Fraud SIU Investigator - Workers’ Comp Focus
deltagroup
deltagroup is seeking a skilled investigator for their Special Investigation Unit in Phoenix, Arizona. The role involves investigating suspicious claims and requires strong investigative abilities, exceptional communication skills, and the capacity to work independently. Key qualifications include CFE or FCLS designations, along with 5-10 years of experience in claims and SIU investigations. You will be responsible for conducting interviews, providing status updates, and ensuring compliance with legal requirements while maintaining confidentiality. The position offers an engaging work environment where your expertise will help prevent fraud in various insurance claims. #J-18808-Ljbffr deltagroup
$95k - $125k
...Supervisor Workers Comp Claims CopperPoint has an exciting opportunity for a Supervisor Workers Comp Claims... ..., performance standards, policies and procedures focusing on customer needs and expectations. Investigates, analyzes and introduces process improvements and...SuggestedHourly payTemporary workWork experience placementLocal areaRemote workFlexible hours$70k - $80k
About the team The Claims Special Investigations Unit (SIU) Investigator investigates potentially fraudulent, suspicious, or misrepresented claims... ...marketplace. This position evaluates evidence, identifies fraud patterns, and provides findings that support claim,...SuggestedFull timeWork at officeLocal area3 days per week- ...ourselves on delivering exceptional workers’ compensation claims... ...complications. Conduct internal investigations and gather relevant... ...5 years of AZ lost time Work Comp Claims adjusting experience is... ...collaborative team environment with a focus on client service and...SuggestedFull timeWork at officeLocal area
$65k - $88.6k
...for an experienced Healthcare Investigator to join its industry leading... ...have a passion for combating Fraud, Waste, and Abuse in the Health... ...opportunity to join Humana’s SIU. The Fraud and Waste... ...contributing to an organization focused on continuously improving consumer...SuggestedFull timeTemporary workFor contractorsApprenticeshipWork experience placementWork at officeLocal areaRemote workWork from homeHome officeMonday to Friday- ...time Description Command Investigations LLC is seeking an Insurance... ...opportunity for individuals with prior SIU experience who demonstrate... ...insurance claims, including workers' compensation, general... ...attitude. Ability to thrive in a focused, detail-driven, and...SuggestedPart timeWork at officeRemote workFlexible hoursNight shift
- ...detailed-oriented WC Claims Specialist to manage and coordinate workers' compensation claims. This role ensures compliance with... ...insurance, and a hybrid work schedule after 90 days. Join a team focused on professional development and client service. #J-18808-Ljbffr...
- ...seeking a highly organized, detail-oriented Workers' Compensation Injury Counselor to serve... ...necessary) in bringing each Workers’ Comp claim to its best possible resolution. Essential... ...as needed. Promptly and thoroughly investigate newly reported work-related injuries to...Temporary workLocal area
- ...rewarding and recognizing our employees. The Worker's Compensation Coordinator schedules new... ..., email, social security, insurance, work comp information, and financial data into the... ...Exceptional customer service and patient focus. Our Workers' Compensation Specialists must...Full timeWork at office
$120k - $220k
...actively growing. Our practice areas include personal injury, workers' compensation, and employment law. Why join us?... ...Top-tier technology Job Details This position is focused on workers' comp applicant work. You will: Handle matters independently...Local area- A leading live shopping platform is seeking a Fraud Agent to investigate and develop solutions to mitigate fraud. This role requires identifying... ...office. Health benefits, generous time off policies, and a focus on diversity are part of the company's commitment to employees...Work at officeRemote workWork from home
- Goodwill of Central and Northern Arizona is seeking a Workers' Compensation Claims Administrator to support its commercial insurance program, reviewing and coordinating workers’ compensation claims and supporting occupational health while overseeing the Return to Work program...
- J T Becker & Co Inc is seeking skilled Field Investigators for flexible work hours. This position involves investigating various types of insurance claims, including surveillance and SIU assignments, primarily in Arizona. The ideal candidates should possess a valid investigator...Flexible hours
- A leading personal injury law firm is seeking an experienced Workers' Compensation Attorney in Phoenix, Arizona. This role involves managing a heavy case-load and interacting with clients and expert witnesses. Ideal candidates will have over 3 years of experience in workers...
- BCG Attorney Search is seeking an experienced Workers' Compensation Attorney to join their practice in Phoenix, Arizona. The attorney will manage a substantial and complex caseload, contributing to the development of a statewide workers' compensation practice. This role...
- Morgan & Morgan in Arizona is seeking an experienced Workers' Compensation Attorney to join its growing practice. This role involves managing a heavy and complex case-load, guiding clients through the process, and interacting with expert witnesses. Ideal candidates will...
$110k - $125k
Australia-Employment is actively seeking a Workers' Compensation Defense Attorney to join their firm. The role offers a competitive salary ranging from $110,000 to $125,000 per year with fully remote options available. The ideal candidate will have at least 2 years of defense...Remote job- Matt Fendon Law Group in Phoenix seeks an experienced Workers’ Compensation Attorney to join our premier practice. You will manage a caseload, prepare documents, and represent clients in hearings and mediations, applying a deep understanding of worker’s compensation law...
- Turo Inc. is seeking a Claims SIU Investigator to assess potentially fraudulent or misrepresented claims and reduce financial loss in its marketplace... ...and investigative skills, experience in insurance or fraud investigations, and the ability to collaborate with NICB and...
- ...seeking a Total Loss Claims Specialist to handle complex claims with a focus on causation, coverage interpretation, and high financial impact for hosts and the platform. You will conduct investigations and communicate clearly with customers to resolve complex scenarios....
$80k - $125k
A leading law firm is seeking a motivated Associate Attorney to join their Phoenix, AZ office. Candidates must be licensed in Colorado, Arizona, or Utah. The role includes conducting legal research, representing clients in hearings, and managing client communications. This...Remote jobWork at officeFlexible hours- Cottingham & Butler is seeking a Work From Home Adjuster to investigate, evaluate, negotiate, and settle workers' compensation claims for clients. Prior workers compensation adjusting experience is required, including taking statements, paying lost wage benefits, filing...Remote jobWork from home
- Creative Risk Solutions is seeking a Workers’ Compensation Claims Specialist to join our team, primarily remote across AZ, CO, WV, and SD. The role emphasizes timely data transmission, claim evaluation, mediation, and accurate documentation, with potential for licensing...Remote job
- Gallagher Bassett is seeking a skilled workers' compensation claims professional in Arizona. The role requires at least 5 years of related claims experience and appropriate licenses across states where claims are handled. This position offers remote work eligibility and...Remote job
- Amerisure Insurance, located in Phoenix, Arizona, is seeking a Senior Workers’ Compensation Claims Adjuster. This role offers the... ...relationships with policyholders and stakeholders while providing quality investigation and resolution of claims. Amerisure values its employees with...Remote job
- Position Overview The Special Investigation Unit of Delta Group... ...personnel, insurance carrier SIU staff, law enforcement, and government... ...identify, prevent and deter fraud. The candidate should have extensive... ..., with a heavy emphasis on Workers’ Compensation claims. Job...Local area
- A leading insurance provider is seeking a Senior Workers’ Compensation Claims Adjuster based in Phoenix, Arizona. The ideal candidate... ...claims and a Bachelor’s degree. Responsibilities include investigating claims, collaborating with stakeholders, and managing litigated...Flexible hours
- ...plans, test cases, and test scripts for fraud platform enhancements, integrations, and... ...partner with technology teams and vendors to investigate and resolve issues. Support testing and... ...cases, and test scripts, with a strong focus on user acceptance testing and regression...Work experience placementWork at office
$100k - $150k
...for a better today and tomorrow.Ascensus is seeking a Senior Fraud Strategy Analyst to join our Fraud Risk Management team. This... ...Qualifications3-7 years of progressive experience in fraud strategy, fraud investigations, financial crimes, or financial services risk...Full timeRemote work$33.5 - $38.5 per hour
...evaluated at each step of the process. As a result, not every candidate will complete all steps in the process. About ReSource Pro: Focused exclusively on the insurance industry, ReSource Pro is the trusted partner insurance organizations rely on to optimize performance,...Hourly payContract workFor contractorsWork experience placementLive outLocal areaRemote work$15.53 - $17.76 per hour
...Child Nutrition Worker I This position is a grade 105 on the Support Staff non-exempt salary schedule. The salary is $15.53 to $17.... ...to read handwritten or typed material, and the ability to adjust focus, close vision, distance vision, color vision, peripheral vision...Hourly payPart timeLocal area
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