Claims Integrity Auditor & Investigator II
Qlarant
Qlarant is seeking an individual to ensure the integrity and accuracy of claims processes in the United States, Kentucky. The candidate will conduct audits and investigations into customer claims, focusing on identifying fraud, waste, and discrepancies while adhering to industry regulations. The ideal candidate should have a Bachelor's degree and 2-4 years of experience in claims processing, with a Certified Fraud Examiner designation preferred. Strong analytical skills and attention to detail are essential for this role. #J-18808-Ljbffr
$46.99k - $122.4k
...a time. Position Summary The Program Integrity Auditor is responsible for the review of records... ..., recoupment of funds or rebilling of claims, and referral to state regulators for... ...internal staff. Assisting with further investigation and/or reports to state regulators...ClaimsHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours$21.51 per hour
...Posting Title Patient Services Coordinator II Agency 650 DEPARTMENT OF VETERANS... ...diem reimbursement. Prepares and files claims for VA pension and compensation and other... ...appropriate department heads; conducts background investigations verifying financial status, military...ClaimsDaily paidFull timePart timeWork at officeMonday to Friday- ...grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced Field Investigators in the Queens... ...have surveillance experience as a Private Investigator, SIU/Claims investigation experience and reside in the Queens or...ClaimsFull timeWork at office
$32 - $40 per hour
...Company Overview: Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global...ClaimsWork at officeLocal area$56.2k - $101k
...Purpose Please note: Candidates must reside within the state of Kentucky. Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential...ClaimsFull timePart timeWork at officeRemote workFlexible hours$37.35k
...Posting Title Administrative Assistant I/II Agency 400 OFFICE OF JUVENILE AFFAIRS... ...such as preparing invoices and payments of claims, requisitions, purchase orders,... ...to maintain a high degree of discretion, integrity and sensitivity to confidentiality and privacy...ClaimsFull timePart timeWork at officeTrial periodFlexible hours$61.4k - $99.68k
...any questions you have. We’re looking for an Asset Protection Investigator to provide investigative support and services for our Operations... ...be carried out through false websites, through fake e‑mails claiming to be from the company or through social media. We never ask for...ClaimsFull timeWork at officeLocal areaRemote workWorldwideFlexible hoursShift work- ...Job Summary The Internal Auditor is assigned to conduct reviews of assigned organizational and functional activities and evaluate the adequacy... ...corrective action taken to improve deficient conditions. Level II – Develops audit programs and performs audit procedures. Level...Full timeWork at officeRemote workFlexible hours
- ...Warehouse Inventory Auditor Maintains accurate warehouse inventory. Corrects discrepancies in stock status and book inventory. Audits... ...in stock without sales, item markdowns, and vendor service claims. Researches and audits accrued merchandise payables, receiving...ClaimsTemporary workWork at office
- ...to preserve the EAO's independence and the integrity of the audit process, the EAO's duties... ...Engineering Audits is seeking a Civil Engineer-II. Under general supervision, the selected candidate will serve as an Engineering Auditor, providing independent audit of payments...Permanent employmentFull timeContract workWork at office
- ...to the Vice President of ClaimSearch, responsible for leading integration and externalization strategy for ClaimSearch to bring more value... ...product roadmaps You will bring deep and broad understanding of claim handling processes, a creative mindset towards identification...Claims
- ...current market, competitive, and technological landscape, and integrate them into ISO's Personal Lines programs. Conduct research on... ...and surplus to assess and price risk with speed and precision Claims Solutions - supports end-to-end claims handling with analytic...ClaimsWork at office
- ...of experience working in an internal audit and/or public accounting capacity.* Audit Certification encouraged - Certified Internal Auditor (CIA), Certified Public Accountant (CPA), or Certified Information System Auditor (CISA) are preferred.* Good understanding of the...Night shift
$84k - $126k
...in the Life As a Process Engineer II in the Advanced Manufacturing Engineering... ...and fixtures. Support nonconformance investigations and CAPA activities related to welding/joining... ...If you receive a suspicious message claiming to be from Medtronic, do not respond,...ClaimsH1bWork at officeLocal areaImmediate startFlexible hours- ...Description Job Description Company Info: Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance claims adjusting/investigating firm which works on behalf of insurance companies, TPAs, law firms and municipalities primarily in the NYC tri-state...ClaimsFull timeImmediate startFlexible hours
- ...Description Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect... ...investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability...ClaimsFlexible hours
$23 per hour
...reconciling items are resolved timely, completely and accurately; bills/credits all assigned shipper loads as appropriate; processes claims for returned product; ensures all holds are processed in a timely and accurate manner; ensures all physical inventories are...Claims$50k
...Crime Scene Technical Investigator Agency: 308 STATE BUREAU OF INVESTIGATION Supervisory Organization: State Bureau of Investigation Full... ...evidence to a forensic laboratory for analysis, ensuring the integrity of the evidence is protected. Performs fingerprinting of...Full timePart timeWork at officeLocal area$100k - $140k
...fast-paced environment where precision, compliance, and revenue integrity are critical. Our leadership team understands that strong... ...ABA services, with a strong focus on complex and high-value OON claims. The right candidate is proactive, detail-oriented, and comfortable...ClaimsFull timeContract workWork at officeRemote work1 day per week- ...Representative to monitor accounts receivable, perform data entry, submit claims, follow up, adjudicate accounts, and carry out general clerical... ...and resolve billing inquiries. Maintain file and database integrity, and complete required reports. Explain billing details,...ClaimsFull timeTemporary workFlexible hours
- ...conditions.* Negotiate sub-contractor changes.* Provide proactive claims protection.* Track and monitors all cost reports.* Update all... ...our customers, upholding the highest standards of safety and integrity, generating exceptional financial results and shareholder value...ClaimsContract workFor contractorsFor subcontractor
- ...Inpatient Coding Auditor Remote Eligibility: Candidates must reside and work full‑time in AR, KS, MO, OK, or TX before their first day... ...day‑to‑day results that directly support team performance, data integrity, and organizational objectives. Meet all educational...Full timeImmediate startRemote work
$66k - $71k
...Title: Operations Auditor Unit: Evaluation and Quality Improvement Reports to: Director of Data Integrity and Compliance Status: Full Time; Regular; Exempt Salary Range: $66,000 - $71,000 annually Location: Long Island City, Queens Days/Hours: Monday to Friday...Permanent employmentFull timeWork experience placementMonday to Friday- ...Safety Auditor The Department of Design and Construction, Division of Safety and Site... ...and off-hours, participate in accident investigations, and communicate effectively with project... ...eligible for placement in Assignment Level II individuals must have, in addition to...Full timeFor contractorsWork experience placementLocal area
- ...Review multiple remake reports and support remake communication and processing. Manage warranty reports, denied claims, and warranty research. Investigate customer issues and gather supporting documentation for internal review. Maintain accurate records to support communication...Claims
- ...Senior Auditor Join our Private Bank/Wealth Management Solutions Internal Audit team and play a key role in strengthening governance... ...controls by considering business and technology risks in an integrated manner. ~ Knowledge of applicable laws and regulatory...Visa sponsorship
$50k - $52k
...Position: Auditor I within the State Agency Audit Division, located at 3020 N. Stiles Ave, Oklahoma City. The role involves auditing state government agencies to promote accountability and fiscal integrity. Daily commuting is required; telework is not permitted during...Immediate startRemote workFlexible hours- ...cloud-based share plan administration platform. As a Senior Auditor on the Private Bank/Wealth Management Solutions Internal Audit... ...of controls by considering business and technology risks in an integrated manner. Knowledge of applicable laws and regulatory requirements...Visa sponsorship
- ...to the Vice President of ClaimSearch, responsible for leading integration and externalization strategy for ClaimSearch to bring more value... ...product roadmaps You will bring deep and broad understanding of claim handling processes, a creative mindset towards identification...Claims
$17 - $20.4 per hour
...knowledgeable service to customers Promotes a culture of honesty and integrity; maintains confidentiality Observes, apprehends, and/or... ...any acts of dishonesty from outside sources Participates in investigations and surveillance as assigned Ensures apprehensions are...Hourly payFull timeTemporary workLocal areaHome officeFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Claims Integrity Auditor & Investigator II. Be the first to apply!



