- Allied Universal (Louisville, KY)
- …+ **Paid Time Off and Paid Holidays (FT only)** Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- The Robison Group (Ocala, FL)
- …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,… more
- Centene Corporation (Austin, TX)
- …of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special claims investigations or audits that identify, evaluate and measure ... the Continental US. Ideal candidate has strong background in healthcare fraud investigations and Accredited Health Care Fraud Investigator or a Certified Fraud… more
- McLaren Health Care (Flint, MI)
- … programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ . **Position Overview:** The Special Investigations Unit ( SIU ) Coder supports lines ... We are looking for a SIU Coder, to join us in leading our...performing medical claims and records reviews to assist in investigations , ensuring compliance with coding practices through a comprehensive… more
- Command Investigations (NJ)
- Seeking a Full-Time experienced SIU / Insurance investigator to cover Los Angeles, CA. A minimum of 3 years' experience as an insurance Investigator is ... required. Must have background in handling multi-lines investigations and some SIU experience. Must have...Full Time role; subcontractors will not be considered. The SIU / Insurance Investigator should demonstrate proficiency in the… 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 (Tampa, FL)
- A minimum of 5 years' SIU experience is required. Must have experience in P&C investigations . * Candidates who do not have property (non-auto) experience will ... 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 (Ventura County, CA)
- …and 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 ... Experienced SIU Investigator A minimum of 5 years' ...experience is required. Must have background in handling P&C investigations . Candidates who do not have property (non-auto) experience… more
- Travelers Insurance Company (Downers Grove, IL)
- …in or near the Chicago, IL area **What Will You Do?** + Conducts insurance investigations including applicable data base searches with a focus on uncovering ... expertise to identify potential risks and combat fraudulent practices. As an SIU Investigator, you will analyze, summarize and prioritize information to uncover… 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
- Sedgwick (Knoxville, TN)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SIU Research Investigator **PRIMARY PURPOSE** **:** Performs claims ... ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable… more
- Command Investigations (Atlanta, GA)
- Seeking experienced Claims/ SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and ... Investigators and staff. Must have a background in handling multi-lines investigations with personal lines highly desired. Must have reliable transportation, along… more
- Kemper (Henderson, NV)
- …by law and management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. + Develops and maintains ... to our stakeholders that delivers on our promises._ **Position Summary** : The SIU Desk Investigator I is responsible for the investigation of simple claims that… more
- American Family Insurance - Corporate (Seattle, WA)
- …involving property claims, develop meaningful industry social network and assist special investigations leadership in promoting fraud awareness and detection ... partners, agents and customers. You will report to a Special Investigations Manager. In this primarily home-based...+ Communicate with internal and external business partners regarding investigations and insurance fraud matters. + Develop… more
- Centene Corporation (Sacramento, CA)
- …and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud ... and abuse. + Conduct investigations of potential waste, abuse, and fraud + Document...referral to Federal and State agencies + Complete various special projects and audits + Performs other duties as… more
- Corewell Health (Grand Rapids, MI)
- …SITE - Priority Health - 1231 E Beltline - Grand Rapids Department Name PH - Special Investigations Unit Employment Type Full time Shift Day (United States ... Job Summary - Manager Special Investigation Unit The SIU...with a focus on identifying, investigating, and resolving health insurance fraud, waste, and abuse (FWA). This role provides… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit ( SIU ) Senior Investigator is to assist in the reduction and ... projects as assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education Level:** Bachelor's Degree… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Special Investigations Unit ( SIU ) Investigator is responsible to conduct timely and thorough health care fraud investigations ... Investigations are confidential and are conducted in accordance with SIU Policies and Procedures, contractual obligation and in accordance with applicable state… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit ( SIU ), Provider Relations (PR), or ... the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from work, and paid… more
- Sedgwick (Irving, TX)
- …changes with internal departments. + Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit ( SIU ) as appropriate and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Consumer Care Advocate **Our teams connect!** **We collaborate onsite and have a… more