Claim investigator full time jobs - 43 jobs

**Become a part of our caring community and help us put health first** 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 independent determination of the appropriate courses of action. **Where You Come In** The Fraud and Waste Professional 2 coordinates investigation with internal and external entities including compliance, internal business partners, and law enforcement. Assembles evidence and documentation to support successful adjudication, where appropriate. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education **Use your skills to make an impact** **WORK STYLE:** Remote anywhere in US, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **WORK HOURS:** Monday-Friday, 8 hours/day, 5 days/week, ideally, associates will work on EST (regardless of their home time zone). Must start between 6AM-9AM (in the employee's time zone), some flexibility might be possible, depending on business needs. **Required Qualifications - What it takes to Succeed** + Bachelor's degree or equivalent work experience + Minimum 2 years of investigative and/or claims experience + Knowledge of healthcare payment methodologies + Strong organizational, interpersonal, and communication skills + Inquisitive nature with ability to analyze data to metrics + Computer literate (MS Word, Excel, Access) + Strong personal and professional ethics + Ability to travel up to 5%, to attend trainings and meetings, as required **Preferred Qualifications** + Bilingual in Spanish + Bachelor's degree and/or additional degrees and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate environment and understanding of business operations **Additional Information** **Work at Home Requirements** - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Interview Format** As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-22-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Seeking experienced Full-Time to Part-Time Private Investigators to conduct SURVEILLANCE as it relates to the investigation of suspect insurance claims. We are seeking individuals who possess proven investigative skill sets within the industry. Honesty, integrity, self-reliance, resourcefulness, independence, discipline, and a calm intensity are a few characteristics of our Investigators and staff. Investigators with Scene Investigation and Recorded Statement experience are encouraged to apply. If you have the desire to operate at your highest professional level within an organization that values and rewards excellence, please submit your resume. Only the finest individuals are considered for hire. Visit our website and find out why at ****************** Requirements: 1+ years of experience as an Surveillance Investigator Must be licensed as a Private Investigator in your state (if required) Flexibility to work varied/irregular hours and days including weekends and holidays Valid state issued driver's license The Surveillance Investigator should demonstrate proficiency in the following areas: Obtaining quality surveillance video evidence Writing accurate and detailed reports Strong initiative, integrity, and work ethic Securing written/recorded statements Accident scene investigations Ability to prioritize and organize multiple tasks Computer literacy to include Microsoft Word and Microsoft Outlook email Full-Time benefits Include: Medical, dental and vision insurance 401K Extensive performance bonus program Dynamic and fast paced work environment

5 yrs. exp. in construction & operation of natural gas pipeline systems; 1 course or 3 mos. trg. in general management; 3 mos. trg. or 3 mos. exp. in public relations; valid driver's license. -Or 5 yrs. exp. as gas pipeline safety inspector & successful completion of seven basic gas pipeline safety courses from Transportation Safety Institute; valid driver's license. -Or completion of undergraduate core program in mechanical, electrical or civil engineering; valid driver's license. -Or completion of undergraduate core program in mechanical, electrical or civil engineering technology; 3 yrs. exp. in construction & operation of natural gas pipeline systems; successful completion of seven basic Transportation Safety Institute courses in gas pipeline safety; valid driver's license. -Or completion of undergraduate core program in mechanical, electrical or civil engineering technology; 3 yrs. exp. as gas pipeline safety inspector; completion of seven basic gas pipeline safety courses from Transportation Safety Institute; valid driver's license. -Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: Utilities Field Investigator (Public Utilities Gas Pipeline Safety Compliance Investigator) Service Monitoring & Enforcement Department (SMED) Facility and Operations Field Division (FOFD) Hourly Rate\: $33.52 About The Service Monitoring & Enforcement Department: The Service Monitoring and Enforcement Department's (SMED) mission is to enforce consumer safeguards, to resolve consumer complaints and to ensure Ohio utility consumers receive safe and reliable services. SMED is organized into three divisions. Facility Operations Field Division (FOFD) Facility Operations Field Division (FOFD) staff regularly inspects utility facilities and reviews plant operating practices to ensure regulated utility service providers deliver safe, reliable and quality service. Field investigators from the division's electric, telephone, water/wastewater and gas pipeline safety sections perform on-site inspections and audit company records to ensure utilities observe regulatory requirements. FOFD staff also participates in rate case proceedings and recommends changes in company policies and practices to improve utility service. FOFD staff also acts as the agency lead for the damage prevention complaint reporting and tracking process; assisting with the maintenance of the damage prevention enforcement database; and answering internal and public inquiries. What You'll Do: The Gas Pipeline Safety team at the PUCO is responsible for enforcing federal and state pipeline safety regulations. We work in partnership with the federal Pipeline and Hazardous Materials Safety Administration (PHMSA). In this position as a Gas Pipeline Safety Compliance Investigator, you will be a field-based employee responsible for scheduling, coordinating, and conducting independent field audits and inspections with gas utilities. Inspections include: Reviews of company plans and procedures Reviews of company construction, operations, and maintenance records Field observations of gas company employees and contractors Field inspections of company pipeline facilities. You will also be assigned to investigate natural gas related incidents and complaints. The position will involve learning and applying federal and state pipeline safety regulations to various company records and facilities to determine whether the company is complying with the regulations. Some inspections are performed as part of a team, but most inspections are performed independently. This position will be based in North Central Ohio and most assignments will be in that part of the state but occasional assignments requiring overnight stays in other parts of the state are possible. Travel to Columbus will also be required throughout the year for meetings at the PUCO headquarters in downtown Columbus. The position will also require the successful completion of several training courses at PHMSA's training facility in Oklahoma City, OK during the first 3 years in the position. A state vehicle will be assigned for work related travel within the state. The selected candidate must reside in or relocate to Marion, Morrow, Crawford, or Richland County areas. Please make sure the duty section of your work history clearly demonstrates 5 years of natural gas related experience to meet minimum qualifications. We will not be able to review any resumes or other attachments. Salary Information\: Unless required by legislation or union contract, starting salary is set at the lowest rate of the salary range. In most cases, successful employees will increase a step in the salary range within six months, with subsequent step increases occurring every year. In addition, the State of Ohio offers cost of living adjustments, longevity supplements after five years of public service, and wellness incentives. At the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position. The State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting. Applications must clearly indicate how the applicant meets the minimum qualifications for the position. All answers to the supplemental questions must be supported by information provided in the work experience and/or education sections on your civil service application. If you don't demonstrate how, you meet minimum qualifications in the supplemental questions, your application may be disqualified from consideration. Please do not use "see resume or other documents" as assumptions will not be made. Selection devices, proficiency testing, and/or assessments may be used to determine if an applicant meets and is proficient in the minimum qualifications for this position. If you are applying for the same classification within a six-month period, your previous score from the selection instrument (interview, proficiency test, and/or assessment) may be carried forward for consideration. Ohio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws. The Public Utilities Commissions of Ohio (PUCO) affect nearly every household in Ohio. The PUCO regulates providers of all types of utility services which include electric and natural gas companies, local and long-distance telephone, water and wastewater, and rail and trucking companies. More recently, the PUCO gained responsibility for facilitating competitive utility choices for Ohio consumers. To carry out our responsibilities, the PUCO employs a professional staff that includes engineers, economists, attorneys, and safety inspectors. Continually monitoring the activities of utility and transportation companies, the PUCO works to ensure safe and reliable services for all Ohioans. Our mission is to assure all residential and business consumers access to adequate, safe and reliable utility services at fair prices, while facilitating an environment that provides competitive choices.

Corporate Security and Resilience Investigator II position will lead investigations, including Internal investigations of a sensitive nature. Position contributes to various types of investigations, including complex financial crime. This is achieved by providing an independent and objective investigation service enterprise wide that applies rigorous, lawful and professional practices and principles. Primary responsibilities include + Provide independent, professional, and objective investigative services to business stakeholders. + Delivering reliable, high-quality, fact-finding investigation reports that identify the relevant key issues and objective conclusions. + Identify key control issues by the gathering, analysis and objective interpretation of relevant complex evidence and by conducting formal and informational interviews with relevant employees. + Independent contact and engagement with suspects, victims and witnesses related to potential frauds/crimes. + Make determination on when to involve legal, human resources/employee relations, and senior management on sensitive incidents. + Ensure the delivery of work undertaken is consistent with and targeted to the issues subject to investigation and resolution + Provide court testimony as appropriate. + Makes determination if evidence is sufficient for criminal complaints. + Work independently on investigative actions while collaborating with local, state and federal law enforcement agencies on prosecution efforts. + Comply with all local, state and federal laws. + Ensure clear knowledge and understanding of SAR Program compliance. Qualifications, Education, Certifications and/or Other Professional Credentials + Five (3) years of relevant experience in similar investigations capacity. + Five (3) years of broker-dealer, compliance, financial or operational audits/investigations or related experience. + Knowledge of rules, regulations, and guidelines governing the securities industry. + Experience with social media, OSINT, payments, investments research + Knowledge of FINRA/SEC investigative best practices + Competence using a desktop computer with the full suite of office software applications. + Bachelor's degree in finance or related field + Certified Fraud Examiner certification preferred. Hours & Work Schedule Hours per Week: 40 Work Schedule: Monday - Friday. Work outside of normal business hours and overnight travel may be required. Pay Transparency The salary range for this position is $60,234 - $90,351 per year, plus an opportunity to earn an annual discretionary bonus. Actual pay is based on various factors including but not limited to the work location, and relevant skills and experience. We offer competitive pay, comprehensive medical, dental and vision coverage, retirement benefits, maternity/paternity leave, flexible work arrangements, education reimbursement, wellness programs and more. Note, Citizens' paid time off policy exceeds the mandatory, paid sick or paid time-away policy of very local and state jurisdiction in the United States. For an overview of our benefits, visit ************************************** . Some job boards have started using jobseeker-reported data to estimate salary ranges for roles. If you apply and qualify for this role, a recruiter will discuss accurate pay guidance. Equal Employment Opportunity Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague's or a dependent's reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. Employment decisions are based solely on merit, qualifications, performance and capability. Why Work for Us At Citizens, you'll find a customer-centric culture built around helping our customers and giving back to our local communities. When you join our team, you are part of a supportive and collaborative workforce, with access to training and tools to accelerate your potential and maximize your career growth Background Check Any offer of employment is conditioned upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal requirements imposed by our regulators and with consideration of the nature and gravity of the background history and the job offered. Any offer of employment will include further information.

Field Investigator (Public Utilities Gas Pipeline Safety Compliance Investigator) (260000AF) Organization: Public Utilities CommissionAgency Contact Name and Information: HUMAN RESOURCES - ContactJobsHR@puco.ohio.gov.Unposting Date: Feb 17, 2026, 4:59:00 AMPrimary Location: United States of America-OHIO-Marion CountyOther Locations: United States of America-OHIO-Crawford County, United States of America-OHIO-Morrow County, United States of America-OHIO-Richland County Compensation: 33.52Schedule: Full-time Work Hours: 7:30-3:30 Flex AvailableClassified Indicator: ClassifiedUnion: OCSEA Primary Job Skill: UtilitiesTechnical Skills: Inspection Principles, Auditing, Investigation, Compliance EnforcementProfessional Skills: Attention to Detail, Observation Agency Overview The Public Utilities Commissions of Ohio (PUCO) affect nearly every household in Ohio. The PUCO regulates providers of all types of utility services which include electric and natural gas companies, local and long-distance telephone, water and wastewater, and rail and trucking companies. More recently, the PUCO gained responsibility for facilitating competitive utility choices for Ohio consumers.To carry out our responsibilities, the PUCO employs a professional staff that includes engineers, economists, attorneys, and safety inspectors. Continually monitoring the activities of utility and transportation companies, the PUCO works to ensure safe and reliable services for all Ohioans.Our mission is to assure all residential and business consumers access to adequate, safe and reliable utility services at fair prices, while facilitating an environment that provides competitive choices.Job DescriptionField Investigator (Public Utilities Gas Pipeline Safety Compliance Investigator) Service Monitoring & Enforcement Department (SMED) Facility and Operations Field Division (FOFD) Hourly Rate: $33.52 About The Service Monitoring & Enforcement Department:The Service Monitoring and Enforcement Department's (SMED) mission is to enforce consumer safeguards, to resolve consumer complaints and to ensure Ohio utility consumers receive safe and reliable services. SMED is organized into three divisions.Facility Operations Field Division (FOFD) Facility Operations Field Division (FOFD) staff regularly inspects utility facilities and reviews plant operating practices to ensure regulated utility service providers deliver safe, reliable and quality service. Field investigators from the division's electric, telephone, water/wastewater and gas pipeline safety sections perform on-site inspections and audit company records to ensure utilities observe regulatory requirements. FOFD staff also participates in rate case proceedings and recommends changes in company policies and practices to improve utility service. FOFD staff also acts as the agency lead for the damage prevention complaint reporting and tracking process; assisting with the maintenance of the damage prevention enforcement database; and answering internal and public inquiries. What You'll Do:The Gas Pipeline Safety team at the PUCO is responsible for enforcing federal and state pipeline safety regulations. We work in partnership with the federal Pipeline and Hazardous Materials Safety Administration (PHMSA).In this position as a Gas Pipeline Safety Compliance Investigator, you will be a field-based employee responsible for scheduling, coordinating, and conducting independent field audits and inspections with gas utilities. Inspections include:Reviews of company plans and procedures Reviews of company construction, operations, and maintenance records Field observations of gas company employees and contractors Field inspections of company pipeline facilities.You will also be assigned to investigate natural gas related incidents and complaints.The position will involve learning and applying federal and state pipeline safety regulations to various company records and facilities to determine whether the company is complying with the regulations. Some inspections are performed as part of a team, but most inspections are performed independently.This position will be based in North Central Ohio and most assignments will be in that part of the state but occasional assignments requiring overnight stays in other parts of the state are possible. Travel to Columbus will also be required throughout the year for meetings at the PUCO headquarters in downtown Columbus. The position will also require the successful completion of several training courses at PHMSA's training facility in Oklahoma City, OK during the first 3 years in the position. A state vehicle will be assigned for work related travel within the state. The selected candidate must reside in or relocate to Marion, Morrow, Crawford, or Richland County areas. Please make sure the duty section of your work history clearly demonstrates 5 years of natural gas related experience to meet minimum qualifications. We will not be able to review any resumes or other attachments. Salary Information: Unless required by legislation or union contract, starting salary is set at the lowest rate of the salary range. In most cases, successful employees will increase a step in the salary range within six months, with subsequent step increases occurring every year. In addition, the State of Ohio offers cost of living adjustments, longevity supplements after five years of public service, and wellness incentives. Why Work for the State of OhioAt the State of Ohio, we take care of the team that cares for Ohioans. We provide a variety of quality, competitive benefits to eligible full-time and part-time employees*. For a list of all the State of Ohio Benefits, visit our Total Rewards website! Our benefits package includes: Medical Coverage Free Dental, Vision and Basic Life Insurance premiums after completion of eligibility period Paid time off, including vacation, personal, sick leave and 11 paid holidays per year Childbirth, Adoption, and Foster Care leave Education and Development Opportunities (Employee Development Funds, Public Service Loan Forgiveness, and more) Public Retirement Systems (such as OPERS, STRS, SERS, and HPRS) & Optional Deferred Compensation (Ohio Deferred Compensation) *Benefits eligibility is dependent on a number of factors. The Agency Contact listed above will be able to provide specific benefits information for this position.Qualifications5 yrs. exp. in construction & operation of natural gas pipeline systems; 1 course or 3 mos. trg. in general management; 3 mos. trg. or 3 mos. exp. in public relations; valid driver's license. -Or 5 yrs. exp. as gas pipeline safety inspector & successful completion of seven basic gas pipeline safety courses from Transportation Safety Institute; valid driver's license. -Or completion of undergraduate core program in mechanical, electrical or civil engineering; valid driver's license. -Or completion of undergraduate core program in mechanical, electrical or civil engineering technology; 3 yrs. exp. in construction & operation of natural gas pipeline systems; successful completion of seven basic Transportation Safety Institute courses in gas pipeline safety; valid driver's license. -Or completion of undergraduate core program in mechanical, electrical or civil engineering technology; 3 yrs. exp. as gas pipeline safety inspector; completion of seven basic gas pipeline safety courses from Transportation Safety Institute; valid driver's license. -Or equivalent of Minimum Class Qualifications for Employment noted above. Job Skills: UtilitiesSupplemental InformationApplications must clearly indicate how the applicant meets the minimum qualifications for the position. All answers to the supplemental questions must be supported by information provided in the work experience and/or education sections on your civil service application. If you don't demonstrate how, you meet minimum qualifications in the supplemental questions, your application may be disqualified from consideration. Please do not use "see resume or other documents" as assumptions will not be made. Selection devices, proficiency testing, and/or assessments may be used to determine if an applicant meets and is proficient in the minimum qualifications for this position. If you are applying for the same classification within a six-month period, your previous score from the selection instrument (interview, proficiency test, and/or assessment) may be carried forward for consideration. ADA StatementOhio is a Disability Inclusion State and strives to be a model employer of individuals with disabilities. The State of Ohio is committed to providing access and inclusion and reasonable accommodation in its services, activities, programs and employment opportunities in accordance with the Americans with Disabilities Act (ADA) and other applicable laws.Drug-Free WorkplaceThe State of Ohio is a drug-free workplace which prohibits the use of marijuana (recreational marijuana/non-medical cannabis). Please note, this position may be subject to additional restrictions pursuant to the State of Ohio Drug-Free Workplace Policy (HR-39), and as outlined in the posting.

Overview Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Job Description Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. Pay Rate: $20 - $22 / hr Private Investigator's license required prior to applying Must possess a valid driver's license with at least one year of driving experience RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law Closing Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: *********** If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices. Requisition ID 2025-1501251

Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Job Description Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. Pay Rate: $20 - $22 / hr Private Investigator's license required prior to applying Must possess a valid driver's license with at least one year of driving experience RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law Closing Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: *********** If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices. Requisition ID 2025-1501251

Job Description Join the thrilling world of Miami Valley Gaming as a Full-Time Surveillance Investigator, where every day presents new challenges in an electric environment! You'll be at the heart of our fast-paced casino, ensuring security and safety while embracing the exhilarating atmosphere that only a premier gaming facility can offer. Working onsite in Lebanon, Ohio, you will leverage cutting-edge technology to monitor and investigate, making a direct impact on the guest experience. Immerse yourself in an energetic culture that celebrates fun and customer focus, allowing your skills to shine in a role that combines strategy and excitement. You'll become an integral part of a dedicated team that thrives on maintaining a safe and vibrant gaming environment. You will receive great benefits such as Medical, Dental, Vision, 401(k), Life Insurance, Health Savings Account, Flexible Spending Account, Competitive Salary, Paid Time Off, Employee Discounts, and Pet Insurance. Ready to take your career to the next level with a position that offers both responsibility and the thrill of the action? Don't miss this chance to become a key player in an unforgettable entertainment destination! Miami Valley Gaming: Who We Are We provide the best in gaming and hospitality Day to day as a Surveillance Investigator As a Full-Time Surveillance Investigator at Miami Valley Gaming, you will play a crucial role in ensuring the protection of company assets and the safety of both guests and team members through a mix of routine and assigned surveillance activities. Your responsibilities will include performing close watch duties as required while maintaining a sharp familiarity with gaming laws, regulations, and company policies. You will receive ongoing on-the-job training to hone your skills, ensuring you diligently monitor all company assets and team members for any procedural violations. Your keen eye will help enforce department procedures, as you observe activities and ensure compliance with State and Federal regulations. Additionally, you will document and report any failures to comply with company policy, suspected criminal activities, or unusual occurrences, making your role vital to maintaining the integrity of our exciting gaming environment. What you need to be successful To thrive as a Full-Time Surveillance Investigator at Miami Valley Gaming, candidates must possess a unique blend of skills that include acute observation and attention to detail. Strong analytical skills are essential, as the role requires monitoring activities and identifying any potential violations or unusual behavior. Excellent communication skills will enable you to effectively document and report findings, ensuring a seamless flow of information within the team. Additionally, a solid understanding of gaming laws and regulations, combined with a commitment to enforcing company policies, is crucial for maintaining a safe environment. Adaptability and quick decision-making are also key traits, as situations can change rapidly in a bustling gaming atmosphere. A team-oriented mindset and a passion for guest safety will further enhance your effectiveness in this exciting and dynamic role, contributing to the overall success of Miami Valley Gaming. Make your move If you think this job aligns with your requirements, then submitting an application is simple. Good luck! Job Posted by ApplicantPro

Corporate Security and Resilience Investigator II position will lead investigations, including Internal investigations of a sensitive nature. Position contributes to various types of investigations, including complex financial crime. This is achieved by providing an independent and objective investigation service enterprise wide that applies rigorous, lawful and professional practices and principles. Primary responsibilities include * Provide independent, professional, and objective investigative services to business stakeholders. * Delivering reliable, high-quality, fact-finding investigation reports that identify the relevant key issues and objective conclusions. * Identify key control issues by the gathering, analysis and objective interpretation of relevant complex evidence and by conducting formal and informational interviews with relevant employees. * Independent contact and engagement with suspects, victims and witnesses related to potential frauds/crimes. * Make determination on when to involve legal, human resources/employee relations, and senior management on sensitive incidents. * Ensure the delivery of work undertaken is consistent with and targeted to the issues subject to investigation and resolution * Provide court testimony as appropriate. * Makes determination if evidence is sufficient for criminal complaints. * Work independently on investigative actions while collaborating with local, state and federal law enforcement agencies on prosecution efforts. * Comply with all local, state and federal laws. * Ensure clear knowledge and understanding of SAR Program compliance. Qualifications, Education, Certifications and/or Other Professional Credentials * Five (3) years of relevant experience in similar investigations capacity. * Five (3) years of broker-dealer, compliance, financial or operational audits/investigations or related experience. * Knowledge of rules, regulations, and guidelines governing the securities industry. * Experience with social media, OSINT, payments, investments research * Knowledge of FINRA/SEC investigative best practices * Competence using a desktop computer with the full suite of office software applications. * Bachelor's degree in finance or related field * Certified Fraud Examiner certification preferred. Hours & Work Schedule Hours per Week: 40 Work Schedule: Monday - Friday. Work outside of normal business hours and overnight travel may be required. Pay Transparency The salary range for this position is $60,234 - $90,351 per year, plus an opportunity to earn an annual discretionary bonus. Actual pay is based on various factors including but not limited to the work location, and relevant skills and experience. We offer competitive pay, comprehensive medical, dental and vision coverage, retirement benefits, maternity/paternity leave, flexible work arrangements, education reimbursement, wellness programs and more. Note, Citizens' paid time off policy exceeds the mandatory, paid sick or paid time-away policy of very local and state jurisdiction in the United States. For an overview of our benefits, visit *************************************** Some job boards have started using jobseeker-reported data to estimate salary ranges for roles. If you apply and qualify for this role, a recruiter will discuss accurate pay guidance. Equal Employment Opportunity Citizens, its parent, subsidiaries, and related companies (Citizens) provide equal employment and advancement opportunities to all colleagues and applicants for employment without regard to age, ancestry, color, citizenship, physical or mental disability, perceived disability or history or record of a disability, ethnicity, gender, gender identity or expression, genetic information, genetic characteristic, marital or domestic partner status, victim of domestic violence, family status/parenthood, medical condition, military or veteran status, national origin, pregnancy/childbirth/lactation, colleague's or a dependent's reproductive health decision making, race, religion, sex, sexual orientation, or any other category protected by federal, state and/or local laws. At Citizens, we are committed to fostering an inclusive culture that enables all colleagues to bring their best selves to work every day and everyone is expected to be treated with respect and professionalism. Employment decisions are based solely on merit, qualifications, performance and capability. Background Check Any offer of employment is conditioned upon the candidate successfully passing a background check, which may include initial credit, motor vehicle record, public record, prior employment verification, and criminal background checks. Results of the background check are individually reviewed based upon legal requirements imposed by our regulators and with consideration of the nature and gravity of the background history and the job offered. Any offer of employment will include further information. Benefits We offer competitive pay, comprehensive medical, dental and vision coverage, retirement benefits, maternity/paternity leave, flexible work arrangements, education reimbursement, wellness programs and more. View Benefits Awards We've Received Age-Friendly Institute's Certified Age-Friendly Employer The Banker's US Bank of the Year Dave Thomas Foundation's Best Adoption-Friendly Workplace Disability:IN Best Places to Work for Disability Inclusion Human Rights Campaign Corporate Equality Index 100 Award

Come to work with us at Community Health Services! We offer full-time benefits, 10 paid holidays, no weekend hours and so much more! We are looking for a full-time Claims Specialist to work in our Fremont office. CHS employs those who are eager to grow professionally, gain great experience, and work with a terrific team. The Claims Specialist will be responsible for performing general finance functions, entering encounters, processing and recording claims and all other duties as assigned. Hours for this position are: Mondays 7am-7pm, Tuesdays through Thursdays 8am-5pm, Fridays 8am-1pm Qualified candidates must have the following to be considered for employment: Associate's degree from an accredited college or university Experience in accounting/bookkeeping Demonstrates ability to organize and implement general accounting and bookkeeping procedures for a healthcare organization Ability to work with clinic personnel and patients in a courteous, cooperative manner Ability to function as part of a team Must have excellent customer service skills Must have excellent multi-tasking, problem solving, and decision-making skills Ability to follow instructions with attention to detail Demonstrates professional relationship skills, and a strong work ethic Prioritizes responsibilities, takes initiative, and possesses excellent organizational skills Demonstrates effective communication skills Ability to work with a culturally diverse group of people At CHS, we value our team and the critical role they play in patient care. If you're dependable, detail-oriented, and passionate about making a difference in your community, we'd love to hear from you. CHS is a drug-free/nicotine free organization. Candidates must pass a drug and nicotine screening upon employment offer.

Come to work with us at Community Health Services! We offer full-time benefits, 10 paid holidays, no weekend hours and so much more! We are looking for a full-time Claims Specialist to work in our Fremont office. CHS employs those who are eager to grow professionally, gain great experience, and work with a terrific team. The Claims Specialist will be responsible for performing general finance functions, entering encounters, processing and recording claims and all other duties as assigned. Hours for this position are: Mondays 7am-7pm, Tuesdays through Thursdays 8am-5pm, Fridays 8am-1pm Qualified candidates must have the following to be considered for employment: * Associate's degree from an accredited college or university * Experience in accounting/bookkeeping * Demonstrates ability to organize and implement general accounting and bookkeeping procedures for a healthcare organization * Ability to work with clinic personnel and patients in a courteous, cooperative manner * Ability to function as part of a team * Must have excellent customer service skills * Must have excellent multi-tasking, problem solving, and decision-making skills * Ability to follow instructions with attention to detail * Demonstrates professional relationship skills, and a strong work ethic * Prioritizes responsibilities, takes initiative, and possesses excellent organizational skills * Demonstrates effective communication skills * Ability to work with a culturally diverse group of people At CHS, we value our team and the critical role they play in patient care. If you're dependable, detail-oriented, and passionate about making a difference in your community, we'd love to hear from you. CHS is a drug-free/nicotine free organization. Candidates must pass a drug and nicotine screening upon employment offer.

**Finding a job that fits your lifestyle isn't always easy. That's where Kelly comes in.** We're seeking a **Claims Processor** to work with one of the nation's fastest-growing vision care companies in **Mason, OH (45040)** . Sound good? Take a closer look below. We're here to help you find something great that works for you-so you won't miss a moment of what really matters in your life. **Why you should apply to be a Claims Processor:** + Immediate start-short-term **1-month contract with possible extension** + **Competitive pay at $18.40/hr** + Stable schedule: **Monday-Friday, 8:00 AM-4:30 PM (40 hrs/week)** + Onsite role with a collaborative team environment + Work within a department that has achieved **12 consecutive years of 100% client satisfaction** + Gain experience supporting new client implementations in a high-volume, fast-paced corporate environment **What's a typical day as a Claims Processor? You'll be:** + Performing accurate and timely tasks supporting new client implementations + Building new client structures in Salesforce using standard setup guidelines + Tracking tasks using the Salesforce Implementation Tracker + Validating benefit setup in the Facets system and reporting any discrepancies + Setting up new client portal access and sending communication emails + Monitoring a shared Outlook mailbox for incoming membership documents + Reviewing Excel/Word membership files for accuracy, formatting, and data quality + Communicating required corrections to ensure successful enrollment or processing + Supporting implementation specialists with administrative and data-related tasks **This job might be an outstanding fit if you have:** + Strong attention to detail and the ability to work autonomously + Comfortable handling **high-volume workloads** + Ability to learn new processes quickly + Medium-advanced Microsoft Excel skills + Proficiency in Outlook and cloud tools like OneDrive + Ability to multitask and work across multiple systems + Strong data-entry skills ( **9,000+ KSPH required** ) + Clear communication skills for articulating findings or issues **Preferred:** + Medicare/Medicaid knowledge **Additional Details:** + **Full onsite role** (in office 5 days a week) + Must pass standard prescreen requirements + Prescreen questions are required during submission **What happens next?** Once you apply, you'll move forward to the next steps if your skills and experience match what we're looking for. But don't worry-even if this position isn't the right fit, you'll stay in our network. That means all Kelly recruiters can access your profile and help open more doors for you. Helping you discover what's next in your career is what we're all about-so let's get to work. **Apply to be a Claims Processor with Kelly today!** **\#GRACE** As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here (********************************************************************* for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community. Get a complete career fit with Kelly . You're looking to keep your career moving onward and upward, and we're here to help you do just that. Our staffing experts connect you with top companies for opportunities where you can learn, grow, and thrive. Jobs that fit your skills and experience, and most importantly, fit right on your path of where you want to go in your career. About Kelly Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life-just ask the 300,000 people we employ each year. Kelly is committed to providing equal employment opportunities to all qualified employees and applicants regardless of race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or any other legally protected status, and we take affirmative action to recruit, employ, and advance qualified individuals with disabilities and protected veterans in the workforce. Requests for accommodation related to our application process can be directed to the Kelly Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment.

Be Here. Be Great. Working for a leader in the insurance industry means opportunity for you. Great American Insurance Group's member companies are subsidiaries of American Financial Group. We combine a "small company" culture where your ideas will be heard with "big company" expertise to help you succeed. With over 30 specialty and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value and recognize the benefits derived when people with different backgrounds and experiences work together to achieve business results. Our goal is to create a workplace where all employees feel included, empowered, and enabled to perform at their best. The Crop Division of Great American has been helping generations of farmers take control of their risks since 1915. The Division is also one of a select few private companies authorized by the United States Department of Agriculture Risk Management Agency (USDA RMA) to write MPCI policies. With six regional offices throughout the U.S., the teams provide tremendous expertise in the specific needs of farmers and crops. ********************************** Great American is currently seeking Seasonal Crop Adjusters. These positions are seasonal and may not be eligible for full-time or part-time benefits. Qualified candidates will cover territory in one of the following states: * Alabama * Arkansas * California * Colorado * Florida * Georgia * Idaho * Illinois * Indiana * Iowa * Kansas * Kentucky * Louisiana * Michigan * Minnesota * Mississippi * Missouri * Montana * Nebraska * New York * North Carolina * North Dakota * Ohio * Oklahoma * Oregon * Pennsylvania * South Carolina * South Dakota * Tennessee * Texas * Washington * Wisconsin * Wyoming Schedule: Seasonal part-time. Hours fluctuate based on seasonal needs. As a Crop Adjuster, you will: * Understand and can work claims for all major crops, policy/plan types, in all stages of growth. * Complete field inspections, reviews, and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company Crop insurance policies. * Review and evaluates coverage and/or liability. * Secure and analyze necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims. * Ensure compliant and cost effective application of Crop policies by leveraging knowledge of basic insurance statutes and regulations and complying with state and federal regulatory requirements. * Accurately document, process and transmit loss information to determine potential. * Works toward the resolution of claims files, and may attend arbitrations, mediations, depositions, or trials as necessary. * May affect settlements/reserves within prescribed limits and submit recommendations to supervisor on cases exceeding personal authority. * Conveys simple to moderately complex information (coverage, decision, outcomes, etc.) to all appropriate parties, maintaining a professional demeanor in all situations. * Ensures that claims handling is conducted in compliance with applicable statues, regulations, and other legal requirements, and that all applicable company procedures and policies are followed. * Follow regulatory and company rules, policies, and procedures. * Performs other duties as assigned. Physical Requirements for employees in the Crop Business Unit/Crop Claims General Adjuster * Requires continuous and prolonged walking and standing. * Requires frequent lifting, carrying, pushing and pulling of objects up to 50 lbs. * Requires frequent climbing grain bins, bending, twisting, stooping, kneeling and crawling. * Requires overhead reaching and grabbing. * Requires regular and predictable attendance. * Requires ability to conduct visual inspections. * Requires work outdoors, in inclement weather conditions. * Requires frequent travel. * May require ability to operate a motor vehicle. Business Unit: Crop Salary Range: $0.00 -$0.00 Benefits: Compensation varies by role, position level, and location. Individual pay is influenced by skills, education, training, certifications, experience, and the role's scope and complexity, along with business needs. We offer a competitive Total Rewards package, including medical, dental, and vision plans starting on day one, PTO, paid holidays, commuter benefits, an employee stock purchase plan, education reimbursement, paid parental leave/adoption assistance, and a 401(k) plan with company match. These benefits are available to eligible full-time and part-time employees. Your recruiter can provide more details about our total rewards and specific compensation ranges during the hiring process.

SummaCare - 1200 E Market St, Akron, OH Full-Time / 40 Hours / Days * Hybrid after training As a regional, provider-owned health plan, SummaCare values the relationship between the members and their doctors. SummaCare is a part of Summa Health, an integrated healthcare delivery system that includes Summa Health System hospitals, its community-based health centers, dedicated clinicians and SummaCare. Based in Akron, Ohio, SummaCare provides Medicare Advantage, individual and family and commercial insurance plans. SummaCare has one of the highest rated Medicare Advantage plans in the state of Ohio, with a 4.5 out of 5-Star rating for 2025 by the Centers for Medicare and Medicaid Services (CMS). Known for its excellent customer service and personalized attention to members, SummaCare is committed to building lasting relationships. Employees can expect competitive pay and benefits. Summary: Accurately and efficiently handles claims in accordance with regulatory and contractual guidelines. Reviews claims related to coordination of benefits, medical coding, and authorization allocation while ensuring compliance with established policies. Applies cost-containment strategies in collaboration with vendor partners to minimize claim expenses while adhering to plan-specific processing rules. are essential for success in this position. 1. Formal Education Required: a. High School Diploma or equivalent 2. Experience & Training Required: a. One (1) year experience to include any combination of the following: i. Health insurance claims processing ii. Health claims data entry including Document Management Services (DMS) iii. Customer service experience in a managed care environment iv. Physician or hospital billing v. Patient accounts Essential Functions: 1. Requires close attention to detail with independent judgment, decision making and problem solving skills necessary to complete the task being performed 2. Organizes reference materials for easy access; manages time to accurately complete tasks within time frames in a fast paced environment 3. Processes all types of claims, promptly and accurately, as assigned via the document management system, and ensures self-funded service standards, prompt pay standards, and regulatory requirements are met. 4. Maintains a working knowledge of the claims processing system, imaging system, key-stroke emulation system, code editing application, claims processing policies & procedures, and unique benefits/processing rules for self-funded, Medicare, MEWA, Marketplace and fully-insured plans. 5. Escalates questions or concerns to their mentor for evaluation and potential referral to the Claims Management staff for action plan and resolution 6. Meets or exceeds claims production and quality standards as established/communicated by Claims Management staff 7. Coordinates information and resolves service forms and other assignments promptly, in accordance with experience/capabilities. Handles special projects within timeframes established/assigned by supervisor 3. Other Skills, Competencies and Qualifications: a. Strong independent judgment and decision-making skills b. MS-windows based computer environment c. Medical terminology, CPT, HCPCs and ICD-10 knowledge d. Familiar with professional (CMS1500) and institutional (UB-04) claim types 4. Level of Physical Demands: a. Sit for prolonged periods of time b. Bend, stop and stretch c. Lift up to 20 pounds d. Manual dexterity to operate computer, phone and standard office machines Equal Opportunity Employer/Veterans/Disabled $19.23/hr - $23.08/hr The salary range on this job posting/advertising is base salary exclusive of any bonuses or differentials. Many factors, such as years of relevant experience and geographical location are considered when determining the starting rate of pay. We believe in the importance of pay equity and consider internal equity of our current team members when determining offers. Please keep in mind that the range that is listed is the full base salary range. Hiring at the maximum of the range would not be typical. Summa Health offers a competitive and comprehensive benefits program to include medical, dental, vision, life, paid time off as well as many other benefits. * Basic Life and Accidental Death & Dismemberment (AD&D) * Supplemental Life and AD&D * Dependent Life Insurance * Short-Term and Long-Term Disability * Accident Insurance, Hospital Indemnity, and Critical Illness * Retirement Savings Plan * Flexible Spending Accounts - Healthcare and Dependent Care * Employee Assistance Program (EAP) * Identity Theft Protection * Pet Insurance * Education Assistance * Daily Pay

Top 100 Agency for 2025 Best Agencies to Work for in 2024 by the Insurance Journal Big “I” Best Practices Agency in 2023 Annual bonus eligibility No weekends required - great work/life balance 3+ weeks of Paid Time Off 8 Paid Company Holidays We are looking for someone who will Manage the claims reporting process for agency clients. Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures. Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information. Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed. Prepare reports by collecting and summarizing information as requested by management. Why Join AAA Club Alliance and the Energy Insurance team? A base rate of $20.00 to $25.00/hour, depending on experience and geographic location. Annual bonus potential Do you have what it takes? Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc. Strong communication skills (both verbal and written) and attention to detail Strong time management skills Ability to obtain property and casualty license within 60 days of hire Full time Associates are offered a comprehensive benefits package that includes: Medical, Dental, and Vision plan options Up to 2 weeks Paid parental leave 401k plan with company match up to 7% 2+ weeks of PTO within your first year Paid company holidays Company provided volunteer opportunities + 1 volunteer day per year Free AAA Membership Continual learning reimbursement up to $5,250 per year And MORE! Check out our Benefits Page for more information ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance. Job Category: Insurance

* Top 100 Agency for 2025 * Best Agencies to Work for in 2024 by the Insurance Journal * Big "I" Best Practices Agency in 2023 * Annual bonus eligibility * No weekends required - great work/life balance * 3+ weeks of Paid Time Off * 8 Paid Company Holidays We are looking for someone who will * Manage the claims reporting process for agency clients. * Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures. * Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information. * Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed. * Prepare reports by collecting and summarizing information as requested by management. Why Join AAA Club Alliance and the Energy Insurance team? * A base rate of $20.00 to $25.00/hour, depending on experience and geographic location. * Annual bonus potential Do you have what it takes? * Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc. * Strong communication skills (both verbal and written) and attention to detail * Strong time management skills * Ability to obtain property and casualty license within 60 days of hire Full time Associates are offered a comprehensive benefits package that includes: * Medical, Dental, and Vision plan options * Up to 2 weeks Paid parental leave * 401k plan with company match up to 7% * 2+ weeks of PTO within your first year * Paid company holidays * Company provided volunteer opportunities + 1 volunteer day per year * Free AAA Membership * Continual learning reimbursement up to $5,250 per year * And MORE! Check out our Benefits Page for more information ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance. Job Category: Insurance

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Claims Management Shift/schedule: Full Time (40 hrs/wk) Works under the supervision of the Assistant Manager of Claims Management and Lead Insurance Claim Specialists. The Insurance Claim Specialist's primary job functions is to analyze, process, submit, and follow up on inpatient and outpatient medical claims. Is responsible for safeguarding the public relations and confidentiality of the organization and its records by consistent professional conduct. QUALIFICATIONS Education: * High School Diploma or successful completion of an equivalent High School Exam Required Licensure: * None Experience: * Three to six months of related work experience in medical billing preferred JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. * Reviews all claims for complete and accurate information. * Contacts other SOMC departments, physician offices, and insurance companies to obtain necessary information to file complete, accurate, and timely claims. * Processes, edits, and submits all claims for the organization. * Follows up on Commercial, Worker's Comp, VA, and Governmental claims by phone calls to the insurance companies, websites, or any online resources available. * Works with the patient/guarantor by phone to assist with any questions regarding unpaid claims. Obtains information from the patient/guarantor with which to submit the claim for payment (i.e., claim forms, Medicare Secondary Payer (MSP) Questionnaire, etc.) * Processes administrative appeals, reinstatements, and rejections of insurance claims. * Completes account follow up daily, maintaining established goals, and notifies the Lead Specialist, when necessary, of issues preventing achievement of such goals. * Analyzes daily correspondence (denials, underpayments) to appropriately resolve issues. * Adheres to HIPPA regulations by verifying pertinent information to determine caller authorization level receiving information on account. * Identifies billing and coding issues with individual claims, notifying medical billers for correction. * Makes determinations through on-line systems of patient eligibility, coverage, and reviews status of claims. * Performs other duties as assigned. Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.

Field Investigator / Camera Car Driver / Spotter Euclide OH Schedule: Monday - Friday / 4a.m-12p.m Sunday - Thursday / 7p.m - 3a.m InterLink is seeking a dependable and motivated Camera Car Driver/Repossession Field Investigator to join our team! This role is responsible for identifying and locating vehicles that are out for repossession. This position is crucial to our company and we are looking for the best in the industry! Vehicle equipped with an iPad and license plate recognition system provided. We offer a full benefits package to full-time employees and a competitive base wage plus commission! Room for growth!!! $15/hr + commission for each vehicle that is spotted and secured. Camera Car Driver - Spotter/Repossession Field Investigator Responsibilities: Drive for 8 hours/shift in designated zone to attempt to locate vehicles at specific addresses Identify and take photos of vehicles Collect license plate data and verify vehicle identification numbers (VIN) Report vehicle location and data to InterLink team Pick-up and drop off company vehicle before and after shift Assisting agents with acceptance of assignments during non-office hours Camera Car Driver/Spotter - Repossession Field Investigator Requirements: Valid driver's license with clean driving record Be able to pass a criminal background check/no felonies Be able to pass a drug screen Basic computer skills Attention to detail Sense of urgency and self motivated/able to work on your own Ability to pass a required certification course Prior experience in a driving profession desired: cab driver, delivery drivers of any kind Benefits for full-time employees: Competitive compensation Health insurance Paid time off Paid training Opportunities for career growth and development

Job DescriptionField Investigator / Camera Car Driver / Spotter Euclide OH Schedule: Monday - Friday / 4a.m-12p.m Sunday - Thursday / 7p.m - 3a.m InterLink is seeking a dependable and motivated Camera Car Driver/Repossession Field Investigator to join our team! This role is responsible for identifying and locating vehicles that are out for repossession. This position is crucial to our company and we are looking for the best in the industry! Vehicle equipped with an iPad and license plate recognition system provided. We offer a full benefits package to full-time employees and a competitive base wage plus commission! Room for growth!!! $15/hr + commission for each vehicle that is spotted and secured. Camera Car Driver - Spotter/Repossession Field Investigator Responsibilities: Drive for 8 hours/shift in designated zone to attempt to locate vehicles at specific addresses Identify and take photos of vehicles Collect license plate data and verify vehicle identification numbers (VIN) Report vehicle location and data to InterLink team Pick-up and drop off company vehicle before and after shift Assisting agents with acceptance of assignments during non-office hours Camera Car Driver/Spotter - Repossession Field Investigator Requirements: Valid driver's license with clean driving record Be able to pass a criminal background check/no felonies Be able to pass a drug screen Basic computer skills Attention to detail Sense of urgency and self motivated/able to work on your own Ability to pass a required certification course Prior experience in a driving profession desired: cab driver, delivery drivers of any kind Benefits for full-time employees: Competitive compensation Health insurance Paid time off Paid training Opportunities for career growth and development Powered by JazzHR EOJShP4PlL