- Premera Blue Cross (Mountlake Terrace, WA)
- …purposes. + Collaborate with internal teams (eg, claims processing, provider relations, special investigations unit ). + Utilize auditing software and ... communicate audit results and will collaborate with internal teams including the Special Investigation Unit and Payment Integrity Specialists. This role requires… more
- USAA (New York, NY)
- …us special and impactful. **The Opportunity** We are looking for a Manager, SIU ( Special Investigations Unit ) within P&C. Responsible for operational ... to mitigate fraud and other risks. + 4+ years of progressive experience within a Special Investigations Unit ( SIU ), with a proven track record in process… more
- Elevance Health (Cleveland, OH)
- …recover, eliminate and prevent unnecessary medical-expense spending. **Staff Vice President (VP), Special Investigations Unit ( SIU )** **Location:** May ... teams across the national SIU . + Functions within the SIU include investigations , case intake and assignment, and data analysis. + Hires, trains, coaches,… more
- The Robison Group (Brooklyn, NY)
- …writing, reading and speaking Spanish. 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
- City of New York (New York, NY)
- …and/or non-criminal, unique, highly confidential and sensitive investigations . The Special Investigation Unit ( SIU ) is responsible for investigating ... The New York City Department of Correction seeks to recruit Deputy Directors for the Special Investigation Unit ( SIU ). Under the direction of the Executive… more
- CVS Health (Washington, DC)
- …The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for ... medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company… 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
- Providence (Oakland, CA)
- **Description** **Investigator External Audit Special Investigations Unit \*Remote The SIU Audit Investigator supports the compliance related activities ... of the Special Investigations Unit ( SIU ) at the Health Plan. This role assists the External Audit Senior Manager with developing, implementing and… more
- Centene Corporation (Jefferson City, MO)
- …and executing strategies that ensure high-quality, timely, value-generating FWA investigations in compliance with legal, regulatory, and contractual requirements. ... as external stakeholders, including law enforcement. + Lead and support enterprise-wide SIU team that detects, investigates, and mitigates FWA across all business… 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
- Allied Universal (Batavia, NY)
- …best, explore a career with us and make a difference. 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
- 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
- USAA (Phoenix, AZ)
- …us special and impactful. **The Opportunity** As a dedicated SIU Consultant, you will within defined guidelines and framework, provide specialized ... and digital fraud detection tools and resources to evaluate SIU referrals and identify potential fraud within claims or...link analysis in support of claim and policy fraud investigations and to identify potential opportunity in unidentified risks… more
- USAA (Baton Rouge, LA)
- …you apart:** + SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military ... our members. Be part of what truly makes us special and impactful. **The Opportunity** We are looking for...and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). **This is a field position.** A… more
- Command Investigations (NJ)
- …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 to cover Los Angeles, CA. A...should demonstrate proficiency in the following areas: + Multi-lines investigations + Writing accurate and detailed reports + Strong… 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 (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 (Atlanta, GA)
- …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
- U-Haul (Phoenix, AZ)
- …Strong Communication Skills + Claims knowledge Work Status: Full-time U-Haul offers its Special Investigation Unit : + Full Medical coverage + Prescription plans ... of fraudulent submissions. Work with the Regional Claims Manager and Regional SIU Manager to perform a variety of duties that require in-depth knowledge… more
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