- 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 ** **Anti-Money Laundering (AML) Sr Investigator I** **Level: Associate** The Anti-Money… more
- State of Massachusetts (Boston, MA)
- …mission-driven individual to fill the role of Area Program Manager (APM) for the Special Investigations Unit (SIU). The Special Investigations ... **Department of Children & Families* **Title:** *Area Program Manager - Special Investigations Unit * **Location:** *Massachusetts-Boston-600 Washington… more
- ICW Group (Sacramento, CA)
- …to contribute, develop, and belong. **PURPOSE OF THE JOB** The purpose of the Special Investigations Unit (SIU) Coordinator is to provide project and ... is up-to-date and securely stored.** + Serves as the guardian of the Consolidation/ Special Adjudication Unit (SAU) work with outside counsel. + Provides… more
- Capital One (Mclean, VA)
- …United States of America, McLean, Virginia Anti-Money Laundering Subject Matter Expert (SME) - Special Investigations Unit (SIU) The Special ... Investigations Unit in the AML Department performs specialized investigations to assess risks presented in particular circumstances. A Subject Matter Expert… more
- UPMC (Pittsburgh, PA)
- UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is a temporary position working Monday through ... is a remote position. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud,… more
- The Robison Group (Olympia, WA)
- …other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will ... 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 (Mclean, VA)
- Center 2 (19050), United States of America, McLean, Virginia Special Investigations Unit (SIU) Anti-Money Laundering Supervisor The Anti-Money Laundering ... supervises various AML processes, which might include suspicious activity investigations , currency transaction reporting, global sanctions screening, enhanced due… more
- Humana (Indianapolis, IN)
- …Program Integrity (OMPP PI) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase ... to encourage sensible and culturally-competent business standards + Oversee internal investigations of FWA compliance issues + Work with the Contract Compliance… more
- CVS Health (Columbus, OH)
- …Kentucky Resident is preferred The SIU Investigator conducts complex investigations to effectively pursue the prevention, investigation and prosecution of ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...total) working on health care fraud, waste, and abuse investigations and audits required. **Pay Range** The typical pay… more
- CVS Health (Columbus, OH)
- …The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for ... Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.… more
- CVS Health (Albany, NY)
- …Summary** Aetna is seeking an experienced and highly analytical Senior Manager in the Special Investigations Unit to lead the oversight and implementation of ... Special Investigations Unit Productivity requirements and compliance. This Independent contributor requires deep expertise in medical, dental and pharmacy… more
- Allied Universal (Bloomington, MN)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Investigator, Sr. is to assist in the reduction and recuperation of ... as assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education** Level: Bachelor's Degree **Experience:** 5… more
- CVS Health (Tallahassee, FL)
- …Summary** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In this role, you will ... manage complex investigations into suspected and known acts of healthcare fraud,...abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud,… more
- Point32Health (Canton, MA)
- …effectiveness of corrective action plans. + **Fraud Prevention:** Work with the Fraud Special Investigations Unit to ensure compliance with CMS requirements. ... issues and requirements. + **Administrative Management:** Oversee the compliance unit 's administrative tasks, including document organization, report preparation, and… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... and local traffic regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special crime prevention and… more
- Centene Corporation (Austin, TX)
- …potential FWA, including the coordination of internal investigations with the Special Investigations Unit and the development of appropriate corrective ... development and implementation of Corrective Action Plans + Coordinating potential fraud investigations and referrals from and with the SIU, where applicable, and… more
- M. C. Dean (Vienna, VA)
- …coverage; review the established reserve requirements, identified claims for subrogation and/or Special Investigations Unit as appropriate. + Assesses actual ... regulatory issues and available resources. + Plans and conducts investigations of claims to confirm coverage and to determine...Knowledge and abilities of Microsoft suite of applications with special emphasis on excel and the ability to pivot… more
- NJM Insurance (Trenton, NJ)
- NJM is considering 2025 summer interns for our Special Investigations Unit , (SIU). Interns for the summer season will assist the SIU in anti-fraud efforts by ... internal and external data sources to support SIU's policy and claim investigations . The SIU Intern will gain work experience while performing meaningful tasks… more
- Travelers Insurance Company (Columbus, OH)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more