- Capital One (Mclean, VA)
- AML Sr Investigator II- SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized investigations ... (SME)** will work closely with key stakeholders in the SIU and outside of the SIU when...+ Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in… more
- Elevance Health (Richmond, VA)
- …law. **Position Overview:** Responsible for providing leadership and guidance to the Special Investigations Unit **Pharmacy** team in investigating, ... with the administration and operational activities occurring within the Special Investigations Unit for **pharmacy...research findings + Provides guidance to investigators and other SIU staff in the development of criminal and recovery… more
- Humana (Richmond, VA)
- …Humana is looking for an experienced Healthcare Investigator to join its industry leading Special Investigations Unit . Do you enjoy speaking with members, ... you, then you should strongly consider this amazing opportunity to join Humana's SIU . The Fraud and Waste Professional conducts investigations of allegations of… 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 . + ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- Travelers Insurance Company (Woodbridge, VA)
- …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 (Chesapeake, VA)
- …characteristics. + Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when ... we treat each other and our members. Be part of what truly makes us special and impactful. **The Opportunity** As a dedicated Property Adjuster, you will work within… more
- USAA (Virginia Beach, VA)
- …characteristics. + Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when ... 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 (Norfolk, VA)
- …in support of the business areas that we support (Complex, Clinical Audit team and the Special Investigations Unit ). **How you will make an impact:** + Focus ... on the business case product strategy/definition/positioning road map development portfolio management full competitive analysis win/loss analysis forecasting and value delivery through the ecosystem. + Evaluate existing products, competitor data, and industry… more
- CVS Health (Richmond, VA)
- …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