- CVS Health (Trenton, NJ)
- …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 (Edison, NJ)
- …the position and eligibility. **Job Description:** 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
- Philadelphia Insurance Companies (Ewing, NJ)
- … reports for thoroughness and accuracy. Review and evaluation of completed SIU investigations for referral to state authorities, law enforcement and/or ... and evaluation of claims and applications referred to the SIU for possible fraud. Conduct database investigations ,...the SIU for possible fraud. Conduct database investigations , including use of CLEAR, ISO and various search… more
- Allied Universal (Edison, NJ)
- …As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation ... and eligibility. **Job Description:** Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and… more