Fraudulent Claims Jobs in Miami Shores

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United States
Posted On Sep 07, 26
Contract, Full-time 1 views Experience : Min 5 yrs required

Job Title: Claims Handler Job Responsibilities: The Claims... Handler will join a... to high-severity Professional Liability claims from inception through resolution.... This encompasses claims across multiple lines such... as Allied Healthcare Professional Liability, Architects & Engineers Professional Liability, and Miscellaneous Professional...

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Full-time 76 views Experience : Min 5 yrs required

5 years of progressive work experience in the legal industry or other like position. The role is responsible for coordinating and overseeing the entire claims process for real property... and content insurance losses. Handles all claim matters, including coverage, correspond...

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Full-time 3 views Experience : Min 5 yrs required

Title: Litigation Counsel Job Responsibilities: - Direct all phases of commercial litigation from pre-suit investigation through pleading, discovery, trial, and post-judgment enforcement. - Handle complex disputes arising from Merchant Cash Advance (MCA) agreements, commercial guarantees, merchant default, stacking issues, and payment processor disputes. -...

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Archived Job Listings: Real Employers, Hidden Opportunities

The following jobs are no longer active but were real openings previously posted by employers. These listings provide valuable insight into employer hiring trends and frequently lead to job offers. In many cases, employers are still hiring or open to strong candidates even if no new job is posted. Applying to these listings often makes you the only applicant, increasing your chances of being hired.

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Investigator II - Telecommute The candidate will investigate, collect, research and analyze billing data in order to detect fraudulent, abusive or wasteful activities/practices.... Will use appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments... to providers and subscribers. Prepare statistical/financial analyses and reports to document findings and maintain up-to-date case files for management review. Prepare final report and notification of... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Investigator I, II, III, Senior Duties for Investigator I is responsible for investigating, collecting, researching and analyzing billing data in order to detect fraudulent, abusive or wasteful activities/practices.... Primary duties may include: Using appropriate system tools, analyzes data to detect fraudulent, abusive or wasteful payments... to providers and subscribers. Prepares statistical/financial analyses and reports to document findings and maintains up-to-date case files... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Senior Investigator Duties: Responsible for the independent identification, investigation, and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. Claim reviews for... appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional, and pharmacy claims. Responsible for independently identifying... a... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Senior Investigator Duties: Responsible for the independent identification, investigation, and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. Claim reviews for... appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional, and pharmacy claims. Responsible for independently identifying... a... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Senior Investigator, Insurance Fraud The candidate will be responsible for the identification, investigation and development of complex cases against perpetrators of fraud in order to recover corporate and client funds paid on fraudulent claims, utilizing Health and... Human Services-Office of Inspector General (HHS-OIG), FBI and other law enforcement resources, and state of the art investigation techniques. Responsible for enterprise-wide specific investigations that may impac... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Attorney Duties: Obtains and retains workers' compensation clients by following-up on referrals; understanding case information; presenting what is covered under the law; maintaining rapport. Provides workers' compensation legal advice by conducting legal research; keeping clients abreast of recent rulings, decisions, and trends; providing explanations of expected risks and potential benefits. Maintains or reduces employers' worker's compensation insurance costs... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Health Care Transactional/Regulatory - Senior Associate/Counsel Level The candidate must have extensive experience in managing health care physician reimbursement, payor audit and billing related issues (including false/fraudulent claims, CPT guidelines, etc.) with... an emphasis in emergency medicine and pathology. A corporate and transactional health care background in negotiating managed care contracts (commercial/ governmental) and hands on experience in provider/payor disp... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Investigator I, II, Senior Duties: Investigator I: Responsible for investigating assigned cases, collecting, researching and analyzing claim data in order to detect fraudulent, abusive or wasteful activities/practices.... Primary duties may include: Using appropriate system tools and databases for analysis of data and review of professional and facility claims to detect fraudulent, abusive or wasteful healthcare... insurance payments to providers and subscribers. Preparation of st... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

Investigator I, II, Senior Duties: Investigator I: Responsible for investigating assigned cases, collecting, researching and analyzing claim data in order to detect fraudulent, abusive or wasteful activities/practices.... Primary duties may include: Using appropriate system tools and databases for analysis of data and review of professional and facility claims to detect fraudulent, abusive or wasteful healthcare... insurance payments to providers and subscribers. Preparation of st... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

preferably have extensive experience in managing healthcare physician reimbursement, payor audit and billing related issues (including false/fraudulent claims, CPT guidelines) with an... emphasis in emergency medicine and pathology. A corporate and transactional healthcare background in negotiating managed care contracts (commercial/gov... read more

Note: This job is no longer active. It was originally posted on [Date] and is part of LawCrossing’s historical archive of legal jobs. While the position may have been filled, employers often remain open to exceptional candidates for similar roles. LawCrossing has tracked this employer's hiring activity for over 25 years. This listing is provided for informational and outreach purposes and may still lead to employment. Learn more about archive jobs and how powerful they are for your search, click here

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