A healthcare company is in need of a Telecommute Medicare Investigations Compliance Specialist. Individual must be able to fulfill the following responsibilities: Track complaints in the Medicare Compliance database. Execute compliance monitoring assessments of sales agents.
Conducting investigations of considerable complexity. Leading a team of developers through advice, guidance, and best practices. providing ongoing system maintenance, research, problem resolution, and on-call support tasks. Position Requirements Include:
An insurance company has a current position open for a Telecommute Special Investigative Unit Insurance Investigator I. Candidates will be responsible for the following: Conducting field as well as desk investigations of insurance claims. Analyzing and developing facts and evidence.
Review, investigate, evaluate, and resolve a large and complex property claims, which includes the verification of coverage and extent of property damage. Partner with customers to establish loss amount through itemization of damages. Appropriately communicate and follow-up with customers.
US Investigations Editor, Tracking the Backlash. Company. Candidates must be based in the US | Full-time. Company is a global independent media platform dedicated to challenging power and inspiring change.
Leading investigations of questionable sales activity and work with a Senior Analyst or Manager on resolution. Keeping up to date with company and industry regulations; ability to interpret firm policies and procedures and incorporate into daily processes.
Investigators brochures (IBs) Office of Scientific Investigations (OSI) data sets and listings. Regulatory and/or Payer submission related analysis data sets and/or TFLs. Associated quality and process documentation as per applicable business processes.