- 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
- CVS Health (Albany, NY)
- …with medical record review within a healthcare insurance company. - Prior special investigation unit experience. - Excellent analytical skills. - Excellent ... communication skills. **Education** - GED or equivalent - AAPC Certified Professional Coder Certification (CPC) **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $43,888.00 - $102,081.00 This pay… more
- City of New York (New York, NY)
- Job Description Working alongside the Department of Investigation, the Buildings Special Investigations Unit (BSIU) investigates allegations of misconduct ... with the Department. Working to ensure the integrity of all transactions, the unit generates cases from complaints and initiates the appropriate course of action… more
- Allied Universal (Batavia, NY)
- …plans, 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 (Albany, NY)
- …Certified Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit ( SIU ) to ensure compliance with ... Qualifications:** + A minimum of 2 years of managing staff within a Special Investigation Unit ( SIU ). + Excellent analytical skills and the ability to mentor… more
- 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
- City of New York (New York, NY)
- …standards and DOC directives. Key Responsibilities - Conduct independent, confidential investigations into reported or alleged sexual abuse and harassment incidents. ... - Assist the Supervisory Investigator with case development, strategy, and ensuring investigative compliance with policy and timelines. - Liaise with the NYC Department of Investigation, NYPD, district attorneys' offices on assigned cases. - Prepare, review,… more
- Excellus BlueCross BlueShield (Dewitt, 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 (Rochester, NY)
- …agencies (eg APS/CPS) as needed, and any suspected/possible Medicaid fraud to the Special Investigations Unit ( SIU ) or designated internal/external ... entity. + Communicates with all internal and external stakeholders to obtain the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members. + Adheres to all Corporate and Departmental policies… more
- MVP Health Care (Tarrytown, NY)
- …for you if you have a passion for problem solving and investigations , commitment to compliance and ethical standards and dedication to continuous learning ... license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. +...timely and efficient manner according to corporate and departmental SIU policies and procedures. + Act as an … more