- The Robison Group (Brooklyn, NY)
- …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,… more
- The Hartford (Los Angeles, CA)
- …shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will cover Los Angeles ... the adjudication of the claim. The mission of the Special Investigations Unit ( SIU...be responsible for conducting thorough, timely, efficient, and impartial investigations to support the accurate resolution of insurance… more
- Allied Universal (Chicago, IL)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Providence (Beaverton, OR)
- **Description** **Investigator External Audit Special Investigations Unit ( SIU )** **_Remote._** The SIU Audit Investigator supports the compliance ... related activities of the Special Investigations Unit ( SIU...Coding experience with a healthcare provider, facility or health insurance company. + 2 years - Fraud and Abuse… more
- USAA (San Antonio, TX)
- …USAA Life Company's SIU Life & Health is seeking a talented **Life Special Investigations Unit Investigator I (Mid-Level)** to review, analyze, and ... Fraud, Waste, and Abuse** you will support the Life Special Investigations team that is responsible for...a military spouse/domestic partner + 5 or more years healthcare/ insurance claim investigations experience or law enforcement… more
- MAPFRE Insurance (Webster, MA)
- …Location: Webster or Remote, MA, US Company: MAPFRE **Summary:** Exciting opportunity to join our Special Investigations Unit ( SIU ). In this role you ... + Draft responses to consumer complaints and Division of Insurance inquiries. + Direct external investigations being...Casualty claims handling experience is required. + Exposure to SIU related issues preferred. + Insurance coursework… more
- Kemper (Lake Mary, FL)
- …**POSITION SUMMARY** : The SIU Manager will manage a staff of SIU Investigators conducting field and desk investigations for Kemper Companies. This position ... : + Conducts interviews and aids in selection and training/development of SIU personnel. + Provides oversight of all investigations assigned within… more
- Command Investigations (NJ)
- Seeking a Full-Time experienced SIU / Insurance investigator to cover Los Angeles, CA. A minimum of 3 years' experience as an insurance Investigator is ... required. Must have background in handling multi-lines investigations and some SIU experience. Must have...Full Time role; subcontractors will not be considered. The SIU / Insurance Investigator should demonstrate proficiency in the… more
- Command Investigations (Tampa, FL)
- A minimum of 5 years' SIU experience is required. Must have experience in P&C investigations . * Candidates who do not have property (non-auto) experience will ... assignments. This is a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the following areas: + P&C … more
- Command Investigations (Ventura County, CA)
- …and staff. This is a W-2 role; subcontractors will not be considered. The SIU / Insurance Investigator should demonstrate proficiency in the following areas: + P&C ... Experienced SIU Investigator A minimum of 5 years' ...experience is required. Must have background in handling P&C investigations . Candidates who do not have property (non-auto) experience… more
- Travelers Insurance Company (St. Paul, MN)
- …into actionable investigative strategies including the identification of complex case investigations . + Conducts insurance investigations including ... officials, law enforcement officers and others to obtain assistance in conducting investigations . + Identifies cases for potential insurance fraud prosecution… more
- Sedgwick (Houston, TX)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims ... ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable… more
- Kemper (Henderson, NV)
- …by law and management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. + Develops and maintains ... to our stakeholders that delivers on our promises._ **Position Summary** : The SIU Desk Investigator I is responsible for the investigation of simple claims that… more
- CVS Health (Harrisburg, PA)
- …highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role is ideal ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- NJM Insurance (Trenton, NJ)
- …of fraud and promptly notify the supervisor if a case warrants investigation by the Special Investigations Unit ( SIU ). + Prepare and issue monthly ... audit assignments for NJM auditors and independent audit vendors. Include relevant policy information and instructions as required to ensure efficient audit processing. + Identify and process estimated audits for policyholders who are noncompliant with mail… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit ( SIU ), Provider Relations (PR), or ... the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from work, and paid… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …agencies (eg APS/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit ( SIU ) or designated internal/external ... the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from work, and paid… more
- Prime Therapeutics (Lansing, MI)
- …of audits and investigations performed by the Pharmacy Audit Operations and Special Investigations Unit ( SIU ) teams. **Responsibilities** + Perform ... and/or coordination with an external collection agency + Evaluate audits, investigations and/or claims identified for potential recoupment to verify that results… more
- Sedgwick (Irving, TX)
- …changes with internal departments. + Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit ( SIU ) as appropriate and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Consumer Care Advocate **Our teams connect!** **We collaborate onsite and have a… more
- Sedgwick (Fort Worth, TX)
- …Director Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations of complex fraud schemes involving providers, vendors, ... attorneys and others; to strategically partner with law enforcement, departments of insurance , legal counsel and internal stakeholders for fraud matters, to be… more