- Usaa (Parkersburg, WV)
- …sets you apart: SIU experience conducting low to complex PNC fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military ... our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for...and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a desk position. Within… more
- Usaa (Seattle, WA)
- …and policy provisions. Reviews claims/suppliers for fraud indicators and refers to Special Investigations Unit for handling, if applicable. Maintains ... we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are hiring an Auto Appraiser for the Washington State… more
- Usaa (Charlotte, NC)
- …compliance. Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit ( SIU ) referrals, when appropriate. ... Agent (Army MOS 31D or Marine Corps 5821), Air Force Office of Special Investigations (OSI) Agent (Air Force Enlisted Code 7S), or in a Military Police (MP)… more
- LA Care Health Plan (Los Angeles, CA)
- …Fraud, Waste and Abuse (FWA) is responsible for directing LA Care Health Plan's enterprise special investigations unit ( SIU ) and FWA program. The ... and motivating direct reports. Duties Leadership and Program Oversight: Lead LA Care's Special Investigations Unit ( SIU ) in overseeing the internal and… more
- UPMC (Pittsburgh, PA)
- …4:30 pm This is a remote position. Under the direction of the manager, the Special Investigations Unit ( SIU ) Investigator is responsible for ... UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position....supporting current SIU staff and manager with investigations and special projects. Responsibilities: + Maintain… more
- The Robison Group (Brooklyn, NY)
- …writing, reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... 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)
- …and/or non-criminal, unique, highly confidential and sensitive investigations . The Special Investigation Unit ( SIU ) is responsible for investigating ... The New York City Department of Correction seeks to recruit Deputy Directors for the Special Investigation Unit ( SIU ). Under the direction of the Executive… more
- New York State Civil Service (Buffalo, NY)
- …include answering, phones, photocopying, and other tasks, as needed. DCI is NYSIF's special investigations unit for the detection, investigation, and ... HELP No Agency Insurance Fund, State Title Department of Confidential Investigations Intern Occupational Category Other Professional Careers Salary Grade Hourly… more
- Allied Universal (Winchester, VA)
- …best, explore a career with us and make a difference. 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
- Capital One (Plano, TX)
- AML Sr Investigator II- SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized investigations ... (SME)** will work closely with key stakeholders in the SIU and outside of the SIU when...+ Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in… 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)
- …Counsel, the Family Court, other OCSS divisions, OTDA, and other jurisdictions. The Special Investigations Unit ( SIU ) identifies and investigates ... senior management oversight and direction for OCSS' Administrative Enforcement, Interstate, Special Investigations and Employment Services Units. The incumbent… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …Analyst - Investigator (ICA-I) have many of the same skills that an insurance company Special Investigations Unit ( SIU ) or similar investigators have and ... that would assist an applicant would be: + Private investigations . + Insurance company ( SIU ) or internal company investigations . + Creating reports… more
- Elevance Health (Costa Mesa, CA)
- …office. **Position Overview:** Responsible for providing leadership and guidance to the Special Investigations Unit **Pharmacy** team in investigating, ... with the administration and operational activities occurring within the Special Investigations Unit for **pharmacy...research findings + Provides guidance to investigators and other SIU staff in the development of criminal and recovery… more
- Centene Corporation (Tallahassee, FL)
- …Florida. **Position Purpose:** Oversee a full range of waste, abuse and fraud investigations , audits and medical code editing scenarios. Ensure all audits adhere to ... and abuse guidelines. + Oversee the activities of the SIU for accurate and timely operational reviews and final...or equivalent + 7+ years of related compliance and/or special investigation experience in managed care or CMS Pay… more
- TEKsystems (Austin, TX)
- Investigator, Special Investigations Unit The position of Investigator within the SIU -FIU will be an individual contributor role responsible for ... conducting timely and complex proactive and reactive investigations . This will include the drafting of SARs as...findings to all levels within the organization. The multifaceted investigations will be related to high-risk customer populations and… 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
- Point32Health (Canton, MA)
- …motivated individuals to join our organization as a Fraud Operations Specialist within our Special Investigations Unit (" SIU "). The Fraud Operations ... Specialist is an essential team member of the SIU , responsible for developing and maintaining relationships with business units, vendors, law enforcement agencies,… more
- Humana (Santa Fe, NM)
- …Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit . Do you enjoy speaking with members, ... you, then you should strongly consider this amazing opportunity to join Humana's SIU . The Fraud and Waste Professional conducts investigations of allegations of… 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
