Average salary: $118,243 /yearly
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The Special Investigations Unit team is responsible for preventing, detecting, investigating, and resolving... ...overseeing efforts to recover erroneous payments made because of a claims processing error, misrepresentative billing, fraud, abuse or...
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Part time
Local area
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3 days per week
...Description: Through comprehensive assessment and analysis, adjudicates managed healthcare claims/bills, authorizatons and referrals, for payment or denial within contract agreement and/or regulatory requirements. Performs these duties using industry standard knowledge...
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Full time
Contract work
Shift work
$23 - $28 per hour
...continuing to expand our team of Private Field Surveillance Investigators !
We are looking for Experienced Licensed Investigators to... ...impact. Join us and become a trusted partner in insurance claims management and fraud investigations, delivering certainty and...
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...infraction citations for violations of approved conditions.
Investigating alleged code violations and respond to complaints.... ...Analytically and logically evaluating information, propositions, and claims
Fact Finding: Obtaining facts and data pertaining to an issue...
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Full time
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Outdoor
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Monday to Friday
...of an organization that is client-centered, trauma-informed, collaborative, and committed to justice and equity.
The Medi-Cal Claims Billing Specialist will hold the crucial responsibility of inputting claims and corrections with precision and timeliness. Additionally...
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Full time
As an auto damage claims adjuster , you'll serve as Progressive's point of contact with customers - directing and making decisions regarding the repair process from beginning to end.Managing your own inventory while working independently, you'll work closely with body...
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...Allied Universal® Compliance and Investigations, North America’s leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, diverse and inclusive...
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...Exciting Opportunity for Aspiring Claims Adjusters!
INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!
Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless...
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...Job Description
Job Description Ethos Risk Services is continuing to expand our industry leading FULLY PAID Investigator Training Program !
Ready to kick-start and propel your career in a rapidly growing industry? Want to get paid to learn how to investigate fraud...
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...reputations of those accused of crimes and help them plan for the future.
We are seeking a skilled and professional in-house investigator for our firm. The ideal candidate will have significant experience in criminal investigations. Specifically, we are seeking...
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...Responsible for managing complex liability claims, employment & civil rights claims to their conclusion in the most cost-effective... ...Government Claims within the required timelines.
Assignment of Investigations.
Review investigative reports, evaluate damages and make...
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...partnering with ethical providers to ensure quality care and positive transformation of our mental health treatment community. We investigate and resolve issues of abuse, neglect or rights violations and provide education and consultation to treatment providers to help...
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Full time
Relocation
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Saturday
...JOB DESCRIPTION
We are seeking a highly skilled Application Analyst with expertise in Epic Resolute and Claims & Remittance modules to join our dynamic team. The role involves critical tasks such as the implementation, upgrade, and modification of Epic applications...
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...Job Summary:
In addition to the responsibilities listed below, this position is also responsible for serving as a lead investigator for the Corporate Security Investigations department in Kaiser Permanente, leading criminal, civil and administrative investigations...
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Full time
Local area
Shift work
...outside of NCAL
In addition to the responsibilities listed below, this position is also responsible for serving as a senior investigator for the Corporate Security Investigations department in Kaiser Permanente, managing criminal, civil, and administrative investigations...
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...Principal Investigator
Location: OaklandFull Time
Job ID: 63711
Job Posting
For UCOP internal applicants, please login to the internal candidate gateway at: Jobs at UCOP
Position Base : Oakland
Location : UCOP - Franklin Building
UC OFFICE...
Hourly pay
Local area
2 days per week
...responsible for serving as a leader and subject matter expert with demonstrated success leading and managing a comprehensive security investigations and loss prevention program. This includes delivering expertise and coherence across assigned area(s) while ensuring consistent...
Full time
Local area
Shift work
...New College Graduates- Entry Level Background Investigator- West Coast Region
Job Category: Service Contract Act
Time Type: Full time
Minimum Clearance Required to Start: Top Secret
Employee Type: Regular
Percentage of Travel Required: Up to 25%
Type...
Hourly pay
Minimum wage
Full time
Contract work
Part time
For contractors
Work experience placement
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Home office
...medical malpractice and other professional and general liabilty claims made during the course of conducting company business across... ...handling & reporting of moderately complex to complex claims.
Investigates pre-suit claims related to medical malpractice, professional...
Full time
Shift work
...have assignments available to help our insurance carrier or Third-Party Administrator (TPA) clients in Property & Casualty (P&C) Claims Adjuster or Examiner positions. Responsibilities include:
Handle General Liability / Bodily Injury, Property, Commercial Auto...
Full time
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Part time
Work experience placement
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Work from home
...fast-growing commercial insurance company, is seeking a Property Claim Technical Field Adjuster to respond to the needs of our... ...the Property Claim Technical Field Adjuster is responsible for investigating, evaluating, and estimating damages to ensure accuracy on business...
Full time
Remote job
Flexible hours
...Benefits Analyst 3 - Special Claims - Hybrid
Location: OaklandFull Time
Job ID: 66274
Job Posting
For UCOP internal applicants, please login to the internal candidate gateway at: Jobs at UCOP
UC OFFICE OF THE PRESIDENT
At the University of California...
Hourly pay
Holiday work
Work experience placement
Local area
...delivery methods.
Mediates and/or facilitates discrimination claims, other workplace conflicts, and regulatory compliance cases.... ...Suitable for Federal employment, determined by a background investigation.
Selectee will be required to successfully complete a probationary...
Permanent employment
Full time
Temporary work
Part time
Work experience placement
Local area
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Relocation
Trial period
Afternoon shift
...Analytically and logically evaluating information, propositions, and claims
Decision Making: Choosing optimal courses of action in a... ...Questionnaire (P.H.Q.) and pass a job-related background investigation.
Desirable Qualifications:
Experience with the principles...
Holiday work
Permanent employment
Full time
Contract work
Part time
Work experience placement
Local area
Immediate start
Flexible hours
Monday to Friday
...full range of services, including assistance with compensation claims, crisis intervention, court support, case status updates,... ...the public regarding information about the program, reporting, investigative process, and Marsy's Law.
Provide crisis intervention and emergency...
Hourly pay
Holiday work
Temporary work
Local area
Flexible hours
Night shift
Afternoon shift
Not many people can claim the ocean as their office. As a Navy Diver, your job will take you to the depths of the sea to perform underwater welding on ships, search harbors for impediments, retrieve sunken ship wreckage and even pull astronauts from the space capsule when...
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Part time
Work experience placement
...prescribed timelines, to ensure timely and accurate submission of claims needed to maximize reimbursement to the Medical Center.
7.... ..., billing and collection of accounts.
12. Reviews and investigates health care coverage and policy limitations to update patient...
Full time
Temporary work
Immediate start
Shift work
...California Maximum: $114,000
Responsibilities
Support the investigation process and partner with the CAP/SIF Investigation team, the... ...contribute to the investigation process: EIR On-Call, EII, CAP, Law-Claims, Vegetation Management, and Electric Operations
Extracts...
Work experience placement
Second job
Remote job
...of the district. The General Counsel will also be responsible for overseeing labor and employment issues, handling litigations and claims, and ensuring compliance with special education and student matters. Experience as Counsel for a large, urban public entity and directly...
$95k - $110k
...employees, including all employee communications, problem solving and claims resolution
Manage annual open enrollment for Health, Dental... ...performance and violations of School policies and procedures, investigations, and other personnel matters
Conduct new hire orientations...
Full time
Local area
Work visa
Flexible hours
Monday to Friday