- 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,… more
- Humana (Albany, NY)
- …and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ... days/week. **Required Qualifications** + Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of experience with… more
- Allied Universal (Staten Island, NY)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… 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
- 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 ... the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from work, and paid… 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 ... the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from work, and paid… more
- MVP Health Care (Schenectady, NY)
- …+ New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred. + Obtain CPC and/or COC credential. + ... if you have a passion for problem solving and investigations , commitment to compliance and ethical standards and dedication... conducted by government agencies, law enforcement, and other insurance company SIU staff. + Make recommendations… more
- 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+ ... with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims + High school diploma with… more
- Allied Universal (Bronx, NY)
- …experience + Military experience + Law enforcement experience + Prior insurance investigations experience **BENEFITS:** + Medical, dental, vision, basic ... + **Pay Rate: $25 - $30 /** **hr** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including… more
- USAA (New York, NY)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. Determines ... our members. Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated Property...framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You… more