- Allied Universal (Des Moines, IA)
- …life balance** + **Opportunity for** **maximum** **OT earnings** Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… 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. ... with AML Supervisors and Managers to perform other critical functions. The Special Investigations Unit conducts suspicious activity reporting and closing … more
- JPMorgan Chase (Jersey City, NJ)
- …security solutions, ensuring a safer and more secure future for all. As a Special Investigations Unit Investigator within the Global Security team, you ... will be responsible for conducting complex and sensitive investigations involving Code of Conduct violations in both North America and Latin America and coordinate… more
- The Robison Group (Des Moines, IA)
- …other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will ... 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
- USAA (Plano, TX)
- …us special and impactful. **The Opportunity** We are seeking a dedicated Director Special Investigations Unit - Specialty (Major Case) This role is ... protocols and procedures that would include compliant claims or fraud investigations to the specific state and regulatory requirements. + Possess in-depth… more
- CVS Health (Lansing, MI)
- …with medical record review within a healthcare insurance company. - Prior special investigation unit experience. - Excellent analytical skills. - Excellent ... communication skills. **Education** - GED or equivalent - AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $85,068.00 This pay range… 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 on ... with applicable state and federal regulation. **What You'll Do** + Conducts investigations in accordance with investigative action plan and documents all findings in… more
- CVS Health (Austin, TX)
- …Must be flexible to work EDT hours (8:00 am - 5 pm EDT) The Special Investigations Unit (SIU) is looking for an analytically driven individual who is skilled ... billing patterns and reviewing incoming referrals to determine if additional investigations are warranted. **Fundamental Components:** -Research and ad hoc report… more
- CVS Health (Bismarck, ND)
- …Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding ... Qualifications:** + A minimum of 2 years of managing staff within a Special Investigation Unit (SIU). + Excellent analytical skills and the ability to mentor and… 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 ... of America) Weekly Scheduled Hours 40 Hours of Work 8:00 am to 5:00 pm Days Worked Monday to Friday Weekend Frequency N/A CURRENT COREWELL HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for… more
- MTA (Brooklyn, NY)
- …Open until till filled. Authority: TA/OA/MTA Bus Department: Office of the President Division/ Unit : Special Investigations & Review Reports to: Chief ... Assistant Chief Officer- Special Investigations and Review Job ID: 12205 Business Unit : New York City Transit Location: Brooklyn, NY, United States… more
- Command Investigations (Detroit, MI)
- … Investigations ) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator. SuperiorX ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Senior Investigator is to assist in the reduction and recuperation ... assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education...to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education Level:** Bachelor's Degree… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to ... the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving...and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... and local traffic regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special crime prevention and… more
- RELX INC (Alexandria, VA)
- …analysis, demonstrative aids, and reports. + Collaborate with team members within the Special Investigations Unit - Geolocation Investigative Team, and ... the link below. https://risk.lexisnexis.com/government About the Team The Public Safety Special Investigative Unit (SIU) - Geolocation Investigative Team (GIT)… more
- M. C. Dean (Vienna, VA)
- …coverage; review the established reserve requirements, identified claims for subrogation and/or Special Investigations Unit as appropriate. + Assesses actual ... regulatory issues and available resources. + Plans and conducts investigations of claims to confirm coverage and to determine...Knowledge and abilities of Microsoft suite of applications with special emphasis on excel and the ability to pivot… more
- Travelers Insurance Company (Baltimore, MD)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
- Travelers Insurance Company (Chicago, IL)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
- Highmark Health (Albany, NY)
- …and provides supporting documentation. *Identifies potential fraud cases and forwards to Special Investigations Unit . E3. Adjusts claims: *Performs online ... providers, internal and external customers; Adjusts claims. This is a bargaining unit position. The collective bargaining agreement for this position requires that… more
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