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The Investigator's primary focus is to investigate the insurance claims field for a variety of coverage to include workers' compensation, general liability, property and casualty, disability, life, and healthcare.
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Our engagements include employee embezzlement, healthcare fraud, securities fraud, CARES Act fraud, and a wide range of other forensic accounting investigations. We are routinely engaged by counsel to conduct internal investigations, investigate allegations of fraud, and support the regulatory and criminal defense team across a wide range of industries.
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Apexon brings together distinct core competencies – in AI, analytics, app development, cloud, commerce, CX, data, DevOps, IoT, mobile, quality engineering and UX, and our deep expertise in BFSI, healthcare, and life sciences – to help businesses capitalize on the unlimited opportunities digital offers.
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5+ years' experience in a managed care healthcare setting with experience in Compliance, HIPAA/Privacy, FWA and/or Regulatory Affairs operations. Reports investigations routinely to the CCO/CPO and quarterly to the Compliance & Delegation Oversight Committees.
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Job postings in areas with a high volume of applicants, such as customer service, contact center, and Financial Crimes investigations, remain open for approximately 5 days of the posting listed date.
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Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Hartford HealthCare at Home is looking for a Quality Safety Clinician to manage the review of clinical documentation and assists in the training of clinical staff to ensure accurate reimbursement, regulatory compliance and the delivery of outcome-based, cost effective care.
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In countries where vaccines are less available, or other requirements exist, we may institute alternate measures that optimize patient safety and healthcare provider safety, which may include regular COVID testing or specific masking requirements.
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Considerable knowledge and experience managing healthcare relationships in middle market space. U.S. Bank is hiring a Specialized Industries Healthcare Relationship Manager who will serve as the primary advisor to U.S. Banks top healthcare clients.
$155,295 - $200,970 a yearFull-timeExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
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They take a holistic approach to relationship management, leveraging deep partnerships across the Bank. They are responsible for cultivating and managing new & existing healthcare client relationships.
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Must possess an excellent working knowledge of building automation systems (BAS) and have the capability to perform investigations of Energy Management Control Systems / Direct Digital Control (DDC) systems and to recommend and implement advanced control strategies.
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An associate degree in criminal justice, accounting, engineering, computer science, a foreign language, or a related field with a minimum of two (2) years of experience in law enforcement, military law enforcement, or government/private investigations.
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Independently investigate insurance claims field for a variety of coverage to include workers' compensation, general liability, property and casualty, disability, life, and healthcare under close direct supervision.
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Healthcare (medical, dental, vision) The E-Verify program is an Internet-based employment eligibility verification system operated by the U.S. Citizenship and Immigration Services. Our approach to benefits and total rewards considers our team members’ whole selves and what may be needed to thrive in and outside work.
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This individual must have investigative skills to independently conduct all aspects of basic surveillance investigations. Allied Universal® Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding careers that give you a sense of purpose.
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In addition to salary, US Bank offers a comprehensive benefits package, including incentive and recognition programs, equity stock purchase 401k contribution and pension (all benefits are subject to eligibility requirements.
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investigations healthcare jobs
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