• SIU Investigator ( California

    American Family Insurance - Corporate (Sacramento, CA)
    …involving multi-line claims, develop meaningful industry social network and assist special investigations leadership in promoting fraud awareness and detection ... and external partners, agents and customers. You will report to a Senior Special Investigations Manager. In this primarily home-based role, you will spend 80% of… more
    American Family Insurance - Corporate (01/09/25)
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  • SIU Investigator

    Allied Universal (Bakersfield, CA)
    …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 (01/02/25)
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  • Manager, Fraud and Waste * Special

    Humana (Sacramento, CA)
    …enforcement authorities to coordinate investigations and supervises the activities of the Special Investigations Unit ( SIU ) to ensure accurate and ... put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The...field or equivalent. 7+ years of related compliance and/or special investigation experience in managed care or CMS. +… more
    Humana (12/19/24)
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  • SIU Field Investigator (Los Angeles…

    Kemper (Cerritos, CA)
    …insurance claims referred to and accepted for investigation by the Special Investigative Unit . Our Special Investigator will function as a remote ... Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department...agencies as required by law and management. Keeps the Special Investigation Unit and field managers advised… more
    Kemper (12/18/24)
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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 (12/31/24)
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  • Surveillance Investigator

    Allied Universal (Monterey Park, CA)
    …please visit: www.aus.com/offices . **Job ID:** 2024-1318859 **Location:** United States- California -Monterey Park **Job Category:** Compliance & Investigations ... 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 (01/02/25)
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