Senior Major Case Investigator - Fraud & Complex Claims
VetJobs
Travelers Insurance seeks a Senior SIU Specialized Investigator to analyze highly complex technical information with minimal oversight, identifying major case and underwriting investigations with regional and national implications. You will work across multiple lines of business and potentially across several states, ensuring investigations comply with applicable laws and internal standards. The role requires two years of investigative experience or related experience in insurance claims or #J-18808-Ljbffr VetJobs
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Senior Major Case Investigator - Fraud & Complex Claims in Rancho Cordova, CA vacancy
$85.6k - $141.2k
...where you do it. Job Category Claim Compensation Overview The... ..., including the scope, complexity and location of the role; the... ...the Opportunity? Travelers Investigative Services provides industry-first... ...minimum oversight to identify major case or underwriting...ClaimsWork at officeLocal area- ...level position. The announcement notes merit staffing procedures (ICTAP/CTAP) and emphasizes specialized experience in leading complex investigations, coordinating with other agencies, and presenting evidence in court. Qualified applicants must demonstrate experience...SeniorWork at office
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...Job Description Senior Workers' Compensation Claims Examiner Sacramento... ...Examiner to manage complex indemnity claims in... .... You'll lead claim investigations, coordinate medical... ...Collaborate with medical case managers to support... ...subrogation and fraud opportunities What...SeniorClaimsFraudLocal areaCanon Recruiting Group
Sacramento, CA21 days ago$65k - $88.6k
...part of our caring community The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and... ...of billing practices. Prepares complex investigative and audit reports.... ...healthcare payment methodologies, claims, submissions, and payments • Strong...ClaimsFraudFull timeTemporary workFor contractorsApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayHumana, Inc.
Sacramento, CA4 days ago$132.8k - $219.1k
..., including the scope, complexity and location of the role... ...arising from claims asserted against policyholders... ...or the company and take cases from inception through trial and appeal. As a Senior Counsel, you will be responsible... ...matters, including Major Case and Complex Claim...SeniorClaimsWork at officeLocal areaFlexible hoursWells Media Group
Rancho Cordova, CA1 day ago$132.8k - $219.1k
...you do it. Job Category Claim, Legal Compensation... ..., including the scope, complexity and location of the role... ...or the company and take cases from inception through trial and appeal. As a Senior Counsel with Travelers... ...litigation matters, including Major Case and Complex Claim...SeniorClaimsWork at officeLocal areaFlexible hoursTravelers
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Sacramento, CA3 days ago$161k - $340k
...executive presentations, business cases, roadmap reviews, and... ...performance, power, packaging complexity, and total cost of ownershipExperience... ...immediate disqualification. Fraud alert: Micron advises job... ...of any communication claiming to be from Micron by checking...SeniorClaimsFraudFull timeLocal areaImmediate start- ...Acrisure is seeking a Telephonic Nurse Case Manager to support workers' compensation claims through clinical case management... ...with the ability to navigate complex and sensitive conversations... ...Applicant Privacy Policy. Recruitment Fraud Notice Please visit here to learn...ClaimsFraudWork at officeImmediate startRemote workFlexible hours
$135.5k - $275k
Senior Electrical/Hardware EngineerThis role has been designed as ‘... ...required to thrive in today’s complex world. Our culture thrives on... ...criminal histories.Recruitment Fraud AlertWe have become aware of an... ...of any third party claiming to represent the company. Any...SeniorClaimsFraudFull timeWork experience placementWork at officeLocal areaImmediate startWorldwide- ...the U.S. Attorneys seeks professionals for positions at the GS-13 level. The role emphasizes planning and directing highly complex investigations, leading investigative teams, and ensuring compliance with applicable regulations in coordination with federal agencies. Applicants...SeniorWork at office
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Sacramento, CA5 days ago - ...Responsibilities include, but are not limited to, investigating consumer complaints, conducting... ...criminal proceedings, including small claims court. This position requires technical... ...and the ability to interpret and apply complex laws, policies, and procedures to protect...ClaimsWork at office
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Rancho Cordova, CA5 days ago $150k - $175k
...some of healthcare’s most complex challenges. Join us and... ...radiology-related claims, Treatment Authorization... ...for complex radiology cases. Support medical necessity... ...sanctioned for fraud or abuse. Strong oral... ...programs. Spend the majority of your day reviewing radiology...ClaimsFraudFull timeRemote workWork from homeHome officeMonday to FridayFlexible hoursGainwell Technologies LLC
West Sacramento, CA4 days ago$185.76k - $334.32k
...guiding them through complex consulting... ...Business (Underwriting, Claims, Operations) and IT... ...workflows Automating case-based decisioning... ...adjudication, and fraud detection Experience... ...AI within major policy administration... ...with client CXOs and senior executives - becoming...ClaimsFraudMinimum wageFull timePart timeLocal areaImmediate startRemote workKyndryl
Sacramento, CA5 days ago$97k - $205k
...good understanding of timing/area/power/complexity trade-offs in high-speed DRAM or mixed-signal... ...result in immediate disqualification. Fraud alert: Micron advises job seekers to be... ...the authenticity of any communication claiming to be from Micron by checking the official...SeniorClaimsFraudFull timeLocal areaImmediate start- ...the speed required to thrive in today’s complex world. Our culture thrives on finding new... ...applicants with criminal histories.Recruitment Fraud AlertWe have become aware of an increase... ...the credentials of any third party claiming to represent the company. Any reliance on...SeniorClaimsFraudFull timeWork experience placementWork at officeLocal areaImmediate startRemote workWorldwide
$52 - $88 per hour
We are seeking a Senior Construction Manager to provide leadership and oversight for large, complex heavy civil infrastructure projects including... ...delivery of multiple major heavy civil capital projects... ...applications, change orders, claims, and time extensions. Enforce...SeniorClaimsFor contractorsWork at office$173.34k - $216.67k
...experienced Trial Attorney to represent the company in complex legal matters such as workers' compensation cases. The ideal candidate will have over 7 years of... ...include handling complex cases, providing training to claims representatives, and performing legal research. A...SeniorClaims- ...Nationwide Mutual Insurance Company seeks a Senior Trial Attorney to deliver top‑quality... ...property and casualty defenses. You will lead complex cases as lead or co-counsel, mentoring junior attorneys and collaborating with claims partners and internal teams. A strong...SeniorClaimsRemote job
$110k - $130k
...their own accounts and likely work with more complex or demanding clients. This role requires... ...administration, including enrollment, claims, and employee communications. Conduct... ...Applicant Privacy Policy. Recruitment Fraud: Please visit here to learn more about our...SeniorClaimsFraudImmediate startFlexible hoursAcrisure LLC
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