recover corporate and client funds paid on fraudulent claims. 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. Responsible for indepen...
miles of an **MEMBERS ONLY**SIGN UP NOW***. PulsePoint location - Responsible for identifying and investigating cases of healthcare fraud, recovering funds from fraudulent claims - Conducts claim... reviews, interfaces with management and legal departments, and may represent the company in court...
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to recover corporate and client funds paid on fraudulent claims, utilizing Health and... Human Services-Office of Inspector General (HHS-OIG), FBI and other law enforcement resources, and state of the art investigation techniques. Responsible for enterprise-wide specific investigations that may impac...
Title: Intelligence Research Specialist Department: Department Of State Agency: Department Of State Sub Agency: Civil Service Personnel-Civil Srvc and Iraq Jobs Job Announcement Number: DS-2011-0246 Salary Range: $51, - $67, /year Series & Grade: GS-0132-09/09 Promotion Potential: 12 Open...
Specialist, GS-0967-09/09 Duties: The candidate will receives, examines, and adjudicates applications for the issuance, amendment, and replacement of passports forwarded by acceptance agents or presented by applicants or applicant representatives. Examines evidence of citizenship submitted with applications to determine and...
to recover corporate and client funds paid on fraudulent claims, utilizing Health and... Human Services-Office of Inspector General (HHS-OIG), FBI and other law enforcement resources, and state of the art investigation techniques. Responsible for enterprise-wide specific investigations that may impac...
Regional Claims Manager - AVP The... all functions of the Claims Business Unit within a... specified region. This includes budget, staffing, expense control, training, quality control and service to both external and internal customers. Responsible for the maintenance of all...
Insurance Claims Technical Consultant The candidate’s... primary duties and responsibilities will be : Coordinates, supports and monitors various activities within assigned claim area to ensure success in achievement of goals. Identifies objectives, requirements and evaluates alternatives and achievement of objectives....