PFML Claims Investigator II - Fair, Efficient Processing
Delaware LLC
The State of Delaware invites applications for an Investigator II to support the Paid Family and Medical Leave program under the Healthy Delaware Families Act. You will be the primary contact for claimants, ensuring efficient processing, fairness, and regulatory compliance. Responsibilities include investigating issues, reviewing eligibility, maintaining detailed records, and identifying potential fraud. The role emphasizes customer service, organization, and the ability to handle a high-volume #J-18808-Ljbffr Delaware LLC
$97.59k
...while simultaneously ensuring fairness to defendants. Moreover, the... ...enthusiastic Digital Forensic Examiner II. The Digital Forensics... ...analysis, document their process and findings, and testify in... ...Experts to best guide ADAs and Investigators to properly seize, preserve,...SuggestedTemporary workWork at officeNight shiftWeekend work$27 - $33 per hour
...Part-time Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of... .... Maintain a reliable, fuel-efficient vehicle and required insurance coverage... .... Understand investigative processes, insurance law, and claim...SuggestedHourly payPart timeSecond jobWork at officeRemote workFlexible hoursNight shift$26 - $33 per hour
...Part-time Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of... .... Maintain a reliable, fuel-efficient vehicle and required insurance coverage... .... Understand investigative processes, insurance law, and claim...SuggestedHourly payFull timePart timeSecond jobWork at officeRemote workFlexible hoursNight shift$97.59k
...while simultaneously ensuring fairness to defendants. Moreover, the... ...enthusiastic Digital Forensic Examiner II. The Digital Forensics... ...analysis, document their process and findings, and testify in... ...Experts to best guide ADAs and Investigators to properly seize, preserve,...SuggestedTemporary workWork at officeNight shiftWeekend work$65k - $70k
...Opportunity The Fraud Investigator plays a critical role... ...recommending targeted process enhancements. Collaboration... ...to resolve cases efficiently and in compliance with... ...depth reviews of customer claims involving Debit card,... ...not subject to or (ii) will disclose any non...SuggestedWork at officeLocal areaRemote workFlexible hours$78k - $113k
...direction from the SIU Director, the Clinical Investigator II serves as the Special Investigations... ...with internal departments (e.g., Claims, Medical Management, Legal, Provider Relations... ...action and repayment plans and processes claims in SIU pend queues. Serves as the...Full timeWork at officeFlexible hours- ...impact on a member’s financial well-being and trust. As a Fraud Investigator II at Truliant Federal Credit Union, you’ll lead complex... ...analyze account activity and other evidence, validate member claims, and document clear, accurate findings. Prepare investigative...Full timeTemporary workLocal areaRemote workFlexible hours
- ...development: Dedicated in-house training team focused on helping you reach your full potential Responsibilities The Fraud Investigator II role is focused on independently managing a broad range of fraud case types and contributing to fraud prevention initiatives....Full timeWork experience placementWork at officeLocal areaRemote workWork from home
- ...looking for Insurance Fraud Investigator (SIU) to join our team... ..., and strategic claims handling. Our ongoing... ...promise of assuring maximum efficiency and specialized... ...special investigator II will prepare and submit... ...knowledge of medical claims processing and investigations, a...Temporary workWork experience placementWork at officeRemote workFlexible hours
$104.9k - $174.7k
...role blends data analytics, fraud investigation, technical consulting, and client engagement... ...fraud prevention and operational efficiency.Conduct root cause analyses to... ....We are committed to providing a fair and accessible hiring process. If you have a disability or other...Full timeLocal areaWork from home- ...they need. From transaction processing to customer service, to driving... ...uphold transparent and fair hiring practices that support... ...candidates should have strong investigative skills, knowledge of the... ...detail and the ability to work efficiently under pressure are essential...Work experience placementWork at officeLocal areaRemote workWork from homeNight shift
$28 - $32 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 leader,...$25 - $30 per hour
Description Command Investigations, LLC is looking for Surveillance Investigators to become part of a dynamic team. This is a great opportunity... ...; however, we pride ourselves on distributing available cases fairly. Schedules are flexible with advanced discussion and...Hourly pay16 hoursFull timeWork at officeRemote workFlexible hoursShift workNight shiftWeekend work- ...seeks to recruit Supervising Investigators for the Investigation Division... ...of Correction in a timely, efficient manner while remaining un-biased... ...investigative procedures and processes, NYPD special victims’ squads... ...(i.e. eJusticeNY, CLEAR, IIS, IFCOM, Webcrims, Rapsheets,...Full time
- A regional insurance provider is seeking a Customer-Focused Casualty Field Claims Representative to join their remote claims team in Virginia. The successful candidate will investigate claims, comply with company procedures, and provide tailored support to members. Ideal...Remote jobWork at office
$66.35k - $93.71k
...the Equal Opportunity Investigator and Title VI Coordinator... ...investigative process by gathering and documenting... ...process and promotes a fair and neutral process... ...and independently and efficiently managing a significant... ...Disabilities Act (Title II), Title VI of the Civil...Work experience placementWork at officeWeekend workAfternoon shift$100k - $135k
...this role, you will support the detection, investigation, and mitigation of financial crime risks... ....Familiarity with SAR filing processes and FinCEN requirements.Experience collaborating... ...must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka...Permanent employmentFull timeTemporary workWork at officeRemote workWeekend work$65k - $69k
...growth. SUMMARY Under general supervision, the Investigator supports the integrity and safety of ADAPT Community... ...Review As part of our commitment in creating a fair, efficient, and consistent hiring process we may use artificial intelligence (AI) to help our...Weekend workAfternoon shift- ...New York invites applications for a Digital Forensic Examiner II in the Bronx. The role supports the BXDA Digital Forensics Laboratory... ...experience with common tools, plus the ability to testify in court and manage multiple investigations under #J-18808-Ljbffr City of New York
- ...maintaining user trust, and ensuring secure and fair transactions across our products. We're... .... You'll identify suspicious patterns, investigate emerging risks, develop effective... ...continuously improve our fraud prevention processes. If you're analytical, proactive, and...
$20 per hour
...analysis, internal and open-source tools, and investigative work to combat payments fraud and... ...behaviors; and collaborate with our business process team to improve fraud detection... ...characteristic protected by law. San Francisco Fair Chance Ordinance: Pursuant to the San...Contract workTemporary workWork experience placementRemote work- ...of our business, and our global Cyber Investigation and Forensic Response (CIFR) practice is... ...automation tools and scripts that improve team efficiency and investigation capabilitiesMentor... ...in our reasonable accommodation process. Accommodations made to facilitate the...Work experience placementLive inWork at officeLocal area
$90k - $120k
...put your expertise to work as a NYC Licensed Asbestos Investigator, supporting environmental consulting projects... ...qualifications, and work location. As part of our recruitment process, we use AI technology to support a fair and consistent evaluation of all applicants. What...For contractorsWork at officeLocal areaFlexible hours$77.5k - $99k
...requiring long-term care and ensure the efficient use of taxpayer funded services.Our... ...Summary The Program Integrity Fraud Audit & Investigations Analyst conducts fraud, waste, and... ...provider agency operations, MCO/health plan processes, and regulator expectations, this...Local areaRemote work$70.5k - $94.4k
...documentation to conduct low level investigations. The incumbent will also... ...Investigations Unit pended claims to insure we are meeting... ...Investigations pre-payment process. Review may include inpatient... ...Assure timely, accurate and efficient processing and resolution of...Live inLocal area$90k - $150k
...BRG's Economics, Disputes & Investigations practice is a leader in areas... ...throughout the dispute process.BRG has ranks as a "Top Economics... ...interruption insurance claims. Our experts analyze detailed... ....Demonstrate creativity and efficient use of relevant software tools...Work at officeLocal area$100k - $140k
...analysis, BRG's Economics, Disputes & Investigations community is a leader in areas that can... ...cash flows. Demonstrate creativity and efficient use of relevant software tools,... ...accommodation for any part of the employment process, please contact us by email at Recruiting...Work at officeLocal area3 days per week- ...Primary focus is the Background Check process. Review and compile investigative research as well as conduct follow-up interviews with potential hires... ...global background checks. Manage investigative resources efficiently and effectively. Summarize relevant information to...Permanent employmentFull timeWork experience placement
- Remotebridge seeks a Senior Claims Investigation and Evidence Review Expert for a remote contractor role (~10 hours/week). You will analyze CCTV, dashcam footage, photos, statements, and reports to detect fraud and reconstruct events with clear causation. You'll provide...Remote jobFor contractorsFlexible hours
- ...DO) to serve as a full-time Principal Investigator at a clinical research site in Plainview... ...and benefits from standardized research processes, operational infrastructure, and... ...Collaborate with site leadership to support efficient study execution and the successful development...Full timeMonday to Friday
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