- 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 (Fairfax, VA)
- …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 (Tampa, FL)
- …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
- 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
- Kemper (Miami, FL)
- …Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law ... on our promises._ **Position Summary:** The SIU Investigator will conduct field and desk investigations ...accepted for investigation by the Special Investigative Unit . Our Special Investigator will… more
- The Robison Group (St. Louis, 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,… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit ( SIU ) Investigator , Sr. is to assist in the reduction and ... projects as assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education** Level: Bachelor's Degree… more
- 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 (Columbus, OH)
- …enforcement authorities to coordinate investigations and supervises the activities of the Special Investigations Unit ( SIU ) to ensure accurate and ... put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The...field or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or CMS. +… more
- Allied Universal (Louisville, 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
- CVS Health (Tallahassee, FL)
- …an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU ). In this role, you will manage complex ... fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and abuse.… more
- NJM Insurance (Parsippany, NJ)
- NJM's SIU is seeking a Special Investigator to join our team. The candidate will primarily be responsible for investigative duties surrounding claims and ... SIU investigative/analytical experience strongly preferred. + Subject matter expertise in insurance investigations is preferred. + Experience in working with… more
- Travelers Insurance Company (Alpharetta, GA)
- …and expertise to identify potential risks and combat fraudulent practices. As an SIU Investigator , you will analyze, summarize and prioritize information to ... into actionable investigative strategies including the identification of complex case investigations . + Conducts insurance investigations including… more
- Molina Healthcare (Columbus, OH)
- **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
- Elevance Health (Washington, DC)
- …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
- Kemper (Henderson, NV)
- …experience to our stakeholders that delivers on our promises._ **POSITION SUMMARY** : The SIU Desk Investigator I is responsible for the investigation of simple ... by law and management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. + Develops and maintains… more
- American Family Insurance - Corporate (Sacramento, CA)
- …involving multi-line claims, develop meaningful industry social network and assist special investigations leadership in promoting fraud awareness and detection ... agents and customers. You will report to a Senior Special Investigations Manager. In this primarily home-based...+ Communicate with internal and external business partners regarding investigations and insurance fraud matters. + Develop… more
- Allied Universal (Roanoke, VA)
- …'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
- Command Investigations (GA)
- Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its establishment in ... to stand out as a leader in the investigation industry. At Command Investigations , we take pride in our proven track record of providing comprehensive investigative… more
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