- LA Care Health Plan (Los Angeles, CA)
- Director, Compliance on Special Investigations Unit and Fraud, Waste and Abuse Job Category: Administrative, HR, Business Professionals Department: ... Special Investigations Unit Location: Los Angeles, CA, US, 90017 Position Type: Full Time Requisition ID: 12591 Salary Range: $135,136.00 (Min.) - $175,676.00… more
- UPMC (Pittsburgh, PA)
- …formfieldid="descriptionInt" UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is ... is a remote position. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud,… more
- The Robison Group (Brooklyn, NY)
- …and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will ... 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
- City of New York (New York, NY)
- …responsible for directing criminal and/or non-criminal, unique, highly confidential and sensitive investigations . The Special Investigation Unit (SIU) is ... investigators, engaged in the performance of confidential, highly complex, and/or special investigations involving surveillances, interrogation of subjects and… more
- CVS Health (Atlanta, GA)
- …all with heart, each and every day. **Position Summary** - Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare ... to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. -… more
- Allied Universal (Burlington, VT)
- …explore a career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):** + Must… more
- Command Investigations (Detroit, MI)
- … Investigations ) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator. SuperiorX ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
- City of New York (New York, NY)
- …the Family Court, other OCSS divisions, OTDA, and other jurisdictions. The Special Investigations Unit (SIU) identifies and investigates hard-to-collect ... senior management oversight and direction for OCSS' Administrative Enforcement, Interstate, Special Investigations and Employment Services Units. The incumbent… more
- Capital One (Plano, TX)
- AML Sr Investigator II-SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized investigations to ... of ideas + Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in a leadership capacity… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to ... the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving...and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... and local traffic regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special crime prevention and… more
- NJM Insurance (Trenton, NJ)
- …had this excellent opportunity!" Overview NJM is considering 2026 summer interns for our Special Investigations Unit , (SIU). Interns for the summer season ... place to learn and grow. The community is truly special ." Kyle: "I cannot recommend this internship enough to...external data sources to support SIU's policy and claim investigations . The SIU Intern will gain work experience while… more
- Travelers Insurance Company (Calabasas, CA)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
- Travelers Insurance Company (Hoover, AL)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
- Zurich NA (Schaumburg, IL)
- …Assist in the identification of fraudulent billings by reporting suspicious activity to Special Investigations Unit . + Resolve escalated issues by exercising ... or more years of experience in the Critical Care Unit or Emergency Room or Medical Surgical Facility or...or more years of experience in the Critical Care Unit or Emergency Room or Medical Surgical Facility or… more
- Point32Health (Canton, MA)
- …individuals to join our organization as a Fraud Operations Specialist within our Special Investigations Unit ("SIU"). The Fraud Operations Specialist is ... internal working groups, and committees. + Responsible for leading complex provider investigations related to fraud, waste and abuse, and developing action plans to… more
- NJM Insurance (Trenton, NJ)
- …Collections every 60-90 days for status; and assist GC Legal in reviewing the NJM Special Investigations Unit (SIU) fraud investigations . + Prepare ... annual review of outside counsel using data provided from various sources including financial metrics databases, the NJM SIU, the GC Subrogation Department, GC Legal Staff, and GC Staff. + Review ERISA plan documents to determine whether the plan is a… more
- USAA (New Orleans, LA)
- …and policy provisions. + Review claims/suppliers for fraud indicators and refers to Special Investigations Unit for handling, if applicable. + Maintain ... we treat each other and our members. Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated Sr. Field Auto Appraiser, you will… more
- MTA (New York, NY)
- …the development of routine quality assurance evaluations in collaboration with Security Special Investigations unit (s), MTA Legal, Labor relations, the ... Director, Quality Assurance Job ID: 13522 Business Unit : MTA Headquarters Location: New York, NY, United States Regular/Temporary: Regular Department: HQ Office of… more
- Travelers Insurance Company (Richmond, VA)
- …other internal and external customers/business partners. + Recognizes when to refer claims to Special Investigations Unit and/or Subrogation Unit . + ... Performs administrative functions such as expense accounts, time off reporting, etc. as required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, WC, GL and other areas of the… more
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