- Allied Universal (Beckley, WV)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Claims Investigator . Claim Investigators validate the facts of loss for… more
- Allied Universal (Bossier City, LA)
- … Unit ( SIU ) Investigator . Special Investigations Unit ( SIU ) Specialists investigate claims with red flags that suggest fraudulent behavior ... offering field and remote work ** + **Will** **require** ** Claims and Surveillance investigations as needed to...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Command Investigations (Buffalo, NY)
- …years' SIU experience is required. Must have background in handling P&C investigations . Candidates who do not have SIU property (non-auto) experience will ... and staff. This is a W-2 role; subcontractors will not be considered. The SIU /Insurance Investigator should demonstrate proficiency in the following areas: + P&C… more
- The Robison Group (Seattle, WA)
- …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
- CVS Health (Springfield, IL)
- …health care more personal, convenient and affordable. Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or ... 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
- The Robison Group (Tampa, FL)
- …canvasses and other tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As a Case Associate , ... + Make contact with individuals to facilitate contact with the client or SIU investigator . WHO SHOULD APPLY: Candidates with experience interacting with people… more
- Molina Healthcare (Albuquerque, NM)
- **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
- Sedgwick (Madison, WI)
- … SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing online public and subscription database searches; to ... ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable… more
- Command Investigations (Louisville, KY)
- 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
- LTCG (MN)
- …and from claims organization, as assigned * Coordinates and performs investigations with oversight of lead investigator * Prepares responses for suspected ... its customers. With illumifin, there's a brighter future A SIU /Fraud Investigator is responsible for working with...approved by the client * Conducts continuing education to Claims staff * May conduct phone calls or basic… more
- Travelers Insurance Company (Brookfield, WI)
- …- $109,700.00 **Target Openings** 1 **What Is the Opportunity?** This SIU Investigator is responsible for conducting field investigations in a dynamic fast ... paced environment. Investigations may contain elements of fraud or claims otherwise deemed suspicious in nature within all lines of business, including: Auto,… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation ... Exercised:** No **What You'll Be Doing:** + Plan, organize, and execute investigations or audits utilizing document review, witness interviews and data analysis to… more
- CVS Health (Baton Rouge, LA)
- …make health care more personal, convenient and affordable. Position SummaryAs 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- Researches...in identifying resources and best course of action on investigations - Serves as back up to the Team Leader… more
- CVS Health (Tallahassee, FL)
- …(8:00 am - 5 pm ET) Conducts high level, complex analysis of claims and correspondence to effectively pursue the prevention, investigation and prosecution of health ... regulations mandating fraud plans. Fundamental Components: - Conducts high level, complex investigations of known or suspected acts of healthcare fraud and abuse. -… more
- CVS Health (Hartford, CT)
- …United States. Must be willing to work EDT schedule. - Conducts investigations to effectively pursue the prevention, investigation, and prosecution of healthcare ... to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. -… more
- CVS Health (Trenton, NJ)
- …care more personal, convenient and affordable. Position Summary- Conducts investigations to effectively pursue the prevention, investigation, and prosecution of ... to comply with state regulations mandating fraud plans and practices.- Conducts investigations of known or suspected acts of healthcare fraud and abuse.-… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... and external data bases and systems to support leads. Analyzes detailed claims files and performs financial calculations to assess financial impact of potential… more
- Premera Blue Cross (Spokane, WA)
- …https://healthsource.premera.com . As a member of Premera's Special Investigations Unit ( SIU ), the ** Investigator III** will be responsible for ... initiate, analyze, develop, and successfully complete and resolve fraud investigations of medium to high level complexity. You will...+ (3) years of experience in fraud investigation, a special investigation unit , or a related field.… more
- System One (Baltimore, MD)
- … to support a leading health insurance customer. The individual will work with the Special Investigations Unit ( SIU ) to assist in the reduction ... Baltimore, MD (Hybrid) twice a week Job Duties: + Research provider/subscriber claims activity, operations manuals, data systems, medical policies, job duties and… more
- Commonwealth Care Alliance (Boston, MA)
- … Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit ( SIU ). The position reports directly to the Sr. ... CCA departments related to review processes and results. Sr Associate, FWA Investigator Coder utilizes claim analysis, document review, coding knowledge and applies… more