UNKNOWN

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Analytical Thinking, Claims Processing, Collision Investigations, Collision Reconstruction, Critical Thinking, Decision Making, Evidence Gathering, Fraud Investigations, Information Collection, Insurance Claims Investigations, Insurance Investigation, Researching, Special Investigations, Surveillance Operations, Surveillance Techniques, Time Management, Witness Interviewing. The 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.

YEAR

Who We Are The Allstate Corporation is the nation's largest publicly held personal lines insurer. A Fortune 100 company, with $131 billion in total assets, Allstate sells 13 major lines of insurance, including auto, property, life and commercial. Allstate also offers retirement and investment products and banking services. Allstate is widely known through the ";You're In Good Hands With Allstate®"; slogan. Allstate was founded in 1931 and became a publicly traded company in 1993. Our People The Allstate Corporation encompasses more than 70,000 professionals. Of our employees, 33 percent are minorities; 58 percent are women. Our Customers Allstate helps individuals in approximately 16 million households protect what they have today and better prepare for tomorrow, and is committed to serving customers how, when and where they choose to be served. Corporate Governance Allstate has always had an exemplary governance program. Our commitment to strong principles and the highest ethical standards is critical to our goal of driving sustained shareholder value. Diversity As a company with a diverse population of employees, agents and customers, Allstate embraces diversity in everything we do - not only the customers we serve and the communities in which we invest, but also the people we hire and the businesses we use as suppliers. It's a testament to the company's corporate citizenship and a sound business strategy. Culture Our high performance work environment encourages individual accountability, innovative thinking and continuous learning and improvement. Our work environment is fast-paced, challenging, and collaborative. It's our goal to provide challenging work that is interesting and meaningful and to reward employees' efforts based on a pay for performance approach. Allstate offers a comprehensive total compensation package. Our Network Allstate has more than 12,500 local agency owners in the United States. Customers can access Allstate products and services such as auto insurance and homeowners insurance through Allstate agencies, or in select states at allstate.com and 1-800 Allstate®. Encompass® Insurance brand property and casualty products are sold exclusively through independent agents. The Allstate Financial Group provides life insurance, supplemental accident and health insurance, annuity, banking and retirement products designed for individual, institutional and worksite customers that are distributed through Allstate agencies, independent agencies, financial institutions and broker-dealers. <iframe width="560" height="315" src="http://www.youtube.com/embed/GhVUDiGkE8M" frameborder="0" allowfullscreen></iframe> Our Economic Impact In 2010, Allstate reported $19 billion in total property-liability insurance claims and claims expense. The Allstate Foundation donated $17.8 million to support social impact programming, with emphasis on teen safe driving and economic empowerment of domestic violence survivors. Allstate currently holds $16 billion in municipal bonds. Learn more about careers at Allstate. Visit <a href="http://allstate.com/careers/life-at-allstate.aspx" target="_blank">allstate.com/careers/life-at-allstate.aspx</a>

Allstate Insurance Company

SIU Field Investigator

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FULL_TIME

OTHER

Complies 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).

TriWest Healthcare Alliance

Program Integrity Investigator

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Was released or discharged from active duty within the previous two years, where the applicant is a veteran who, due to a military service obligation, was precluded from applying for a recent graduate position during any portion of the two-year eligibility period following completion of his/her degree or certificate requirements, provided that not more than six years have transpired since the applicant completed the requirements for a degree or certification. Proof of Eligibility: Academic transcript, a copy of a diploma, certificate, industry-recognized credential awarded from a qualifying career or technical educational program, or other official documentation from the qualifying educational institution showing that you meet the eligibility requirements for a Recent Graduate appointment, as described in the Qualifications and Education sections of this announcement.

U.S. Department of Labor

Recent Graduate - Employee Benefits Investigator

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. Skills and attributes for success: The investigator will generate new investigations, and to continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of federal public funds and programs.

CONTACT GOVERNMENT SERVICES

Affirmative Civil Enforcement (Ace) Investigator

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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.

Contact Government Services LLC

Affirmative Civil Enforcement (ACE) Investigator

Work 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.

West Bend Insurance Company

Senior Investigator - Special Investigations Unit (Illinois, Indiana, and Michigan)

Certified Revenue Cycle Representative (CRCR), Certified Revenue Cycle Professional (CRCP), or comparable certification preferred, particularly when supported by health plan claims recovery, payer receivables, or post-payment recovery experience. Lead complex recovery / Negative Balances initiatives and large cross-functional meetings, partnering with Claims, Finance, Provider/Network Operations, Health Plans, IT, and vendors to resolve barriers and improve recovery outcomes.

Centene Corporation Group

Manager, Payment Integrity - Recovery & Accounts Receivable

You must also meet the following requirement(s): TIME AFTER COMPETITIVE APPOINTMENT (TACA): By the closing date (or if this is an open continuous announcement, by the cut-off date) specified in this job announcement, current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. To update your application, including supporting documentation: Visit USAJOBS - How to Update Application during the announcement open period, make updates or add supporting documentation, then continue through the entire application process and click Submit Application to send updates to the hiring agency.

Department of the Treasury
<a href="https://home.treasury.gov/">https://home.treasury.gov/</a>
 The Department of the Treasury is organized into two major components - the Departmental Offices and the operating bureaus. Treasury Bureaus make up 98% of the Treasury work force and are responsible for carrying out specific operations assigned to the Department. The Department of the Treasury includes: 
  *Departmental Offices (DO)  The Departmental Offices (DO)are primarily responsible for the formulation of policy and management of the Department as a whole, while the operating bureaus carry out the specific operations assigned to the Department.   
*Bureau of Engraving & Printing (BEP)  The Bureau of Engraving & Printing (BEP) designs and manufactures U.S. currency, securities, and other official certificates and awards. 
*Internal Revenue Service (IRS)  The Internal Revenue Service (IRS) is the largest of Treasury's bureaus. It is responsible for determining, assessing, and collecting internal revenue in the United States. 
Alcohol and Tobacco Tax and Trade Bureau (TTB)  The Alcohol and Tobacco Tax and Trade Bureau (TTB) is responsible for enforcing and administering laws covering the production, use, and distribution of alcohol and tobacco products. TTB also collects excise taxes for firearms and ammunition.        Bureau of the Fiscal Service  The Bureau of the Fiscal Service was formed from the consolidation of the Financial Management Service and the Bureau of the Public Debt. Its mission is to promote the financial integrity and operational efficiency of the U.S. government through exceptional accounting, financing, collections, payments, and shared services.       The Financial Crimes Enforcement Network (FinCEN)                                                                                                                                                      The Financial Crimes Enforcement Network (FinCEN) supports law enforcement investigative efforts and fosters interagency and global cooperation against domestic and international financial crimes. It also provides U.S. policy makers with strategic analyses of domestic and worldwide trends and patterns.
Inspector General   The Inspector General conducts independent audits, investigations and reviews to help the Treasury Department accomplish its mission; improve its programs and operations; promote economy, efficiency and effectiveness; and prevent and detect fraud and abuse.   
Office of the Comptroller of the Currency (OCC)  The Office of the Comptroller of the Currency (OCC) charters, regulates, and supervises national banks to ensure a safe, sound, and competitive banking system that supports the citizens, communities, and economy of the United States.    
Treasury Inspector General for Tax Administration (TIGTA)   The Treasury Inspector General for Tax Administration (TIGTA) provides leadership and coordination and recommends policy for activities designed to promote economy, efficiency, and effectiveness in the administration of the internal revenue laws. TIGTA also recommends policies to prevent and detect fraud and abuse in the programs and operations of the IRS and related entities.       U.S. Mint  The U.S. Mint designs and manufactures domestic, bullion and foreign coins as well as commemorative medals and other numismatic items. The Mint also distributes U.S. coins to the Federal Reserve banks as well as maintains physical custody and protection of our nation's silver and gold assets.

Department of the Treasury, US

Tax Law Specialist

Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Ideal candidates will bring experience in oncology outcomes research, cancer care delivery research, implementation science, or population health, along with strong analytic skills and experience working with clinical datasets, cancer registries, EHR or claims data.

HOUR

Endeavor Health

Research Scientist, Sr.-Oncology

You'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. Active Listening, Business Case Analyses, Case Management, Claims Administration, Communication, Critical Thinking, Customer Service, Empathy, Multitasking, Quality Management, Relationship Management.

Property Adjuster - Field Estimating - Chicago, IL

You'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.

Catastrophe Field Property Adjuster

You'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.

Claims Investigator Jobs in Westchester, IL

SIU Field Investigator Allstate Insurance Company

Program Integrity Investigator TriWest Healthcare Alliance

Recent Graduate - Employee Benefits Investigator U.S. Department of Labor

Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICES

Affirmative Civil Enforcement (ACE) Investigator Contact Government Services LLC

Senior Investigator - Special Investigations Unit (Illinois, Indiana, and Michigan) West Bend Insurance Company

Manager, Payment Integrity - Recovery & Accounts Receivable Centene Corporation Group

Tax Law Specialist Department of the Treasury, US

Research Scientist, Sr.-Oncology Endeavor Health

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

Catastrophe Field Property Adjuster Allstate Insurance Company

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

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