• Investigator , SIU RN-Remote

    Molina Healthcare (Austin, TX)
    **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...Services, Member Services, Claims) to gather documentation pertinent to investigations . * Detect potential health care fraud, waste, and… more
    Molina Healthcare (04/11/25)
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  • SIU Research Investigator

    Sedgwick (Austin, TX)
    …Best Workplaces in Financial Services & Insurance SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing online ... ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable… more
    Sedgwick (05/09/25)
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  • Surveillance Investigator

    Allied Universal (Austin, TX)
    …As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation ... programs, and exclusive perks. Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and… more
    Allied Universal (05/15/25)
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  • Director Complex Claims

    Sedgwick (Austin, TX)
    …Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations of complex fraud schemes involving providers, vendors, ... for the day to day activities, performance and development of the SIU complex fraud investigation team. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes… more
    Sedgwick (05/08/25)
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