- The Robison Group (Memphis, TN)
- …searches, and other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... 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
- Capital One (Richmond, VA)
- West Creek 3 (12073), United States of America, Richmond, Virginia Special Investigations Unit ( SIU ) Anti-Money Laundering Supervisor **Job Title:** ... supervises various AML processes, which might include suspicious activity investigations , currency transaction reporting, global sanctions screening, enhanced due… more
- State of Massachusetts (Boston, MA)
- …highly organized, mission-driven individual to fill the role of Area Program Manager (APM) for the Special Investigations Unit ( SIU ). The Special ... The Area Program Manager is a member of the SIU senior management team, is involved with all aspects...of Children & Families* **Title:** *Area Program Manager - Special Investigations Unit * **Location:** *Massachusetts-Boston-600… more
- State of Minnesota (Minneapolis, MN)
- …resources, and training and development opportunities. As the Assistant Inspector General over the Special Investigations Unit ( SIU ) in the Office of ... **Working Title: Assistant Inspector General, Special Investigations Unit -...responsible for supervising and directing the activities of the SIU . Duties will include: + Leading a team of… more
- USAA (San Antonio, TX)
- …of what makes us so special ! **The Opportunity** As a dedicated **Director, Special Investigations Unit for Property & Casualty Insurance** , you will ... of insurance policies and broad understanding of procedures related to SIU investigations . . Capability to analyze data, conduct root causes analysis, identify… more
- Capital One (Richmond, VA)
- …3 (12073), United States of America, Richmond, Virginia AML Sr. Investigator I - Special Investigations Unit **Anti-Money Laundering Sr. Investigator I - ... Complex Investigations Unit , Special Investigations Unit...- Self-manage a queue of alerts, cases, and closing investigations -Helps maintain operations of a SIU … more
- Allied Universal (Houston, TX)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... designated regional area. + Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …15 miles north of Seattle, Washington.** **What you'll do:** + Lead Premera's Special Investigations Unit in driving the development, implementation, and ... serve through our Healthsource blog: https://healthsource.premera.com . As a **Senior Manager of the Special Investigation Unit ( SIU )** , you will lead a… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr. Fraud Investigator SIU ( Special Investigations Unit ) assists in the implementation and daily operation of the organization's ... the strictest form of confidentiality is applied to all audits and investigations conducted **Job Title: Sr. Fraud Investigator ( SIU )** **Location: Pearland… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... + Serves as a technical resource / coding subject matter expert for SIU related issues. Conducts complex business and operational analyses to assure payments are… more
- USAA (Minneapolis, MN)
- …treatment, and medical terminology. **What sets you apart:** + Current or prior SIU investigations experience working in diverse teams across multiple functions ... Come be a part of what makes us so special ! **The Opportunity** As a dedicated SIU ...use public record systems and/or claims databases to support investigations . + Ability to work with minimal direct supervision… more
- Command Investigations (Tampa, FL)
- …an insurance Investigator is required. Must have background in handling multi-lines investigations and some SIU experience. Must have reliable transportation, ... Seeking a full-time experienced SIU /Insurance investigator to cover Tampa and Fort Meyers....should demonstrate proficiency in the following areas: + Multi-lines investigations + Writing accurate and detailed reports + Strong… more
- Command Investigations (Ventura County, CA)
- Experienced SIU Investigator A minimum of 5 years' SIU experience is required. Must have background in handling P&C investigations . Candidates who do not ... 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
- Command Investigations (San Diego, CA)
- SIU INVESTIGATOR A minimum of 5 years' SIU experience is required. Must have experience in Commercial and P&C investigations . * Candidates who do not have ... assignments. This is a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the following areas: + P&C … more
- Molina Healthcare (Owensboro, KY)
- …(surgical, hospital, clinic settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location + Thorough ... **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical… more
- Sedgwick (Naperville, IL)
- …ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations… more
- Elevance Health (Woburn, MA)
- …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 - SIU Fraud & Abuse** **Location:** This position will...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
- Centene Corporation (New York, NY)
- …**Position Purpose:** Oversee a full range of waste, abuse and fraud investigations , audits and medical code editing scenarios. Ensure all audits adhere to ... and abuse guidelines. + Oversee the activities of the SIU for accurate and timely operational reviews and final...field or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or CMS. **Please… more
- Centene Corporation (Olympia, WA)
- …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...referral to Federal and State agencies + Complete various special projects and audits **Education/Experience:** Bachelor's Degree in Business,… more
- Citigroup (Florence, KY)
- …drive the SAR management process from Start to Finish. + Conduct investigations of potentially suspicious and/or high-risk clients and communicate with other ... Citigroup AML monitoring units + Advise senior management on filing Suspicious Activity Reports (SARs) and/or relationship termination or retention + Prepare case files for review, and conduct and document all research and analysis + Use subject matter… more