• Manager, Fraud and Waste * Special…

    Humana (Richmond, VA)
    …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
    Humana (09/05/25)
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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 ... 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
    Allied Universal (08/28/25)
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  • SIU Consultant Intermediate

    USAA (Chesapeake, VA)
    …makes us special and impactful. **The Opportunity** As a dedicated SIU Consultant (Intermediate Level), you will within defined guidelines and framework, provide ... link analysis in support of claim and policy fraud investigations and to identify potential opportunity in unidentified risks...skill. **What sets you apart:** + 2+ years of SIU or related insurance claim/policy investigative experience.… more
    USAA (09/05/25)
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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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  • Outside Property Claim Representative Trainee

    Travelers Insurance Company (Ashburn, 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...essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state… more
    Travelers Insurance Company (07/12/25)
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  • Experienced Outside Property Claim Representative

    Travelers Insurance Company (Ashburn, 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...essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state… more
    Travelers Insurance Company (07/12/25)
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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 ... and stakeholders within MC Dean, Inc. The position handles insurance claims and information on a global platform. This...regulatory issues and available resources. + Plans and conducts investigations of claims to confirm coverage and to determine… more
    M. C. Dean (08/27/25)
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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. + ... our members. Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated Senior...Auto Claims Adjuster, you will adjust highly complex auto insurance claims presented by or against our members to… more
    USAA (08/13/25)
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  • Property Adjuster Specialist - Desk

    USAA (Chesapeake, VA)
    …+ 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
    USAA (09/06/25)
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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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