- Magellan Health Services (Boise, ID)
- …of Microsoft Excel, Access, Outlook, Word, and Power Point. General Job Information Title SIU Program Integrity Investigator - Remote (In Idaho) ... for comprehensive management and ownership of fraud, waste and abuse investigations including development and presentation of investigative results. This individual… more
- USAA (Dallas, TX)
- …us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). **This is a "Desk" position.** **Besides solid experience as ... an SIU Investigator within P&C, you will have...SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement… 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
- Command Investigations (Chicago, IL)
- Seeking an experienced SIU /Insurance investigator to cover Chicago, IL and its surrounding areas. Candidates must reside within 60 miles of Chicago. A minimum of ... staff. This is a W-2 role; subcontractors will not be considered. The SIU /Insurance Investigator should demonstrate proficiency in the following areas: +… 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
- Command Investigations (Walnut Creek, CA)
- …on all assignments. This is a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the following areas: + P&C ... A minimum of 5 years' SIU experience is required. Must have experience in P&C investigations . * Candidates who do not have property (non-auto) experience will… more
- Command Investigations (Baltimore, MD)
- …Claims/ SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and Industrial/workplace accidents. ... for hire. Visit our website and find out why at www.GoCommand.com. The SIU /WC Investigator should demonstrate proficiency in the following areas: + Multi-lines… more
- Centene Corporation (Frankfort, KY)
- …of Kentucky** **Position Purpose:** Position acts as a subject matter expert for the Contractor's Program Integrity unit to reduce Fraud, Waste and Abuse of ... + Manage and coordinate cases being investigated by the SIU + Maintain all vendor cases + Assist with...Maintain all vendor cases + Assist with conducting complex investigations , including on-site investigations , review, complete and… more
- Iowa Department of Administrative Services (Des Moines, IA)
- …- Investigator (ICA-I) have many of the same skills that an insurance company Special Investigations Unit ( SIU ) or similar investigators have and ... with industry and law enforcement partners to promote industry integrity via civil investigations into alleged fraudulent,...Job Description: We are seeking a meticulous and experienced SIU or similarly skilled Investigator to join… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator ... the Oklahoma Medicaid Team. This team of Investigators conducts investigations into allegations of fraud, waste, and abuse involving...Waste Investigator , you will serve as Humana's Program Integrity Officer, and will oversee the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …OMIG's minimum investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or experience, which shall ... of all Government Programs regulations (Medicaid, Medicare, Federal Employee Program , New York State Department of Financial Services, etc.)....criminal justice or related field; or employment as an investigator in the SIU on or before… more
- Molina Healthcare (Covington, KY)
- …health coverage audit policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must have the ... DESCRIPTION** **Job Summary** Under direct supervision of the Manager, SIU , the Team Lead is responsible to lead a...Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
- Command Investigations (TN)
- Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its establishment in ... as a leader in the investigation industry. At Command Investigations , we take pride in our proven track record...with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required, as… more
- Command Investigations (Brooklyn, NY)
- …lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals ... skill sets within the industry, as well as honesty, integrity , self-reliance, resourcefulness, independence, and discipline. Good time management skills… more
- RELX INC (Atlanta, GA)
- …Risk at the link below. https://risk.lexisnexis.com/government About our Team The Public Safety Special Investigative Unit ( SIU ) is comprised of former law ... to drive insights from complex data sets, improving operation efficiency, increasing program integrity , discovering, and recovering revenue, and making timely… more