- 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...investigating questionable claims. This position will report to the SIU Manager and will be responsible for… 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...Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related auditing… more
- CVS Health (Washington, DC)
- …strategic initiatives, along with a team of medical coders/nurses supporting Aetna's Special Investigations Unit . Key Responsibilities: + Leadership: Leads ... CPT and HCPCS coding guidelines. Assist with department build and implementation of SIU coding quality program. + Training: Assesses team's training needs and works… more
- Molina Healthcare (Akron, OH)
- …contract provisions, and internal policies and procedures + Supports the Special Investigations Unit ( SIU ) Manager , Director, and team in ... Under direct supervision of the Manager , the Reporting Analyst, SIU supports a team in the Special Investigation Unit ( SIU ). The Reporting Analyst, … more
- Kemper (Lake Mary, FL)
- …SUMMARY** : The SIU Manager will manage a staff of SIU Investigators conducting field and desk investigations for Kemper Companies. This position will ... : + Conducts interviews and aids in selection and training/development of SIU personnel. + Provides oversight of all investigations assigned within… more
- CVS Health (Lansing, MI)
- …current skills and development needs. + Assess training needs and collaborate with the SIU Sr. Manager to create development plans for team members. + Develop ... for ensuring the quality and integrity of healthcare fraud and abuse investigations . This role involves overseeing the training and development of team members,… more
- CVS Health (Harrisburg, PA)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role ... visualizations and other related documents for diverse audiences + Collaborate with SIU investigators, Program Integrity Manager , and Compliance to understand… 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 ... Case Management staff, members, and providers. + Provides backup for the Supervisor/ Manager , whenever necessary by: + Participating in the orientation of new staff… more
- Banco Popular Puerto Rico (San Juan, PR)
- …Workplace Type: Hybrid Manager I General Description The Continuous Audits & Special Investigations Manager is responsible for leading the Continuous ... Audits and Special Investigations unit , which is tasked with conducting continuous audits, investigating customer claims, allegations, and internal… 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 ... Protection Division in Tallahassee, Florida. This position functions as office manager for the Tallahassee Consumer Protection bureau, reporting directly to the… more
- Travelers Insurance Company (Baltimore, MD)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- Travelers Insurance Company (Raleigh, NC)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- TD Bank (New York, NY)
- …TD Securities Compliance team is seeking a Surveillance Quality Assurance Manager to assist with building a global Surveillance Quality Assurance program. ... The Surveillance Quality Assurance Manager will help lead a specialized function responsible for...and will be part of the broader Surveillance Intelligence Unit , comprised of the Surveillance Data Quality Team, Surveillance… more
- Sysco (Jackson, MS)
- …maintenance under the guidance of fleet technician II & III or fleet manager on vehicles and equipment to maximize the safety, reliability, and cost efficiency ... fleet technician II & III or fleet supervisor or manager in accordance with all federal, state and local...manufacturers + Apprentice will be required to complete Sysco SIU training modules for safety and other required courses.… more
- Sysco (Fargo, ND)
- …maintenance under the guidance of fleet technician II & III or fleet manager on vehicles and equipment to maximize the safety, reliability, and cost efficiency ... fleet technician II & III or fleet supervisor or manager in accordance with all federal, state and local...manufacturers + Apprentice will be required to complete Sysco SIU training modules for safety and other required courses.… more
- Elevance Health (AZ)
- …as appropriate. + Identifies and refers cases or issues to QI, SIU , Subrogation, Underwriting, or other departments as appropriate. + Documents appropriate clinical ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- The Robison Group (Fargo, ND)
- …with education and experience. OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. ... Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance… more
- Travelers Insurance Company (Wyomissing, PA)
- …in on-going training sessions for the inside auto business. + Works closely with Unit Manager or mentor to promptly resolve assigned claim. + Customer ... and forwards appropriate files to subject matter experts (ie, Subrogation, SIU , Property, Adverse Subrogation, etc.). + Reserving: + Establishes timely and… more
- U-Haul (Phoenix, AZ)
- …to work in the Major Case Unit . Under the direction of the Major Case Unit Manager , you will be responsible for managing a desk of all claims that are ... to: + Reviewing files referred to the Major Case Unit (MCU) for potential dec action + Determining what...+ Work closely with FBI & NICB on their investigations + 2 years of handling bodily injury claims… more
- Compass Group, North America (Springfield, IL)
- …Part Time NICU/Pediatric Dietitian- Springfield, IL Reports To: Clinical Nutrition Manager Location: Morrison Healthcare at HSHS St John's Job Details: Position ... trauma center. As a teaching medical center, we work in partnership with SIU Medicine, offering a rich environment for professional growth. In this role, the… more