44 Results for

Claims Investigator Jobs in Hinsdale, IL

Jobs

Naperville, IL26 days ago

Utilize analytics, data mining and coordination of benefit techniques to client paid claims data, develop creative and innovative algorithms and queries that facilitate identification of new savings opportunities. The incumbent will employ data mining and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments.

Naperville, IL25 days ago

$50,000–$55,000 Per Year

The incumbent will employ data mining and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. We are intentionally bold, we foster innovation, we nurture accountability, we champion diversity, and empower each other to illuminate our collective potential.

New!

Chicago, Illinois5 days ago

$27–$32 Per Hour

ul style="margin: 0px; padding: 0px; font-family: verdana;">

Must possess a valid driver's license with at least one year of driving experience .

Auto Allowance and Company Credit Card for fuel and travel! .

Chicago, IL14 days ago

$110,000–$150,000 Per Year

li>Coordinate and direct all relevant claims to NFP Subject Matter Experts spanning all key construction-related lines of coverage (including general liability, workers' compensation, commercial auto, builders' risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance) to ensure alignment and effective claims management.

15+ years of experience managing construction claim programs, with strong exposure to general liability, workers' compensation, commercial auto, builders' risk, professional liability, cyber, pollution, wrap-up, property, inland marine, surety, and subcontract default insurance and related casualty lines.

Schaumburg, IL30+ days ago

p>We 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.

Chicago, IL30+ days ago

$89,508–$138,370 Per Year

Specialized Experience for the GS-12 level: One year of specialized experience equivalent to the GS-11 grade level or equivalent public or private sector experience that has equipped you with the particular knowledge, skills, and abilities to perform successfully the following duties or work assignments below: Conducting the full range of criminal investigations of greater than average complexity and importance using accepted methodology and problem-solving techniques. If you are claiming eligibility under the Veterans Employment Opportunities Act (VEOA), you must submit: A copy of your DD-214 that shows active service and character of discharge (member copy 4, Separated Members only) OR a certification of expected discharge or release from active duty under honorable conditions within 120 days from the date of application (Current Active Duty Members only).

Chicago, IL30+ days ago

$57,188–$97,087 Per Year

strong>Relocation expenses reimbursed: No ### Appointment Details Appointment type: Permanent Work schedule: Full-time Service: Competitive Promotion potential: 13 Job family Series: 1811 Criminal Investigation Supervisory status: No Security clearance: Top Secret Drug test: Yes Position sensitivity and risk: Critical-Sensitive CSHigh Risk Trust determination process: Credentialing, Suitability, Fitness, National security, Financial disclosure (Yes - Requires a financial disclosure agreement). Bargaining unit status: No Announcement number: OIG-HQ-2026-0006 Control number: 861532700 ### This job is open to The public U.S. Citizens Nationals or those who owe allegiance to the U.S. Career transition: CTAP, ICTAP, RPL Federal employees whose job agency or department was eliminated and are eligible for priority over other applicants.

Chicago, IL30+ days ago
$20–$23 Per Hour
The 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. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.

Chicago, IL30+ days ago
$93,770–$179,240 Per Year
What sets you apart: At least 5 years of SIU/investigative experience in P&C 3+ years of experience conducting multi-claim major case investigations in multiple jurisdictions Experience with Major Case investigations in more than one line of business (for example, auto/property/casualty) Experience handling Major Case Investigation from start to finish with advanced report writing to submit for affirmative litigation Comprehensive experience applying various causes of action for potential affirmative fraud litigation Experience working on projects within SIU Leading or mentoring other SIU investigators Subject Matter Expertise (SME) in at least one personal line of business (auto/property/casualty) Industry recognized major designations (for example, CPCU, CFI, CFE) Meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver's license. • Leads high exposure, high profile and critical work assignments, and special investigations involving sophisticated niche fraud referrals, (examples: organized provider rings, staged accidents, large losses of significant exposure and broad scale PIP/Casualty Schemes) across multiple entities or functions.

IL14 days ago
$56,200–$101,000 Per Year
Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
Education/Experience:
Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required.

Chicago, IL30+ days ago
$55,900–$123,500 Per Year
Incumbent performs detailed analysis of claim payment data, prepares analysis and evidentiary reports; monitors potentially fraudulent claims and suspect billing patterns along with inquiries and other business matters for HCSC and all its subsidiaries and subcontractors; and be responsible for criminal and civil case development along with the organization and preparation of cases being forwarded for prosecution or litigation. Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.

IL30+ days ago
Remote
$56,200–$101,000 Per Year
Licenses/Certifications: Coding certification from an accredited organization (American Academy of Professional Coders or American Health Information Management Association), RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST or related license. Ideal background includes reviewing medical records for fraud investigations, as well as experience from a specialist physician's office focused on record review and documentation quality.

Chicago, IL30+ days ago
$61,500–$136,100 Per Year
expertise in data analysis tools (e.g., advanced Excel), investigative proficiency, and strong communication skills NOTE: this role is hybrid/flex and requires in-office visibility three days per week, working from home the other two days. This position will be responsible for identifying, developing and managing complex, high-impact healthcare fraud investigations resulting in criminal and/or civil prosecution and the misuse of claims, billing, or improper payments.

Chicago, IL30+ days ago
Our technology and innovations team, ArcBest Technologies, provides custom-built solutions, leading-edge technology, and advanced analytics that help support our customers and optimize supply chains.
Provide Company responses to unemployment processes: gather and provide responses to unemployment claims, respond to state determinations, and prepare employees or outside representatives with defense statements for unemployment claims hearings.

Chicago, IL30+ days ago
Performs sophisticated analyses of large-scale hard-copy and electronic data such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue. • Performs analysis to clarify the target suspects or organizations pattern of operations to identify information relevant to the legal issues involved and to recommend valuable approaches to the AUSAs or other members of the investigative team.

Hammond, IN30+ days ago
The ACE Investigator will support Assistant United States Attorneys (AUSAs) in the investigation and development of complex civil fraud matters involving healthcare fraud, procurement fraud, grant fraud, and abuse of federal programs and funds. Utilize electronic databases and investigative tools including CLEAR/Accurint, LexisNexis, PACER, SAM.gov, and USASpending.gov to identify witnesses, subjects, and corporate relationships.

Hammond, IN30+ days ago
$60,000–$100,000 Per Year
Utilizes 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.

Chicago, IL27 days ago
$78,320–$128,160 Per Year
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.

Chicago, IL18 days ago
$68,556–$98,036 Per Year
This approach rises from and is supported by our talented, ethical and smart team of employee owners united around a single purpose: to work alongside our customers and partners when they need us, in unexpected ways, with exceptional results.
Our goal is to attract, develop and retain the best employee talent from diverse backgrounds while promoting an environment where all viewpoints are valued and individuals feel respected, are treated fairly, and have an opportunity to excel in their chosen careers.

Chicago, Illinois30+ days ago
div>

Claims Investigator Jobs in Hinsdale, IL

What Is the Opportunity?.

Resume Resources

Similar Job Searches

Get noticed by top employers!

Claims Investigator Jobs in Hinsdale, IL

Senior Medical Claims Investigator Claritev Corp

Medical Claims Investigator Claritev Corp

SIU Investigator Allied Universal

Assistant Vice President: Construction Claims Account Executive NFP Corp

MRSGM NA Logistics Claims Manager - First Party Munchener Ruckversicherungs-Gesellschaft Aktiengesellschaft (Munich Re)

Criminal Investigator, GS-1811-12/13 (MP) U.S. Department of Education

Criminal Investigator (Open Continuous) U.S. Department of Education

Surveillance Investigator Allied Universal

SIU Investigator Senior (Major Case Unit) USAA

SIU Investigator Centene Corporation Group

Senior Fraud Investigator Health Care Service Corp

Clinical Investigator I (Special Investigation Unit) Centene Corporation Group

Lead Fraud Investigator Health Care Service Corp

Investigator I ArcBest Corp

Affirmative Civil Enforcement ACE Investigator Contact Government Services LLC

Affirmative Civil Enforcement (ACE) Investigator SGI Global, LLC

Affirmative Civil Enforcement (ACE) Investigator Contact Government Services LLC

Investigator II Elevance Health Inc

Claim Examiner-Commercial Auto/Trucking Physical Damage (hybrid) RLI Corp

General Liability Claim Representative Travelers

What Is the Opportunity?.

General Liability Claim Representative The Travelers Companies Inc

Assistant Vice President, Construction General Liability Claim Analyst (Remote, US) NFP Corp

Temporary Subrogation Claim Support Processor AAA Southern New England

Security Officer - Site Supervisor Allied Universal

Janitor - Temporary Allied Universal

Client Relations Executive Allied Universal

Janitor - Full Time Allied Universal

Utility Locator Supervisor Allied Universal

Janitor - Part Time Allied Universal

Janitor Allied Universal

Intel Analyst Allied Universal

Janitor - Full-Time Allied Universal

Manager, SIU Prepay Investigations Centene Corporation Group

Property Adjuster - Inside (Trainee) Hybrid - Northbrook, IL Allstate Insurance Company

Litigation Specialist First Chicago Insurance Company (FCIC)

Litigation Specialist Warrior Insurance Network

Catastrophe Field Property Adjuster Allstate Insurance Company

Virtual Triage Obvious Total Loss Adjuster Allstate Insurance Company

Property Adjuster - Field Estimating - Chicagoland, IL Allstate Insurance Company

Litigation Specialist First Chicago Insurance Company

Bodily Injury Adjuster - Represented/Litigation, Moderate (IL/WI) Remote Allstate Insurance Company

Bodily Injury Adjuster - Represented, Complex/Severe (IL, WI) Remote Allstate Insurance Company

Large Loss Property Adjuster - Field Estimating - Chicago, IL Allstate Insurance Company

Field Compliance Analyst Chubb Ltd

Resume Resources

Similar Job Searches

Get noticed by top employers!