SIU Field Investigator Allstate Insurance CompanySIU Field InvestigatorChicago, IL$62,100–$105,300 / yearThe individual performs a thorough investigation including; (1) conducting background searches, scene investigations, and clinic inspections; (2) taking recorded statements; (3) reviewing and analyzing medical notes, bills, and property damage; and (4) conducting witness interviews and social media searches. Analytical Thinking, Claims Processing, Critical Thinking, Evidence Gathering, Fraud Investigation, Fraud Investigations, Information Collection, Insurance Claims Investigations, Insurance Investigation, Investigative Research, Investigative Skills, Researching, Special Investigations, Time Management.
SIU Investigator Allied UniversalSIU InvestigatorChicago, Illinois$27–$32 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Investigator Ethos Risk Services LLCInvestigatorChicago, ILREQUIREMENTS: Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
NewSenior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)IL$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
MRSGM NA Logistics Claims Manager - First Party Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)MRSGM NA Logistics Claims Manager - First PartySchaumburg, ILWe are in search of an experienced insurance professional responsible for investigating, evaluating, and settling complex cargo damage claims by examining policies, gathering evidence, analyzing loss details, negotiating settlements with involved parties, and ensuring compliance with company guidelines, often handling high-value or intricate claims with a focus on minimizing losses; requiring strong knowledge of cargo insurance policies, shipping regulations, and claims handling procedures. Complex Claim Management - Leading the handling of large or complex cargo claims involving multiple parties, legal disputes, or significant financial exposure.
SIU Investigator Centene Corporation GroupSIU InvestigatorIL$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.
Senior Investigator - Special Investigations Unit( Illinois, Indiana, and Michigan ) West Bend Insurance CompanySenior Investigator - Special Investigations Unit( Illinois, Indiana, and Michigan )ILRemote$77,000–$97,000 / yearWork independently and collaboratively with internal stakeholders and external partners to evaluate and investigate suspicious insurance transactions (claims, underwriting, policy, etc.), collect evidence, support fraud detection programs, and communicate investigative findings to internal and external partners, regulators, and law enforcement. West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorHammond, IN$60,000–$100,000 / yearUtilizes electronic databases (e.g., CLEAR/Accurint, LexisNexis, PACER, SAM.gov, USASpending.gov) to identify and locate witnesses and subjects, verify corporate structure and ownership, and develop documentary evidence to support investigations. For the past nine years we've been growing our government-contracting portfolio, and along the way we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.
Affirmative Civil Enforcement (ACE) Investigator Contact Government Services LLCAffirmative Civil Enforcement (ACE) InvestigatorHammond, IN$60,000–$100,000 / yearUtilizes electronic databases (e.g., CLEAR/Accurint, LexisNexis, PACER, SAM.gov, USASpending.gov) to identify and locate witnesses and subjects, verify corporate structure and ownership, and develop documentary evidence to support investigations. For the past nine years we've been growing our government-contracting portfolio, and along the way we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.
Surveillance Investigator Allied UniversalSurveillance InvestigatorMerrillville, IndianaThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
NewCoding Investigator Auditor - Work From Home HCSCCoding Investigator Auditor - Work From HomeChicago, IllinoisRemoteCoordinating with all departments involved in each case required such as medical director special investigations, customer service, pass, network management, marketing, case management, medical review, legal, pricing and database. This position is responsible for auditing clinical, billing, coding and lowest cost setting reviews for services pre and post payment utilizing medical, contractual, legislative, policy, and other information to validate claims submitted and billed.
Surveillance Investigator The Robison GroupSurveillance InvestigatorJoliet, IllinoisThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorChicago, IllinoisVRC provides their investigators with necessary equipment and comparable pay, to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. We currently have career opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
Catastrophe Field Property Adjuster Allstate Insurance CompanyCatastrophe Field Property AdjusterIL$56,000–$105,000 / yearYou'll wear a few hats that will require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Property claim. Your daily tasks will include driving to properties, conducting inspections, evaluating policies and endorsements for coverage, preparing estimates in the Xactimate program, and settling claims on site with customers.
Large Loss Contents Property Adjuster - Chicagoland, IL Allstate Insurance CompanyLarge Loss Contents Property Adjuster - Chicagoland, ILChicago, IL$68,000–$117,700 / yearYou'll wear a few hats that will require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each Property claim. Active Listening, Communication, Critical Thinking, Customer Service, Empathy, Mitigation, Multitasking, Property Adjusting, Time Management, Working Independently, Xactimate (Estimating Software).
Property Adjuster - Field Estimating - Chicago, IL Allstate Insurance CompanyProperty Adjuster - Field Estimating - Chicago, ILChicago, IL$56,000–$105,000 / yearYou'll wear a few hats that will require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each claim. The Problem Solver -you'll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills.
Large Loss Property Adjuster - Field Estimating - Chicago, IL Allstate Insurance CompanyLarge Loss Property Adjuster - Field Estimating - Chicago, ILChicago, ILYou'll wear a few hats that will require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each claim. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Tax Law Specialist Tax Exempt Bond Specialist Department of the Treasury, USTax Law Specialist Tax Exempt Bond Specialistschiller park, IL$125,776–$192,694 / yearPerforming analytical services related to the structuring of municipal financings including tax advantaged bonds and other financial products beyond traditional tax advantaged bonds including: Short-Term Debt and Cash Flow Management which include Tax Anticipation Notes, Revenue Anticipation Notes, Bond Anticipation Notes, and Commercial Paper. When assigned to the TEB Voluntary Closing Agreement Program, the incumbent confers with customers and representatives to explain financial, legal and other significant issues involved and the applicability of pertinent tax laws, regulations, and related filing requirements and explains corrective actions required or adjustments to promote future compliance.