- 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...related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation… more
- Allied Universal (Billings, MT)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... **Job Description:** Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims ...of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claims… more
- AIG (Atlanta, GA)
- …AIG, we are reimagining the way we help customers to manage risk. Join us as a SIU Claims Investigator to play your part in that transformation. It's an ... and efficiency. How you will create an impact The SIU Claims Investigator is responsible...Obtain and preserve physical and documentary evidence to support investigations . + Coordinate necessary investigative techniques and resources, such… more
- Command Investigations (San Diego, CA)
- CLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also ... website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the...proficiency in the following areas: + W/C and P&C investigations + Writing accurate, detailed reports + Strong initiative,… more
- Command Investigations (Laredo, TX)
- …for hire. Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, ... with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We...Auto, or Homeowners Investigations . + Writing accurate, detailed reports + Strong initiative,… more
- Command Investigations (TN)
- …hire. Visit our website and find out why at www.GoCommand.com . The Claims /Surveillance Investigator should demonstrate proficiency in the following areas: + ... Command Investigations LLC is a dynamic and forward-thinking investigative...with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required, as… more
- The Robison Group (Brooklyn, NY)
- …opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU Investigator , you will be joining an incredible team ... 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
- Allied Universal (Williamsburg, VA)
- … Unit ( SIU ) Investigator . Special Investigations Unit ( SIU ) Specialists investigate claims with red flags that suggest fraudulent behavior ... five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims +...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- USAA (Boston, MA)
- …sets you apart:** + SIU experience conducting low to complex PNC fraud investigations OR a combination of Claims and Law Enforcement Investigations OR ... and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a desk...Diploma or General Equivalency Diploma (GED). + 2+ years claims adjusting experience, or P&C SIU /Fraud Investigation… more
- Command Investigations (Atlanta, GA)
- Seeking experienced Claims / SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and ... and staff. Must have a background in handling multi-lines investigations with personal lines highly desired. Must have reliable...our website and find out why at www.GoCommand.com. The SIU /WC Investigator should demonstrate proficiency in the… more
- U-Haul (Phoenix, AZ)
- …personnel in the detection and investigation of fraudulent submissions. Work with the Regional Claims Manager and Regional SIU Manager to perform a variety of ... + 1 year of employment with U-Haul/Repwest Work Status: Full-time U-Haul offers its Special Investigation Unit : + Full Medical coverage + Prescription plans +… more
- CVS Health (Charleston, WV)
- …every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known ... fraud schemes. + Investigates to prevent payment of fraudulent claims submitted to the Medicaid lines of business +...in identifying resources and best course of action on investigations + Serves as back up to the Team… more
- CVS Health (Oklahoma City, OK)
- …and abuse investigations and audits. - Experience reviewing and analyzing claims data to determine appropriate CPT and HCPCS code. - Proficient in researching ... of Oklahoma. Must be willing to work CDT schedule. - Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud… more
- American Family Insurance - Corporate (St. Louis, MO)
- …and property claims , develop meaningful industry social network and assist special investigations leadership in promoting fraud awareness and detection with ... partners, agents and customers. You will report to a Special Investigations Manager. In this primarily home-based...+ 2+ years of experience in property and/or Auto claims We provide benefits that support your physical, emotional,… more
- Centene Corporation (Sacramento, CA)
- …healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential ... healthcare fraud and abuse. + Conduct investigations of potential waste, abuse, and fraud + Document...mining and analysis to detect aberrancies and outliers in claims + Develop new queries and reports to detect… more
- Blue KC (Kansas City, MO)
- …**Job Description Summary:** As part of Blue KC's Special Investigations Unit ( SIU ), the Fraud Investigator conducts reviews to identify potential ... with SIU policies and procedures. May work with Manager and/or Senior Investigator on larger, more complex, investigations . + Create and maintain detailed… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …OMIG's minimum investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or experience, which shall ... investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law...criminal justice or related field; or employment as an investigator in the SIU on or before… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator ... to join the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving providers who submit … more
- Command Investigations (Detroit, MI)
- …) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator . SuperiorX Investigations ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
