- 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
- 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
- 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
- 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
- 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
- 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
- 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 (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
- 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
- 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