- Command Investigations (Orlando, FL)
- Seeking a full-time experienced SIU / Insurance investigator . A minimum of 3 years' experience as an insurance Investigator is required. Must have ... background in handling multi-lines investigations and some SIU experience. Must have...a W-2 role; subcontractors will not be considered. The SIU / Insurance Investigator should demonstrate proficiency… more
- Allied Universal (Baltimore, MD)
- …employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Command Investigations (Ventura County, CA)
- …and staff. This is a W-2 role; subcontractors will not be considered. The SIU / Insurance Investigator should demonstrate proficiency in the following areas: + ... Experienced SIU Investigator A minimum of 5...experience is required. Must have background in handling P&C investigations . Candidates who do not have property (non-auto) experience… more
- Allied Universal (Billings, MT)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with… more
- The Robison Group (Memphis, TN)
- …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,… more
- Kelsey-Seybold Clinic (Pearland, TX)
- **Responsibilities** The Sr. Fraud Investigator SIU ( Special Investigations Unit ) assists in the implementation and daily operation of the ... audits and investigations conducted **Job Title: Sr. Fraud Investigator ( SIU )** **Location: Pearland Administrative Office** **Department:** **Health Plan… more
- Allied Universal (Lexington, KY)
- …current activities and capabilities to assist with the administration of an Insurance claim. + **Private Investigator 's license** **required** **prior to ... remote work!** + **Auto and travel allowances!** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types,… more
- USAA (Toledo, OH)
- …laws and regulations and policies and procedures. **The Opportunity** As a dedicated SIU investigator , within defined guidelines and framework, you will protect ... treatment, and medical terminology. **What sets you apart:** + Current or prior SIU investigations experience working in diverse teams across multiple functions… more
- Molina Healthcare (Owensboro, KY)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... 5+ years of experience working in a FWA / SIU or Fraud investigations role for New...State & Federal laws and regulations pertaining to health insurance , investigations & legal processes (Commercial … more
- Command Investigations (San Jose, CA)
- …on all assignments. This is a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the following areas: + P&C ... A minimum of 5 years' SIU experience is required. Must have experience in P&C investigations . * Candidates who do not have property (non-auto) experience will… more
- Sedgwick (Naperville, IL)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing ... ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable… 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 ... blog: https://healthsource.premera.com . As a **Senior Manager of the Special Investigation Unit ( SIU )** ,...to prepare case files. + In-depth knowledge of the insurance industry, Special Investigation Unit … 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
- Providence (CA)
- …will:** + Support timely completion of compliance related audits and investigations of the Special Investigations Unit ( SIU ) at the Health Plan + ... must empower them._** **Providence Health Plan is calling an Investigator , Special Investigation Unit who...multiple cases and audits simultaneously + May assist Senior Investigator or SIU Director in developing, implementing… 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
- AmeriHealth Caritas (Dublin, OH)
- ** Special Investigator (Healthcare Fraud, Waste & Abuse)- Ohio resident** Location: Dublin, OH Primary Job Function: Compliance ID**: 34748 **Job Brief** This ... administrative services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of… more
- Allied Universal (Lincoln, NE)
- …'s license** **required** **prior to applying** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage ... + Post offer, must be able to successfully complete the Allied Universal Investigations ' training/orientation course + Prior experience in insurance or … more
- The Robison Group (Albany, NY)
- …to perform investigations of workers compensation claims, liability investigations , multi-line insurance claims, criminal and civil background checks, ... We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment,...willing and able to obtain a New York Private Investigator license. + Self-motivated, determined, and intuitive. + Strong… more
- Command Investigations (Los Angeles, CA)
- …lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals ... Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more