• Certified Professional Coder, Special

    CVS Health (Richmond, VA)
    …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
    CVS Health (08/24/25)
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  • AML Sr. Investigator I - Special

    Capital One (Richmond, VA)
    AML Sr. Investigator I - Special Investigations Unit **AML Sr. Investigator I - Special Investigations Unit ** The Anti-Money Laundering (AML) Sr. ... Supervisors and Managers to perform other critical functions. The Special Investigations Unit conducts suspicious...+ Self-manage a queue of alerts, cases, and closing investigations + Helps maintain operations of a SIU more
    Capital One (08/09/25)
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  • SIU Investigator

    Allied Universal (Charlottesville, VA)
    …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
    Allied Universal (08/28/25)
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  • Special Investigation Unit

    CVS Health (Richmond, VA)
    …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
    CVS Health (08/08/25)
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  • SIU Specialist - Pharmacy Tech - Remote…

    Prime Therapeutics (Richmond, VA)
    …It fuels our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** ... additional information, facts and supporting documentation. + Collaborate and refer non- SIU related issue and activities to external departments (Cost Containment,… more
    Prime Therapeutics (06/24/25)
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  • Risk Management 1

    M. C. Dean (Vienna, VA)
    …coverage; review the established reserve requirements, identified claims for subrogation and/or Special Investigations Unit as appropriate. + Assesses actual ... regulatory issues and available resources. + Plans and conducts investigations of claims to confirm coverage and to determine...Knowledge and abilities of Microsoft suite of applications with special emphasis on excel and the ability to pivot… more
    M. C. Dean (08/27/25)
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  • Outside Property Claim Representative Trainee

    Travelers Insurance Company (Chantilly, VA)
    …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
    Travelers Insurance Company (07/12/25)
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  • Experienced Outside Property Claim Representative

    Travelers Insurance Company (Springfield, VA)
    …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as… more
    Travelers Insurance Company (07/12/25)
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  • Virtual Triage Nurse I - CareBridge - Bilingual…

    Elevance Health (VA)
    …as appropriate. + Identifies and refers cases or issues to QI, SIU , Subrogation, Underwriting, or other departments as appropriate. + Documents appropriate clinical ... license in the applicable state(s) required. + **For Carelon - CareBridge business unit , bilingual or multi-language skills may be required.** + Bilingual Spanish is… more
    Elevance Health (08/29/25)
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  • Senior Auto Claims Adjuster

    USAA (Chesapeake, VA)
    …carrier). + Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation Unit ( SIU ) referrals, when appropriate. + ... we treat each other and our members. Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated Senior Auto Claims Adjuster, you will… more
    USAA (08/13/25)
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