• SIU Research Investigator

    Sedgwick (Houston, TX)
    …Workplaces in Financial Services & Insurance SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing online public ... and subscription database searches; to conduct various research investigations using specialized techniques and technologies; to analyze results for red flag… more
    Sedgwick (05/09/25)
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  • Special Investigations Unit

    Allied Universal (Las Vegas, NV)
    …employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... and case managers, by means of data collection, interviews, research and collaboration with other SIU entities,...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
    Allied Universal (05/19/25)
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  • SIU Investigator

    CVS Health (Hartford, CT)
    …Cost Management team, specifically the Special Investigations Unit ( SIU ). The SIU Investigator will conduct investigations to effectively ... flexible to work EDT hours (8:00 am - 5 pm EDT) - Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and… more
    CVS Health (05/21/25)
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  • Investigator , SIU (Remote)

    Molina Healthcare (NE)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
    Molina Healthcare (04/20/25)
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  • Field Investigator - Macp/ACP/OOP

    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
    Command Investigations (04/19/25)
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  • Surveillance Investigator - Claims

    Allied Universal (Butte, MT)
    …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... clients and case managers through various methods such as data collection, interviews, research , and scene investigations + Follow guidance from the handling… more
    Allied Universal (04/17/25)
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  • Fraud and Waste Investigator

    Humana (Baton Rouge, LA)
    …community and help us put health first** Humana's Special Investigations Unit is seeking a Fraud and Waste Investigator to join the Louisiana Medicaid ... Humana's Program Integrity partners. As a Fraud and Waste Investigator , you will conduct investigations into allegations...the requisition number so we may be able to research your request quicker. Humana values personal identity protection.… more
    Humana (05/21/25)
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  • Special Investigator

    AmeriHealth Caritas (Newtown Square, PA)
    …administrative services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of ... Special Investigation Units and fraud, waste and abuse investigations . + Conducts investigations of potential; fraud,...criminal and civil rules of evidence. + Proactively performs research using the Internet, data analysis tools, etc., to… more
    AmeriHealth Caritas (05/20/25)
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