- Molina Healthcare (WI)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw… more
- Molina Healthcare (WI)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make… more
- Sedgwick (Wausau, WI)
- … SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing online public and subscription database searches; to ... ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable… more
- Allied Universal (Wausau, WI)
- …credit card to cover fuel and travel expenses** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is… more
- Allied Universal (Madison, WI)
- …credit card to cover fuel and travel expenses** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is… more
- The Robison Group (Appleton, WI)
- Individuals selected for the position will be expected to perform investigations of workers compensation claims , liability investigations , multi-line ... We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment,...be willing and able to obtain a Wisconsin Private Investigator 's license. TRAINING The Robison Group provides remote and/or… more
- Sedgwick (Madison, WI)
- …Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations of complex fraud schemes involving providers, vendors, attorneys ... Bachelor's degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI),… more