Field Investigator - Workers’ Comp Fraud & Compliance
Insurance
Insurance is seeking an Industrial Commission Investigator (Special Agent) in North Carolina to conduct investigations into workers' compensation fraud and other statutory violations. This role requires travel across the region without fixed office requirements. The ideal candidate will possess a Bachelor's degree and significant investigative experience, including conducting criminal investigations and testifying in court. Benefits include health plan options and retirement savings. #J-18808-Ljbffr Insurance
$48.92k - $63.18k
Ncaocr is seeking a Special Agent specializing in investigating workers' compensation fraud. This role requires strong law enforcement skills to conduct... ...Carolina, focusing on fraud, evidence collection, and compliance with laws. The ideal candidate holds a bachelor's...Fraud- Arts In Wilmington is seeking a Special Agent to conduct investigations into workers' compensation fraud in North Carolina. Responsibilities include gathering evidence, testifying in court, and ensuring compliance with the Workers' Compensation Act. Ideal candidates...FraudFull time
- ...to ensure the integrity and accuracy of claims processes. The role involves conducting audits/investigations, ensuring compliance, and identifying opportunities to prevent fraud. The ideal candidate should possess a Bachelor's Degree and 2-4 years of relevant experience,...Fraud
- ...Asset Protection Specialist in Garner, North Carolina. This role focuses on preventing financial loss due to theft and fraud while ensuring compliance with safety and environmental programs. Responsibilities include monitoring physical security, preparing case reports,...Fraud
- 慨正橡扯 is seeking a Quantitative Analytics Associate II for the Point of Sale Fraud team in North Carolina. You will drive impactful fraud prevention by managing fraud risk strategies and performing complex risk analyses. Ideal candidates have a Bachelor's degree in a quantitative...Fraud
- ...institution in North Carolina is seeking a Fraud Manager responsible for overseeing fraud... ...manage a fraud team, handle complex investigations, and collaborate with various stakeholders... ...risk. A bachelor's degree in relevant fields and supervisory experience in fraud operations...Fraud
- 慨正橡扯 is hiring a Wrongdoer Strategy Analyst in North Carolina to enhance their fraud and scam prevention initiatives. The role focuses on using data and creativity to create effective fraud-fighting strategies while balancing operational and customer experience impacts....Fraud
- ...Employee Benefits Corporation is hiring for a Fraud Prevention Analyst. In this role, you’... ...and operations. You’ll combine investigation, analytics, and risk management to uncover... ...insights Partner cross‑functionally (Compliance, data teams, vendors, and business leaders...FraudWork at officeRemote workFlexible hours
$107.7k - $199.3k
...sensitive, and high-impact internal investigations across the organization.... ...best practices, regulatory compliance, and risk mitigation. Requires... .../Health Policy, or a related field, or equivalent experience is... ...Licenses/Certifications Certified Fraud Investigator preferred. Pay...FraudFull timePart timeWork at officeRemote workFlexible hours- ...covering North Carolina. Candidates must have at least 2 years of premium audit experience and knowledge of general liability and workers compensation. The position offers flexibility and varied workloads, as well as a supportive management team. Proficiency in Microsoft...Work at officeRemote work
- Goldberg Segalla LLP in Raleigh, NC offers an immediate opportunity for a Workers' Compensation Paralegal. This full-time position requires proficiency in Microsoft Office and at least 3 years of experience, preferably in Workers' Compensation. The role involves supporting...Full timeWork at officeImmediate start
- A law firm in Raleigh is seeking a Bilingual Workers’ Compensation Paralegal to manage a high-volume caseload of claims. The ideal candidate must have at least 3 years of experience, be fluent in English and Spanish, and possess strong organizational and communication skills...
$63.4k - $85k
...A leading claims management firm is seeking a remote Claims Examiner to analyze workers compensation claims and ensure timely adjudication. The ideal candidate will have at least 5 years of claims management experience and strong negotiation skills. This position offers...Remote workFlexible hours- ...Sedgwick in the United States seeks a Claims Representative for remote workers compensation claims processing. The role involves determining benefits and ongoing adjudication of claims, requiring no prior experience but offering career development opportunities. Candidates...Remote workFlexible hours
- ...A leading claims management company is seeking a Claims Examiner for a remote position to analyze California workers compensation claims. The role requires 5 years of claims management experience and a High School Diploma or GED. Responsibilities include negotiating settlements...Remote workFlexible hours
- A leading financial analytics firm seeks a Credit & Fraud Analytics Director. This role demands strong leadership in analytics, strategic product vision, and hands-on experience with data analytics. Applicants should have over 5 years of experience in team mentoring and...Fraud
- ...experienced physical premium auditors to work on a fully remote basis in North Carolina. As an auditor, you will perform physical audits for Workers Compensation, General Liability, and other insurance policies while providing superior customer service. The ideal candidate should...Remote jobFlexible hours
- ...and at least 5 years of experience in property and casualty claims handling. This role will involve managing claims, conducting investigations, and ensuring timely settlements. The position offers a hybrid work environment and competitive benefits including medical...Remote job
- ...Inspections (MTI) is seeking experienced physical premium auditors for a remote opportunity throughout North Carolina. Auditors will handle Workers Compensation and General Liability audits while having a flexible schedule and supportive management. The ideal candidate has a...Remote jobFlexible hours
- Ncaocr is looking for a Safety and Workers' Compensation Consultant to take the lead in... ...claims, conduct safety inspections to ensure compliance with state and federal regulations, and... ...must have a degree in a relevant field and meet the experience requirements. #J...
$76.04k - $87.27k
...is seeking an Assistant Attorney General located in Wake County, NC. This role involves acting as defense counsel in state-funded workers’ compensation claims and representing the State in criminal appeals. Qualified candidates should be licensed to practice law by the...Full time- ...professional in Raleigh, North Carolina, to represent employers in workers' compensation cases. The role requires a Juris Doctor (JD) and... ...Carolina. Responsibilities include client consultation, claim investigation, legal research, and negotiating settlements. The position...
- ...an Attorney III to assist the Department of Public Instruction with work-related injury cases. This role will involve extensive investigations, preparing expert testimony, and trial preparation. Applicants must be licensed to practice law in North Carolina and have a...
- ...operational standards while maintaining compliance with regulatory and network... ...escalation point for complex payment issues, investigations, and internal support requests, ensuring... ...relationships with internal partners (Fraud/Risk, Technology, Accounting, Retail Operations...FraudDaily paidLive outWork at office
- Sedgwick is seeking a Claims Examiner to manage complex workers compensation claims. The successful candidate will apply their knowledge... ...claims management to adjudicate claims effectively, ensuring compliance with service expectations. This role offers flexibility in...Remote job
- ...in North Carolina seeks a dedicated claims manager to oversee Workers' Compensation claims across various jurisdictions. The successful... ...will evaluate medical and indemnity benefits while ensuring compliance with regulations and policies. This role requires strong...Flexible hours
- Sedgwick is seeking a Claims Examiner in Raleigh, North Carolina to analyze Workers Compensation claims and ensure timely resolution of claims processing. This role involves negotiating settlements and communicating with claimants and clients, all within established service...Remote jobFlexible hours
- Sedgwick in Raleigh, North Carolina, is looking for a Claims Adjuster specializing in Workers Compensation. The role involves analyzing claims, negotiating settlements, and ensuring the management of claims adheres to company standards. Candidates should preferably have...Remote jobFlexible hours
$60k - $70k
The North Carolina League of Municipalities is seeking a Workers Compensation Lost Time Adjuster in Raleigh, NC. This role will manage workers' compensation claims, requiring strong investigative skills, communication, and a Bachelor's degree. Eligible candidates should...$60k - $70k
Workers Compensation Lost Time Adjuster The North Carolina League of Municipalities (NCLM... ...compensability. This is accomplished by investigating files through a recorded statement,... ...in a general professional or technical field. Knowledge is normally acquired through...Full timeWork at officeLocal area
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