Insurance Investigator Jobs in Dover

Description Humana is needing the Sherlock Holmes of nursing for a new Senior Fraud & Waste Professional role. Do you love gathering and investigating clinical information, studying medical materials and sources ..

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..

Job Information Humana Senior Incident Response Engineer (virtual home office remote eligible) in Dover Delaware Description The Senior Incident Response Engineer will be part of a dynamic, growing team, hunting for ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Dover Delaware Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Fraud and Waste Investigator Duties: The candidate collaborates in investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..

Description The Senior Security Professional protects the organization's employees, properties, and all items of value on premises from any preventable harm or danger. The Senior Security Professional work assignments involve moderately ..

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Dover Delaware Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special Investigations ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Job Information Humana Senior Fraud & Waste Investigator - Remote in Dover Delaware Description Are you looking to be a part of a Fortune 100 company with competitive salary, opportunity for ..

Description The Senior Security Professional protects the organization's employees, properties, and all items of value on premises from any preventable harm or danger. The Senior Security Professional work assignments involve moderately ..

Senior Fraud and Waste Investigator Duties: The candidate coordinates investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..

Job Information Humana Fraud and Waste Investigator-Remote in US in Dover Delaware Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Job Information Humana Senior Fraud and Waste Investigator - Lab Team-Remote in US in Dover Delaware Description The Senior Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive ..

Description This is a fantastic opportunity to own and manage the frontline cyber operations for the 3rd largest health organization in the Nation. This candidate will have the ability to apply ..

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..

Description The Dental Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. The Dental Fraud and Waste Investigator work assignments are varied and frequently require interpretation and ..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Dover Delaware Description Humana is looking for an experienced Healthcare Investigator to join its industry ..