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4 results for Fraud Investigator in Shelton, CT

Claims Examiner

New Haven, CT
onsite
Temporary / Contract
31 - 31 USD / Hourly
Title: Workers’ Compensation Claim ExaminerLocation: New Haven, CT 06511‑5941, United StatesExperience Required:<ul><li>3+ years of Workers’ Compensation Claim Examiner experience or commensurate transferable experience</li><li>Direct workers’ compensation experience is preferred but not required, provided transferable claims skills are present</li></ul>Key Duties & Responsibilities<ul><li>Handle all aspects of workers’ compensation claims from inception to closure while maintaining strong customer relations.</li><li>Review claim and policy information to establish investigative background.</li><li>Conduct ongoing three‑part investigations, including fact‑finding and statement collection from insureds, claimants, and medical providers.</li><li>Evaluate investigation findings to determine claim compensability.</li><li>Notify insureds, claimants, and attorneys of claim denials when applicable.</li><li>Prepare investigative reports, settlements, denials, and evaluations of involved parties.</li><li>Administer statutory medical and/or indemnity benefits accurately and timely throughout the life of the claim.</li><li>Set medical, indemnity, and expense reserves within authority limits and recommend reserve changes to the Team Leader as needed.</li><li>Perform regular claim reviews and recommend corrective or remedial actions to address issues.</li><li>Identify and escalate unusual or potentially adverse exposures to leadership.</li></ul>Experience & Education Requirements<ul><li>Experience working in a fast‑paced, customer‑focused environment.</li><li>Strong verbal, written, and telephonic communication skills.</li><li>Prior roles requiring high levels of organization, follow‑up, and accountability.</li><li>Workers’ compensation claim handling experience preferred but not required.</li><li>Familiarity with healthcare claims, disability claims, auto/PIP, medical injury, general liability, or medical billing is a plus.</li><li>Prior insurance, legal, or corporate business experience is a plus.</li><li>AIC, RMA, or CPCU coursework or designations are a plus.</li><li>Proficiency with Microsoft Office products.</li><li>Knowledge of medical terminology and bill processing is a plus.</li></ul>Licensing RequirementsClaim Adjuster licenses in Connecticut, New Hampshire, Rhode Island, and Vermont are required but not necessary at the time of posting.If not currently licensed, the selected candidate will be required to obtain an applicable resident or designated home‑state adjuster license and any required additional state licenses
2026-04-07T00:00:00Z

Claims Examiner

New Haven, CT
onsite
Temporary / Contract
32 - 35 USD / Hourly
We are seeking a detail-oriented Claims Examiner to join a fast-paced, customer-focused environment. This is a temporary, fully on-site opportunity where the Claims Examiner will manage claims from intake through resolution, ensuring accuracy, compliance, and excellent service throughout the lifecycle of each case.Key Details<ul><li>Service Type: Temporary to hire</li><li>Schedule: 5 days on-site</li><li>Hours: 8:30 AM – 5:00 PM EST</li><li>Location: New Haven, CT</li></ul>Responsibilities<ul><li>Manage workers’ compensation claims from setup through closure</li><li>Review claim and policy information to support investigations</li><li>Conduct thorough investigations, including gathering statements from claimants, insured parties, and medical providers</li><li>Determine claim compensability based on collected facts</li><li>Communicate claim decisions, including denials, to relevant stakeholders</li><li>Prepare detailed reports on investigations, settlements, and claim evaluations</li><li>Administer statutory medical and indemnity benefits in a timely manner</li><li>Set and adjust reserves within authority limits and recommend changes as needed</li><li>Monitor claim progress and recommend corrective actions to leadership</li><li>Coordinate with attorneys on hearings and litigation</li><li>Direct vendors such as nurse case managers and rehabilitation specialists</li><li>Ensure compliance with customer service standards and regulatory requirements</li><li>File necessary documentation with state agencies</li><li>Identify subrogation opportunities and support recovery efforts</li><li>Collaborate with internal teams to deliver high-quality claims handling</li></ul>
2026-04-21T00:00:00Z

Internal Auditor

Waterbury, CT
onsite
Permanent / Full Time
75000 - 90000 USD / Yearly
Internal Auditor📍 Greater Waterbury Area | HybridPosition Type: Full Time/Permanent PositionRecruiter Contact: Sal Fiorillo - Sal.Fiorillo@RoberthalfReference: SF0013428757 If you're looking for a high-growth audit role with strong mentorship, exposure, and work-life balance, this is one worth exploring! Why This Role is a Standout:<ul><li>Clear upward mobility — team has a strong track record of internal promotions</li><li>Ideal for Big 4 / public candidates looking to transition in-house</li><li>Exposure to both business and IT audit</li><li>Flexible work hours and hybrid schedule</li><li>On-site wellness amenities (gym, recreation, wellness programs)</li><li>Top tier 401k match and benefits!</li></ul>What You’ll Do:<ul><li>Execute risk-based audits across operational and IT areas</li><li>Perform walkthroughs, control testing, and process documentation</li><li>Identify risks and control gaps, and recommend practical improvements</li><li>Contribute to audit reports and partner with stakeholders across the business</li><li>Support audits related to compliance, governance, and enterprise risk</li><li>Assist with IT audits including general controls, cybersecurity, and systems</li></ul>Qualifications:<ul><li>Bachelor’s degree in Accounting or Finance (required)</li><li>2+ years of experience in public accounting, internal audit, or risk/compliance</li><li>CPA, CIA, or CISA (or pursuing) preferred</li></ul>If you meet the minimum requirements and want to learn more about this opportunity, please email your resume to the email listed above and reference SF0013428757.All inquiries are confidential. Please note at Robert Half we never present your background to a client company without your permission.
2026-04-29T00:00:00Z

Internal Auditor

Hartford, CT
onsite
Permanent / Full Time
60000 - 75000 USD / Yearly
Internal Audit AssociateHartford, CT (Hybrid)Position Type: Full Time/Permanent PositionRecruiter Contact: Sal Fiorillo - Sal.Fiorillo@RoberthalfReference: SF0013416435 A growing financial services organization is adding an Internal Audit Associate to its team due to continued expansion. This is a great opportunity for a recent grad or early-career professional (0–3 years) looking to build a strong foundation in audit, risk, and internal controls within a collaborative environment. Main Responsibilities: <ul><li>Support internal control testing for regulatory programs</li><li>Prepare and document audit workpapers and testing results</li><li>Assist with process documentation and control improvements</li><li>Identify risk areas and partner with the business on solutions</li><li>Contribute to internal audit projects and continuous improvement initiatives</li></ul>Qualifications<ul><li>Bachelor’s degree in Accounting or Finance</li><li>0–3 years of experience in audit or internal audit</li><li>Open to recent grads with internships</li><li>Proficiency in Excel</li></ul>Why This Role Stands Out<ul><li>High-growth organization with strong momentum!</li><li>Collaborative, tight-knit culture with strong leadership access</li><li>Broad exposure — not siloed, you’ll see a variety of processes and transactions</li><li>Clear path for internal mobility and advancement</li><li>Modern office environment with standout amenities</li><li>Strong benefits package including 401(k) match + wellness perks</li></ul>If you're looking to break into internal audit or pivot out of public accounting into a role with strong growth and exposure, this is a great opportunity to consider! If you meet the minimum requirements and want to learn more about this opportunity, please email your resume to the email listed above and reference SF0013416435.All inquiries are confidential. Please note at Robert Half we never present your background to a client company without your permission.
2026-04-08T00:00:00Z