- USAA (Boston, MA)
- …presentation skillset. + SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement Investigations ... and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). **This is a "Desk"...Diploma or General Equivalency Diploma (GED). + 2+ years claims adjusting experience, or P&C SIU /Fraud Investigation… more
- Elevance Health (Woburn, MA)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Clinical Fraud Investigator II - Registered Nurse and CPC -...investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines… more
- Humana (Boston, MA)
- …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
- Point32Health (Canton, MA)
- …an essential team member of the Special Investigation Unit (" SIU ") responsible for leading complex provider investigations related to fraud, waste, and ... **Job Summary** The Investigator I is...for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the Manager, FWA Prepayment… more