30 special investigator sr jobs found

Sentry Insurance Creates and maintains an ongoing awareness on the part of all claim file handlers toward recognition of "red flags" in claim cases, leading to the detection, investigation and mitigation of potentially fraudulent and/or inflated claims. Performs a variety of duties and responsibilities to bring about resolution, compromise, denial and/or prosecution of fraudulent claims. Is accountable for controlling costs for contracted activities. This ideal candidate's preferred location for this position is in or around the Tampa, Fl area with travel required in and around Tampa. What You'll Do: As a Special Investigator Sr with Sentry, you will create and maintain an ongoing awareness on the part of all claim file handlers toward recognition of suspect behavior in claims cases, leading to the detection and resolution of potentially suspect/inflated claims. In addition, you will... Investigate moderate to complex claims both inside and outside the office, to...

Sentry Insurance Creates and maintains an ongoing awareness on the part of all claim file handlers toward recognition of "red flags" in claim cases, leading to the detection, investigation and mitigation of potentially fraudulent and/or inflated claims. Performs a variety of duties and responsibilities to bring about resolution, compromise, denial and/or prosecution of fraudulent claims. Is accountable for controlling costs for contracted activities. The ideal candidate's preferred location is in Eastern Pennsylvania, with travel required throughout the state and others. What You'll Do: As a Special Investigator Sr with Sentry, you will create and maintain an ongoing awareness on the part of all claim file handlers toward recognition of suspect behavior in claims cases, leading to the detection and resolution of potentially suspect/inflated claims. In addition, you will... Investigate moderate to complex claims both inside and outside the office, to identify suspect or...

Sentry Insurance Creates and maintains an ongoing awareness on the part of all claim file handlers toward recognition of "red flags" in claim cases, leading to the detection, investigation and mitigation of potentially fraudulent and/or inflated claims. Performs a variety of duties and responsibilities to bring about resolution, compromise, denial and/or prosecution of fraudulent claims. Is accountable for controlling costs for contracted activities. The ideal candidate's preferred location is in or around the Nashville, TN or Memphis, TN with traveled required in and around those areas. What You'll Do: As a Special Investigator Sr with Sentry, you will create and maintain an ongoing awareness on the part of all claim file handlers toward recognition of suspect behavior in claims cases, leading to the detection and resolution of potentially suspect/inflated claims. In addition, you will... Investigate moderate to complex claims both inside and outside the office, to...

Boehringer Ingelheim Description As an employee of Boehringer Ingelheim, you will actively contribute to the discovery, development, and delivery of our products to our patients and customers. Our global presence provides opportunity for all employees to collaborate internationally, offering visibility and opportunity to directly contribute to the companies' success. We realize that our strength and competitive advantage lie with our people. We support our employees in several ways to foster a healthy working environment, meaningful work, diversity and inclusion, mobility, networking, and work-life balance. Our competitive compensation and benefit programs reflect Boehringer Ingelheim's high regard for our employees. The Associate Director, Medical Science Liaison is part of a regionally focused therapeutic area MSL team within Field Based Medicine (FBM), who reports into the MSL Sr. AD. The focus of this role is field based scientific exchange (SE), for which the AD Medical...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The role of the Special Investigations Unit (SIU) Investigator, Sr. is to assist in the reduction and recuperation of losses to CareFirst through the detection, investigation, and resolution of all levels (low to complex), of fraud, waste, and abuse schemes, resulting in the savings and recovery of funds. ESSENTIAL FUNCTIONS: Independently or as lead in part of an assigned team develop and conduct healthcare fraud, waste, and abuse investigations of all levels (low to complex). Develop and execute investigative plans that may include performance of audits of financial business records, provider and subscriber medical data, claims, systems? reports, medical records, analysis of contract documents, provider/subscriber claims history, benefits, external data banks and other documents to determine the possible existence of fraud and/or abuse. Conducting detailed offsite audits/investigations with...

CareFirst BlueCross BlueShield Resp & Qualifications PURPOSE: The role of the Special Investigations Unit (SIU) Investigator, Sr. is to assist in the reduction and recuperation of losses to CareFirst through the detection, investigation, and resolution of all levels (low to complex), of fraud, waste, and abuse schemes, resulting in the savings and recovery of funds. ESSENTIAL FUNCTIONS: Independently or as lead in part of an assigned team develop and conduct healthcare fraud, waste, and abuse investigations of all levels (low to complex). Develop and execute investigative plans that may include performance of audits of financial business records, provider and subscriber medical data, claims, systems report, medical records, analysis of contract documents, provider/subscriber claims history, benefits, external data banks and other documents to determine the possible existence of fraud and/or abuse. Conducting detailed offsite audits/investigations with interviews...

Alkermes, Inc. Job Description: This function is responsible for supporting the daily manufacturing and facility operations along with project support. Functions include proactive support of change control assessments, documentation reviews and validation review/support. Functions also include reactive support of discrepancy identification and resolution on the floor, Investigation Team Support, TrackWise Deviations, and reporting operational metrics. This function supports and communicates events to shift leadership daily and thresholds when they are outside of the area of responsibility. Responsibilities Position Summary: The Quality Assurance Senior Associate - OSD Support is responsible for supporting daily operations and monitoring compliance of the Oral Solid Dose (OSD) Manufacturing Area. Major Responsibilities Estimate percentage of time spent on each responsibility Act as QA OSD Support representative on special committees and...

Mediacom Communications Position: Warehouse Associate II Who we are: Since 1995, Mediacom Communications has become a coast-to-coast presence with operations in 22 states and a team exceeding 4,000 people with the mission of bridging the digital divide between America's major cities and America's smaller regions. The services we offer-faster, more reliable internet service; expanded, free digital and HD TV choices; and superior technology in home security and phone service-are a direct result of our powerful culture of growth and innovation. As we continue to grow, so do our career opportunities. We aim to be at the forefront in delivering easy-to-use, high-tech entertainment, communications, and internet products to the communities we serve. To achieve this, Mediacom Communications seeks talented professionals to partner with us in meeting these challenges and realizing what we can imagine. Take that next step toward your future and join our growing team! Position...

King County Summary Join our team of toxicologists as we protect the most vulnerable communities and aquatic life, such as fish and orca, from toxic chemicals in the environment. You'll have opportunities to protect the people in fishing communities most impacted by toxic chemicals. Your work will help King County leaders understand the science on toxic chemicals, from impacts to aquatic life to harmful effects on people. In doing so, you'll improve how we manage stormwater and wastewater and directly inform public policy. You will help us accomplish our goals in the following ways: Design and manage contaminant studies to answer applied research questions. Improve health outcomes for fishing communities disproportionately impacted by toxic chemicals, often communities of color, immigrants, and refugees; and Help us identify PFAS sources in our wastewater and solid waste systems. Partner with other local governments on emerging policies and strategies...

NJM Insurance Group NJM's Workers' Compensation Claims Team is seeking a Claim Account Specialist. This is a full-time position and offers a hybrid schedule after training. The Claims Account Specialist will be responsible for contacting all parties involved in the claim, gathering, and securing all necessary information to effectively evaluate the claim and implement an action plan to manage the claim. The Claims Account Specialist will work with and communicate to NJM policyholders, injured workers, medical providers, the NJM Medical Services Administration Department, the NJM Special Investigation Unit, WC Legal Staff, other departments within NJM, and vendors as needed. This role is based in NJM's- Hammonton, NJ office location. Responsibilities: * Execute on strategic and operational goals and objectives of the WCC department and company business goals, guidelines, and programs * Recommend process improvements where applicable to improve department...

Land O'Lakes Sr. Scientist Research and Development The incumbent is required to reside near the Purina Animal Nutrition Center in Gray Summit, MO housing state-of-the-art animal research facilities over 1200 acres. The Purina Animal Nutrition Center, located in Gray Summit, MO, seeks a highly motivated and creative equine research scientist with experience in equine nutrition, exercise physiology, growth and development and/or microbiome research. A successful applicant has the incredible opportunity to join a fully-funded and dynamic research program collecting data, synthesizing information and creating products related to equine health. Equine Research- lead and conduct research to develop new products and programs resulting in significant gains in margin and/or customer base (tons) in equine feed for Purina Animal Nutrition. This position will include working very closely with the equine research director, the horse unit research team at the farm, and the...

Do you want to join a team where the mission is meaningful, the challenges are complex, and you can directly see the results of your hard work? Lundbeck is a global biopharmaceutical company focusing exclusively on brain health. With more than 70 years of experience in neuroscience, we are committed to improving the lives of people with neurological and psychiatric diseases. Lundbeck employees are inspired and driven by our purpose to advance brain health and transform lives. Join us on our journey of growth!   SUMMARY: The Incentive Compensation Manager will be responsible for sales force incentive compensation solutions that effectively motivate the sales force and achieve the sales and marketing strategy. The position is responsible for a single salesforce and primarily interfaces with sales and brand leadership, focusing on plan design, goal / quota setting, analysis, split credit, contests, awards and recognition, reporting, administration, and communication of plans....

Chick-fil-A, Inc Overview The Corporate Financial Reporting team is entrusted with preparing and reporting the financial activity of Chick-fil-A, Inc., and its subsidiaries on a monthly and annual basis, according to Generally Accepted Accounting Principles (GAAP), for internal and external requirements. The Corporate Financial Reporting team is looking for a natural problem-solver who is independent, coachable, detail-oriented, and continually seeking process improvement. This position requires strong technical accounting skills, analytical abilities and excellent communication skills. This position plays a vital role in ensuring the integrity and accuracy of the company's financial statements. The Sr. Corporate Accountant will demonstrate a comprehensive understanding of U.S. GAAP and Chick-fil-A's accounting policies and practices. This role will actively participate in all aspects of the monthly, quarterly and year-end close process, including account reconciliations,...

B. Braun Medical B. Braun Medical, Inc. Sr. Staff Engineer - Automation US-PA-Allentown Job ID: 2025-25562 Type: Regular Full-Time # of Openings: 1 Category: Engineering Allentown Mfg Facility Overview About B. Braun B. Braun Medical Inc., a leader in infusion therapy and pain management, develops, manufactures, and markets innovative medical products and services to the healthcare industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis. The company is committed to eliminating preventable treatment errors and enhancing patient, clinician and environmental safety. B. Braun Medical is headquartered in Bethlehem, Pa., and is part of the B. Braun Group of Companies in the U.S., which includes B. Braun Interventional Systems, Aesculap and CAPS. Globally, the B. Braun Group of Companies employs more than 64,000 employees in 64 countries. Guided by its Sharing Expertise philosophy, B. Braun...

B. Braun Medical B. Braun Medical, Inc. Sr. Staff Engineer - Controls US-PA-Allentown Job ID: 2025-25564 Type: Regular Full-Time # of Openings: 1 Category: Engineering Allentown Mfg Facility Overview About B. Braun B. Braun Medical Inc., a leader in infusion therapy and pain management, develops, manufactures, and markets innovative medical products and services to the healthcare industry. Other key product areas include nutrition, pharmacy admixture and compounding, ostomy and wound care, and dialysis. The company is committed to eliminating preventable treatment errors and enhancing patient, clinician and environmental safety. B. Braun Medical is headquartered in Bethlehem, Pa., and is part of the B. Braun Group of Companies in the U.S., which includes B. Braun Interventional Systems, Aesculap and CAPS. Globally, the B. Braun Group of Companies employs more than 64,000 employees in 64 countries. Guided by its Sharing Expertise philosophy, B. Braun...

Ultragenyx Why Join Us? Be a hero for our rare disease patients At Ultragenyx, we fundamentally believe that taking real impactful action to care for the needs of patients and our people is always the right thing to do. To achieve this goal, our vision is to lead the future of rare disease medicine. For us, this means going where other biopharma companies won't go - challenging the status quo and creating a new model that advances our field so more patients and caregivers can benefit from life-changing treatments. We do this by following the science, applying a novel rapid development approach, making innovative medicines at fair and reasonable prices, and creating a collaborative ecosystem to reach patients in ways that are most meaningful for them. Our commitment and care for patients extends to our people, so culture is an essential cornerstone for Ultragenyx. We remain continuously focused on creating a supportive and inclusive environment of profound learning and growth -...

Ultragenyx Why Join Us? Be a hero for our rare disease patients At Ultragenyx, we fundamentally believe that taking real impactful action to care for the needs of patients and our people is always the right thing to do. To achieve this goal, our vision is to lead the future of rare disease medicine. For us, this means going where other biopharma companies won't go - challenging the status quo and creating a new model that advances our field so more patients and caregivers can benefit from life-changing treatments. We do this by following the science, applying a novel rapid development approach, making innovative medicines at fair and reasonable prices, and creating a collaborative ecosystem to reach patients in ways that are most meaningful for them. Our commitment and care for patients extends to our people, so culture is an essential cornerstone for Ultragenyx. We remain continuously focused on creating a supportive and inclusive environment of profound learning and growth -...

Ultragenyx Why Join Us? Be a hero for our rare disease patients At Ultragenyx, we fundamentally believe that taking real impactful action to care for the needs of patients and our people is always the right thing to do. To achieve this goal, our vision is to lead the future of rare disease medicine. For us, this means going where other biopharma companies won't go - challenging the status quo and creating a new model that advances our field so more patients and caregivers can benefit from life-changing treatments. We do this by following the science, applying a novel rapid development approach, making innovative medicines at fair and reasonable prices, and creating a collaborative ecosystem to reach patients in ways that are most meaningful for them. Our commitment and care for patients extends to our people, so culture is an essential cornerstone for Ultragenyx. We remain continuously focused on creating a supportive and inclusive environment of profound learning and growth -...

Ultragenyx Why Join Us? Be a hero for our rare disease patients At Ultragenyx, we fundamentally believe that taking real impactful action to care for the needs of patients and our people is always the right thing to do. To achieve this goal, our vision is to lead the future of rare disease medicine. For us, this means going where other biopharma companies won't go - challenging the status quo and creating a new model that advances our field so more patients and caregivers can benefit from life-changing treatments. We do this by following the science, applying a novel rapid development approach, making innovative medicines at fair and reasonable prices, and creating a collaborative ecosystem to reach patients in ways that are most meaningful for them. Our commitment and care for patients extends to our people, so culture is an essential cornerstone for Ultragenyx. We remain continuously focused on creating a supportive and inclusive environment of profound learning and growth -...

Mitsubishi Electric US Mitsubishi Electric Trane HVAC US LLC is looking for a Manager, Area Service in Dallas, TX. POSITION SUMMARY: This position is responsible for providing technical support and training in alignment with Mitsubishi Trane HVAC US LLC (METUS) objectives. This includes providing customers with information on the proper application, installation, operation, service procedures and handling special warranty support for all product lines distributed by METUS. ESSENTIAL FUNCTIONS: The essential functions of the position include, but are not limited to the following: Provide technical support to technicians and distributor staff who are installing, diagnosing, troubleshooting, or repairing METUS products. Work with direction from the Business Unit Technical Services Manager and Sr Area Service Managers. Manage geographic area of responsibility within the Business Unit. Understand and interpret Maintenance tool data gathered by customers....