• 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… more
    Command Investigations (08/31/24)
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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 ... 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
    Allied Universal (11/20/24)
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  • SIU Insurance Investigator

    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 (09/30/24)
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  • Experienced SIU Investigator

    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
    Command Investigations (11/21/24)
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  • Surveillance / Claims Investigator

    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
    Allied Universal (11/14/24)
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  • Senior Investigator (Hybrid)

    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
    CareFirst (10/28/24)
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  • 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,… 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...eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… 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...eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
    CVS Health (11/10/24)
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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...eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… more
    CVS Health (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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  • Surveillance Investigator

    Allied Universal (Lexington, 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
    Allied Universal (11/14/24)
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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 ... P&C experience to include Auto, Property and Underwriting + Current or prior SIU investigations experience working in diverse teams across multiple functions… 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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  • 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 ... 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
    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...eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long… 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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  • Private Investigator - Energy Company

    Allied Universal (Topeka, KS)
    …current activities and capabilities to assist with the administration of an Insurance claim. **RESPONSIBILITIES:** + Conduct independent investigations of ... + Post offer, must be able to successfully complete the Allied Universal Investigations ' training/orientation course + Prior experience in insurance or … more
    Allied Universal (11/27/24)
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