Complex Claim Investigator

Advance Your Career in Insurance ClaimsAllied Universal Compliance and Investigations is a leading provider of insurance claim investigation services. We are seeking a skilled Insurance Fraud Investigator to join our team.About the RoleWe are hiring a Complex Claim Investigator to investigate claims with red flags that suggest fraudulent behavior. The ideal...

Job SummaryWe are seeking an experienced Insurance Investigator to join our Special Investigations Unit at Delta Group. As a key member of our team, you will be responsible for conducting thorough investigations into questionable insurance claims, identifying and preventing potential fraud.The ideal candidate will have extensive experience in claims...

About the OpportunityWe are seeking a Claims Fraud Detective to join our team at Delta Group. As a key member of our Special Investigations Unit, you will be responsible for conducting thorough investigations into questionable insurance claims, identifying and preventing potential fraud.The ideal candidate will have extensive experience in claims...

Special Investigations Unit Specialist OpportunityAllied Universal Compliance and Investigations is seeking a skilled Special Investigations Unit Specialist to join our team. As a Special Investigations Unit Specialist, you will investigate claims with red flags that suggest fraudulent behavior.About the RoleThe ideal candidate will have extensive knowledge...

Delta Group, a leading national investigative firm, is seeking a skilled Insurance Fraud Investigator to join their team in Syracuse, NY.The ideal candidate will have extensive experience in claims and SIU investigations, with a strong focus on Workers Compensation claims. A laptop computer, cell phone, audio recording device, digital camera, and tape...

Key Responsibilities:As a Data Analyst with Forfeiture Support Associates, LLC, you will be supporting the Federal Bureau of Investigation by receiving, gathering, analyzing, and organizing information from multiple sources.You will ensure the completeness of received information, reconcile inconsistencies, and accurately enter required data into one or more...

About the JobData Entry Associate at Recruit Monitor - Remote JOB DESCRIPTION: Our Data Entry Associate will be responsible for submitting claims to the proper agency, posting payments, and following up on claims. This role involves preparing, maintaining, and distributing various reports, records, requisitions, and other documents pertinent to the...

Job DescriptionWe are seeking a skilled Genetic Billing Specialist to join our team at Tesis Labs LLC. The ideal candidate will have experience in genetic lab billing, accounts receivables, and collections within a healthcare or insurance environment.The successful candidate will be responsible for all molecular genetic laboratory billing and revenue cycle...

Job DescriptionWe are seeking a skilled Clinical Denials Specialist to join our team at Trinity Health. This is a unique opportunity to make a meaningful impact on revenue integrity and patient care.Responsibilities:Denial Management: Investigate and resolve denials, ensuring timely attention to claims and maximizing reimbursement.Audit Coordination: Conduct...

Nurse Denial Management Lead OpportunityWe are seeking an experienced Nurse Denial Management Lead to join our team at Trinity Health. As a key leader in our revenue integrity team, you will be responsible for coordinating denial management processes and ensuring compliant and complete clinical documentation.Key Responsibilities:Denial Management:...

Join Our Team as a Revenue Optimization Nurse AuditorTrinity Health is seeking a highly skilled Revenue Optimization Nurse Auditor to join our team. As a key member of our revenue integrity team, you will play a critical role in ensuring accurate and timely reimbursement for our patients.About the Role:Conduct Audits: Perform monthly internal charge audits...

Job Title: Laboratory Billing SpecialistTesis Labs LLC is seeking a skilled Laboratory Billing Specialist to join their team. As a key member of the revenue cycle management department, you will be responsible for all molecular genetic laboratory billing and revenue cycle management. This includes thorough insurance benefit investigation of new referrals,...

Company Overview:At HigherStrats, we are a dynamic and innovative accounting firm dedicated to providing top-notch services to our clients in the healthcare and financial industries. Our team is passionate about delivering exceptional results and fostering a collaborative environment.About the Role:We are seeking a highly detail-oriented and analytical...

About the RoleAs an Expert Mental Health Care Provider, you will be responsible for providing therapeutic counseling, case management, and coordination services to consumers requiring complex intervention.Responsibilities include completion of assessments for court depositions, legal proceedings, and eligibility determinations.You will also supervise...

Job Description: As an Environmental Services Director at Trinity Health, you will be responsible for leading our EVS team and ensuring compliance with quality standards and regulatory requirements. This role requires strong leadership and analytical skills, as well as the ability to develop effective cost reduction plans and manage program budgets. Key...

Job Overview:FSA Federal is a leading provider of law enforcement services, dedicated to supporting the mission of the Federal Bureau of Investigation (FBI). As a Data Analyst in our team, you will play a crucial role in analyzing and organizing data to support investigations and operations.About the Role:This position requires a highly motivated individual...

Job Overview:We are seeking an Enterprise Technology Expert to join our Workplace Services team. In this role, you will be responsible for providing operational support to state agencies on a 24x7x365 basis, collaborating with our team to develop and implement effective solutions to meet business needs, and resolving complex technical issues.Key...

Job Title: Enterprise Data Integration SpecialistWe are seeking an experienced ETL Developer to join our team at TechnoGen.Salary: $85,000 - $110,000 per annumAbout the RoleIn this exciting opportunity, you will play a critical role in designing and implementing ETL architecture using Oracle Data Integrator, Talon-D or IBI Data Integrator. Your expertise...

Stantec is a company that delivers sustainable solutions to make water available when needed.Our Water business brings together engineers and scientists who view a community's interaction with water as a single holistic system.We are hiring 2,000 people like you to join our team by 2025.Your OpportunityYou will contribute to design and engineering for...

Job OverviewWe are currently seeking a Jr. Structural Engineer to join our Building Engineering Division in Albany, NY.The Building Engineering Division at LaBella Associates provides comprehensive building engineering services including mechanical, electrical, plumbing, and structural engineering. Services range from feasibility studies and analysis through...