- Allied Universal (Crossville, TN)
- …a Special Investigations Unit / Claims Investigator . Special Investigations Unit ( SIU ) Specialists investigate claims with red ... 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
- Allied Universal (Fort Lauderdale, FL)
- …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
- The Robison Group (Fort Myers, FL)
- …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
- The Hartford (NJ)
- …the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will be based out of ... SIU Investigator - CF08BE We're determined...handlers across all lines of business to investigate suspicious claims . The Field Investigators performing investigations to… 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
- Magellan Health Services (Boise, ID)
- …coordination with other subject matter experts in Special Investigations Unit ( SIU ), cost containment, legal, claims , network, compliance and ... knowledge of Excel. Knowledge of HIPAA. Healthcare experience. General Job Information Title SIU Program Integrity Investigator - Remote (In Idaho) Grade 23 Work… more
- National General Insurance Company (Uniondale, NY)
- …complex, multi-discipline coverage and claims that have been referred to the special investigation unit ( SIU ) for potential fraud. This role typically ... ** This role is a field Investigator role where the investigator would...Brooklyn, The Bronx, Queens and Staten Island NY. Previous SIU claims and/or law enforcement investigation experience… more
- Sedgwick (Miami, FL)
- … 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...investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence… more
- Command Investigations (Redding, CA)
- Seeking experienced Claims / SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and ... and staff. Must have a background in handling multi-lines investigations with personal lines highly desired. Must have reliable...our website and find out why at www.GoCommand.com. The SIU /WC Investigator should demonstrate proficiency in the… more
- Travelers Insurance Company (Brookfield, WI)
- …- $109,700.00 **Target Openings** 1 **What Is the Opportunity?** This SIU Investigator is responsible for conducting field investigations in a dynamic fast ... paced environment. Investigations may contain elements of fraud or claims otherwise deemed suspicious in nature within all lines of business, including: Auto,… 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
- 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 (Richmond, VA)
- …of Virginia. Must be willing to work EDT schedule. - Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud ... and to comply with state regulationsmandating fraud plans and practices.- Conducts investigations of known or suspected acts of healthcare fraud and abuse.-… more
- Premera Blue Cross (Mountlake Terrace, 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
- System One (Baltimore, MD)
- … to support a leading health insurance customer. The individual will work with the Special Investigations Unit ( SIU ) to assist in the reduction ... Baltimore, MD (Hybrid) twice a week Job Duties: + Research provider/subscriber claims activity, operations manuals, data systems, medical policies, job duties and… more
- State of Minnesota (St. Paul, MN)
- …analyst, a licensed insurance producer selling life insurance, annuities, or health insurance claims or appeals examiner or SIU . Applicants who meet the above ... **Working Title: Insurance Investigator - Health / Life** **Job Class: Commerce...insurance producer selling life insurance, annuities, or health insurance claims or appeals examiner or SIU . +… more
- AmeriHealth Caritas (Washington, DC)
- ** Special Investigator Managed Care - DMV Counties only** Location: Washington, DC Primary Job Function: Compliance ID**: 29509 **Job Brief** This position will ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations … more
- The Robison Group (Missoula, MT)
- Individuals selected for the position will be expected to perform investigations of workers compensation claims , liability investigations , multi-line ... WHO SHOULD APPLY: We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment, and individuals who have… more
- Providence (CA)
- …Pre-Payment External Auditor, Finance who will:** + Support the compliance related activities of the Special Investigations Unit ( SIU ) at the Health Plan ... + Detailed tracking of prepay audit operations (ie. live claims queue, SIU claims workflow,...manner + Current certification as an Accredited Healthcare Fraud Investigator (ie, AHFI, CFI) + Certification as an Internal… 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