Click to search for jobs

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3....

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3....

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3....

Investigator External Audit Special Investigations Unit (SIU) Remote.
The SIU Audit Investigator supports the compliance related activities of the Special Investigations Unit (SIU) at the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related auditing and monitoring activities at the Health Plan.
Providence Health ...

ARIZONA BOARD OF NURSING
The mission of the Arizona State Board of Nursing is to protect and promote the welfare of public by ensuring that each person holding a nursing license or certificate is competent to practice safely. The Board fulfills its mission through the regulation of the practice of nursing and the approval of nursing education programs. The mission, derived from the Nursi...

DEPT OF TRANSPORTATION
Driving the future of transportation with a diverse and innovative team!
SPECIAL INVESTIGATOR
Job Location:
Address: 3838 N CENTRAL AVE
City: PHOENIX
Posting Details:
Salary: $66,483.10
Grade: 20
Job Summary:
Under the general supervision of the Special Investigator Supervisor, performs statewide, national, and i...

Wealthfront is seeking a talented, passionate, and detail-oriented Anti-Money Laundering (AML) compliance professional to join its Financial Intelligence Unit. As the newest member of the FIU team, the ideal candidate will be someone who enjoys hands-on investigative work, possesses a strong degree of intellectual curiosity, and is looking to continue developing their AML skillset in an indivi...

What We Do
Care Access is delivering the future of medicine today! Care Access has a revolutionary model that breaks down traditional barriers to clinical trials that limit participation among physicians and patients to 3%. By removing this bottleneck, Care Access is helping accelerate the approval and delivery of critical and life-saving therapies.
Who We Are
We care. Our people are the e...

Overview
Treliant is an essential consulting firm serving banks, mortgage originators and servicers, fintechs, and other companies providing financial services globally. We are led by practitioners from the industry and the regulatory community who bring deep domain knowledge to help our clients drive business change and address the most pressing compliance, regulatory, and operational challen...

Who Are We?
Solid reputation, passionate people and endless opportunities. That’s Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers – and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference.
Job Category
Claim
Target Open...

Acuity is seeking a Special Investigator to work in support of claims personnel when issues come into question relative to a claim presented to Acuity. The Special Investigator will conduct thorough investigations, establish communication and act as a liaison with local authority in furtherance of reviews being conducted where criminal activity is identified.
ESSENTIAL FUNCTIONS:
* Abili...

*REMOTE OPPORTUNITY* Desktop Investigators perform claims investigation utilizing various public record searches to compile results and prepare comprehensive investigative reports for submission. The ideal candidate will possess a sense of urgency, excellent verbal and written communication skills, int

Title: Intake Analyst/Investigator
State Role Title: Health Care Compliance Specialist II
Hiring Range:
Pay Band: 5
Agency: Dept of Health Professions
Location:Dept of Health Professions
Agency Website:www.dhp.virginia.gov
Recruitment Type: General Public - G
Job Duties
The Virginia Department of Health Profession's (DHP) mission is to ensure safe and competent patient care by licensing...

Remote: You will be able to work from your home location within the United States.
PURPOSE AND SCOPE:
Under the general direction of the VP of Compliance, this position assists with the development, implementation, and continuous monitoring of an enterprise-wide Compliance Investigations Program and leads the Company’s Compliance Investigations for all Business Units and Corporate functions w...

We have an exciting opportunity to join the SIU team and the Expanding Commercial GEICO Market as a Lead Security Investigator! This is a Remote position. As a Lead Security Investigator on our Commercial Team, you will conduct non-field investigations of suspected Commercial Auto, Commercial Trucking, Multiline, and Auto claims suspected of containing fraud flags and/or other illegal activitie...

Crum & Forster Company Overview
Crum & Forster (C&F), with a proud history dating to 1822, provides specialty and standard commercial lines insurance products through our admitted and surplus lines insurance companies. C&F enjoys a financial strength rating of "A" (Excellent) by AM Best and is proud of our superior customer service platform. Our claims and risk engineering services are recogni...

Who Are We?
Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
...

Remote: You will be able to work from your home location within the United States.
PURPOSE AND SCOPE:
Under the general direction of the VP of Compliance, this position assists with the development, implementation, and continuous monitoring of an enterprise-wide Compliance Investigations Program and leads the Company’s Compliance Investigations for all Business Units and Corporate functions w...

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote!
Status: Full-time, permanent position (40 hours)
Work hours: 8am to 5pm EST, M-F
Location: This position is remote for candidates that live in the following states: VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ...

City/State
Norfolk, VA
Work Shift
First (Days)
Overview:
Sentara Health Plan is currently hiring an Associate Fraud and Abuse Investigator/Certified Professional Coder (CPC) Remote!
Status: Full-time, permanent position (40 hours)
Work hours: 8am to 5pm EST, M-F
Location: This position is remote for candidates that live in the following states: VA, NC, AL, DE, FL, GA, ID, IN, KS, LA, ...