- USAA (San Antonio, TX)
- …+ USAA Life Company's SIU Life & Health is seeking a talented **Life Special Investigations Unit Investigator I (Mid-Level)** to review, analyze, and ... Fraud, Waste, and Abuse** you will support the Life Special Investigations team that is responsible for...reports to summarize and substantiate the results/outcome of the investigation . + Applies proficient knowledge of state/federal laws and… more
- CVS Health (Austin, TX)
- …Professional Coder (CPC) Manager will oversee a team of medical coders within the Special Investigations Unit (SIU) to ensure compliance with coding ... Qualifications:** + A minimum of 2 years of managing staff within a Special Investigation Unit (SIU). + Excellent analytical skills and the ability to… more
- Molina Healthcare (San Antonio, TX)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit (SIU) Investigator is responsible for supporting the prevention, detection, ... investigation , reporting, and when appropriate, recovery of money related...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
- Kemper (Dallas, TX)
- …be responsible for analyzing referrals submitted via multiple channels for potential investigation by the SIU team. **Position Qualifications:** * College Degree or ... equivalent work experience * Three years of insurance claims experience or related fraud analytics background. **Position Requirements:** + Strong communication/interpersonal skills + A high degree of analytical ability and problem-solving skills + Practical… more
- Allied Universal (San Antonio, TX)
- …plans, employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator. Special ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
- Justice, Bureau of Prisons/Federal Prison System (Seagoville, TX)
- …performance and training of the correctional officer complement. Responsible for security of the special housing unit and the safe, secure housing of all inmates ... within the unit . Responsible for maintaining and documenting the various programs...Requirements Conditions of Employment US Citizenship is Required. See Special Conditions of Employment Section. The Career Transition Assistance… more
- CVS Health (Austin, TX)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Health Care Anti-Fraud Association (AHFI) + Experience In Medicaid Compliance, Medicaid Investigations , MCO Medicaid FWA Unit in the following States: **Texas,… more
- Humana (Austin, TX)
- …resources, schedules and goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law enforcement ... a part of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of allegations of… more
- Travelers Insurance Company (Fort Worth, TX)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- USAA (San Antonio, TX)
- …+ 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 Senior...coverage through analyzing investigation information involving moderate complexity policy terms and contingencies.… more