- Allied Universal (Beckley, WV)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for… more
- Allied Universal (Pittsburgh, PA)
- … Unit ( SIU ) Investigator . Special Investigations Unit ( SIU ) Specialists investigate claims with red flags that suggest fraudulent behavior ... offering field and remote work ** + **Will** **require** ** Claims and Surveillance investigations as needed to...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Command Investigations (Buffalo, NY)
- …years' SIU experience is required. Must have background in handling P&C investigations . Candidates who do not have SIU property (non-auto) experience will ... 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
- The Robison Group (Seattle, WA)
- …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
- 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 ... fraud schemes * Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business *...in identifying resources and best course of action on investigations * Serves as back up to the Team… more
- Lumeris (MO)
- …Summary:** Responsible for assisting in the implementation and daily operation of the organization's Special Investigations Unit ( SIU ) Program and all ... areas of the Company. + Participates in team member education relative to SIU and compliance investigations , including creating presentations or other materials.… more
- The Robison Group (Tampa, FL)
- …canvasses and other tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As a Case Associate , ... + Make contact with individuals to facilitate contact with the client or SIU investigator . WHO SHOULD APPLY: Candidates with experience interacting with people… more
- Molina Healthcare (Albuquerque, NM)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw… more
- National General Insurance Company (TX)
- …complex, multi-discipline coverage and claims that have been referred to the special investigation unit ( SIU ) for potential fraud. This role typically ... The ideal candidate will have previous experience as an SIU Investigator within an Insurance carrier. JOB...evaluations and decision-making process + Utilizes analytic tools or SIU field intelligence to identify complex claims … more
- LTCG (MN)
- …and from claims organization, as assigned * Coordinates and performs investigations with oversight of lead investigator * Prepares responses for suspected ... its customers. With illumifin, there's a brighter future A SIU /Fraud Investigator is responsible for working with...approved by the client * Conducts continuing education to Claims staff * May conduct phone calls or basic… more
- CVS Health (Hartford, CT)
- …- Exhibits behaviors outlined in Employee Competencies - Exhibits behaviors outlined in SIU Investigator Competencies - May include travel to testify in court ... flexible to work EDT hours (8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare… 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
- American Family Insurance - Corporate (Orlando, FL)
- … claims , build and maintain meaningful industry social network and assist special investigations leadership in promoting fraud awareness and detection with ... internal partners, agents, and customers. Reporting to the SIU Manager, you will work in the field and remote office setting. Position Compensation Range: $60,000.00… more
- CVS Health (Baton Rouge, LA)
- …make health care more personal, convenient and affordable. Position SummaryAs a Senior Investigator you will conduct high level, complex investigations of known ... fraud schemes. - Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business- Researches...in identifying resources and best course of action on investigations - Serves as back up to the Team Leader… more
- CVS Health (Tallahassee, FL)
- …(8:00 am - 5 pm ET) Conducts high level, complex analysis of claims and correspondence to effectively pursue the prevention, investigation and prosecution of health ... regulations mandating fraud plans. Fundamental Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud and abuse. -… more
- CVS Health (Hartford, CT)
- …United States. Must be willing to work EDT schedule. - Conducts investigations to effectively pursue the prevention, investigation, and prosecution of healthcare ... to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. -… more
- CVS Health (Trenton, NJ)
- …care more personal, convenient and affordable. Position Summary- Conducts investigations to effectively pursue the prevention, investigation, and prosecution of ... to comply with state regulations mandating fraud plans and practices.- Conducts investigations of known or suspected acts of healthcare fraud and abuse.-… more
- USAA (Phoenix, AZ)
- …and functions within SIU . + First and Third Party auto and property claims investigations + SIU or Fraud Investigation Designations (CFE, CIFI, SCLA, ... Come be a part of what makes us so special ! **The Opportunity** As a dedicated Manager, SIU...sets you apart:** + More than 2+ years of SIU investigator experience + Current or prior… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... and external data bases and systems to support leads. Analyzes detailed claims files and performs financial calculations to assess financial impact of potential… more
- Premera Blue Cross (Spokane, 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