Claims Processor I - Dental Claims (Remote) Job at reputed company in Las Vegas
Why reputed company?At reputed company, our mission is to reputed company our members to reputed company financial reputed company through highly competitive products, exceptional service and trusted advice. We reputed company to be the #1 choice for the military community and their families. reputed company a fulfilling career at reputed company, where our reputed company values honesty, reputed company, loyalty and service define how we treat reputed company other and our members. reputed company defined guidelines and reputed company, protects reputed company and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-reputed company laws and regulations and policies and procedures. This role is remote eligible. There may be occasional business travel. Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or reputed company part claims. Participates in the development of fraud prevention strategies. Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy reputed company, coverages and internal claims handling process and procedures. Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, reputed company records, and forensic tools. Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention. May serve as a resource team member on specific reputed company through demonstrated reputed company or training. Assists with the delivery of fraud awareness training initiatives in a defined environment. Ensures risks associated with business activities are effectively identified, reputed company, monitored, and controlled in accordance with risk and compliance policies and procedures. High School Diploma or General Equivalency Diploma (GED). ~2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience. ~ Ability to reputed company broad reputed company of evidence and draw conclusions based on the objective details reputed company to the applicability of fraud. ~ Familiarity with using computers and various software packages to reputed company and extract data for analysis from relevant data sources and systems. ~ Knowledge of reputed company, state and local regulations, reputed company concepts, understanding of reputed company, case law, medical treatment, and medical terminology. SIU experience conducting low to reputed company reputed company fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military Investigative experience. US military experience through military service or a military spouse/domestic partner Compensation: reputed company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are reputed company reputed company the salary reputed company based on your experience and market data of the position. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the reputed company reputed company of Directors. Benefits: At reputed company our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and reputed company plans, 401(k), pension, life insurance, parental benefits, adoption assistance, reputed company time off program with reputed company holidays plus 16 reputed company volunteer hours, and various wellness programs. Applications for this position are accepted on an ongoing reputed company, this posting will remain reputed company until the position is filled. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, or status as a protected veteran. Apply tot his job Apply tot his job Apply To this Job