- Allied Universal (Staten Island, NY)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... designated regional area. + Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to… more
- JPMorgan Chase (Jersey City, NJ)
- …security solutions, ensuring a safer and more secure future for all. As a Special Investigations Unit Investigator within the Global Security team, you ... will be responsible for conducting complex and sensitive investigations involving Code of Conduct violations in both North America and Latin America and coordinate… more
- Prime Therapeutics (Trenton, NJ)
- …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
- Molina Healthcare (New York, NY)
- **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
- Prime Therapeutics (Trenton, NJ)
- …prescriber, pharmacy and drug restrictions (ie FWA lock ins) based on substantiated SIU investigations ; recommend FWA lock ins and proactively lead internal and ... and drives every decision we make. **Job Posting Title** SIU Clinical Consultant **Job Description** The SIU ...PTCB or ExCPT (CPhT) + Prior experience in a special investigation's unit **Physical Demands** + Constantly… more
- Molina Healthcare (New York, NY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, investigation, ... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make medical… 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
- RELX INC (New York, NY)
- …informed decisions to enhance investigations . About the Team: The Public Safety Special Investigative Unit ( SIU ) is comprised of former law enforcement ... offerings to provide real-time investigative insight for LexisNexis customers. The Public Safety SIU also serves to work with the sales team and customer by… more
- NJM Insurance (Trenton, NJ)
- …injured workers, medical providers, the NJM Medical Claims Services Department, the NJM Special Investigation Unit , the NJM WC Legal Staff, and other departments ... Evaluate the claim for potential fraud indicators and escalates the file to SIU , as appropriate + Recognize and investigate subrogation opportunity and refer to NJM… more