- Dexian - DISYS (Baltimore, MD)
- Position: Special Investigations Unit ( SIU ) InvestigatorLocation: Owings Mills MD (Hybrid)Job Type: 6 months Contract - Possible extension Job ... Description: Job Duties: The role of the Special Investigations Unit ( SIU ) Investigator is to assist in the reduction and recuperation of losses through… 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 ... funds. The SIU Investigators will be responsible for conducting preliminary investigations into members that are suspected of committing fraud when enrolling for… more
- State of Massachusetts (Boston, MA)
- …highly organized, mission-driven individual to fill the role of Area Program Manager (APM) for the Special Investigations Unit ( SIU ). The Special ... The Area Program Manager is a member of the SIU senior management team, is involved with all aspects...of Children & Families* **Title:** *Area Program Manager - Special Investigations Unit * **Location:** *Massachusetts-Boston-600… more
- Capital One (Richmond, VA)
- …United States of America, Richmond, Virginia Anti-Money Laundering Subject Matter Expert (SME) - Special Investigations Unit ( SIU ) The Complex ... certification + At least 2 years of Anti-Money Laundering experience within the Special Investigations Unit Preferred Qualifications: + Bachelor's Degree +… more
- The Hartford (NJ)
- …help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will be based out ... within his or her area of responsibility and leverage knowledge gained to SIU analytical resources. + Independently complete investigations in accordance with… more
- The Robison Group (Tampa, FL)
- …searches, and other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... 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
- Capital One (Richmond, VA)
- West Creek 3 (12073), United States of America, Richmond, Virginia Special Investigations Unit ( SIU ) Anti-Money Laundering Supervisor **Job Title:** ... supervises various AML processes, which might include suspicious activity investigations , currency transaction reporting, global sanctions screening, enhanced due… more
- CVS Health (Springfield, IL)
- …Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely ... in identifying resources and best course of action on investigations * Serves as back up to the Team...years of working health care fraud, waste and abuse investigations . Pay Range The typical pay range for this… more
- Humana (Columbus, OH)
- …and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ... works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the form of objectives and determines approach, resources, schedules and goals. The Manager, Fraud and Waste… more
- CVS Health (Frankfort, KY)
- …AAPC Coding certification - 3+ years of experience in medical coding or documentation auditing.- 2 years or more previous experience with Behavioral Health ... coding/auditing of records- Strong knowledge of standard industry coding guides and guidelines including CPT, HCPCS, ICD-10, CMS 1500 and UB04 data elements- Experience with researching coding and policies.- Experience with Microsoft Excel - Strong attention… more
- Allied Universal (Crossville, TN)
- …more for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... Allied Universal(R) Compliance and Investigations , North America's leading expert insurance claim ...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Point32Health (Canton, MA)
- …seeking highly motivated individuals 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… more
- State of Massachusetts (Boston, MA)
- …and others with insurance laws, rules, regulations and administrative bulletins (ie, referral to Special Investigations Unit ). * Participate on special ... The Insurance Examiner II position reports to the Director of the Consumer Services Unit , which is responsible for the ensuring that consumers are informed of their… more
- Magellan Health Services (Boise, ID)
- …effective. + Collaborates and work in coordination with other subject matter experts in Special Investigations Unit ( SIU ), cost containment, legal, ... Responsible for conducting compliance audits, risk assessments, investigations , education and training assignments relating to billing, coding, reimbursement and… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... accurately in Fraud, Waste and Abuse case management system. Monitor and notify SIU associates on dollar recovery and Corrective Action Plan status. + Pursues low… more
- City of New York (New York, NY)
- Job Description The Special Investigations Unit ( SIU ) of the Law Department conducts Investigations . In-House investigations include, but are not ... ensure the PE'd individual is not present in the unit . The visits are documented in the Law Department's...general supervision, with latitude for independent initiative and judgment, SIU Team members conduct professional investigations of… more
- RELX INC (Denver, CO)
- …as a subject matter expert on LexisNexis and Accurint TraX (ZetX) solutions within the Special Investigations Unit ( SIU ). The Public Safety SIU ... the link below. https://risk.lexisnexis.com/government About our Team The LexisNexis(R) Public Safety Special Investigations Unit is comprised of former… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com . As a member of Premera's Special Investigations Unit ( SIU ), the **Investigator ... 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
- 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 ... Manhattan, Brooklyn, The Bronx, Queens and Staten Island NY. Previous SIU claims and/or law enforcement investigation experience preferred** Job Summary: This… more
- Allied Universal (Knoxville, TN)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... Allied Universal(R) Compliance and Investigations , North America's leading expert insurance claim investigations , compliance and corporate governance company,… more
