- The Robison Group (Miami, FL)
- …opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU Investigator , you will be joining an incredible team ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire… more
- Corewell Health (Grand Rapids, MI)
- Job Summary Responsible for planning, direction, and operation of the Special Investigations Unit ( SIU ). Responsible for developing and directing the ... + Responsible for the development, management, implementation and oversight of the Special Investigations Unit . Responsible for the overall direction,… 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 (Fairfax, 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
- CVS Health (Hartford, CT)
- …an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU ). In this role, you will manage complex ... fraud, waste and abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and abuse.… more
- Kemper (Los Angeles, CA)
- …insurance claims referred to and accepted for investigation by the Special Investigative Unit . Our Special Investigator will function as a remote ... Examinations Under Oath. This investigator will coordinate investigations with outside SIU contacts, the Department...agencies as required by law and management. Keeps the Special Investigation Unit and field managers advised… 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 managers. +… more
- USAA (Las Vegas, NV)
- …truly makes us special and impactful. **The Opportunity** As a dedicated SIU investigator , within defined guidelines and framework, you will protect USAA and ... to include Auto, Property and Underwriting. + Current or prior SIU investigations experience working in diverse teams across multiple functions within … more
- Molina Healthcare (Columbus, OH)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...Services, Member Services, Claims) to gather documentation pertinent to investigations . * Detect potential health care fraud, waste, and… more
- Molina Healthcare (AZ)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...Services, Member Services, Claims) to gather documentation pertinent to investigations . * Detect potential health care fraud, waste, and… more
- Command Investigations (Orlando, FL)
- Seeking a full-time experienced SIU /Insurance investigator . A minimum of 3 years' experience as an insurance Investigator is required. Must have background ... in handling multi-lines investigations and some SIU experience. Must have...a W-2 role; subcontractors will not be considered. The SIU /Insurance Investigator should demonstrate proficiency in the… more
- City of New York (New York, NY)
- …The New York City Department of Correction seeks to recruit Investigators for the Special Investigation Unit ( SIU )- PREA Team. The Prison Rape Elimination ... September 4, 2003. Under the direction of a Supervisor Investigator for the SIU PREA and with...engaged in the performance of confidential, highly complex, and/or special investigations involving surveillance, interrogation of subjects… more
- Command Investigations (San Diego, CA)
- SIU INVESTIGATOR A minimum of 5...is required. Must have experience in Commercial and P&C investigations . * Candidates who do not have property (non-auto) ... a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the...should demonstrate proficiency in the following areas: + P&C investigations , with all lines preferred. + Writing accurate and… more
- Command Investigations (Ventura County, CA)
- Experienced SIU Investigator A minimum of 5 years' SIU experience is required. Must have background in handling P&C investigations . Candidates who do not ... and staff. This is a W-2 role; subcontractors will not be considered. The SIU /Insurance Investigator should demonstrate proficiency in the following areas: + P&C… more
- Elevance Health (Chicago, IL)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... **Nurse/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
- 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
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit ( SIU ) Investigator is to assist in the reduction and recuperation ... special projects as assigned by management to meet the needs of the Special Investigations Unit . **SUPERVISORY RESPONSIBILITY:** Position does not have… 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
- 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
- Allied Universal (Norfolk, 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