Entry Level Healthcare Fraud Investigator - Hourly
By Qlarant At Dallas, TX, United States
Refers all potential adverse decisions to the Lead Investigator/Manager.
Experience in healthcare programs or fraud investigation/detection;
Enters investigative information into the case tracking systems and will meet with Lead Investigators to assign investigations to the Investigative team.
Works with the team to prioritize complaints for investigations.
Places potential fraudulent providers on prepay review and monitor adjudication of claims.
Analyzes data for appropriateness of fraud, waste and abuse issues in accordance with pre-established criteria, requesting additional documentation if necessary.
Private Investigator Jobs
By Bloodhound Investigations At Austin, Texas Metropolitan Area, United States
·Must have computer skills including knowledge of word processing software and Microsoft Outlook.
·Must have great people skills as the position requires a great deal of client contact.
·Must be able to manage multiple tasks.
·Preferred knowledge with relevant laws as it applies to personal injury claims, motor vehicle accidents and insurance.
·Must have strong communication and written skills.
·Knowledge of medical terms and traumatically induced conditions is helpful.
Private Investigator Jobs
By Lemieux & Associates At Ronkonkoma, NY, United States

Come grow with us! Lemieux & Associates, a leader in the investigative industry, is seeking experienced Field Investigators in the Long Island, NY or surrounding area. This is a full-time position ...

Private Investigator Jobs
By Lemieux & Associates At North Haven, CT, United States

Come grow with us! We are seeking experienced surveillance Field Investigators in the North Haven or surrounding area. This is a full-time position for the right individual. The owners are ...

Entry Level Medicaid Fraud Investigator - Remote Or Office Based
By Qlarant At United States
Based on contract requirements, may refer potential adverse decisions to the Lead Investigator/Manager/Medical Director or designee.
Mathematical Skills: Ability to apply basic mathematical functions.
Experience in investigations/fraud detection, law enforcement, or federal/state healthcare programs preferred.
Determines investigation or case appropriateness of fraud, waste and abuse issues in accordance with pre-established criteria.
Conducts interviews of witnesses, informants, and subject area experts and targets of investigations.
Drafts investigation reports, evaluates investigation reports, and promotes effective and efficient investigations.
Private Investigator Jobs
By Lemieux & Associates At Salt Lake City, UT, United States
Experience conducting surveillance as a private investigator is a must.
Experience conducting SIU/Claims investigations is a plus but not required.
Strong computer and Internet skills
FT positions come with benefits which includes Medical, Paid Vacation, 401K and Profit Sharing, etc.
Ability to shoot steady, HD quality video
Conduct fixed and mobile surveillance
Private Investigator Jobs
By Lemieux & Associates At Albuquerque, NM, United States
Experience conducting complex SIU/Claims cases is a must.
Experience conducting surveillance as a Private Investigator is preferred but not required.
Strong computer and Internet skills
FT positions come with benefits which includes Medical, Dental, Paid Vacation, Paid Holidays and 401K
Obtain written and recorded statements
Ability to accurately photograph evidence i.e., accident scenes, vehicle damage, etc.
Private Investigator Jobs
By Allied Universal At Hot Springs, AR, United States
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:
Medical, dental, vision, disability, life, etc. offered to all full-time staff
Referral program offering a $500 bonus per referral
Investigations related educational opportunities and paid training
Fixed bi-weekly auto allowance provided to investigators
Company credit card for all fuel, travel, and field related purposes
Private Investigator Jobs
By Allied Universal At San Diego, CA, United States
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:
Medical, dental, vision, disability, life, etc. offered to all full-time staff
Referral program offering a $500 bonus per referral
Investigations related educational opportunities and paid training
Fixed bi-weekly auto allowance provided to investigators
Company credit card for all fuel, travel, and field related purposes
Private Investigator Jobs
By Allied Universal At Orange, CA, United States
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:
Medical, dental, vision, disability, life, etc. offered to all full-time staff
Referral program offering a $500 bonus per referral
Investigations related educational opportunities and paid training
Fixed bi-weekly auto allowance provided to investigators
Company credit card for all fuel, travel, and field related purposes
Private Investigator Jobs
By Allied Universal At Concord, CA, United States
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:
Medical, dental, vision, disability, life, etc. offered to all full-time staff
Referral program offering a $500 bonus per referral
Investigations related educational opportunities and paid training
Fixed bi-weekly auto allowance provided to investigators
Company credit card for all fuel, travel, and field related purposes
Private Investigator Jobs
By Allied Universal At Springfield, IL, United States
ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:
Medical, dental, vision, disability, life, etc. offered to all full-time staff
Referral program offering a $500 bonus per referral
Investigations related educational opportunities and paid training
Fixed bi-weekly auto allowance provided to investigators
Company credit card for all fuel, travel, and field related purposes
Private Investigator Jobs
By Lemieux & Associates At Valdosta, GA, United States

Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced surveillance Field Investigators in the Valdosta or surrounding area. This is a ...

Private Investigator Jobs
By Lemieux & Associates At Lake City, FL, United States

Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced Field Investigators in the Tallahassee, FL or surrounding area. This is a part-time ...

Private Investigator Jobs
By Maya & Maya, Inc At Miami-Fort Lauderdale Area, United States

We are looking for an experienced CC or C-licensed investigator that can handle various investigative functions such as surveillance, taking statements related to auto accidents, and accident scene ...

Private Investigator Jobs
By Lemieux & Associates At Hartford, CT, United States

Come grow with us! We are seeking experienced surveillance Field Investigators in the Hartford or surrounding area. This is a part-time position to start with the ability to turn into a full-time ...

Private Investigator Jobs
By Lemieux & Associates At Houston, TX, United States

Come grow with us! We are seeking experienced surveillance Investigators in the Houston, TX or surrounding area. This is a part-time position to start with the ability to turn into a full-time ...

Private Investigator Jobs
By Bulldog PI, LLC At Greenville-Spartanburg-Anderson, South Carolina Area, United States
·Excellent communication and interpersonal skills
·Strong analytical and critical thinking skills
Full Time: $20.00 per hour, .60 per mile for mileage and expenses reimbursement
·Vehicle in excellent working condition
·Physical ability to perform tasks that may include the following: climbing under vehicles, walking, running, jumping
·Ability to work independently and as part of a team
Private Investigator Jobs
By Lemieux & Associates At Baton Rouge, LA, United States
Experience conducting surveillance as a private investigator is a must
Experience conducting SIU/Claims investigations is preferred but not required
Strong computer and Internet skills
FT positions come with benefits which includes Medical, Dental, 401K, paid vacation and paid holidays
Ability to shoot steady, HD quality video
Conduct fixed and mobile surveillance
Private Investigator Jobs
By Lemieux & Associates At New Orleans, LA, United States

Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced Field Investigators in the New Orleans or surrounding area. This is a part-time ...