- 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+ ... to applying** Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims ...of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claims… more
- Allied Universal (Las Vegas, NV)
- … investigations as needed to ensure a full schedule** Allied Universal(R) is hiring a SIU / Claims Investigator . SIU / Claims Specialists ... five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims +...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Command Investigations (San Diego, CA)
- CLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also ... website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the...proficiency in the following areas: + W/C and P&C investigations + Writing accurate, detailed reports + Strong initiative,… more
- Command Investigations (Winnemucca, NV)
- …for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We...Auto, or Homeowners Investigations . + Writing accurate, detailed reports + Strong initiative,… more
- Command Investigations (FL)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + ... Command Investigations LLC is a dynamic and forward-thinking investigative...with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required, as… more
- Kemper (Henderson, NV)
- …These investigations may include single exposure losses and non-represented PIP/Med Pay claims . A Special Desk Investigator I may also handle task-based ... that delivers on our promises._ **Position Summary** : The SIU Desk Investigator I is responsible for...management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. +… more
- The Robison Group (Ocala, 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
- CVS Health (Jefferson City, MO)
- …Better Health of Illinois and the Special Investigations Unit ( SIU )! **Position Summary** The SIU Investigator conducts investigations to ... in a prepayment environment - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, etc. - Researches and prepares cases… more
- Centene Corporation (Austin, TX)
- …of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special claims investigations or audits that identify, evaluate and ... US. Ideal candidate has strong background in healthcare fraud investigations and Accredited Health Care Fraud Investigator ...systems to assure integrity and compliance in billing and claims payment + Investigate possible waste , abuse and… more
- Sedgwick (Knoxville, TN)
- … SIU Research Investigator **PRIMARY PURPOSE** **:** Performs claims investigations utilizing online public and subscription database searches, conducts ... ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable… more
- CVS Health (Hartford, CT)
- …an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU ). In this role, you will manage complex ... Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers. + Researches and prepares… more
- Travelers Insurance Company (Downers Grove, IL)
- …and expertise to identify potential risks and combat fraudulent practices. As an SIU Investigator , you will analyze, summarize and prioritize information to ... uncover potentially fraudulent activity. The investigator , supporting a Claim Center, will investigate ...suspicious in nature within all lines of business. The investigator will conduct thorough and comprehensive investigations … more
- Command Investigations (Atlanta, GA)
- 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
- Elevance Health (Atlanta, GA)
- ** Investigator II - Payment Integrity SIU **...to recover corporate and client funds paid on fraudulent claims . **How you will make an impact:** + Claim ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator II** will be responsible for the identification, investigation and… more
- Elevance Health (Gilbert, MN)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator II - Registered Nurse and CPC -...investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines… more
- Travelers Insurance Company (Diamond Bar, CA)
- …and combat fraudulent practices at scale. As an SIU Specialized Investigator , you will lead complex, multi-claim investigations with regional and national ... provides industry-leading resources designed to detect and deter fraudulent claims . Leveraging advanced technology and analytics, we proactively identify risk… more
- Centene Corporation (Sacramento, CA)
- …healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential ... healthcare fraud and abuse. + Conduct investigations of potential waste, abuse, and fraud + Document...mining and analysis to detect aberrancies and outliers in claims + Develop new queries and reports to detect… more
- American Family Insurance - Corporate (Seattle, WA)
- …property claims , develop meaningful industry social network and assist special investigations leadership in promoting fraud awareness and detection with ... partners, agents and customers. You will report to a Special Investigations Manager. In this primarily home-based...+ 2+ years of experience in property and/or Auto claims We encourage you to apply even if you… more
- CVS Health (Annapolis, MD)
- …all with heart, each and every day. **Position Summary** - 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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit ( SIU ) Senior Investigator is to assist in the reduction and ... projects as assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education Level:** Bachelor's Degree… more