Senior Medical Claims Investigator Claritev CorpSenior Medical Claims InvestigatorNaperville, ILUtilize 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.
Medical Claims Investigator Claritev CorpMedical Claims InvestigatorNaperville, IL$50,000–$55,000 / yearThe 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.
SIU Investigator Allied UniversalSIU InvestigatorChicago, Illinois$27–$32 / hourFull timeAcquire 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.
Recovery Claims Representative | License Required | Dedicated Client | Blue Ash, OH (Hybrid) Sedgwick Claims Management Services, Inc.Recovery Claims Representative | License Required | Dedicated Client | Blue Ash, OH (Hybrid)ILAnalyzes and processes invoices for various internal/external vendors involved in recoveries including attorneys, collections, and independent investigators, etc., confirming accuracy of billing. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
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.
Criminal Investigator, GS-1811-12/13 (MP) U.S. Department of EducationCriminal Investigator, GS-1811-12/13 (MP)Chicago, IL$89,508–$138,370 / yearSpecialized 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).
Criminal Investigator (Open Continuous) U.S. Department of EducationCriminal Investigator (Open Continuous)Chicago, IL$57,188–$97,087 / yearstrong>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.
Surveillance Investigator Allied UniversalSurveillance InvestigatorChicago, Illinois$20–$23 / hourFull timeThe 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.
SIU Investigator Senior (Major Case Unit) USAASIU Investigator Senior (Major Case Unit)Chicago, IL$93,770–$179,240 / yearWhat 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.
Senior Fraud Investigator Health Care Service CorpSenior Fraud InvestigatorChicago, IL$55,900–$123,500 / yearIncumbent 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.
SIU Investigator Centene Corporation GroupSIU InvestigatorIL$56,200–$101,000 / yearAssist 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.
Lead Fraud Investigator Health Care Service CorpLead Fraud InvestigatorChicago, IL$61,500–$136,100 / yearexpertise 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.
Investigator I ArcBest CorpInvestigator IChicago, ILOur 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.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorChicago, ILPerforms 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.
Clinical Investigator I (Special Investigation Unit) Centene Corporation GroupClinical Investigator I (Special Investigation Unit)ILRemote$56,200–$101,000 / yearLicenses/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.
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.
Investigator II Elevance Health IncInvestigator IIChicago, IL$78,320–$128,160 / yearWe 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.
Affirmative Civil Enforcement (ACE) Investigator SGI Global, LLCAffirmative Civil Enforcement (ACE) InvestigatorHammond, INThe 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.
Claim Examiner-Commercial Auto/Trucking Physical Damage (hybrid) RLI CorpClaim Examiner-Commercial Auto/Trucking Physical Damage (hybrid)Chicago, IL$68,556–$98,036 / yearThis 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.
NewSurveillance 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.
General Liability Claim Representative The Travelers Companies IncGeneral Liability Claim RepresentativeDowners Grove, IL$67,000–$110,600 / yearInvestigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
General Liability Claim Representative TravelersGeneral Liability Claim RepresentativeChicago, IllinoisInvestigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment.
Client Relations Executive Allied UniversalClient Relations ExecutiveChicago, ILAllied 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 Administration's (TSA) Third-Party Canine (3PK9) Program.
Janitor - Part Time Allied UniversalJanitor - Part TimeLombard, ILem> Damp wipe and buff all glass furnishings Clean entry door glass indoors and outer surface Remove all stains from vertical surfaces such as doors, door frames, and around light switches, private entry glass and dividers Wash, clean and sterilize all water coolers Sweep private stairways, and vacuum if carpeted Clean building floors, by sweeping and mopping Clean and sanitize, and restock supplies in bathrooms QUALIFICATIONS: Must be able to follow written and oral directions Minimum of 6 months of experience in a janitorial type position. Read More 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.
Janitor - Full Time Allied UniversalJanitor - Full TimeDowners Grove, ILem> Damp wipe and buff all glass furnishings Clean entry door glass indoors and outer surface Remove all stains from vertical surfaces such as doors, door frames, and around light switches, private entry glass and dividers Wash, clean and sterilize all water coolers Sweep private stairways, and vacuum if carpeted Clean building floors, by sweeping and mopping Clean and sanitize, and restock supplies in bathrooms QUALIFICATIONS: Must be able to follow written and oral directions Minimum of 6 months of experience in a janitorial type position. Read More 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.
Utility Locator Supervisor Allied UniversalUtility Locator SupervisorGlendale Heights, IL$50,000–$70,000 / yearAllied 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 Administration's (TSA) Third-Party Canine (3PK9) Program.
Janitor Allied UniversalJanitorJoliet, ILAllied Universal Named to Forbes List of America's Best Employers by State IRVINE, Calif. Sept. 3, 2025 Allied Universal, the worlds leading security and facility services company, has been named to Forbes list of Americas Best Employers by State (2024), ranking in the top 100 for Arizona, Georgia, New Jersey and North Carolina. 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.
Janitor - Temporary Allied UniversalJanitor - TemporaryChicago, ILDamp wipe and buff all glass furnishings Clean entry door glass indoors and outer surface Remove all stains from vertical surfaces such as doors, door frames, and around light switches, private entry glass and dividers Wash, clean and sterilize all water coolers Sweep private stairways, and vacuum if carpeted Clean building floors, by sweeping and mopping Clean and sanitize, and restock supplies in bathrooms QUALIFICATIONS: Must be able to follow written and oral directions Minimum of 6 months of experience in a janitorial type position. Read More 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.
Intel Analyst Allied UniversalIntel AnalystChicago, ILAllied 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 Administration's (TSA) Third-Party Canine (3PK9) Program.
Janitor - Full-Time Allied UniversalJanitor - Full-TimeElk Grove Village, ILAllied 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 Administration's (TSA) Third-Party Canine (3PK9) Program.
Manager, SIU Prepay Investigations Centene Corporation GroupManager, SIU Prepay InvestigationsIL$87,700–$157,800 / yearPrevious experience as a lead or supervisor in a pre-payment process managing cross functional teams or supervisory experience including hiring, training, assigning work and managing the performance of staff preferred. Position Purpose: Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes.
Property Adjuster - Inside (Trainee) Hybrid - Northbrook, IL Allstate Insurance CompanyProperty Adjuster - Inside (Trainee) Hybrid - Northbrook, ILNorthbrook, IL$47,500–$83,755 / 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. 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.
Litigation Specialist Warrior Insurance NetworkLitigation SpecialistBedford Park, ILRemote$75,000–$100,000 / yearFull timeConduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. Are you an experienced Litigation Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities?.
Catastrophe Field Property Adjuster Allstate Insurance CompanyCatastrophe Field Property AdjusterIL$51,500–$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.
Property Adjuster - Field Estimating - Chicagoland, IL Allstate Insurance CompanyProperty Adjuster - Field Estimating - Chicagoland, ILChicago, IL$70,000–$115,000 / 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. 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.
Virtual Triage Obvious Total Loss Adjuster Allstate Insurance CompanyVirtual Triage Obvious Total Loss AdjusterIL$53,500–$84,625 / yearThis role conducts virtual inspections of vehicle damage-including automobiles, motorcycles, ATVs, and RVs-prepares repair estimates, completes total loss valuations, and negotiates moderately complex (and occasionally more complex) settlements with repair facilities, tow yards, and customers. 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).
NewLitigation Specialist First Chicago Insurance CompanyLitigation SpecialistILRemote$75,000–$100,000 / yearConduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. Ability to research and interpret case law, statute, and coverage forms in order to properly adjust and conclude claims.
NewLitigation Specialist First Chicago Insurance Company (FCIC)Litigation SpecialistBedford Park, ILRemote$75,000–$100,000 / yearConduct prompt investigations by securing statements from the involved parties/witnesses and obtaining all necessary documents, including but not limited to, police reports, medical specials, photographs, and/or appraisals. Ability to research and interpret case law, statute, and coverage forms in order to properly adjust and conclude claims.
Bodily Injury Adjuster - Represented/Litigation, Moderate (IL/WI) Remote Allstate Insurance CompanyBodily Injury Adjuster - Represented/Litigation, Moderate (IL/WI) RemoteILRemote$53,500–$84,625 / yearYou'll wear a few hats to fill a few roles throughout your day that all 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 casualty claim. Bodily Injury Claims, Business Communications, Claims Evaluation, Critical Thinking, Fraud Investigations, Information Collection, Legal Negotiations, Liability Analysis, Problem Solving, Time Management.
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.
Bodily Injury Adjuster - Represented, Complex/Severe (IL, WI) Remote Allstate Insurance CompanyBodily Injury Adjuster - Represented, Complex/Severe (IL, WI) RemoteILRemote$53,500–$84,625 / yearYou'll wear a few hats to fill a few roles throughout your day that all 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 casualty 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.
Field Compliance Analyst Chubb LtdField Compliance AnalystChicago, IL$48,000–$67,000 / yearThe company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. As a Chubb corporate employee, you have access to one of the most comprehensive benefit plans in the business, designed to meet your needs and help you reach your financial goals.