- Dexian - DISYS (Baltimore, MD)
- …Contract - Possible extension Job Description: Job Duties: The role of the Special Investigations Unit ( SIU ) Investigator is to assist in the ... Position: Special Investigations Unit ( SIU ) InvestigatorLocation:... Unit . Qualifications:Education Level: Bachelor's DegreeExperience: 2 years insurance , investigative, health care, nursing or law… more
- nTech Solutions, Inc. (Baltimore, MD)
- …reside in the Eastern Time Zone. Overview Our client is seeking to hire six (6) Special Investigations Unit ( SIU ) Investigators to join their team. The ... into members that are suspected of committing fraud when enrolling for health insurance . This will include researching and analyzing member data and… more
- System One (Baltimore, MD)
- …support a leading health insurance customer. The individual will work with the Special Investigations Unit ( SIU ) to assist in the reduction and ... valued partner for our clients, but we offer eligible full-time employees health and welfare benefits coverage options including medical, dental, vision, spending… more
- State of Minnesota (St. Paul, MN)
- **Working Title: Insurance Investigator - Health ...life insurance , annuities, or health insurance claims or appeals examiner or SIU . ... **Hiring Agency/Seniority Unit ** : Commerce Dept + **Division/ Unit ** : Enf Insurance Enforcement + **Work...life insurance , annuities, or health insurance claims or appeals examiner or SIU .… more
- CVS Health (Springfield, IL)
- … care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or ... *Bachelor's degree or an additional 5 years of working health care fraud, waste and abuse investigations ....eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
- Point32Health (Canton, MA)
- …to join our organization as a nInvestigator within our Special Investigations Unit (" SIU "). The Investigator is an essential team member of the ... SIU , responsible for leading complex provider investigations related to fraud, waste and abuse, and developing action plans to address the investigative findings… more
- National General Insurance Company (Uniondale, NY)
- …analyzing complex, multi-discipline coverage and claims that have been referred to the special investigation unit ( SIU ) for potential fraud. This role ... ** This role is a field Investigator role where the investigator would...and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health , and other niche insurance products. We… 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 ... into actionable investigative strategies including the identification of complex case investigations . + Conducts insurance investigations including… more
- Commonwealth Care Alliance (Boston, MA)
- …background or formal data analyst background preferred. + Prior experience in health care compliance, regulation, SIU , government agency or similar position ... **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing... works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation and prevention… more
- CVS Health (Tallahassee, FL)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...fraud plans. Fundamental Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud… more
- CVS Health (Richmond, VA)
- Bring your heart to CVS Health . Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health . This purpose ... guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in...Must be willing to work EDT schedule. - Conducts investigations to effectively pursue the prevention, investigation and prosecution… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... processing, b) customer service function or equivalent experience in investigative, health care, nursing, law enforcement or insurance . **Preferred… 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 ... government plan auditing experience preferred. + Strong understanding of health insurance reimbursement methodologies, including familiarity with International… more
- Universal Health Services (Reno, NV)
- …the patient experience. Learn more at: https://prominence- health .com/ Job Summary: The Special Investigations Unit is responsible for investigating and ... + Bachelor's Degree or equivalent years of relevant work experience in Health -Related Field or Insurance required + Licenses/Certifications: Coding certification… more
- Geisinger (Danville, PA)
- Job Summary Our ideal candidates have health insurance and regulatory reporting experience, data analysis and analytical skills, independent workers, and are ... Health Care Anti-Fraud Association accreditation. Job Duties Conducts investigations and research relating to preventing, detecting and correcting fraud, waste… more
- AmeriHealth Caritas (Washington, DC)
- ** Special Investigator Managed Care - DMV...pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your ... services. Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Investigator is responsible for conducting comprehensive investigations … more
- PNC (NC)
- …success. We are looking to hire a Detection & Investigation Associate Sr within the Special Investigations Unit in PNC's Financial Intelligence Unit ... available in all geographic locations. The Detection & Investigation Investigator Sr should have extensive knowledge and experience with...Writing Complex Investigations Unit or Special Investigations Unit **Job Description**… more
- MyFlorida (Tallahassee, FL)
- …of this unit . In addition, the incumbent provides support and assistance to the Special Investigations Unit as needed, and may be assigned special ... records and assignments. + Assist the Bureau Chief and Investigator Supervisor with recruitment for the bureau to fill...and one Personal Holiday each year. + State Group Insurance coverage options, including health , life, dental,… 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 ... Bring your heart to CVS Health . Every one of us at CVS ...EDT hours (8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention, detection, investigation and… more
