- CVS Health (Atlanta, GA)
- …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
- Synchrony (Alpharetta, GA)
- …Axiom ContollerView solutioning for Part 370 compliance gaps and other regulatory reporting enhancements + Perform other duties and/or special projects as ... Job Description: **Role Summary/Purpose:** The VP, Consumer Bank -Deposits Regulatory Reporting and Initiatives will be responsible for leading deposit regulatory… more
- Molina Healthcare (Atlanta, GA)
- **Knowledge/Skills/Abilities** Acts as liaison between Special Investigations Unit (SIU) operations and contracted vendor(s) to assure a smooth workflow ... Waste and Abuse (FWA) and Associate Vice President of Special Investigations Unit (SIU) to...Experience** * Minimum of 8-10 years relevant experience in special investigation units, Insurance Fraud and Abuse,… more
- Travelers Insurance Company (Alpharetta, GA)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers 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
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, ... investigation , reporting , and when appropriate, recovery of...Services, Member Services, Claims) to gather documentation pertinent to investigations . * Detect potential health care fraud, waste, and… more
- Axis (Alpharetta, GA)
- …American Claims and International Claims ] and the Financial Institutions (FI) Business Unit in order to develop and drive an industry leading claims offering and ... and Warranty, Judgment Preservation, Tax Insurance & Contingent Risk. + Investigation , analysis and evaluation of coverage liability and damages, within best… more