Insurance policies knowledge jobs

Claims Adjuster Sr – Accident Benefits

Jobgether · Posted Nov 11, 2026

Open

Remote, Canada
Remote
Full-time · Senior
2+ years

Claims Adjuster Sr – Accident Benefits

Jobgether · Posted Nov 11, 2026

Open

Remote, Canada
Remote
Full-time · Senior
2+ years

Billing Specialist

Pediatric Associates Family of Companies · Posted Nov 4, 2026

Open

United States
Hybrid
Full-time · Associate
3+ years

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Generates revenue by managing patient accounts and billing functions.

Responsibilities

Performs all patient account and billing functions including diagnostic/procedural coding
Data entry of all patient account and billing information
Claims submission for third party reimbursement for all financial classes
A/R collections
Timely and accurate coding and data entry of patient billing information

Requirements

Bachelor’s degree or associate degree in healthcare related field, or equivalent experience

Skills

ICD-10 coding CPT coding Insurance policies knowledge practice management software spreadsheet applications Medical terminology Filing claim appeals

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SIU Investigator

Allied Universal · Posted Nov 12, 2026

Open

Quincy, Massachusetts, United States
On-site
Full-time · Mid
$28–$34 per hour
5+ years

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Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior in relation to an Insurance claim.

Compensation

$28 - $34 / hr

Responsibilities

Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results found

Requirements

Bachelor’s degree in Criminal Justice
High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Nice to have: Military experience
Nice to have: Law enforcement
Nice to have: Insurance administration experience

SIU Investigator

Allied Universal · Posted Nov 12, 2026

Open

Framingham, Massachusetts, United States
On-site
Full-time · Mid
$28–$34 per hour
5+ years

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Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior in relation to an Insurance claim.

Compensation

$28 - $34 / hr

Responsibilities

Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results found

Requirements

Bachelor’s degree in Criminal Justice
High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Nice to have: Military experience
Nice to have: Law enforcement
Nice to have: Insurance administration experience

SIU Investigator

Allied Universal · Posted Nov 12, 2026

Open

St. Paul, Minnesota, United States
Part-time · Associate
$27–$36 per hour
5+ years

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Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior in relation to an Insurance claim.

Compensation

$27 - $36 / hr

Responsibilities

Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results found

Requirements

Bachelor’s degree in Criminal Justice
High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Nice to have: Military experience
Nice to have: Law enforcement
Nice to have: Insurance administration experience

SIU Investigator

Allied Universal · Posted Nov 12, 2026

Open

Minneapolis, Minnesota, United States
Full-time · Mid
$27–$32 per hour
5+ years

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Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior in relation to an Insurance claim.

Compensation

$27 - $32 / hr

Responsibilities

Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results found

Requirements

Bachelor’s degree in Criminal Justice
High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Nice to have: Military experience
Nice to have: Law enforcement
Nice to have: Insurance administration experience

SIU Investigator

Allied Universal · Posted Nov 12, 2026

Open

Pittsburgh, Pennsylvania, United States
Mid
$27–$32 per hour
5+ years

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Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior in relation to an Insurance claim.

Compensation

$27 - $32 / hr

Responsibilities

Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results found

Requirements

Bachelor’s degree in Criminal Justice
High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Nice to have: Military experience
Nice to have: Law enforcement
Nice to have: Insurance administration experience

SIU Investigator

Allied Universal · Posted Nov 12, 2026

Open

Fremont, California, United States
Mid
$30–$38 per hour
5+ years

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Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior in relation to an Insurance claim.

Compensation

$30 - $38 / hr

Responsibilities

Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results found

Requirements

Bachelor’s degree in Criminal Justice
High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Nice to have: Military experience
Nice to have: Law enforcement
Nice to have: Insurance administration experience

SIU Investigator

Allied Universal · Posted Nov 12, 2026

Open

Stockton, California, United States
Mid
$30–$38 per hour
5+ years

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Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior in relation to an Insurance claim.

Compensation

$30 - $38 / hr

Responsibilities

Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability
Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results found

Requirements

Bachelor’s degree in Criminal Justice
High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Nice to have: Military experience
Nice to have: Law enforcement
Nice to have: Insurance administration experience

Senior Claims Rep Total Loss

Vanliner Insurance Company · Posted Nov 11, 2026

Open

Richfield, Ohio, United States +1 more
Hybrid
Full-time · Senior
5+ years

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Total Loss Senior Claims Representative to join the team, managing claims inventory, conducting investigations, determining settlements, and maintaining detailed claim files.

Locations (2)

Richfield, Ohio, United States
United States

Compensation

Compensation varies by role, level, and location and is influenced by skills, experience, and business needs. Your recruiter will provide details about benefits and specific compensation ranges during the hiring process.

Responsibilities

Manages an inventory of claims to evaluate compensability/liability
Plans and conducts claim investigations to confirm coverage and to determine liability, compensability and damages
Determines and negotiates appropriate claim settlements/reserves within prescribed authority
Authorizes payments in accordance with assigned authority limit and ensures payments are made in a timely manner
Maintains accurate and detailed claim files, including all correspondence, reports, and settlement agreements