Top 23 Claims investigator Jobs in Louisiana

Senior Investigator
UnitedHealthcare —New Orleans, LA
- $60,200 - $107,400 a year
- Full-time
- Remote
- Microsoft Word
- Pass drug screening
- Travel
- AD&D insurance
- Employee stock purchase plan
4d
SIU Field Investigator
National General —Shreveport, LA
- Online Application
- Analysis skills
- US work authorization
- Fair chance
4d
Large Loss Contents Property Adjuster - Louisiana
Allstate —New Orleans, LA
- $68,000 - $117,700 a year
- Remote
- Background check
- Writing skills
- Mid-level
- Tuition reimbursement
- Benefits from day one
Special Investigator
BlueCross BlueShield of Louisiana —Baton Rouge, LA
- Full-time
- Nursing
- Clean driving record
- Pass drug screening
4d
Field Investigator
Frasco Inc —New Orleans, LA
- $22 - $28 an hour
- Part-time
- Customer service
- Driver's License
- Associate's degree
- Paid training
- Mileage reimbursement
Claims Investigator - Part Time
Command Investigations, LLC —Shreveport, LA
- $23 - $30 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
Field Investigator (Full-Time & Part-Time) – New Orleans, LA
Origin Investigations Inc —New Orleans, LA
- $20 - $30 an hour
- Part-time
- Background check
- Military
- Computer literacy
Quick Apply
9d
Certified Professional Coder, Special Investigations Unit (Aetna SIU)
CVS Health —Louisiana
- $43,888 - $93,574 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- Mid-level
- Health insurance
- Dental insurance
SIU Field Investigator - National General
National General —Shreveport, LA
- Online Application
- Analysis skills
- US work authorization
- Fair chance
4d
Surveillance Investigator
Allied Universal® Compliance and Investigations —Lafayette, LA
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- AD&D insurance
- Paid holidays
Quick Apply
4d
Incident Investigation Analyst
Sky Zone —Louisiana
- $75,000 - $85,000 a year
- Full-time
- 3 years
- Travel
- Business Administration
- Health insurance
- Dental insurance
Quick Apply
5d
Affirmative Civil Enforcement Investigator
SGI Global, LLC —Baton Rouge, LA
- $70,000 - $75,000 a year
- Full-time
- CPA
- Up to 50% travel
- 3 years
Quick Apply
As Needed Field Investigator- Shreveport, LA
J T Becker & Co Inc —Shreveport, LA
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Monroe, LA
J T Becker & Co Inc —Monroe, LA
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Baton Rouge, LA
J T Becker & Co Inc —Baton Rouge, LA
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- New Orleans, LA
J T Becker & Co Inc —New Orleans, LA
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
SIU - Experienced Field Investigator - Part-Time
Command Investigations, LLC —Baton Rouge, LA
- $28 - $32 an hour
- Overtime
- Bilingual
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
As Needed Field Investigator- Alexandria, LA
J T Becker & Co Inc —Louisiana
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
SIU Commercial Lines Specialist - Full Time/Remote
Command Investigations, LLC —United States
- $38 - $44 an hour
- Full-time
- Remote
- 5 years
- Bachelor of Science
- Senior level
- Paid holidays
- Disability insurance
Quick Apply
10d

Discover related jobs

Based on your search for claims investigator jobs.

Senior Compliance Investigator
Centene —Louisiana
Leads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations,…
$70,100 - $126,200 a year
6d
Senior Investigator
UnitedHealthcare —New Orleans, LA
Ensure compliance of applicable federal/state regulations or contractual obligations. Report suspected fraud, waste, and abuse to appropriate federal or state…
$60,200 - $107,400 a year
4d

Show more related jobs

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Financial Operations Analyst - Clinical Research
The Ohio State University Wexner Medical Center —Columbus, OH
This position is committed to developing comprehensive budgets and financial analysis of clinical trial projects, which incorporate knowledge and understanding…
Surveillance Investigator
Allied Universal® Compliance and Investigations —Columbus, OH
Must possess a valid driver's license with at least one year of driving experience. Private Investigator’s license required prior to applying.
$20 - $22 an hour
Quick Apply
7d

Show more jobs in cities nearby

I want to receive the latest job alert for claims investigator in louisiana

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

claims investigator jobs near louisiana

Senior Investigator

UnitedHealthcare -
New Orleans, LA

Apply Now

Job Details

Full-time
$60,200 - $107,400 a year
4 days ago

Benefits

AD&D insurance
Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
Employee discount
Referral program
Pet insurance

Qualifications

Microsoft Word
Healthcare financial misconduct investigations
Investigations regulatory compliance
Medical law
Spreadsheets
State healthcare regulations
Investigative data analysis
Associate's degree

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.

The Senior Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste, and abuse. The Senior Investigator will utilize claims data, applicable guidelines, and other sources of information to identify aberrant billing practices and patterns. The Senior Investigator is responsible for conducting investigations which may include fieldwork to perform interviews and obtain records and/or other relevant documentation.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Preference for those residing in Texas or Louisiana.

Primary Responsibilities:

Assess complaints of alleged misconduct received within the Company
Investigate medium to high complex cases of fraud, waste, and abuse
Detect fraudulent activity by members, providers, employees, and other parties against the Company
Develop and deploy the most effective and efficient investigative strategy for each investigation
Maintain accurate, current, and thorough case information in the Special Investigations Unit's (SIU's) case tracking system
Collect and secure documentation or evidence and prepare summaries of the findings
Participate in settlement negotiations and/or produce investigative materials in support of the latter
Collect, collate, analyze, and interpret data relating to fraud, waste, and abuse referrals
Ensure compliance of applicable federal/state regulations or contractual obligations
Report suspected fraud, waste, and abuse to appropriate federal or state government regulators
Comply with goals, policies, procedures, and strategic plans as delegated by SIU leadership
Collaborate with state/federal partners, at the discretion of SIU leadership, to include attendance at workgroups or regulatory meetings
Communicate effectively, including written and verbal forms of communication
Develop goals and objectives, track progress and adapt to changing priorities
Must participate in legal proceedings, arbitration, and depositions at the direction of management

What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
Medical Plan options along with participation in a Health Spending Account or a Health Saving account
Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
401(k) Savings Plan, Employee Stock Purchase Plan
Education Reimbursement
Employee Discounts
Employee Assistance Program
Employee Referral Bonus Program
Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Associate's degree
Minimum 2 years of experience in fraud, waste and abuse (FWA) investigations/audit
Minimum 2 years of experience with state/federal laws and regulations pertaining to healthcare FWA
Minimum 2 years of experience in analyzing data to identify fraud, waste and abuse trends
Ability to travel up to 25%
Demonstrate intermediate level of proficiency in Microsoft Excel and Word
Access to reliable transportation

Preferred Qualifications:

Specialized knowledge/training in healthcare FWA investigations
Active affiliations with the National Health Care Anti-Fraud Association (NHCAA)
Accredited Health Care Fraud Investigator (AHFI)
Certified Fraud Examiner (CFE)
Certified Professional Coder (CPC)
Medical Laboratory Technician (MLT)
- Statistical Analysis
All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

#RPO #GREEN

Apply Now

Refine Your Search

claims investigator jobs in louisiana

Senior Investigator

SIU Field Investigator

Large Loss Contents Property Adjuster - Louisiana

Special Investigator

Field Investigator

Claims Investigator - Part Time

Field Investigator (Full-Time & Part-Time) – New Orleans, LA

Certified Professional Coder, Special Investigations Unit (Aetna SIU)

SIU Field Investigator - National General

Surveillance Investigator

Incident Investigation Analyst

Affirmative Civil Enforcement Investigator

As Needed Field Investigator- Shreveport, LA

As Needed Field Investigator- Monroe, LA

As Needed Field Investigator- Baton Rouge, LA

As Needed Field Investigator- New Orleans, LA

SIU - Experienced Field Investigator - Part-Time

As Needed Field Investigator- Alexandria, LA

SIU Commercial Lines Specialist - Full Time/Remote

Discover related jobs

Explore jobs in cities nearby

I want to receive the latest job alert for claims investigator in louisiana

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected