Claims Investigator Career Research and Resources
AIG (American International Group)
• Billing of large deposit premium, retro adjustments, and paid losses including large deductibles. • Calculation of retrospective rated policy adjustments. • Reconciliation of deposit premium. • Security calculations. • Preparation of coding (e.g state allocations) and coding of adjustments. • Management of relationship between TPA, Insured, and Underwriting. • Reviewing TPA loss data for accuracy (TPAIR review). • ...
Avg. Salary: $40,000 · Company Rank: 3.0 out of 5
Magellan Behavioral Health
• Assisted Care Managers/Clinical Managers with creating denial letters. • Performed PowerPoint presentations during meetings. • Processed medical claims, appeals, and complaints. • Handled the medical Insurance/Billing. • Set up meetings with potential clinicians as well as set up travel arrangements for the clinical managers. • Made calls to Aetna US Healthcare to verify that patients had the proper insurance before ...
Avg. Salary: $40,000 · Company Rank: 3.0 out of 5
Passaic Housing Authority
• Operated a 20-line switchboard. • Processed service requests and dispatching maintenance work order items to appropriate division personnel. • Provided follow up with tenants to ensure responses were executed timely and effectively. • Assisted with escalated customer issues and concerns by coordinating effective communication with the appropriate management. • Interacted with applicants. • Typed, faxed, filed corresp...
Avg. Salary: $40,000 · Company Rank: 5.0 out of 5
United Healthcare
Investigate, analyze, determine insurance plan benefits
Avg. Salary: $40,000 · Company Rank: 4.0 out of 5
State of Texas
1) Interviewing all pertinent individuals and collateral's in each case. 2) Assessing the risk to the children in their home environment. 3) Working directly with various organizations (DAPA, United Way, Star of Hope, etc...) to implement services to families. 4) Maintaining and monitoring a case load of thirty five or more families. 5) Working with Law Enforcement, District Attorney's Office and Hospital Officials. ...
Avg. Salary: $40,000 · Company Rank: 4.0 out of 5
Los Angeles Police Department
Conduct criminal investigations, monitor, develop, train, evaluate subordinates. Coordinate and logistically plan joint task force operations with entities inside/outside the LAPD in an effort to stem the flow of criminal acivity in a particular area.
Avg. Salary: $50,000 · Company Rank: 5.0 out of 5
Cheryl Dorsey Investigations
Conduct investigations of suspected employeed exceeding medical limitations as it related to possible insurance fraud
Avg. Salary: $50,000 · Company Rank: 4.0 out of 5
United Management Group
See description of previous employment;the duties and daily tasks were exactly the same as previous employer.
Avg. Salary: $0 · Company Rank: 4.0 out of 5
Pearland Brokerage
There were two components to the position. One was the customer service part,which involved giving assistance to clients,insurance companies,and co-workers. I always greeted everyone in a friendly manner and took the time to answer questions. The other part is administrative and in addition to verbal and written communication(the owner of the company also had me write leters for him,as he felt I wrote better than he did),I...
Avg. Salary: $0 · Company Rank: 5.0 out of 5
Houston Police Department
Avg. Salary: $76,000 · Company Rank: 5.0 out of 5
