- CVS Health (Austin, TX)
- …an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU ), dedicated to a specific self-funded plan ... sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud,...abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud,… more
- Allied Universal (Waco, TX)
- …career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special Investigations ... designated regional area. + Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to… more
- Capital One (Plano, TX)
- AML Sr Investigator II- SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized ... (SME)** will work closely with key stakeholders in the SIU and outside of the SIU when...+ Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in… more
- Capital One (Plano, TX)
- AML Senior Investigator II- SIU Supervisor **The Anti-Money Laundering (AML) Supervisor** **supervises various AML processes, which might include suspicious ... activity investigations , closing reviews, or other AML processes. The associate...managing the workflow of the AML analysis. The AML Investigator II coaches their team and teaches others about… more
- Command Investigations (Houston, TX)
- …on all assignments. This is a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the following areas: + P&C ... A minimum of 5 years' SIU experience is required. Must have experience in P&C investigations . * Candidates who do not have property (non-auto) experience will… more
- Elevance Health (Grand Prairie, TX)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU ** **Location:** This role requires associates to be in-office 1 - 2… more
- Molina Healthcare (Houston, TX)
- **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
- Molina Healthcare (Dallas, TX)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations + Thorough knowledge of PC based software including Microsoft Word (edit/save… more
- Allied Universal (Tyler, TX)
- …As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation ... and eligibility. **Job Description:** Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and… more
- The Robison Group (Lubbock, TX)
- Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance ... We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment,...must be willing to obtain a valid Texas Private Investigator license. + Self-motivated, determined, and intuitive. + Strong… more
- Command Investigations (Laredo, TX)
- …lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals ... Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
- Allied Universal (Mcallen, TX)
- …As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation ... with us and make a difference. **JOB DESCRIPTION:** Allied Universal Compliance and Investigations is seeking candidates to fill the role of the Field Site… more