Director, Forensics - Healthcare Leader Los Angeles, CA, United States Job Description Job Summary: The Managing Director is focused on the Healthcare industry vertical and responsible for developing business through relationships, contacts, and other opportunities and leading, managing,...
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and expeditious manner. Reviews and makes recommendations on outcomes of investigations in a prompt and expeditious manner. Provides guidance and recommendations to claims leadership and associates on... claims resolution. Promotes and provides... "On Your Side" customer service. Continuously monitors suspicio...
and expeditious manner. Reviews and makes recommendations on outcomes of investigations in a prompt and expeditious manner. Provides guidance and recommendations to claims leadership and associates on... claims resolution. Promotes and provides... "On Your Side" customer service. Continuously monitors suspicio...
manner. Reviews and makes recommendations on outcomes of investigations in a prompt and expeditious manner. Provides guidance and recommendations to claims leadership and associates on... claims resolution. Promotes and provides... 'On Your Side' customer service. Continuously monitors suspicious claims...
manner. Reviews and makes recommendations on outcomes of investigations in a prompt and expeditious manner. Provides guidance and recommendations to claims leadership and associates on... claims resolution. Promotes and provides... 'On Your Side' customer service. Continuously monitors suspicious claims...
Fraud Investigator III The candidate will be responsible for the identification, investigation and development of complex cases against perpetrators of fraud in order to recover corporate and client funds paid on fraudulent claims, utilizing FBI and... other law enforcement resources,...
Fraud Investigator III The candidate will be responsible for the identification, investigation and development of complex cases against perpetrators of fraud in order to recover corporate and client funds paid on fraudulent claims, utilizing FBI and... other law enforcement resources,...
manner. Continuously monitors suspicious claims and claims payment operations... in pursuit of fraudulent activities and the prevention... of future fraudulent payments. Investigates assigned claims... suspected of insurance fraud,... this includes but is not limited to, PIP, large loss, large loss...
Senior Claims Specialist - Multi Line... reviewing and monitoring complex claims of all Lines of... Business to determine nature of loss, coverage provided, and scope of claim. Willingness to be cross experience monitoring and supervising claims. Provides oversight, supervision and......
and client funds paid on fraudulent claims. Will deal with... claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Independently id...
and client funds paid on fraudulent claims. Will deal with... claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. Independently id...