Investigator Ethos Risk ServicesInvestigatorCharleston, WVPart 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.
SIU Investigator Lead (Must live in OH or surrounding states) CareSource Management Services LLCSIU Investigator Lead (Must live in OH or surrounding states)Charleston, WVThis role is also responsible for the identification and monitoring of emerging FWA trends and conducting research and interactions on claims, industry and other sources (internal and external) of data and information to identify potential FWA and support ongoing fraud investigations. Act as the Program Integrity liaison and ensure collaboration with state and federal agencies and facilitate accurate deployment and ongoing monitoring of state-specific regulations and ongoing partnership with state regulators in managing Medicaid and Medicare programs.
Part-Time Surveillance Investigator The Robison GroupPart-Time Surveillance InvestigatorCharleston, WVThrough 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.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IIWVCollects 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 Associate State of West VirginiaInvestigator AssociateCharleston, WV$35,702–$61,628 / yearConduct routine investigations of tax violations related to cigarettes, motor fuel, soft drinks, consumer sales tax, withholding tax, use tax, business registration, bingo & raffle licenses, and other tax types. The successful candidate will investigate, inspect, report, and work to obtain evidence of reported fraud and violations of statutes administered and overseen by the State Tax Division while maintaining confidentiality and professionalism.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)WV$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.
Bodily Injury Adjuster - Litigation, Moderate/Complex - MD, VA, DC, WV, DE (Remote) Allstate Insurance CompanyBodily Injury Adjuster - Litigation, Moderate/Complex - MD, VA, DC, WV, DE (Remote)WVRemote$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. As a Litigation Bodily Injury Adjuster, your main focus will be investigating automobile accidents involving single or multiple vehicles, which result in property damage and/or bodily injury with attorney/litigation involved.