- The Hartford (Los Angeles, CA)
- …shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will cover Los Angeles ... the adjudication of the claim. The mission of the Special Investigations Unit ( SIU...investigating questionable claims. This position will report to the SIU Manager and will be responsible for… more
- Providence (Beaverton, OR)
- **Description** **Investigator External Audit Special Investigations Unit ( SIU )** **_Remote._** The SIU Audit Investigator supports the compliance ... related activities of the Special Investigations Unit ( SIU...Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related auditing… more
- Molina Healthcare (Akron, OH)
- …contract provisions, and internal policies and procedures + Supports the Special Investigations Unit ( SIU ) Manager , Director, and team in ... Under direct supervision of the Manager , the Reporting Analyst, SIU supports a team in the Special Investigation Unit ( SIU ). The Reporting Analyst, … more
- Kemper (Lake Mary, FL)
- …SUMMARY** : The SIU Manager will manage a staff of SIU Investigators conducting field and desk investigations for Kemper Companies. This position will ... : + Conducts interviews and aids in selection and training/development of SIU personnel. + Provides oversight of all investigations assigned within… more
- CVS Health (Lansing, MI)
- …current skills and development needs. + Assess training needs and collaborate with the SIU Sr. Manager to create development plans for team members. + Develop ... for ensuring the quality and integrity of healthcare fraud and abuse investigations . This role involves overseeing the training and development of team members,… more
- CVS Health (Harrisburg, PA)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This role ... visualizations and other related documents for diverse audiences + Collaborate with SIU investigators, Program Integrity Manager , and Compliance to understand… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit ( SIU ), Provider Relations (PR), or ... Case Management staff, members, and providers. + Provides backup for the Supervisor/ Manager , whenever necessary by: + Participating in the orientation of new staff… more
- Banco Popular Puerto Rico (San Juan, PR)
- …Workplace Type: Hybrid Manager I General Description The Continuous Audits & Special Investigations Manager is responsible for leading the Continuous ... Audits and Special Investigations unit , which is tasked with conducting continuous audits, investigating customer claims, allegations, and internal… more
- Travelers Insurance Company (Roanoke, VA)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- Travelers Insurance Company (Raleigh, NC)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
- Sysco (Jackson, MS)
- …maintenance under the guidance of fleet technician II & III or fleet manager on vehicles and equipment to maximize the safety, reliability, and cost efficiency ... fleet technician II & III or fleet supervisor or manager in accordance with all federal, state and local...manufacturers + Apprentice will be required to complete Sysco SIU training modules for safety and other required courses.… more
- Sysco (Fargo, ND)
- …maintenance under the guidance of fleet technician II & III or fleet manager on vehicles and equipment to maximize the safety, reliability, and cost efficiency ... fleet technician II & III or fleet supervisor or manager in accordance with all federal, state and local...manufacturers + Apprentice will be required to complete Sysco SIU training modules for safety and other required courses.… more
- Elevance Health (AZ)
- …as appropriate. + Identifies and refers cases or issues to QI, SIU , Subrogation, Underwriting, or other departments as appropriate. + Documents appropriate clinical ... in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance Health location at least… more
- The Robison Group (Fargo, ND)
- …with education and experience. OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager , Case Management, etc. ... Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance… more
- Travelers Insurance Company (Wyomissing, PA)
- …in on-going training sessions for the inside auto business. + Works closely with Unit Manager or mentor to promptly resolve assigned claim. + Customer ... and forwards appropriate files to subject matter experts (ie, Subrogation, SIU , Property, Adverse Subrogation, etc.). + Reserving: + Establishes timely and… more
- U-Haul (Phoenix, AZ)
- …to work in the Major Case Unit . Under the direction of the Major Case Unit Manager , you will be responsible for managing a desk of all claims that are ... to: + Reviewing files referred to the Major Case Unit (MCU) for potential dec action + Determining what...+ Work closely with FBI & NICB on their investigations + 2 years of handling bodily injury claims… more
- Compass Group, North America (Springfield, IL)
- …Part Time NICU/Pediatric Dietitian- Springfield, IL Reports To: Clinical Nutrition Manager Location: Morrison Healthcare at HSHS St John's Job Details: Position ... trauma center. As a teaching medical center, we work in partnership with SIU Medicine, offering a rich environment for professional growth. In this role, the… more