• 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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  • 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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  • Investigator , Special

    CVS Health (Columbus, OH)
    …personal, convenient and affordable. **Position Summary** Kentucky Resident is preferred The SIU Investigator conducts investigations to effectively pursue ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...experience working on health care fraud, waste, and abuse investigations and audits required or equivalent investigations more
    CVS Health (11/23/24)
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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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  • 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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  • 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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  • 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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  • 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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  • 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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  • 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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  • 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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  • 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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  • 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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  • 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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  • 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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  • 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+ ... As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our diverse and inclusive team is… more
    Allied Universal (11/14/24)
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