The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for o

The salary range for this job posting is $53,787.00 $86,059.00 annually + bonus + benefits The above represents the salary range for this job requisition. Ultimately, in determining your pay, we'll consider your location, education, experience, and other job related factors. Your recruiter can share more information about the specific salary range during the hiring process

Support leadership in the execution and enhancement of second line of defense Enterprise and Operational Risk Programs, including Controls Testing and Issue Management. Leading a team of Senior Analysts / Analysts within the 2LOD by providing guidance and oversight. Champion a strong risk culture for the company via elevating the risk knowledge base of associates and lead

The Surety Bond Claims Analyst investigates, evaluates coverage, determines liability, sets reserves, and settles surety bond claims of low complexity and low risk. When a claim occurs, the Surety Bond Claims Analyst plays a crucial role in assessing the validity of the claim and facilitating the resolution process. This role evaluates recovery potential and institutes su

Sr. Property Adjuster Job Locations US OH Columbus | US OH Cincinnati | US OH Dayton ID 2024 1980 Category Claims Position Type Regular Remote/Hybrid Remote Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are

Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictio

Digitech is seeking a Claims Resolution Specialist (Insurance Biller) to work claims after they've been submitted to commercial insurance carriers. This position requires an individual who demonstrates strong follow through, close attention to detail, and the ability to multi task. The Sarnova Family of companies includes Digitech Computer, Bound Tree Medical, Tri anim He

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

The Surety Bond Claims Senior Analyst investigates, evaluates coverage, determines liability, sets reserves, and settles surety bond claims of low to moderate complexity and moderate risk. When a claim occurs, the Surety Bond Claims Senior Analyst plays a crucial role in assessing the validity of the claim and facilitating the resolution process. This role evaluates recov

Maintain the Parker RMIS and manage data feeds and reports. Collect and manage current and historical exposure information and help prepare annual underwriting submissions Assist divisions with certificate of insurance requests to comply with Parker policies Review insurance language in customer, vendor and supplier contracts to ensure it complies with Parker's policies a

Maintain the Parker RMIS and manage data feeds and reports. Collect and manage current and historical exposure information and help prepare annual underwriting submissions Assist divisions with certificate of insurance requests to comply with Parker policies Review insurance language in customer, vendor and supplier contracts to ensure it complies with Parker's policies a