- The Robison Group (Miami, FL)
- …This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As a Case Associate , you will be joining and ... investigators and industry leaders. PRINCIPAL RESPONSIBILITIES: + Complete scene investigations , including photographing. + Complete neighborhood canvasses. + Make… more
- Allied Universal (Cleveland, OH)
- …more for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... Allied Universal(R) Compliance and Investigations , North America's leading expert insurance claim ...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... accurately in Fraud, Waste and Abuse case management system. Monitor and notify SIU associates on dollar recovery and Corrective Action Plan status. + Pursues low… more
- NJM Insurance (Trenton, NJ)
- The SIU is seeking a Data Analyst (has the ability to be filled at the Associate level) to join its Analytics Team in their efforts to combat insurance fraud ... for data mining and exploration of issues related to fraud and to support SIU business needs. + Ensures that predictive models continue to perform optimally through… more
- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** The Associate Investigator works with a growing team conducting and managing Health Care Fraud, Waste and Abuse investigation ... Exercised:** No **What You'll Be Doing:** + Plan, organize, and execute investigations or audits utilizing document review, witness interviews and data analysis to… more
- CVS Health (Hartford, CT)
- …United States. Must be willing to work EDT schedule. - Conducts investigations to effectively pursue the prevention, investigation, and prosecution of healthcare ... to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. -… more
- CVS Health (Trenton, NJ)
- …care more personal, convenient and affordable. Position Summary- Conducts investigations to effectively pursue the prevention, investigation, and prosecution of ... to comply with state regulations mandating fraud plans and practices.- Conducts investigations of known or suspected acts of healthcare fraud and abuse.-… more
- City of New York (New York, NY)
- Job Description The Special Investigations Unit ( SIU ) of the Law Department conducts Investigations . In-House investigations include, but are not ... ensure the PE'd individual is not present in the unit . The visits are documented in the Law Department's...general supervision, with latitude for independent initiative and judgment, SIU Team members conduct professional investigations of… more
- System One (Baltimore, MD)
- …Investigator to support a leading health insurance customer. The individual will work with the Special Investigations Unit ( SIU ) to assist in the ... reduction and recuperation of losses. You will research and analyze data using company anti-fraud software, Excel, and other tools to proactively identify new potential cases. Pay: $32/HR Location: Baltimore, MD (Hybrid) twice a week Job Duties: + Research… more
- Capital One (Wilmington, DE)
- …closely with AML Supervisors and Managers to perform other critical functions. The Special Investigations Unit conducts suspicious activity reporting and ... Senior Management, etc.) - Self-manage a queue of alerts, cases, and closing investigations -Helps maintain operations of a SIU Specialty Desk and actively… more
- Commonwealth Care Alliance (Boston, MA)
- …Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit ( SIU ). The position reports directly to the Sr. Director, ... and other CCA departments related to review processes and results. Sr Associate , FWA Investigator Coder utilizes claim analysis, document review, coding knowledge… more
- NJM Insurance (Trenton, NJ)
- …the policyholder. + Collaborate with Underwriting, Loss Prevention, Workers' Compensation Claims, Special Investigations Unit to ensure policyholders and ... required. Preferred: + Insurance Industry Experience + APA ( Associate in Premium Auditing) + CIPA ( Certified Insurance...service for more than a century. NJM is a special place where you can propel your career, help… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special ...Education-in-Lieu of POST Written Test: If you possess an associate 's degree or higher from an accredited college or… more
- Louisiana Department of State Civil Service (Jefferson, LA)
- …+ Description + Benefits + Questions Supplemental Information This vacancy is located in the Special Investigations Unit of the Office of State Fire Marshal ... that timeif you have a disability and need a special accommodation. All candidates for hire must undergo drug...for one year of experience. A baccalaureate degree or associate degree in law enforcement or criminal justice will… more
- Sysco (Northampton, PA)
- …OEM's and component manufacturers + Apprentice will be required to complete Sysco SIU training modules for safety and other required courses. Physical Demands + ... + While performing the duties of this job, the associate is occasionally exposed to wet, hot, extreme cold...be required to work in confined spaces. + The associate works non-traditional business hours including evenings, nights, weekends,… more
- Allied Universal (Charleston, WV)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... Allied Universal(R) Compliance and Investigations , North America's leading expert insurance claim ...the following: + Bachelor's degree in Criminal Justice + Associate 's degree in Criminal Justice with a minimum of… more
- NJM Insurance (Trenton, NJ)
- …workers, medical providers, the NJM Medical Services Administration Department, the NJM Special Investigation Unit , WC Legal Staff, and other departments within ... + Evaluate the claim for potential fraud and escalate the file to SIU , as appropriate + Must provide excellent communication and work collaboratively with multiple… more