• Part Time Bilingual (Spanish) Private Investigator…

    The Robison Group (Brooklyn, NY)
    …writing, reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... 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
    The Robison Group (06/23/25)
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  • SIU Investigator

    Allied Universal (Buffalo, NY)
    …posting** + **Pay Rate: $2** **7** **- $32 /** **hr** 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
    Allied Universal (07/16/25)
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  • SIU Investigator - Experienced/Licensed

    Command Investigations (New York, NY)
    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 ... assignments. This is a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the following areas: + P&C … more
    Command Investigations (07/01/25)
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  • Case Manager, RN (Multiple Openings!)

    Excellus BlueCross BlueShield (Rochester, NY)
    …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit ( SIU ), Provider Relations (PR), or ... Sales & Marketing. + Ensuring all regulatory requirements are being met, such as NYS DOH, CMS, NCQA, and HEDIS, serving as internal auditor within the group. + Responsible for all aspects of the Case Management department functions including quality,… more
    Excellus BlueCross BlueShield (06/18/25)
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  • Investigator, Special Investigative…

    Molina Healthcare (Yonkers, NY)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions… more
    Molina Healthcare (07/24/25)
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  • Service Rep Member / OPEIU

    Highmark Health (Albany, NY)
    …and provides supporting documentation. *Identifies potential fraud cases and forwards to Special Investigations Unit . E3. Adjusts claims: *Performs online ... providers, internal and external customers; Adjusts claims. This is a bargaining unit position. The collective bargaining agreement for this position requires that… more
    Highmark Health (07/29/25)
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  • Claims Investigator

    Allied Universal (Buffalo, NY)
    …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 team is committed to innovation… more
    Allied Universal (07/16/25)
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  • Environmental Engineering Intern

    City of New York (New York, NY)
    …candidate will be responsible for the following tasks: Job Tasks/Duties: 1. Evaluate non- SIU , SIU , dental facilities and scavenger haulers responses, and their ... self-monitoring reports. 2. Negotiate compliance schedules and draft ECB Orders/Commissioner's Order. 3. Perform unannounced on-going spot inspections before and after establishments achieves compliance. 4. Maintain files and status of active P-cases, dental… more
    City of New York (05/14/25)
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  • Surveillance Investigator

    Allied Universal (Syracuse, NY)
    …As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation ... the administration of an Insurance claim. **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including… more
    Allied Universal (08/03/25)
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  • Manager, Special Investigation

    CVS Health (Albany, NY)
    …Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit in the following States: **Texas, ... Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by...and development needs. Assesses training needs and works with SIU Director on development plans for team members. Develops… more
    CVS Health (08/01/25)
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