• Part Time Private Investigator

    The Robison Group (Kansas City, MO)
    …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, fire… more
    The Robison Group (11/22/24)
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  • Senior Investigator , Special

    CVS Health (Columbus, OH)
    …care more personal, convenient and affordable. Kentucky Resident is preferred The SIU Investigator conducts complex investigations to effectively pursue ... 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 (11/27/24)
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  • Senior Investigator , Special

    CVS Health (Columbus, OH)
    …health care more personal, convenient and affordable. **Position Summary:** As a Senior Investigator you will conduct high level, complex investigations of known ... in identifying resources and best course of action on investigations - Serves as back up to the Team...years of working health care fraud, waste and abuse investigations . **Pay Range** The typical pay range for this… more
    CVS Health (11/10/24)
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  • Anti-Money Laundering Subject Matter Expert (SME)…

    Capital One (Mclean, VA)
    …(19050), 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
    Capital One (11/23/24)
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  • Senior Investigator , Special

    CVS Health (Columbus, OH)
    …personal, convenient and affordable. **Position Summary** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims...presentations to internal and external customers regarding ongoing case investigations . **Required Qualifications** + 3-5 years investigative experience in… more
    CVS Health (11/22/24)
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  • Special Investigations Unit

    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 ... (AML) Supervisor, also referred to as an AML Sr. Investigator II, supervises various AML processes, which might include suspicious activity investigations ,… more
    Capital One (11/19/24)
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  • AML Sr. Investigator I - Special

    Capital One (Richmond, VA)
    …(12073), United States of America, Richmond, Virginia AML Sr. Investigator I - Special Investigations Unit **Anti-Money Laundering Sr. Investigator I ... Unit , Special Investigations Unit ** **Anti-Money Laundering (AML) Sr Investigator I**...- Self-manage a queue of alerts, cases, and closing investigations -Helps maintain operations of a SIU more
    Capital One (10/30/24)
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  • Special Investigations Unit

    UPMC (Pittsburgh, PA)
    …is a remote position. Under the direction of the manager, the Special Investigations Unit ( SIU ) Investigator is responsible for investigating ... UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator...supporting current SIU staff and manager with investigations and special projects. **Responsibilities:** + Maintain… more
    UPMC (11/22/24)
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  • Senior Fraud and Waste Investigator

    Humana (Indianapolis, IN)
    …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... 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… more
    Humana (11/22/24)
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  • SIU Investigator

    Allied Universal (Tampa, FL)
    …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
    Allied Universal (11/20/24)
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  • Mid-level field SIU investigator

    USAA (San Antonio, TX)
    …part of what makes us so special ! **The Opportunity** As a dedicated SIU investigator , you will protect USAA and our members from potential fraudulent claims ... experience to include Auto, Property and Underwriting + Current or prior SIU investigations experience working in diverse teams across multiple functions within … more
    USAA (11/23/24)
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  • Senior Major Case Field SIU

    USAA (Chicago, IL)
    …part of what makes us so special ! **The Opportunity** As a dedicated SIU field investigator , within defined guidelines and framework, you will help protect ... role in **Michigan or Illinois** for the **major case unit ** . Candidates who are willing and able to...high exposure, high profile and critical work assignments, and special investigations involving sophisticated niche fraud referrals,… more
    USAA (11/08/24)
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  • Experienced SIU /Insurance…

    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 (08/31/24)
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  • Experienced SIU Investigator

    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 ... 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… more
    Command Investigations (11/21/24)
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  • SIU Investigator

    Command Investigations (San Diego, CA)
    SIU INVESTIGATOR A minimum of 5...is required. Must have experience in Commercial and P&C investigations . * Candidates who do not have property (non-auto) ... a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the...should demonstrate proficiency in the following areas: + P&C investigations , with all lines preferred. + Writing accurate and… more
    Command Investigations (11/06/24)
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  • Investigator , Coding SIU (Remote)

    Molina Healthcare (KY)
    **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... clinic settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location + Thorough knowledge of PC based… more
    Molina Healthcare (11/06/24)
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  • Nurse and CPC - Clinical Fraud Investigator

    Elevance Health (Los Angeles, CA)
    …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Nurse and CPC - Clinical Fraud Investigator II - SIU Fraud &...clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims… more
    Elevance Health (10/01/24)
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  • Investigator Assistant - Carelon Payment…

    Elevance Health (Columbus, GA)
    ** Investigator Assistant** **_Location:_** _This position will work a hybrid model (1-2 days/week in office). The ideal candidate will live within 50 miles of one of ... to recover, eliminate and prevent unnecessary medical-expense spending. The ** Investigator Assistant** is responsible for providing administrative support to the… more
    Elevance Health (11/24/24)
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  • Senior Healthcare Fraud Investigator (Aetna…

    CVS Health (Hartford, CT)
    …health care more personal, convenient and affordable. **Position Summary** As a Senior Investigator you will conduct high level, complex investigations of known ... in identifying resources and best course of action on investigations + Serves as back up to the Team...years of working health care fraud, waste and abuse investigations ). **Pay Range** The typical pay range for this… more
    CVS Health (11/19/24)
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  • Manager, SIU - Dallas, Houston or

    USAA (San Antonio, TX)
    …part of what makes us so special ! **The Opportunity** As a dedicated **Manager, Special Investigations Unit for Property & Casualty** , you will be ... to demonstrate monthly productivity and cycle time outcomes from investigations assigned to the SIU team. +...outcomes. **What sets you apart:** + 2+ years of SIU investigator experience. + Current or prior… more
    USAA (11/22/24)
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