- 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
- 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...will require 50%+ travel within the assigned territory. The Special Investigator for this opportunity will be… 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
- Allied Universal (Crossville, TN)
- …most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... Allied Universal(R) Compliance and Investigations , North America's leading expert insurance claim ...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Capital One (Richmond, VA)
- …United States of America, Richmond, Virginia Anti-Money Laundering Subject Matter Expert (SME) - Special Investigations Unit ( SIU ) The Complex ... understands the value of building consensus. + A driven investigator with a strong understanding of AML risk, management...least 2 years of Anti-Money Laundering experience within the Special Investigations Unit Preferred Qualifications:… more
- Capital One (Richmond, VA)
- West Creek 3 (12073), United States of America, Richmond, Virginia Special Investigations Unit ( SIU ) Anti-Money Laundering Supervisor **Job Title:** ... Anti-Money Laundering (AML) Supervisor, also referred to as an AML Sr. Investigator II, supervises various AML processes, which might include suspicious activity … 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 ... 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 . Pay Range The typical pay range for this… more
- Molina Healthcare (Omaha, NE)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
- Point32Health (Canton, MA)
- …to join our organization as a nInvestigator within our Special Investigations Unit (" SIU "). The Investigator is an essential team member of the ... SIU , responsible for leading complex provider investigations related to fraud, waste and abuse, and developing action plans to address the investigative findings… more
- National General Insurance Company (Uniondale, NY)
- …analyzing complex, multi-discipline coverage and claims that have been referred to the special investigation unit ( SIU ) for potential fraud. This role ... ** 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 preferred** Job… more
- Humana (Columbus, OH)
- …and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ... experience + CFE (Certified Fraud Examiner) or AHFI (Accredited Healthcare Fraud Investigator ) **Additional Information** + Benefits starting day 1 of employment +… more
- Allied Universal (Knoxville, TN)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... Allied Universal(R) Compliance and Investigations , North America's leading expert insurance claim ...and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for… 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
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... accurately in Fraud, Waste and Abuse case management system. Monitor and notify SIU associates on dollar recovery and Corrective Action Plan status. + Pursues low… 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
- City of New York (New York, NY)
- Job Description The Special Investigations Unit ( SIU ) of the Law Department conducts Investigations . In-House investigations include, but are not ... ensure the PE'd individual is not present in the unit . The visits are documented in the Law Department's...general supervision, with latitude for independent initiative and judgment, SIU Team members conduct professional investigations of… 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 ... and recuperation of losses. You will research and analyze data using company anti-fraud software, Excel, and other tools to proactively identify new potential cases. Pay: $32/HR Location: Baltimore, MD (Hybrid) twice a week Job Duties: + Research… more
- The Cigna Group (Bloomfield, CT)
- Join our Special Investigations Unit as a Fraud Investigator , supporting our US Commercial Healthcare Business, responsible for conducting and supporting ... in fraud detection, investigation, claim auditing and other areas related to Special Investigations . + Prepare reports to expedite tracking and reporting… more
- City of New York (New York, NY)
- …The New York City Department of Correction seeks to recruit Supervising Investigators for the Special Investigation Unit ( SIU ) - PREA Team. The Prison Rape ... investigators engaged in the performance of confidential, highly complex, and/or special investigations involving surveillance, interrogation of subjects and… more
- City of New York (New York, NY)
- …the five boroughs with more than 9,000 diverse professionals and knowledgeable experts. SIU PREA handles highly sensitive investigations of sexual assault and ... form build timeline of events under the supervision of a trained investigator and communicate with direct and active listening skills. Additional duties may… more