- The Robison Group (Brooklyn, NY)
- …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,… more
- CVS Health (Columbus, OH)
- …available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. ... CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as… more
- The Hartford (GA)
- …help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will be based out ... Manager and will be responsible for conducting thorough, timely, efficient and impartial investigations to support the accurate resolution of insurance claims by… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The AVP Special Investigations Unit ( SIU ) is responsible for overseeing and managing fraud, waste, and abuse (FWA) detection, ... assets and reduce healthcare costs. This requires demonstrating vision in positioning the SIU with the right skill sets, cutting edge analytics tools, and robust… 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
- Allied Universal (Des Moines, IA)
- …plans, 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
- Molina Healthcare (Columbus, OH)
- **Knowledge/Skills/Abilities** Acts as liaison between Special Investigations Unit ( SIU ) operations and contracted vendor(s) to assure a smooth workflow ... Waste and Abuse (FWA) and Associate Vice President of Special Investigations Unit ( SIU...Experience** * Minimum of 8-10 years relevant experience in special investigation units, Insurance Fraud and Abuse,… more
- 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 in the… more
- Command Investigations (Tampa, FL)
- 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 ... 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
- CVS Health (Columbus, OH)
- …innovate and deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our ... available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.… more
- CVS Health (Frankfort, KY)
- …We are seeking an experienced Senior Healthcare Fraud Investigator (Pharmacy) to join our Special Investigations Unit . In this role, you will manage complex ... fraud, waste and abuse (FWA). **Key Responsibilities** + Conducts high level, complex investigations of known or suspected acts of Pharmacy Fraud, Waste and Abuse. +… more
- Kemper (Los Angeles, CA)
- …Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and ... Investigator will conduct field as well as desk investigations of insurance claims referred to and...claims referred to and accepted for investigation by the Special Investigative Unit . Our Special … more
- Kemper (Miami, FL)
- …**Position Summary:** The SIU Investigator will conduct field and desk investigations of insurance claims referred to and accepted for investigation by ... the Special Investigative Unit . Our Special ...This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud… more
- Kemper (Sacramento, CA)
- …Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and ... SIU Manager and provide work direction to other Special Investigators on a temporary basis. A laptop computer,...management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. +… 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: + P&C ... Experienced SIU Investigator A minimum of 5 years' ...experience is required. Must have background in handling P&C investigations . Candidates who do not have property (non-auto) experience… more
- Insight Global (San Antonio, TX)
- …for Medicare Supplement Fraud, Waste, and Abuse you will support the Life Special Investigations team that is responsible for increasing fraud awareness ... San Antonio, TX area is looking for a remote SIU Life and Health investigator. As a dedicated ...and investigate all life, health and waiver of life insurance premium claims to ensure claim validity and legal… more
- Travelers Insurance Company (Columbus, OH)
- …into actionable investigative strategies including the identification of complex case investigations . + Conducts insurance investigations including ... officials, law enforcement officers and others to obtain assistance in conducting investigations . + Identifies cases for potential insurance fraud prosecution… more
- Molina Healthcare (Columbus, OH)
- …(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...State & Federal laws and regulations pertaining to health insurance , investigations & legal processes (Commercial … more
- ICW Group (Sacramento, CA)
- …collaborate to develop solutions. Our mission is to create the best insurance experience possible. Headquartered in San Diego with regional offices located ... detect, prevent, and investigate suspected fraudulent claims for all lines of insurance , with heavy emphasis on Workers' Compensation claims. This position exists in… more
- Kemper (Henderson, NV)
- …by law and management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. + Develops and maintains ... that delivers on our promises._ **POSITION SUMMARY** : The SIU Desk Investigator I is responsible for the investigation...contacts with other Special Investigative Units and fraud related organizations. + Routinely… more