- The Robison Group (Queens, 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, fire… 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
- 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
- CVS Health (Hartford, CT)
- …fraud plans and reporting.- Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by both members and providers.- ... match current skills and development needs.- Assesses training needs and works with SIU Director on development plans for team members.- Develops and maintains close… more
- Allied Universal (Des Moines, IA)
- …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
- 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
- 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
- Molina Healthcare (Omaha, NE)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions… 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
- Command Investigations (Lake Mary, FL)
- …The candidate should demonstrate proficiency in the following areas: + Homeowner's SIU investigations . Additional investigative experience in Cargo and non-auto ... A nationwide private investigation company is seeking a full-time SIU Specialist with experience in Homeowner's Investigations . Any other SIU investigative… more
- Sedgwick (Naperville, IL)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer SIU Associate **PRIMARY PURPOSE** **:** To perform various administrative duties ... required to complete SIU claim assignments which may include referral intake, production...requested. + Monitors and directs all telephone calls into unit main line and handles incoming/outgoing mail. **ADDITIONAL FUNCTIONS… more
- Command Investigations (Ventura County, CA)
- Experienced SIU Investigator A minimum of 5 years' SIU experience is required. Must have background in handling P&C investigations . Candidates who do not ... 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 … more
- Command Investigations (Orlando, FL)
- …an insurance Investigator is required. Must have background in handling multi-lines investigations and some SIU experience. Must have reliable transportation, ... Seeking a full-time experienced SIU /Insurance investigator. A minimum of 3 years' experience...should demonstrate proficiency in the following areas: + Multi-lines investigations + Writing accurate and detailed reports + Strong… more
- Sedgwick (Madison, WI)
- …ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations… more
- Command Investigations (Louisville, KY)
- …Claims/ SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and Industrial/workplace accidents. ... Investigators and staff. Must have a background in handling multi-lines investigations with personal lines highly desired. Must have reliable transportation, along… more
- LTCG (MN)
- …success of its customers. With illumifin, there's a brighter future A SIU /Fraud Investigator is responsible for working with multiple business units on coordination, ... programs and from claims organization, as assigned * Coordinates and performs investigations with oversight of lead investigator * Prepares responses for suspected… more
- Travelers Insurance Company (Brookfield, WI)
- …Range** $66,500.00 - $109,700.00 **Target Openings** 1 **What Is the Opportunity?** This SIU Investigator is responsible for conducting field investigations in a ... actionable investigative strategies including the identification of complex case investigations . + Conducts insurance investigations including applicable data… more
- Commonwealth Care Alliance (Boston, MA)
- …Exercised:** No **What You'll Be Doing:** + Plan, organize, and execute investigations or audits utilizing document review, witness interviews and data analysis to ... and industry requirements to the different benefits and products within investigations . + Proactively seek out and develop leads, resources and opportunities… more
- CVS Health (Hartford, CT)
- …United States. Must be willing to work EDT schedule. - 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
- CVS Health (Trenton, NJ)
- …care more personal, convenient and affordable. Position Summary- Conducts investigations to effectively pursue the prevention, investigation, and prosecution of ... to comply with state regulations mandating fraud plans and practices.- Conducts investigations of known or suspected acts of healthcare fraud and abuse.-… more
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