- 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 (Rochester, NY)
- …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
- CareFirst (Columbia, 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
- The Robison Group (Tampa, FL)
- …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
- USAA (San Antonio, TX)
- …of 10 consecutive business days each calendar year. As a dedicated with **Director, Special Investigations Unit ( SIU ),** you will be responsible ... and fraud investigation programs and management of the Life Special Investigation Unit ( SIU ) staff....Experience to include broad understanding of procedures related to SIU investigations . + Knowledge and experience in… more
- CVS Health (Wellesley, MA)
- …solutions to make health care more personal, convenient and affordable. **Position Summary** The Special Investigations Unit is seeking a Sr. Manager to lead ... our new ASO investigations team. The Healthcare Fraud Senior Manager is responsible...certifications (eg, Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) **Education:** + Bachelor's degree preferred in healthcare… 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
- USAA (Colorado Springs, CO)
- …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 ... P&C experience to include Auto, Property and Underwriting + Current or prior SIU investigations experience working in diverse teams across multiple functions… more
- USAA (Atlanta, GA)
- …part of what makes us so special ! **The Opportunity** As a dedicated SIU field investigator , within defined guidelines and framework, you will help protect ... + Leads high exposure, high profile and critical work assignments, and special investigations involving sophisticated niche fraud referrals, (examples: organized… 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 ... adventures daily!** + **Auto and travel allowances!** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage… more
- Travelers Insurance Company (Franklin, TN)
- …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 (IA)
- **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 (Woburn, MA)
- **Clinical Fraud Investigator II - SIU Fraud &...aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas ... **Hybrid Workplace Strategy:** 1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities that may pose… more
- Centene Corporation (Sacramento, CA)
- …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
- 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
- The Robison Group (Sioux City, IA)
- …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,...POSITION QUALIFICATIONS: + A current and valid Nebraska Private Investigator license is highly preferred. Ability to obtain an… more
- Manulife (Boston, MA)
- …all squads to drive savings associated with fraud, waste & abuse. The LTC Investigator will conduct desktop investigations of high complexity related to LTC ... + Ability to apply a working knowledge of state laws and regulations related to insurance fraud and SIU requirements **What motivates you?** + You obsess about… more
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