The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for o

Fast paced field environment with frequent face to face, customer interaction Ability to traverse ladders, roofs, crawl spaces, and damaged property Typically inspects multiple losses per day requiring car travel between locations Evaluates and settles property related damages (primarily) between $10,000 and $100,000 (aggregate); occasionally handles losses that exceed $1

Sr. Property Adjuster Job Locations US OH Columbus | US OH Cincinnati | US OH Dayton ID 2024 1980 Category Claims Position Type Regular Remote/Hybrid Remote Company Overview Recognized as a Milwaukee Journal Sentinel Top Workplace for 12 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are

Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictio

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Primary Function The Risk An

The Surety Bond Claims Senior Analyst investigates, evaluates coverage, determines liability, sets reserves, and settles surety bond claims of low to moderate complexity and moderate risk. When a claim occurs, the Surety Bond Claims Senior Analyst plays a crucial role in assessing the validity of the claim and facilitating the resolution process. This role evaluates recov

Construction Safety & Risk Control Consultant Are you ready to bring top tier innovation to clients nationwide? Can you become the difference maker that leads to our client's success stories? If you answered yes to both of those questions Aon is looking for you to become part of setting the gold standard in client servicing! This opportunity is a virtual position with exp

Under the direction of the Branch Manager or Field Leader, the Mobile Examiner's primary responsibility is to provide coverage in the field ensuring that mobile exams are completed accurately and on time. Maintain a safe and professional environment for applicants, clients, and employees, perform with confidence all aspects of an insurance exam, including specimen collect

Maintain the Parker RMIS and manage data feeds and reports. Collect and manage current and historical exposure information and help prepare annual underwriting submissions Assist divisions with certificate of insurance requests to comply with Parker policies Review insurance language in customer, vendor and supplier contracts to ensure it complies with Parker's policies a

Maintain the Parker RMIS and manage data feeds and reports. Collect and manage current and historical exposure information and help prepare annual underwriting submissions Assist divisions with certificate of insurance requests to comply with Parker policies Review insurance language in customer, vendor and supplier contracts to ensure it complies with Parker's policies a