• Anti-Money Laundering Subject Matter Expert (SME)…

    Capital One (Mclean, VA)
    Anti-Money Laundering Subject Matter Expert (SME) - Special Investigations Unit ( SIU ) The Special Investigations Unit in the AML Department ... (SME) will work closely with key stakeholders in the SIU and outside of the SIU when...+ Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in… more
    Capital One (12/09/24)
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  • Special Investigations Unit

    The Hartford (GA)
    …the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will be based out of ... SIU Investigator - CF08BE We're determined...will require 100% travel within the assigned territory. The Special Investigator for this opportunity will be… more
    The Hartford (01/25/25)
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  • Senior Fraud and Waste Investigator

    Humana (Indianapolis, IN)
    …community and help us put health first** This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring ... Program Integrity (OMPP PI) and other agencies such as the Medicaid Fraud Control Unit (MFCU) and coordinate all aspects of FWA activities in Ohio to increase… more
    Humana (12/19/24)
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  • SIU Investigator

    Allied Universal (Fredericksburg, VA)
    …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...Law enforcement + Insurance administration experience + Familiarity with California SIU regulations + One or more… more
    Allied Universal (01/16/25)
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  • SIU Field Investigator

    Kemper (Pomona, 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 (01/18/25)
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  • Expert SIU Investigator

    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
    Kemper (01/15/25)
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  • Nurse and CPC - Clinical Fraud Investigator

    Elevance Health (Atlanta, GA)
    …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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  • Clinical Investigator Behavioral Health

    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
    Centene Corporation (01/16/25)
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  • Surveillance Investigator

    Allied Universal (Los Angeles, CA)
    …you, please visit: www.aus.com/offices . **Job ID:** 2025-1323996 **Location:** United States- California -Los Angeles **Job Category:** Compliance & Investigations ... 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 (01/16/25)
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