- Usaa (Parkersburg, WV)
- …makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and ... sets you apart: SIU experience conducting low to complex PNC fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military… more
- Command Investigations (Detroit, MI)
- …) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator . SuperiorX Investigations ... quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud,...of the case. On average, anticipate 40% of the investigator 's time to be spent in the field… more
- Command Investigations (Jacksonville, FL)
- Seeking a part-time experienced SIU Field investigator . 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...Part Time role; subcontractors will not be considered. The SIU /Insurance Investigator should demonstrate proficiency in the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …or bachelor's degree in criminal justice or related field ; or employment as an investigator in the SIU on or before December 28, 2022. + Current NYS RN ... investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or...include: A minimum of five years in the healthcare field working in FWA investigations and audits;… more
- Kemper (Doral, FL)
- …on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and ... accepted for investigation by the Special Investigative Unit . Our Special Investigator will...Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department… more
- UPMC (Pittsburgh, PA)
- …is a remote position. Under the direction of the manager, the Special Investigations Unit ( SIU ) Investigator is responsible for investigating ... UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator...supporting current SIU staff and manager with investigations and special projects. Responsibilities: + Maintain… more
- Allied Universal (San Antonio, TX)
- …career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special Investigations ... go to - travel daily to cases in the field !** + **Company credit card to cover fuel and...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- USAA (Los Angeles, CA)
- …special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). **This is a Field position** . Within defined guidelines and ... is Los Angeles County, California** **.** This being a Field position a company car is provided and there...SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement… more
- Centene Corporation (Frankfort, KY)
- …Position acts as a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud, Waste and Abuse of Medicaid services within Kentucky. Provides ... + Manage and coordinate cases being investigated by the SIU + Maintain all vendor cases + Assist with...Maintain all vendor cases + Assist with conducting complex investigations , including on-site investigations , review, complete and… more
- Philadelphia Insurance Companies (Ewing, NJ)
- … investigators. Ensure third party field investigators conduct appropriate investigations . Review and evaluation of third-party investigator reports for ... claims meet state reporting thresholds. Work with vendor partners to conduct relevant field investigations . Complete database investigations . A typical day… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …- Investigator (ICA-I) have many of the same skills that an insurance company Special Investigations Unit ( SIU ) or similar investigators have and ... Job Description: We are seeking a meticulous and experienced SIU or similarly skilled Investigator to join...that would assist an applicant would be: + Private investigations . + Insurance company ( SIU ) or internal… more
- TEKsystems (Austin, TX)
- Investigator , Special Investigations Unit The position of Investigator within the SIU -FIU will be an individual contributor role responsible for ... conducting timely and complex proactive and reactive investigations . This will include the drafting of SARs as...4 years of experience specifically in an Anti-Money Laundering Investigator within the Case review stage (not alerts, not… more
- MVP Health Care (Tarrytown, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... a passion for problem solving and investigations , commitment to compliance and ethical standards and dedication...+ BA/BS degree in criminal justice or a related field , and minimum of five years of insurance claims… more
- Point32Health (Canton, MA)
- …an essential team member of the Special Investigation Unit (" SIU ") responsible for leading complex provider investigations related to fraud, waste, and ... **Job Summary** The Investigator I is...for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the Manager, FWA Prepayment… more
- Allied Universal (Fargo, ND)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation… more
- AmeriHealth Caritas (Columbia, SC)
- … investigations . + Performs necessary functions to support all aspects of SIU investigations and responsibilities to include, but not limited to: Intake; ... Special Investigation Units and fraud, waste and abuse investigations . + Conducts investigations of potential; fraud,...in lieu of formal educational requirements for the Lead SIU Investigator position may be considered. +… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager, SIU , the Team Lead is responsible to lead a small team of investigators and provide ... on daily investigative activities as a back-up to the SIU Manager. This position will be accountable for tracking...Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
- Command Investigations (TN)
- Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its establishment in ... setting the standard for innovation and reliability in the field . Our seasoned team of professionals, coupled with cutting-edge...as a leader in the investigation industry. At Command Investigations , we take pride in our proven track record… more
- The Robison Group (Albany, NY)
- …commensurate with education and experience. OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager, Case ... Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance… more
- Allied Universal (Southaven, MS)
- …As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation ... make a difference. Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet...go to - travel daily to cases in the field !** + **Company credit card to cover fuel and… more
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