Top 90 Investigator Jobs in New Hampshire

Auditor/Investigator II
Qlarant —New Hampshire
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Police Officer
City of Somersworth —Somersworth, NH
- $28.52 - $39.02 an hour
- Full-time
- High school diploma or GED
- Driver's License
- 21 years or older
- Paid training
- AD&D insurance
Quick Apply
Medical Science Liaison, Hematology - Northeast
Jazz Pharmaceuticals —Concord, NH
- $160,000 - $240,000 a year
- Medicine
- RN License
- English
- Health insurance
- Dental insurance
11d
Inside Parts Sales & Customer Service Representative – $65k+ Potential
Advantage Truck Group, Lebanon —Lebanon, NH
- $21 - $36 an hour
- Full-time
- Dealership
- Ability to walk for extended periods
- High school diploma or GED
- Paid training
Quick Apply
Inside Parts Sales & Customer Service Representative – $65k+ Potential
Advantage Truck Group, Seabrook —Seabrook, NH
- $20 - $30 an hour
- Full-time
- Dealership
- Ability to walk for extended periods
- High school diploma or GED
- Paid training
Quick Apply
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —New Hampshire
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
10d
Desktop Investigator/Research Specialist
Unity Surveillance & Investigations, LLC —Londonderry, NH
- $18 - $30 an hour
- Part-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Military
Quick Apply
Cybersecurity Threat Investigator
BAE Systems Inc. —Merrimack, NH
- $132,962 - $226,035 a year
- Full-time
- High school diploma or GED
- Bachelor's degree
- Organizational skills
- Health savings account
- Paid holidays
Contract Background Investigator - New Hampshire - Portsmouth
ADC LTD NM —New Hampshire
- Contract
- Mid-level
Quick Apply
3d
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Concord, NH
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
1d
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Concord, NH
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
2d
Private Investigator
Advantage Surveillance LLC —Manchester, NH
- $20 - $25 an hour
- Weekends as needed
- Remote
- Pass drug screening
- Mid-level
- Driver's License
- Fuel card
- Disability insurance
Quick Apply
Fraud, Waste and Abuse Investigation, Senior Analyst
CVS Health —New Hampshire
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
GMP Investigator
Katalyst Healthcares & Life Sciences —Portsmouth, NH
- Contract
- Hybrid work
- 5 years
- Bachelor of Science
- Bachelor's degree
Quick Apply
9d
Contract Investigative Technician
ADC LTD NM —New Hampshire
- Contract
- Mid-level
Quick Apply
QC Investigator III
Katalyst Healthcares & Life Sciences —Portsmouth, NH
- Contract
- Hybrid work
- 5 years
- Bachelor of Science
- Bachelor's degree
Quick Apply
Deviation Investigator I
Lonza —Portsmouth, NH
- Full-time
- Office
- Bachelor's degree
- Continuous improvement
- Disability insurance
- Health insurance
11d
Special Investigation Unit (SIU) Manager
CVS Health —New Hampshire
- $54,300 - $159,120 a year
- Full-time
- Remote
- Microsoft Excel
- Research
- 3 years
- Health insurance
- Dental insurance
4d
Medical Science Liaison-Northeast
Oruka Therapeutics —Manchester, NH
- $182,000 - $240,000 a year
- Remote
- Mid-level
- Doctor of Philosophy
- Travel
Clinical Research Coordinator I
Ora —Manchester, NH
- Weekends as needed
- Vital signs
- Clinic experience
- Clinic
- Dental insurance
Quick Apply

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investigator jobs near new hampshire

Auditor/Investigator II

Qlarant -
New Hampshire

Quick Apply

Job Details

Full-time
$57,512 - $85,839 a year

Qualifications

Stakeholder management

Full Job Description

Job Summary:

Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes.

Essential Functions:

Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed.
Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements.
Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process.
Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims.
Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards.
Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates.
Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative processes.

Level of Supervision Received:
Plans and arranges own work; works with manager to prioritize projects.

Education (can be substituted for experience):
Minimum Bachelor's Degree required

Work Experience (can be substituted for education):
2 - 4 years of experience required; 5 - 7 years preferred

Certification(s):
Certified Fraud Examiner preferred

Quick Apply

Refine Your Search

investigator jobs in new hampshire

Auditor/Investigator II

Police Officer

Medical Science Liaison, Hematology - Northeast

Inside Parts Sales & Customer Service Representative – $65k+ Potential

Inside Parts Sales & Customer Service Representative – $65k+ Potential

Senior Investigator, Special Investigations Unit (Aetna SIU)

Desktop Investigator/Research Specialist

Cybersecurity Threat Investigator

Contract Background Investigator - New Hampshire - Portsmouth

Investigator, Special Investigations Unit (Meritain Health)

Investigator, Special Investigations Unit (Aetna SIU)

Private Investigator

Fraud, Waste and Abuse Investigation, Senior Analyst

GMP Investigator

Contract Investigative Technician

QC Investigator III

Deviation Investigator I

Special Investigation Unit (SIU) Manager

Medical Science Liaison-Northeast

Clinical Research Coordinator I

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