audit and regulatory requirements. Audits consist of contract, commissions, surveillance, workers’ compensation and IME... insurance setting LICENSES or CERTIFICATIONS Required None Preferred (any of the following) Certified Fraud Examiner...
Knowledge of workers' compensation claims process Prospective, concurrent and retrospective utilization review PAY RANGE... & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner...
Specialist with expertise in disaster fraud claims. This role is critical in evaluating and analyzing financial data related... to disaster-related claims, including property damage, business interruption, and other loss categories. The specialist...