- The Robison Group (Oklahoma City, OK)
- …searches, and other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire… more
- Capital One (Richmond, VA)
- AML Sr. Investigator I - Special Investigations Unit **AML Sr. Investigator I - Special Investigations Unit ** The Anti-Money Laundering (AML) Sr. ... Supervisors and Managers to perform other critical functions. The Special Investigations Unit conducts suspicious...+ Self-manage a queue of alerts, cases, and closing investigations + Helps maintain operations of a SIU… more
- USAA (Seattle, WA)
- …truly makes us special and impactful. **The Opportunity** As a dedicated **Manager, Special Investigations Unit for Property & Casualty** , you will be ... of investigative tools and techniques to guide and coach special investigators. + Proven ability to build and maintain...to demonstrate monthly productivity and cycle time outcomes from investigations assigned to the SIU team. +… more
- Geisinger (Danville, PA)
- …Responsible for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and ... by the enterprise. Job Duties + Provides leadership and strategic direction of Special Investigations and Program Integrity units spanning all lines of business.… more
- CVS Health (Hartford, CT)
- …flexible to work EDT hours (8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare ... agencies as required by law and regulation. **Fundamental Components:** - Conducts investigations of known or suspected acts of healthcare fraud, waste, and abuse… more
- Allied Universal (Palm Coast, FL)
- …on the position and eligibility. **Job Description:** Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... designated regional area. + Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to… more
- CVS Health (Hartford, CT)
- …Summary** We are seeking a skilled and proactive **QuickBase Developer** to support the Special Investigations Unit ( SIU ) by designing, developing, and ... and support monitoring and reporting needs. This role also includes managing SIU digital assets, conducting user access reviews, and supporting SharePoint site… more
- Capital One (Mclean, VA)
- AML Sr Investigator II- SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized investigations ... (SME)** will work closely with key stakeholders in the SIU and outside of the SIU when...+ Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in… more
- NTT DATA North America (Boston, MA)
- …strategy. NTT DATA's Client is seeking a Investigator for Health Plan Special Investigations Unit ( " SIU ) REMOTE EAST COAST The Investigator will ... experienced pre-payment review investigator and work closely with other members of the SIU . Reviews are fast-paced and require the investigator to be organized and… more
- Prime Therapeutics (Des Moines, IA)
- …It fuels our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** ... additional information, facts and supporting documentation. + Collaborate and refer non- SIU related issue and activities to external departments (Cost Containment,… more
- Command Investigations (Chicago, IL)
- Seeking an experienced SIU /Insurance investigator to cover Chicago, IL and its surrounding areas. Candidates must reside within 60 miles of Chicago. A minimum of 5 ... years' SIU experience is required. Must have background in handling...experience is required. Must have background in handling multi-lines investigations with personal lines highly desired. Must have reliable… more
- Command Investigations (Orlando, FL)
- …an insurance Investigator is required. Must have background in handling multi-lines investigations and some SIU experience. Must have reliable transportation, ... Seeking a full-time experienced SIU /Insurance investigator. A minimum of 3 years' experience...should demonstrate proficiency in the following areas: + Multi-lines investigations + Writing accurate and detailed reports + Strong… more
- Command Investigations (Ventura County, CA)
- Experienced SIU Investigator A minimum of 5 years' SIU experience is required. Must have background in handling P&C investigations . Candidates who do not ... staff. This is a W-2 role; subcontractors will not be considered. The SIU /Insurance Investigator should demonstrate proficiency in the following areas: + P&C … more
- Command Investigations (San Diego, CA)
- SIU INVESTIGATOR A minimum of 5 years' SIU experience is required. Must have experience in Commercial and P&C investigations . * Candidates who do not have ... assignments. This is a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the following areas: + P&C … more
- Command Investigations (Baltimore, MD)
- …Claims/ SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and Industrial/workplace accidents. ... Investigators and staff. Must have a background in handling multi-lines investigations with personal lines highly desired. Must have reliable transportation, along… more
- Elevance Health (Richmond, VA)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU ** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Capital One (Mclean, VA)
- AML Senior Investigator II- SIU **The Anti-Money Laundering (AML) Supervisor** **supervises various AML processes, which might include suspicious activity ... investigations , closing reviews, or other AML processes. The associate...AML Operations team. Daily supervision of a small central unit of Investigators. Assist with training in Regulatory Operations… more
- Philadelphia Insurance Companies (Ewing, NJ)
- …rated A++ by AM Best. We are looking for a Sr. Claims Examiner - SIU to join our team! Summary: Analyze insurance claims to determine extent of Insurer's ... coverages, policy terms and conditions for broad insurance areas, products or special contracts. Travel is required to attend customer service calls, mediations, and… more
- Travelers Insurance Company (Diamond Bar, CA)
- … SIU Specialized Investigator, you will lead complex, multi-claim investigations with regional and national impact-often involving potential litigation. This role ... accelerate case development, and support data-driven strategies in major case investigations . **What Will You Do?** + Proactively analyzes highly technical… more
- CVS Health (Charleston, WV)
- …**REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely ... in identifying resources and best course of action on investigations + Serves as back up to the Team...years of working health care fraud, waste and abuse investigations ). **Anticipated Weekly Hours** 40 **Time Type** Full time… more