- Kemper (Pomona, CA)
- …on our promises._ **Position Summary:** The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and ... accepted for investigation by the Special Investigative Unit . Our Special Investigator will...Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department… more
- Allied Universal (Fredericksburg, VA)
- …employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... go to - travel daily to cases in the field ** **!** + **Private Investigator 's license** **required**...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Kemper (Miami, FL)
- …on our promises._ **Position Summary:** The SIU Investigator will conduct field and desk investigations of insurance claims referred to and accepted for ... investigation by the Special Investigative Unit . Our Special Investigator will...Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The AVP Special Investigations Unit ( SIU ) is responsible for overseeing and managing fraud, waste, and abuse (FWA) detection, ... assets and reduce healthcare costs. This requires demonstrating vision in positioning the SIU with the right skill sets, cutting edge analytics tools, and robust… more
- Allied Universal (Dothan, AL)
- …claim. + **New and exciting adventures daily!** + **Job flexibility offering field and remote work!** + **Private Investigator 's license** **required** **prior ... Company credit card for all fuel and travel + Job flexibility offering both field and remote work + Investigations related educational opportunities and paid… more
- Kemper (San Diego, CA)
- …and/or directing Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department of Insurance Fraud ... that delivers on our promises._ **POSITION SUMMARY** : The SIU Investigator III is responsible for the...management. + Responsible for communicating critical situations to the Special Investigation Unit and field … more
- CVS Health (Frankfort, KY)
- …are seeking an experienced Senior Healthcare Fraud Investigator (Pharmacy) to join our Special Investigations Unit . In this role, you will manage complex ... abuse (FWA). **Key Responsibilities** + Conducts high level, complex investigations of known or suspected acts of Pharmacy Fraud,...**Education** + Bachelors degree in Criminal Justice or related field . **Pay Range** The typical pay range for this… more
- Kemper (Henderson, NV)
- …required by law and management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. + Develops and ... experience to our stakeholders that delivers on our promises._ **POSITION SUMMARY** : The SIU Desk Investigator I is responsible for the investigation of simple… more
- ICW Group (Sacramento, CA)
- …investigative results are acted upon and measures ROI of same. + Conducts investigations with a focus on thoroughness, quality, with attention to detail, timeliness ... precedents, government regulations, executive orders, and agency rules for effective investigations . + Prepares and submits timely investigative reports covering all… more
- Allied Universal (Billings, MT)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... field !** + **Auto and travel allowances!** + **Private Investigator 's license** **required** **prior to applying** **RESPONSIBILITIES:** + Investigate insurance… more
- Allied Universal (Portland, OR)
- … field !** + **Auto and travel allowances!** + **Private Investigator 's license** **required** **prior to applying** **RESPONSIBILITIES:** + Conduct independent ... As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our diverse and inclusive team is… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit ( SIU ) Investigator , Sr. is to assist in the reduction and ... projects as assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education** Level: Bachelor's Degree… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …. As a member of Premera's Special Investigations Unit ( SIU ), the ** Investigator II** is responsible for developing, ... information and data, including financial data, in support of investigations of external fraud. The reports prepared by this...required. + Assist in developing, planning, and reporting the SIU budget. + Participate in special projects,… more
- Centene Corporation (Austin, TX)
- …outpatient, ancillary, behavioral health care, laboratory, etc. 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
- The Robison Group (Sioux City, IA)
- …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
- Command Investigations (GA)
- Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its establishment in ... setting the standard for innovation and reliability in the field . Our seasoned team of professionals, coupled with cutting-edge...as a leader in the investigation industry. At Command Investigations , we take pride in our proven track record… more
- CVS Health (Raleigh, NC)
- …- Exhibits behaviors outlined in Employee Competencies - Exhibits behaviors outlined in SIU Investigator Competencies - May include travel to testify in court ... EDT hours (8:00 am - 5 pm EDT) Conducts investigations to effectively pursue the prevention, detection, investigation and...procedures **Education** College degree in Criminal Justice or related field **Pay Range** The typical pay range for this… more
- State of Massachusetts (Boston, MA)
- …in litigation and as receiver. In addition, the Deputy General Counsel oversees the Special Investigations Unit ( SIU ) which supports the Division's ... Investigations Unit , including supervising the Supervising Special Investigator , providing general direction for ...Special Investigator , providing general direction for investigations and the overall functioning of the SIU… more
- Fallon Health (Worcester, MA)
- …Audit Manager, theAnalyze and interpret patient medical records pertaining to FWA investigations Compare to information submitted on the claims in order to determine ... Interface with other clinicians including internal Medical Directors Provide training to SIU staff related to clinical topics as neededFWA Manager will oversees the… more