Field Investigator - SIU Claims Auto-Owners Insurance CoField Investigator - SIU ClaimsColumbia, MOOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Able to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage.
Field Investigator - SIU Claims Auto-Owners Insurance GroupField Investigator - SIU ClaimsColumbia, MOOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Able to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage.
Field Investigator - SIU Claims Auto-Owners Insurance CompanyField Investigator - SIU ClaimsColumbia, MissouriOur group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Able to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company’s underwriting guidelines for coverage.
Field Property Claims Adjuster: Sullivan, MO Farmers Group, Inc.Field Property Claims Adjuster: Sullivan, MOSullivan, MORemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Field Property Claims Adjuster: Camdenton, Jefferson City, Joplin, Lake Ozark, Lebanon, MO Farmers Group, Inc.Field Property Claims Adjuster: Camdenton, Jefferson City, Joplin, Lake Ozark, Lebanon, MOMORemoteExposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions, Excessive noise levels, Chemicals Chemical/Biological conditions, Moving mechanical parts, Areas considered dangerous, Conditions which could affect the respiratory system or skin such as fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. A Day in the Life of a Field Property Claims Adjuster: Conduct both virtual and on-site investigations by visiting policyholders' residences to assess propertydamage, determine liability, evaluate the extent of loss, and negotiate fair settlements.
Surveillance Investigator - Part Time Allied UniversalSurveillance Investigator - Part TimeSpringfield, Missouri$20–$25 / hourThe 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 .
Surveillance Investigator Allied UniversalSurveillance InvestigatorSpringfield, MissouriThe 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 .
Investigator Ethos Risk ServicesInvestigatorSpringfield, MOPart timePrevious 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.
Surveillance Investigator Lemieux & Associates LLCSurveillance InvestigatorSpringfield, MOPart timeOur leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your surveillance expertise.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthRemote-MO, MORemote$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IIMOCollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Investigator - Medicaid Fraud Control Unit Missouri Attorney GeneralInvestigator - Medicaid Fraud Control UnitJefferson City, MO$51,000–$55,000 / yearThe Investigator's primary duties include conducting interviews, obtaining and analyzing Medicaid claims, reviewing healthcare provider documentation, preparing detailed investigative reports and exhibits, maintaining investigative case files, testifying in court, interfacing with other law enforcement and government agencies, collecting and analyzing evidence, conducting interviews, preparing reports and exhibits to include testimony in courts, and collecting evidence for possible use in civil or criminal proceedings. Qualified applicants must: Have good analytical and research skills and a bachelor's degree or equivalent experience; Write clearly and informatively; Read and interpret written information; Maintain confidentiality, strategically plan, prioritize, organize effectively, communicate effectively in writing and orally, and exercise independent judgment; Work independently or as part of a team; Review and evaluate allegations of fraud, or abuse/neglect of Medicaid recipients; and.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Kansas City, MORemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Janitor Allied UniversalJanitorDes Peres, MOAllied Universal SkillBridge Program Allied Universal® partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administrations (TSA) Third-Party Canine (3PK9) Program.
Security Shift Supervisor - Medical Center Allied UniversalSecurity Shift Supervisor - Medical CenterIndependence, MODriving Positions: must possess a valid Driver's License with at least one year of driving experience, a clean driving record (no major violations within last 36 months, no more than 1 accident in last 24 months, no more than one minor moving violation in last 24 months), a minimum level of insurance as required by Company policy, and the ability to safely operate a vehicle required. Allied Universal SkillBridge Program Allied Universal partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits.
Field Site Inspector Allied UniversalField Site InspectorKansas City, Missouri$23–$28 / hourKnowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements.
Property Adjuster - Field Estimating - Garden City, MO Allstate Insurance CompanyProperty Adjuster - Field Estimating - Garden City, MOMO$56,000–$98,450 / 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. 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.
Field Auto Adjuster - Creve Coeur, MO Allstate Insurance CompanyField Auto Adjuster - Creve Coeur, MOCreve Coeur, MO$60,000–$97,125 / yearAuto Body Repair, Auto Collision Repair, Auto Estimating, Automotive Body Repair, Automotive Repair, CCC ONE, Communication, Mitchell Estimating, Motor Vehicle Repairs, Negotiation, Repair Estimating, Vehicle Repairs, Written Communication. This role offers a sign on bonus of $1,000 if you have an active appraiser license or active adjuster license in TX, FL, or your resident state (current employees and candidates who have previously worked for and are seeking to be rehired at Allstate and its family of companies are not eligible for this sign-on bonus).
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)MO$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Fire Inspector *PROMOTIONAL/INTERNAL ONLY* City of St. JosephFire Inspector *PROMOTIONAL/INTERNAL ONLY*Saint Joseph, MissouriThis work requires the regular exertion of up to 10 pounds of force, frequent exertion of up to 25 pounds of force and occasional exertion of over 100 pounds of force; work regularly requires speaking or hearing and lifting, frequently requires standing, walking, sitting, using hands to finger, handle or feel, stooping, kneeling, crouching or crawling, reaching with hands and arms, pushing or pulling and repetitive motions and occasionally requires climbing or balancing and tasting or smelling; work requires close vision, distance vision, ability to adjust focus, depth perception, color perception, night vision and peripheral vision; vocal communication is required for expressing or exchanging ideas by means of the spoken word and conveying detailed or important instructions to others accurately, loudly or quickly; hearing is required to perceive information at normal spoken word levels and to receive detailed information through oral communications and/or to make fine distinctions in sound; work requires preparing and analyzing written or computer data, visual inspection involving small defects and/or small parts, using of measuring devices, operating machines, operating motor vehicles or equipment and observing general surroundings and activities; work regularly requires exposure to vibration, frequently requires exposure to wet, humid conditions (non-weather), working near moving mechanical parts, working in high, precarious places, exposure to fumes or airborne particles, exposure to toxic or caustic chemicals, exposure to outdoor weather conditions, exposure to extreme heat (non-weather), exposure to the risk of electrical shock and exposure to bloodborne pathogens and may be required to wear specialized personal protective equipment and occasionally requires working with explosives and wearing a self-contained breathing apparatus; work is generally in a moderately noisy location (e.g. Works with private fire and insurance investigators, engineers, and adjustors to determine subrogation issues and claims; gives testimony in court as both an expert and factual witness.
Senior Business Services Consultant - Office of Strategic Initiatives University of MissouriSenior Business Services Consultant - Office of Strategic InitiativesKansas City, MO$86,632–$90,000 / yearThe position independently manages complex sponsored awards and operating budgets, coordinates business operations across multiple initiatives, develops financial projections, and serves as the primary liaison between OSI leadership, principal investigators, university administrative offices, sponsoring agencies, and external partners to ensure compliance with university policies and sponsor requirements. The position provides strategic oversight of business operations, financial management, research administration, personnel administration, and operational planning in support of complex multidisciplinary programs funded by federal, state, industry, and private sponsors.