- The Robison Group (Missoula, MT)
- …SIU work, Field Supervisor, Field Operations Manager, Case Management, etc. Department Surveillance Employment Type Part time Minimum Experience Experienced ... the position will be expected to perform investigations of workers compensation claims , liability investigations, multi-line insurance claims , criminal and civil… more
- The County of Los Angeles (Los Angeles, CA)
- INTERNAL AFFAIRS INVESTIGATOR , PROBATION Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/5093569) INTERNAL AFFAIRS INVESTIGATOR , PROBATION ... - $150,544.32 Annually Location Los Angeles County, CA Job Type Full time Job Number F8639A-R Department PROBATION Opening Date 12/08/2025 Closing Date 1/9/2026… more
- USAA (Las Vegas, NV)
- …schemes and investigation strategies on any questionable or suspect first or third part claims . + Participates in the development of fraud prevention strategies. ... how we treat each other and our members. Be part of what truly makes us special and impactful....impactful. **The Opportunity** We are looking for an SIU Investigator (mid-level) in the Las Vegas Metro area. **The… more
- Centene Corporation (Frankfort, KY)
- …skills, experience, education, and other job-related factors permitted by law, including full- time or part - time status. Total compensation may also ... the health of our communities, one person at a time . As a diversified, national organization, you'll have access...+ Supports the provider escalation project team to resolve claims and payment issues. + Identifies root-cause issues to… more
- State of Minnesota (St. Paul, MN)
- …**Job ID** : 90721 + **Location** : St. Paul + **Telework Eligible** : Yes + **Full/ Part Time ** : Full- Time + **Regular/Temporary** : Unlimited + **Who May ... **Working Title: Senior Investigator - Pharmacy** **Job Class: Human Services Program...Three (3) years of experience reviewing and/or submitting pharmacy claims to the Minnesota Medical Assistance program. AND Experience… more
- Humana (Oklahoma City, OK)
- **Become a part of our caring community and help us put health first** Humana's Special Investigations Unit is seeking a Senior Fraud & Waste Investigator to ... of fraud, waste, and abuse involving providers who submit claims to Humana's Oklahoma Medicaid line of business. As...line of business. As the Senior Fraud and Waste Investigator , you will serve as Humana's Program Integrity Officer,… more
- The Robison Group (Brooklyn, NY)
- …submit your FULL resume, including salary requirements. Department SIU Employment Type Part time Minimum Experience Experienced Compensation $25-$35 Hourly ... be fluent in writing, reading and speaking Spanish. This is a remote opportunity for part - time employment in our Special Investigations Unit (SIU). As an SIU … more
- AmeriHealth Caritas (Columbia, SC)
- …services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of reported, ... using the Internet, data analysis tools, etc., to analyze aberrant; claims billing and practice patterns. + Analyzes data as... billing and practice patterns. + Analyzes data as part of the investigative process using available fraud detection… more
- MVP Health Care (Tarrytown, NY)
- …thinking and continuous improvement. To achieve this, we're looking for a **Clinical Investigator ** to join #TeamMVP. This is the opportunity for you if you have ... justice or a related field, and minimum of five years of insurance claims investigation experience; or five years of professional investigation experience with law… more
- Point32Health (Canton, MA)
- …about who we are at Point32Health (https://www.point32health.org/) . **Job Summary** The Investigator I is an essential team member of the Special Investigation Unit ... ("FWA") investigations under the direction of the Manager, FWA Prepayment Review. The Investigator I works closely with other members of the SIU to set investigative… more