- Usaa (Bremerton, WA)
- …General Equivalency Diploma (GED). 2+ years claims adjusting experience, or P&C SIU /Fraud Investigation experience OR 4+ years prior investigative law ... our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for...SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement… more
- CareSource (Dayton, OH)
- Job Summary: The Special Investigations Unit ( SIU ) Investigator I is responsible for comprehensive review, examination, and analysis of assigned ... triage activities Investigative Case Support Provide support of delegative vendor investigations Monitor SIU issued Corrective Action Plans, Settlement… more
- UnitedHealth Group (Brooklyn, NY)
- …each investigation Maintain accurate, current and thorough case information in the Special Investigations Unit 's ( SIU 's) case tracking system Collect ... Caring. Connecting. Growing together. The Investigator is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The… more
- Usaa (Charlotte, NC)
- …ensure compliance. Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit ( SIU ) referrals, when ... Military Investigative Experience): Strongly Preferred: Experience as a Criminal Investigation Division (CID) Special Agent (Army MOS...31D or Marine Corps 5821), Air Force Office of Special Investigations (OSI) Agent (Air Force Enlisted… more
- Usaa (New Orleans, LA)
- …and policy provisions. Review claims/suppliers for fraud indicators and refers to Special Investigations Unit for handling, if applicable. Maintain ... our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Sr....will within defined guidelines and framework responsible for the investigation , negotiation, evaluation and appraisal of vehicle damage claims… more
- Usaa (Los Angeles, CA)
- …and policy provisions. Review claims/suppliers for fraud indicators and refers to Special Investigations Unit for handling, if applicable. Maintain ... how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are hiring a Sr. Auto Appraiser in the San Fernando… more
- UnitedHealth Group (Plymouth, MN)
- …Caring. Connecting. Growing together. Work at home! The Medical Director for UnitedHealthcare's Investigations Unit (UHC IU) is a valuable national leader for ... findings, actions and outcomes to be relied on in investigations of fraud, waste, and abuse cases in accordance...task forces Develop quality audit practices to ensure UHC SIU 's Medical Record Review Team is adhering to proper… more
- Usaa (Phoenix, AZ)
- …adverse carrier). Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit ( SIU ) referrals, when ... we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Sr Auto Adjuster, you will adjust highly… more
- Usaa (Colorado Springs, CO)
- …adverse carrier). Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit ( SIU ) referrals, when ... we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Auto Adjuster you will manage file… more
- UnitedHealth Group (Plymouth, MN)
- …four days per week. Primary Responsibilities: Provide legal counsel to the UnitedHealthcare Special Investigations Unit regarding fraud, waste, and abuse and ... including, but not limited to: fraud, waste and abuse, payment integrity, special investigations , litigation support, claim payment strategy and policy… more
- Usaa (Philadelphia, PA)
- …characteristics. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when ... we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Senior Property Adjuster, you will work… more
- Usaa (Providence, RI)
- …characteristics. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when ... we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist, you will work… more
- Usaa (Olympia, WA)
- …characteristics. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when ... we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Property Adjuster Specialist, you will work… more
- Usaa (Chicago, IL)
- …settlement amount. Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when ... we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a dedicated Property General Adjuster, you will work… more
- PMA Companies (Tampa, FL)
- …for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure ... timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate claims settlements… more
- PMA Companies (Roseville, CA)
- …for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures ... timely denial or payment of benefits in accordance with jurisdictional requirements Within granted authority, establishes appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure… more
- State Farm (Tempe, AZ)
- …Handles first-party medical coverage for customers injured in an automobile accident Special Investigative Unit ( SIU ) : Handles high-volume, complex ... Location US-AZ-Tempe Job Category Claims and Investigation Position Type Regular Full Time Req ID...and other types of property losses Boat, Commercial, Farm/Ranch Unit (BCFR): Handles commercial and boat claims Fire Property… more
- PMA Companies (Roseville, CA)
- …for subrogation recovery, and second injury fund (when applicable) Alerts Supervisor and Special Investigations Unit to potentially suspect claims Ensures ... timely denial or payment of benefits in accordance with jurisdictional requirements Within granted authority, establishes appropriate reserves with documented rationale, maintains and adjusts reserves over the life of the claim to reflect changes in exposure… more
- LA Care Health Plan (Los Angeles, CA)
- …Fraud, Waste and Abuse (FWA) is responsible for directing LA Care Health Plan's enterprise special investigations unit ( SIU ) and FWA program. The ... disciplining, and motivating direct reports. Duties Leadership and Program Oversight: Lead LA Care's Special Investigations Unit ( SIU ) in overseeing the… more
- City of New York (New York, NY)
- …criminal and/or non-criminal, unique, highly confidential and sensitive investigations . The Special Investigation Unit ( SIU ) is responsible for ... of Correction seeks to recruit Deputy Directors for the Special Investigation Unit ( SIU...engaged in the performance of confidential, highly complex, and/or special investigations involving surveillances, interrogation of subjects… more
