• SIU Investigator - Part-Time

    Allied Universal (Richmond, VA)
    …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 (Richmond, VA)
    …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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  • Investigator II - Carelon Payment Integrity…

    Elevance Health (Richmond, VA)
    ** Investigator II - Carelon Payment Integrity SIU ** **Location** : Alternate locations may be considered. This position will work in a hybrid model (remote and ... to recover, eliminate, and prevent unnecessary medical-expense spending. The ** Investigator II** is responsible for the identification, investigation, and… more
    Elevance Health (01/03/25)
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  • Nurse and CPC - Clinical Fraud Investigator

    Elevance Health (Richmond, VA)
    …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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  • Claims Investigator - Part-Time

    Allied Universal (Richmond, VA)
    …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... 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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  • Claims Investigator - Experienced

    Command Investigations (Richmond, VA)
    …lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals ... Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
    Command Investigations (10/20/24)
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