Plans and conducts investigations of claims to analyze coverage and determine liability, compensability, and damages.
Assesses policy coverage, establishes reserve requirements, and negotiates settlements within assigned authority limits.
Mentors new team members, participates in quality reviews, and coordinates litigation activities for timely resolution.
Liberty Mutual is a fast-growing insurance company that consistently outpaces the industry in year-over-year growth. It has a large workforce and fosters an inclusive culture with comprehensive benefits and professional development opportunities.
Evaluate SIU referrals to identify suspicious fraud indicators and create investigative plans.
Conduct data analysis and manage vendor assignments while collaborating with law enforcement.
Prepare detailed investigative reports and referrals to NICB and Departments of Insurance.
Core Specialty is a multi-state commercial insurance carrier offering property and casualty insurance for small to mid-sized businesses. The company has underwriting offices across the U.S. and emphasizes niche markets and local distribution.
Investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis and interviews.
Analyze information, report findings, and recommend settlements or denials while supporting legal proceedings.
Conduct training on fraud detection and maintain knowledge of relevant laws and regulations.
Cotiviti is a healthcare analytics company that helps clients reduce costs and improve outcomes through data-driven insights. As a global leader in payment accuracy and network performance, Cotiviti fosters a collaborative and inclusive culture.