• SIU Research Investigator

    Sedgwick (Naperville, IL)
    …Loved Workplace(R) Forbes Best-in-State Employer SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing online ... public and subscription database searches; to conduct various research investigations using specialized techniques and technologies; to analyze results for red… more
    Sedgwick (09/14/24)
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  • Special Investigations Unit

    Capital One (Richmond, VA)
    West Creek 3 (12073), United States of America, Richmond, Virginia Special Investigations Unit ( SIU ) Anti-Money Laundering Supervisor **Job Title:** ... Anti-Money Laundering (AML) Supervisor, also referred to as an AML Sr. Investigator II, supervises various AML processes, which might include suspicious activity … more
    Capital One (08/01/24)
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  • AML Sr. Investigator I - Special

    Capital One (Richmond, VA)
    …(12073), United States of America, Richmond, Virginia AML Sr. Investigator I - Special Investigations Unit **Anti-Money Laundering Sr. Investigator I ... Unit , Special Investigations Unit ** **Anti-Money Laundering (AML) Sr Investigator I**...- Self-manage a queue of alerts, cases, and closing investigations -Helps maintain operations of a SIU more
    Capital One (09/19/24)
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  • SIU Investigator

    Allied Universal (Rochester, NY)
    …employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... and case managers, by means of data collection, interviews, research and collaboration with other SIU entities,...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
    Allied Universal (09/18/24)
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  • Special Investigations Unit

    CVS Health (Des Moines, IA)
    …flexible to work CT hours (8:00 am - 5 pm CT) Conducts investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare ... Investigators. + Assists Investigators in identifying resources and best course of action on investigations + Serves as back up to the Team Leader as necessary +… more
    CVS Health (09/18/24)
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  • Investigator , SIU -Must Reside in

    Molina Healthcare (New York, NY)
    **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...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
    Molina Healthcare (08/07/24)
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  • Investigator , Special Investigation…

    Providence (OR)
    …will:** + Support timely completion of compliance related audits and investigations of the Special Investigations Unit ( SIU ) at the Health Plan + ... must empower them._** **Providence Health Plan is calling an Investigator , Special Investigation Unit who...multiple cases and audits simultaneously + May assist Senior Investigator or SIU Director in developing, implementing… more
    Providence (08/16/24)
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  • Surveillance / Claims Investigator

    Allied Universal (Billings, MT)
    …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... clients and case managers through various methods such as data collection, interviews, research , and scene investigations + Follow guidance from the handling… more
    Allied Universal (09/12/24)
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  • FWA Investigator Coder Sr. Associate…

    Commonwealth Care Alliance (Boston, MA)
    … Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit ( SIU ). The position reports directly to the Sr. ... CCA departments related to review processes and results. Sr Associate, FWA Investigator Coder utilizes claim analysis, document review, coding knowledge and applies… more
    Commonwealth Care Alliance (08/13/24)
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  • Special Investigator - Ohio resident

    AmeriHealth Caritas (Dublin, OH)
    ** Special Investigator - Ohio resident** Location: Dublin, OH Primary Job Function: Compliance ID**: 34748 **Job Brief** This position is remote based but will ... administrative services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of… more
    AmeriHealth Caritas (09/20/24)
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