Are you a business? Hire claims investigator candidates in Bayonne, NJ
The Nurse Investigator II is responsible for performing highly complex healthcare fraud ... Prefers specific knowledge of claims processing and customer service systems (NASCO adjustment and ...
A minimum of two years experience performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities, required; OR * Three years of ...
Federal Tort Claims Act (FTCA) Compliance: * Ensure compliance with FTCA requirements for liability ... Investigate and resolve compliance issues and complaints. * Maintain detailed records of compliance ...
... case investigations to determine the validity of each case, including collecting evidence ... their claims. 5. Negotiate settlements with opposing counsel, insurance companies, and other ...
