- Dexian - DISYS (Baltimore, MD)
- …Contract - Possible extension Job Description: Job Duties: The role of the Special Investigations Unit ( SIU ) Investigator is to assist in the ... Position: Special Investigations Unit ( SIU ) InvestigatorLocation:...timely, effective and result in an overall achievement of unit goals. Investigator researches and analyzes claims… more
- nTech Solutions, Inc. (Baltimore, MD)
- …reside in the Eastern Time Zone. Overview Our client is seeking to hire six (6) Special Investigations Unit ( SIU ) Investigators to join their team. The ... SIU Investigators will be responsible for conducting preliminary investigations into members that are suspected of committing fraud...timely, effective and result in an overall achievement of unit goals. Researches and analyzes claims data… more
- Allied Universal (Pittsburgh, PA)
- …and investigation jobs! Allied Universal(R) is hiring a SIU / Claims Investigator . Special Investigations Unit ( SIU ) Specialists investigate ... offering field and remote work ** + **Will** **require** ** Claims and Surveillance investigations as needed to...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Allied Universal (Brooklyn, NY)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for… more
- The Robison Group (Tampa, FL)
- …opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU Investigator , you will be joining an incredible team ... 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
- The Hartford (NJ)
- …the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will be based out of ... SIU Investigator - CF08BE We're determined...handlers across all lines of business to investigate suspicious claims . The Field Investigators performing investigations to… more
- CVS Health (Springfield, IL)
- …health care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or ... fraud schemes * Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business *...in identifying resources and best course of action on investigations * Serves as back up to the Team… more
- Molina Healthcare (Omaha, NE)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw… more
- National General Insurance Company (Uniondale, NY)
- …complex, multi-discipline coverage and claims that have been referred to the special investigation unit ( SIU ) for potential fraud. This role typically ... ** This role is a field Investigator role where the investigator would...Brooklyn, The Bronx, Queens and Staten Island NY. Previous SIU claims and/or law enforcement investigation experience… more
- Sedgwick (Houston, TX)
- … SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing online public and subscription database searches; to ... ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable… more
- Command Investigations (Louisville, KY)
- Seeking experienced Claims / SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and ... and staff. Must have a background in handling multi-lines investigations with personal lines highly desired. Must have reliable...our website and find out why at www.GoCommand.com. The SIU /WC Investigator should demonstrate proficiency in the… more
- Travelers Insurance Company (Brookfield, WI)
- …- $109,700.00 **Target Openings** 1 **What Is the Opportunity?** This SIU Investigator is responsible for conducting field investigations in a dynamic fast ... paced environment. Investigations may contain elements of fraud or claims otherwise deemed suspicious in nature within all lines of business, including: Auto,… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation ... Exercised:** No **What You'll Be Doing:** + Plan, organize, and execute investigations or audits utilizing document review, witness interviews and data analysis to… more
- CVS Health (Tallahassee, FL)
- …(8:00 am - 5 pm ET) Conducts high level, complex analysis of claims and correspondence to effectively pursue the prevention, investigation and prosecution of health ... regulations mandating fraud plans. Fundamental Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud and abuse. -… more
- CVS Health (Richmond, VA)
- …of Virginia. Must be willing to work EDT schedule. - Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud ... and to comply with state regulationsmandating fraud plans and practices.- Conducts investigations of known or suspected acts of healthcare fraud and abuse.-… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... and external data bases and systems to support leads. Analyzes detailed claims files and performs financial calculations to assess financial impact of potential… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …https://healthsource.premera.com . As a member of Premera's Special Investigations Unit ( SIU ), the ** Investigator III** will be responsible for ... initiate, analyze, develop, and successfully complete and resolve fraud investigations of medium to high level complexity. You will...+ (3) years of experience in fraud investigation, a special investigation unit , or a related field.… more
- System One (Baltimore, MD)
- … to support a leading health insurance customer. The individual will work with the Special Investigations Unit ( SIU ) to assist in the reduction ... Baltimore, MD (Hybrid) twice a week Job Duties: + Research provider/subscriber claims activity, operations manuals, data systems, medical policies, job duties and… more
- State of Minnesota (St. Paul, MN)
- …analyst, a licensed insurance producer selling life insurance, annuities, or health insurance claims or appeals examiner or SIU . Applicants who meet the above ... **Working Title: Insurance Investigator - Health / Life** **Job Class: Commerce...insurance producer selling life insurance, annuities, or health insurance claims or appeals examiner or SIU . +… more
- AmeriHealth Caritas (Washington, DC)
- ** Special Investigator Managed Care - DMV Counties only** Location: Washington, DC Primary Job Function: Compliance ID**: 29509 **Job Brief** This position will ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations … more
