- CVS Health (Sacramento, CA)
- …an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU ), dedicated to a specific self-funded plan ... sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud,...abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud,… more
- Allied Universal (Fresno, CA)
- …career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special Investigations ... designated regional area. + Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to… 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 ... 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… more
- Command Investigations (San Diego, CA)
- SIU INVESTIGATOR A minimum of 5...is required. Must have experience in Commercial and P&C investigations . * Candidates who do not have property (non-auto) ... a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the...should demonstrate proficiency in the following areas: + P&C investigations , with all lines preferred. + Writing accurate and… more
- Elevance Health (Costa Mesa, CA)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU ** **Location:** This role requires associates to be in-office 1 - 2… 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
- Command Investigations (San Diego, CA)
- CLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also highly ... and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: +...proficiency in the following areas: + W/C and P&C investigations + Writing accurate, detailed reports + Strong initiative,… more
- Allied Universal (San Jose, CA)
- …As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation ... us and make a difference. Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and stationary… more
- Command Investigations (Los Angeles, CA)
- Command Investigations , LLC is looking for Claims Investigator to become part of a dynamic team. This is a great opportunity for individuals with prior SIU ... in a fast-paced investigative environment. Why You Will Love Working with Command Investigations , LLC? At Command Investigations , we are invested in YOU! We… more
- Command Investigations (Santa Barbara, CA)
- …lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals ... Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more