• SIU Investigator Senior - Texas…

    USAA (San Antonio, TX)
    …a part of what makes us so special ! **The Opportunity** As a dedicated SIU field investigator , within defined guidelines and framework, you will help ... + Leads high exposure, high profile and critical work assignments, and special investigations involving sophisticated niche fraud referrals, (examples: organized… more
    USAA (09/04/24)
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  • Insurance Fraud Investigator

    Idaho Division of Human Resources (Boise, ID)
    …may be involved. This role will be supported and trained by the DOI Fraud Investigations unit . Please attach and submit your customized resume when applying for ... the posting end date. EXAMPLE OF DUTIES + Conducts field investigations of criminal, civil, administrative, and...experience as an insurance adjuster, law enforcement officer, insurance investigator ( SIU ), or performing similar work at… more
    Idaho Division of Human Resources (09/04/24)
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  • SIU Investigator - Part-Time

    Allied Universal (New Orleans, LA)
    …employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance...all fuel and travel + Job flexibility offering both field and remote work + Investigations related… more
    Allied Universal (09/05/24)
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  • Sr. Fraud Investigator ( SIU )

    Kelsey-Seybold Clinic (Pearland, TX)
    **Responsibilities** The Sr. Fraud Investigator SIU ( Special Investigations Unit ) assists in the implementation and daily operation of the ... audits and investigations conducted **Job Title: Sr. Fraud Investigator ( SIU )** **Location: Pearland Administrative Office** **Department:** **Health Plan… more
    Kelsey-Seybold Clinic (09/05/24)
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  • Senior Manager, Special Investigation…

    Premera Blue Cross (Mountlake Terrace, WA)
    …15 miles north of Seattle, Washington.** **What you'll do:** + Lead Premera's Special Investigations Unit in driving the development, implementation, and ... blog: https://healthsource.premera.com . As a **Senior Manager of the Special Investigation Unit ( SIU )** ,...field of study preferred. + Accredited Healthcare Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE) preferred. +… more
    Premera Blue Cross (07/24/24)
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  • Senior SIU Investigator

    Centene Corporation (Tallahassee, FL)
    …of healthcare fraud and abuse activity. Assist in planning, organizing, and executing special claims investigations or audits that identify, evaluate and measure ... + Serve as point of contact for corporate and field inquiries regarding waste, abuse and fraud + Review...obtain refund + Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and… more
    Centene Corporation (09/07/24)
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  • Clinical Investigator Behavioral Health

    Centene Corporation (Austin, TX)
    …workplace flexibility. POSITION IS REMOTE **Position Purpose:** Provides investigative support to the Special Investigations Unit ( SIU ) related to coding ... of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and… more
    Centene Corporation (09/08/24)
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  • Criminal Investigator

    Customs and Border Protection (Washington, DC)
    …(GS-14, Step 10). There are 7 vacancies in the 5 program areas below: Special Investigations Unit : Planning, coordinating, and completing highly complex ... of the US Attorney's Office. Serving as a senior case agent for inter-agency investigations , and leading teams of other Special Agents and law enforcement… more
    Customs and Border Protection (09/06/24)
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  • FWA Investigator Coder Sr. Associate…

    Commonwealth Care Alliance (Boston, MA)
    … Coder Sr. Associate is an integral part of the Fraud, Waste & Abuse (FWA) Special Investigation Unit ( SIU ). The position reports directly to the Sr. ... CCA departments related to review processes and results. Sr Associate, FWA Investigator Coder utilizes claim analysis, document review, coding knowledge and applies… more
    Commonwealth Care Alliance (08/13/24)
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  • Surveillance / Claims Investigator

    Allied Universal (Butte, MT)
    …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... and exclusive perks. Allied Universal(R) is hiring a Surveillance / Claims Investigator . Surveillance / Claims Investigators validate the facts of loss for Insurance… more
    Allied Universal (08/28/24)
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  • Surveillance Investigator

    The Robison Group (Albany, NY)
    …commensurate with education and experience. OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager, Case ... Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance… more
    The Robison Group (08/15/24)
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