- Humana (Tallahassee, FL)
- …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 ... goals. **Where You Come In** The Manager, Fraud and Waste coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support… more
- Allied Universal (Palm Coast, FL)
- …explore a career with us and make a difference. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
- Kemper (Doral, FL)
- …bureaus and cooperates with state agencies as required by law and management. Keeps the Special Investigation Unit and field managers advised of all critical ... SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for... of insurance claims referred to and accepted for investigation by the Special Investigative Unit… more
- USAA (Tampa, FL)
- …carrier). + Identifies coverage concerns, reviews prior loss history, determines, and builds 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** This hybrid role requires an individual to be in the… more
- Allied Universal (Jacksonville, FL)
- …in their home state and within their designated region of the country + Special Investigative Unit (SIU) Compliance knowledge + Ability to type 40+ words ... Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is… more
- USAA (Tampa, FL)
- …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 Complex Auto Adjuster, you will adjust… more
- USAA (Tampa, FL)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines ... we treat each other and our members. Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated Property Adjuster Specialist , you will… more
- Elevance Health (FL)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- Humana (Tallahassee, FL)
- …Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit . Do you enjoy speaking with members, ... opportunity to join Humana's SIU. The Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste… more
- CVS Health (Tallahassee, FL)
- …We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
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