• Premium Audit Reviewer

    NJM Insurance (Trenton, NJ)
    …of fraud and promptly notify the supervisor if a case warrants investigation by the Special Investigations Unit ( SIU ). + Prepare and issue monthly ... more
    NJM Insurance (03/06/25)
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  • Director of Product - Payment Integrity Solutions

    Elevance Health (Columbus, OH)
    …includes overseeing products such as Complex Clinical Audit (CCA), Provider Education (PE), and Special Investigations Unit ( SIU ), each targeting cost of ... more
    Elevance Health (04/03/25)
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  • Case Manager, RN or Licensed Behavioral Health…

    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 ... more
    Excellus BlueCross BlueShield (03/22/25)
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  • Premium Auditor

    NJM Insurance (Trenton, NJ)
    …the policyholder. + Collaborate with Underwriting, Loss Prevention, Workers' Compensation Claims, Special Investigations Unit to ensure policyholders and ... more
    NJM Insurance (03/29/25)
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  • Outside Property Claim Representative Trainee

    Travelers Insurance Company (Goochland, VA)
    …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... more
    Travelers Insurance Company (04/15/25)
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  • Experienced Outside Property Claim Representative

    Travelers Insurance Company (Greensboro, NC)
    …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... more
    Travelers Insurance Company (04/15/25)
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  • Outside Property Contents Claim Representative

    Travelers Insurance Company (Rancho Cordova, CA)
    …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... more
    Travelers Insurance Company (03/28/25)
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  • Sr. Auto Appraiser - Orlando Metro, FL - Field

    USAA (Orlando, FL)
    …and policy provisions. + Review claims/suppliers for fraud indicators and refers to Special Investigations Unit for handling, if applicable. + Maintain ... more
    USAA (04/15/25)
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  • Risk Management 1

    M. C. Dean (Vienna, VA)
    …coverage; review the established reserve requirements, identified claims for subrogation and/or Special Investigations Unit as appropriate. + Assesses actual ... more
    M. C. Dean (02/07/25)
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  • Auto Blend Claim Representative II

    Travelers Insurance Company (Richmond, VA)
    …This position is responsible for handling moderate to complex Personal and Business Insurance Auto Damage claims as well as low complexity Bodily Injury Liability ... more
    Travelers Insurance Company (04/11/25)
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  • Outside Auto Appraiser

    Travelers Insurance Company (Wayland, MA)
    …and 3rd party auto physical damage claims, including both personal and business insurance claims. The claim types will be basic to moderate physical damage coverages ... more
    Travelers Insurance Company (04/16/25)
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  • Corporate Governance and Compliance Analyst…

    GuideOne Insurance (West Des Moines, IA)
    …for additional lines of business. + Complete and file quarterly and annual SIU state reports. + Coordinate with leaders across departments to obtain and understand ... more
    GuideOne Insurance (04/11/25)
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  • Auto Physical Damage Claim Representative

    Travelers Insurance Company (Buffalo, NY)
    …position is responsible for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement ... more
    Travelers Insurance Company (04/08/25)
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  • Workers Compensation Claims Specialist (I/II/Sr.)

    NJM Insurance (Hammonton, NJ)
    …injured workers, medical providers, the NJM Medical Claims Services Department, the NJM Special Investigation Unit , the NJM WC Legal Staff, and other departments ... more
    NJM Insurance (03/29/25)
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  • Surveillance / Claims Investigator - Part-Time

    Allied Universal (Fargo, ND)
    …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... more
    Allied Universal (04/16/25)
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  • Claims Advocate, Specialty Insurance

    HUB International (Berkeley Heights, NJ)
    …and review all ROR and Denials + Review And Push Carrier for Subrogation and SIU Concerns + Provide Executive Summary of Loss Reserves or Payment $100K+ Cause + ... more
    HUB International (03/25/25)
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  • Claim Consultant, Casualty (Hybrid)

    MAPFRE Insurance (Webster, MA)
    …making skills normally required. Experience in handling multi-state losses, environmental and SIU experience a plus. Paralegal and law degree a plus. Thank you ... more
    MAPFRE Insurance (03/30/25)
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  • Inside Auto Claim Representative Trainee

    Travelers Insurance Company (Independence, OH)
    …training sessions for the inside auto business. + Works closely with Unit Manager or mentor to promptly resolve assigned claim. + Customer Contacts/Experience: ... more
    Travelers Insurance Company (04/15/25)
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  • Auto FPM Litigation Arbitration Claim…

    Travelers Insurance Company (Melville, NY)
    …as needed. + Recognize and engage the appropriate resources (ie Nurse, SIU , claim counsel, property, etc.) to move the file towards appropriate resolution. ... more
    Travelers Insurance Company (04/11/25)
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  • Commercial Casualty Claims Adjuster - Remote…

    GuideOne Insurance (Atlanta, GA)
    …according to the documented damage, the language of the policy of insurance , pertinent regulatory and statutory considerations and within granted authority. + ... more
    GuideOne Insurance (03/29/25)
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