- CVS Health (Richmond, VA)
- …to make health care more personal, convenient and affordable. **Position Summary** The Aetna Special Investigations Unit (SIU) Data Analytics team is looking ... that can analyze big data and create a story through data aggregation and reporting . The ideal candidate would have a solid understanding of medical claim data,… more
- CVS Health (Richmond, VA)
- …innovate and deliver solutions to make health care more personal, convenient and affordable. The Special Investigations Unit is seeking a Manager to lead our ... responsible for overseeing and managing coding reviews for fraud detection, investigation , and prevention efforts to safeguard the organization's resources and… more
- Allied Universal (Richmond, VA)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
- Travelers Insurance Company (Richmond, VA)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... personal or business property claims of moderate to high severity, ie Major Case Unit losses. Assists in the investigating, scoping and estimating for any and all… 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 . + ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- Veterans Affairs, Veterans Health Administration (Richmond, VA)
- …meet local and VA-wide time frames to complete analysis requirements, reports and special assignments and only refers to the non-routine and high technical problems ... to his/her supervisor. Responsible for reporting backlogs, difficulties in meeting deadlines, uncooperative physicians, or difficulty in securing information from… more