managed Care Administration Job Summary Under minimal supervision this position is responsible for detecting and investigating alleged or suspected fraud, waste, and/or abuse (FWA) by providers or enrolled members. As an...
Location:
Denver, CO
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Denver Health and Hospitals Authority Inc
Certifications / Licenses:
N/A
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

PROPERTY ADJUSTER II

Erie Insurance Group
Mechanicsburg, PA
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Division or Field Office: Harrisburg Branch Office Department of Position: ...
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Summary
About the job:
Claims Department Work from: Home (within territory) Salary Range: $55,261.00 - $88,274.00 * salary range is for this level and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired. Position may be eligible for an annual bonus...
Location:
Mechanicsburg, PA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Erie Insurance Group
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Property Adjuster I

Erie Insurance Group
Mechanicsburg, PA
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Job Description: Division or Field Office: Harrisburg Branch Office ...
Details
Summary
About the job:
Department of Position: Claims Department Work from: Home (within territory) Salary Range: $55,261.00-$88,274.00* salary range is for thislevel and may vary based on actual level of role hired for *This range represents a national range and the actual salary will depend on several factors including the scope and complexity of the role and the skills, education, training, credentials, location, and experience of an applicant, as well as level of role for which the successful candidate is hired.Position may be eligible for an...
Location:
Mechanicsburg, PA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
UltimateInsuranceJobs
Certifications / Licenses:
Driver's License
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Claims Examiner Senior - HP Claims Processing

Christus Health
Irving, TX
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Job Description | Job Attributes Apply Now External Applicant Current ...
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Summary
About the job:
Associate Summary: The Claims Examiner Senior is responsible for reviewing, analyzing, researching, and resolving complex medical claims in accordance with claims processing guidelines and desktops, as well as, ensuring compliance with federal regulations. This role works in conjunction with Business Configuration, Network Management, Provider Data, Complaints, Appeals and Grievances as well as other operational departments to ensure validation and quality assurance of claims processing. Responsibilities: - Meets...
Location:
Irving, TX
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Christus Health
Certifications / Licenses:
ICD-10 / ICD-9
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Auto Adjuster

Usaa
Chesapeake, VA
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Job Description Why USAA? At USAA, our mission is to empower our members to ...
Details
Summary
About the job:
achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Auto Adjuster you will manage file ownership including investigation, taking statements, reviewing policy...
Location:
Chesapeake, VA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
TalentAlly
Certifications / Licenses:
Adjuster License
Certified Property Casualty Underwriter
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

SIU Consultant P&C (Mid-Level) - Desk

Usaa
Boston, MA
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Job Description: Why USAA? At USAA, our mission is to empower our members to ...
Details
Summary
About the job:
achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a "Desk" position. Besides the normal SIU Investigator...
Location:
Boston, MA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
TalentAlly
Certifications / Licenses:
Certified Fraud Examiner
Certified Property Casualty Underwriter
Certified Financial Examiner
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

SIU Investigator - P&C (Mid-level) - Multi-line

Usaa
Bangor, ME
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Why USAA? At USAA, our mission is to empower our members to achieve ...
Details
Summary
About the job:
financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and framework, protects USAA and our...
Location:
Bangor, ME
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
United Services Automobile Association
Certifications / Licenses:
Certified Fraud Examiner
Certified Financial Examiner
Certified Property Casualty Underwriter
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

SIU Investigator P&C - Post-bind (Mid-level)

Usaa
Richmond, VA
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Why USAA? At USAA, our mission is to empower our members to achieve ...
Details
Summary
About the job:
financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a "Desk" position. Besides solid experience as an SIU Investigator within P&C,...
Location:
Richmond, VA
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Career Circle
Certifications / Licenses:
Certified Fraud Examiner
Certified Financial Examiner
Certified Property Casualty Underwriter
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

SIU Investigator - P&C (Mid-level) - Multi-line

Usaa
Washington, DC
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Why USAA? At USAA, our mission is to empower our members to achieve ...
Details
Summary
About the job:
financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and framework, protects USAA and our...
Location:
Washington, DC
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Career Circle
Certifications / Licenses:
Certified Fraud Examiner
Certified Financial Examiner
Certified Property Casualty Underwriter
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information

Auto Adjuster

Usaa
Colorado Springs, CO
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Why USAA? At USAA, our mission is to empower our members to achieve ...
Details
Summary
About the job:
financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Auto Adjuster you will manage file ownership including investigation, taking statements, reviewing policy and coverages,...
Location:
Colorado Springs, CO
Job Type:
Full-Time
Permanent
Occupation:
Claims Adjusters, Examiners, and Investigators
Career Level / Education:
High school diploma or equivalent
Salary:
High Income Jobs ($80K-$99K)
From:
Black Tech Jobs
Certifications / Licenses:
Adjuster License
Certified Property Casualty Underwriter
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
Detailed Job Information
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Salary: High Income Jobs ($80K-$99K)
Occupation: Claims Adjusters, Examiners, and Investigators
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