Insurance Fraud Investigations Jobs

The Premier Client Banker role within PNC Wealth Management is based in Pittsburgh, PA, and focuses on driving acquisition and retention for mass affluent clients. Key responsibilities include developing proactive sales strategies to deepen client relationships, managing risk and profitability across a portfolio, and collaborating with financial advisors to deliver tailored wealth solutions. The position requires maintaining detailed client records and acting as a central coordinator for ecosystem partners to ensure an exceptional customer experience. This opportunity appeals to professionals seeking a supportive, in-office environment that fosters work-life balance and professional growth. The role offers a collaborative culture where employees are valued for their contributions to the company's success and are encouraged to build long-term client advocacy through advanced relationship building.

The Senior Premier Banker role in North Albuquerque focuses on managing relationships with affluent customers and those with complex financial needs within Wells Fargo's branch network. Key responsibilities include acquiring new clients, deepening existing relationships through strategic discovery, and delivering integrated financial strategies across deposits, investments, and lending. The position requires collaboration with internal wealth and business banking teams to provide comprehensive solutions while championing digital adoption and maintaining strict risk compliance standards. This opportunity appeals to growth-oriented professionals seeking a supportive environment with robust training, coaching, and clear career advancement pathways. The role is based on-site at the North Albuquerque branch and requires specific FINRA and state insurance licensing.

This full-time Financial Analyst role within the College of Humanities at the University of Utah supports a shared service cluster for academic departments. The position focuses on budgeting, forecasting, and financial oversight to ensure the strategic financial health of the units. Key responsibilities include developing and reconciling departmental budgets, conducting variance reporting, managing financial transactions and compliance, and providing research funding support. The role offers a collaborative environment with opportunities for professional growth and independent problem-solving. The work arrangement is primarily office-based, and the position is part of a comprehensive benefits package that includes health coverage, retirement contributions, and tuition reduction.

The Financial Advisor Team Leader role at Rosecrance supports a behavioral health organization dedicated to helping individuals overcome substance use and mental health challenges. This position manages client financial accounts, verifies insurance benefits, and ensures accurate funding documentation throughout the treatment process. Key responsibilities include supervising and training team members, coordinating with insurance providers for Medicaid and commercial plans, and resolving billing discrepancies. The role is appealing for its opportunity to lead a team within a mission-driven culture focused on hope and recovery. The position is based on-site at the Sioux City, Iowa facility with standard weekday hours.

The Senior Premier Banker role at the Thruway Branch focuses on managing relationships with affluent customers and those with complex financial needs within Wells Fargo's national network. Key responsibilities include acquiring new clients, deepening existing relationships through strategic outreach, and delivering tailored financial strategies across deposits, investments, and lending. The position requires serving as a primary financial partner, collaborating with internal teams to provide integrated solutions, and championing digital adoption to enhance customer efficiency. This opportunity appeals to growth-oriented professionals seeking a supportive environment with robust training, coaching, and a clear path for career advancement. The role is based on-site at the branch and involves a schedule that includes Saturdays, offering a chance to work for a top-ranked employer committed to community impact and employee well-being.

The Reimbursement Supervisor role leads daily billing and revenue cycle operations within Bristol Hospice, partnering with clinical and operations teams to ensure accuracy and compliance. Key responsibilities include auditing admission and discharge documentation, verifying patient eligibility and payer coverage, managing authorization requests, and training staff on revenue cycle procedures. This position appeals to candidates seeking a leadership opportunity within a compassionate, family-centered organization that values integrity and excellence. The role offers a supportive culture with access to advanced training programs, comprehensive benefits including tuition reimbursement, and the chance to contribute to a mission dedicated to high-quality hospice care.

The Relationship Banker role in the Kansas City area serves as a primary point of contact within a collaborative branch environment, helping customers manage everyday banking needs and achieve financial goals. Key responsibilities include proactively growing a portfolio of consumer and business relationships, leading discovery conversations to deliver tailored deposit, credit, and investment strategies, and partnering with specialists across Wealth and Home Lending to provide integrated solutions. The position also involves educating clients on digital banking tools and resolving service inquiries while maintaining strict compliance standards. This opportunity appeals to professionals seeking a long-term career in financial services with access to robust coaching, a recognized brand, and a culture that emphasizes work-life balance and community impact. The role is based on-site at various branch locations and requires obtaining specific FINRA and state insurance licenses to fully execute the position.

The LPN Intake Specialist role at Peoples Health Services supports the Florida Panhandle's family-owned hospice and home health team by managing patient admissions and insurance coordination. Key responsibilities include verifying insurance benefits, calculating co-pays, entering referral data into clinical systems, and prioritizing urgent calls to facilitate timely care authorization. The position appeals to candidates seeking a supportive, locally governed environment that values work-life balance and community care. While primarily based in an office setting, the role requires a valid Florida LPN license and offers the opportunity to contribute to a mission-driven organization dedicated to both patient and staff well-being.

The Dental Treatment Coordinator role at Twenty First Century Dental involves serving as a primary champion for patient experience within a modern, dentist-led organization. Key responsibilities include greeting patients with concierge care, managing health records and insurance details, presenting financial breakdowns of treatment plans, and collaborating with the Office Manager to ensure smooth daily operations. The position offers an appealing environment that prioritizes health over sales, fostering a supportive culture without production quotas. Employees benefit from a flexible schedule, access to cutting-edge technology, and opportunities for career growth within a diverse and inclusive team. The role is based on-site in Tinton Falls, New Jersey.

The Teaming Platform Consultant role supports financial advisors within MassMutual's Wealth Management Practice Management team by guiding them through the company's team-based business platform. Key responsibilities include providing advanced consultation on compensation structures and contract requirements, managing an upcoming platform transformation, and analyzing usage data to drive process improvements and training initiatives. The position appeals to candidates seeking a dynamic environment where they can leverage their financial services expertise to directly impact advisor growth and retention. The role offers a collaborative culture with clear ownership, opportunities for continuous professional development, and the chance to contribute to a purpose-driven organization with a long-standing legacy.

The Patient Financial Services Representative role at MedHQ supports outpatient healthcare facilities by managing revenue cycle operations and delivering compassionate customer service. Key responsibilities include handling inbound patient calls regarding medical bills, processing payments, setting up payment plans, and interpreting Explanation of Benefits statements. The position requires fluency in both English and Spanish to effectively communicate with a diverse patient population while researching and resolving billing disputes. This remote opportunity appeals to candidates seeking a supportive environment recognized as a top workplace, offering a clear path for career advancement, comprehensive benefits, and the chance to make a meaningful impact on patients' financial healthcare journeys.

The Title I Career Planner role is a full-time position within the Iowa Workforce Development agency at the Fort Dodge Iowa*WORKS* office. The role involves providing comprehensive career coaching to job seekers, including resume development, interview preparation, and labor market guidance. Key responsibilities also include engaging with employers to facilitate recruitment, managing unemployment insurance claims, and collaborating with team members to deliver effective employment services. The position offers a hybrid work arrangement with telework options available after six months. It is appealing for its mission-driven focus on connecting individuals with employment opportunities, the supportive state agency culture, and a robust benefits package that includes health insurance, retirement plans, and generous paid time off.

This role involves providing licensed mental health therapy to children and adults within a growing outpatient behavioral health practice. The position offers schedule autonomy with a hybrid arrangement that includes telehealth from a home office and in-person clinic visits across multiple locations. Key responsibilities include delivering evidence-based treatment, participating in weekly case consultations, and utilizing a dedicated support team to manage administrative tasks like credentialing and insurance authorizations. The opportunity is appealing due to the company's inclusive culture, provision of free continuing education credits, and 100% employer-paid malpractice coverage, allowing clinicians to focus entirely on patient care.

The Clinical Specialist or Optometric Assistant role supports optometrists and patients within a retail healthcare environment, serving as a vital liaison during both onsite and remote eye examinations. Key responsibilities include conducting pre-exam diagnostic tests, managing patient registration and medical history in the EMR, facilitating remote video conferencing, and educating patients on contact lens care and insurance benefits. The position appeals to those seeking a patient-focused career that combines clinical support with strong customer service in a collaborative team setting. The role requires flexibility to work changing schedules and travel between locations, offering opportunities for specialized training and professional growth in a dynamic healthcare atmosphere.

The Patient Service Representative role supports front desk operations within a rapidly expanding network of vein care clinics. Key responsibilities include greeting patients, managing scheduling and insurance verification, collecting payments, and maintaining accurate electronic medical records. This position is ideal for candidates who thrive in a fast-paced medical environment and possess strong multitasking abilities. The role offers the appeal of working for a high-performing organization with a patient-first mission and a collaborative culture that values professional growth. Full-time team members benefit from comprehensive health coverage, retirement matching, and paid time off. The position is based on-site at one of the company's outpatient clinics.

This 1099 field adjuster role is based in the Des Moines, Iowa area, focusing on residential and commercial property claims for CCMS & Associates. The position requires at least one year of first-party adjusting experience and involves conducting on-site property inspections, investigating claims through interviews and official reports, and preparing detailed loss statements and reserve recommendations using estimating software like Xactimate. The role appeals to professionals seeking flexible independent work arrangements within an innovative team that handles complex property and casualty cases. Success in this position relies on strong time management, communication skills, and a valid driver's license to travel to various claim sites.

This full-time Senior Claims Examiner role within the Property & Casualty department focuses on managing complex commercial auto and trucking claims. The position involves investigating severe liability cases, determining settlement values, managing litigation processes, and establishing appropriate financial reserves. Key responsibilities include mentoring junior staff, communicating with brokers and attorneys, and ensuring compliance with insurance regulations across multiple jurisdictions. The role offers a hybrid work arrangement requiring weekly office attendance in select locations, with the remainder of the week available for remote work. Candidates are drawn to the company's inclusive culture, reputation as a Best Place to Work, and opportunities for professional growth within a family-owned organization.

This full-time Registered Nurse Case Manager role at St. David's Medical Center supports patients and families throughout their care journey within a Magnet-designated hospital. Key responsibilities include developing individualized treatment plans, coordinating discharge planning and resource connections, and collaborating with interdisciplinary teams to ensure safe transitions. The position appeals to nurses seeking professional growth through mentorship, educational assistance, and a nationwide transfer policy. The role is based on-site in Central Austin with no travel required, offering a supportive culture that values compassion and excellence.

The Patient Navigator role at Spire Orthopedic Partners functions as a hybrid between a Medical Assistant and an administrator within the Ortho Rhode Island team. This position supports physicians by managing both clinical tasks, such as rooming patients and obtaining vital signs, and administrative duties, including scheduling, insurance verification, and care coordination. The role requires strong organizational skills and proficiency with EMR systems to ensure seamless patient experiences across multiple clinic locations. The position offers the appeal of working in a dynamic, patient-centered environment with opportunities for professional growth, access to a diverse network of practitioners, and a comprehensive benefits package.

This full-time pharmacist role at Walgreens focuses on delivering expert medication counseling and clinical healthcare services to patients within a retail setting. Key responsibilities include verifying prescriptions, managing medication therapy, administering immunizations, and ensuring regulatory compliance while mentoring pharmacy team members. The position appeals to professionals seeking a collaborative environment with strong work-life balance, offering flexible scheduling and comprehensive growth opportunities through Walgreens University and leadership pathways. The role supports a mission-driven culture that invests in employee well-being and career advancement, typically requiring a pharmacy degree, active licensure, and prior retail pharmacy experience.

This part-time Pharmacy Technician role supports Westminster Communities of Florida's Orlando location, focusing on resident medication management within a long-term care setting. Key responsibilities include accurately filling and preparing various medication forms, managing inventory and ordering supplies, and maintaining packaging equipment while adhering to state regulations and HIPAA compliance. The position offers the opportunity to work within a supportive team environment that values professionalism and collaboration. The schedule includes nights and weekends, requiring strong organizational skills and the ability to handle multiple tasks in a dynamic setting.

This full-time Outpatient Clinic Clerk role supports the clinic's administrative and financial operations under direct supervision. The position involves serving patients and visitors with professional courtesy, managing cashiering duties including payment processing and daily reconciliation, and handling medical record filing and appointment scheduling. Key responsibilities also include verifying insurance eligibility, explaining health plan benefits, and resolving customer service inquiries. The role offers an opportunity to work within a collaborative healthcare environment focused on quality service standards and operational efficiency. Candidates will utilize computerized systems to maintain accurate financial records and support the broader team in process improvements.

The Training Coordinator II role supports Consumer Direct Care Network's mission to help older adults and individuals with disabilities live independently in their communities. The position involves coordinating training for program members and authorized representatives while maintaining a caseload in compliance with federal and state regulations. Key responsibilities include scheduling and delivering training sessions, managing referrals, ensuring timely documentation, and resolving escalated customer service issues. The role appeals to candidates seeking a career in a compassionate, growing organization with a small-company feel despite its national presence. It offers significant professional development opportunities, a supportive team environment, and the satisfaction of making a tangible difference in people's lives. The position typically operates within an office setting with occasional travel to assigned geographic areas.

This full-time Case Manager RN role at Methodist Hospital focuses on guiding patients and families through their care journey within a comprehensive rehabilitation program. Key responsibilities include developing individualized treatment plans, coordinating education for patients and caregivers, and conducting psychosocial assessments to ensure safe transitions and quality care. The position offers a collaborative environment with an interdisciplinary team and emphasizes compassion and excellence. The role is appealing due to the hospital's reputation as a top-tier medical center and its commitment to employee growth through extensive benefits, including tuition assistance, retirement matching, and wellbeing support. This on-site position is based in San Antonio.

This full-time pharmacist role at Walgreens focuses on delivering patient-centered care within a retail healthcare environment. Key responsibilities include providing expert medication counseling, administering immunizations and diagnostic services, ensuring regulatory compliance, and mentoring pharmacy team members. The position appeals to professionals seeking a career with purpose, offering extensive growth opportunities through leadership pathways and free professional development. The role supports work-life balance with flexible scheduling and provides a comprehensive benefits package including health coverage, retirement matching, and family-forming support. This is an on-site position located within Walgreens stores across the United States.