- Molina Healthcare (NM)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... medical review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to make… more
- Sedgwick (Houston, TX)
- … SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing online public and subscription database searches; to ... ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable… more
- Travelers Insurance Company (St. Paul, MN)
- …and expertise to identify potential risks and combat fraudulent practices. As an SIU Investigator , you will analyze, summarize and prioritize information to ... uncover potentially fraudulent activity. The investigator , supporting a Claim Center, will investigate ...suspicious in nature within all lines of business. The investigator will conduct thorough and comprehensive investigations … more
- Command Investigations (Detroit, MI)
- …) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator . SuperiorX Investigations ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
- Allied Universal (Raleigh, NC)
- …+ **Pay Rate: $22 - $25 /** **hr** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage types, including ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is… more
- Allied Universal (Baton Rouge, LA)
- …'s license** **required** **prior to applying** **.** **RESPONSIBILITIES:** + Conduct independent investigations of insurance claims across a range of coverage ... Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is… more
- The Robison Group (Phoenix, AZ)
- Individuals selected for the position will be expected to perform investigations of workers compensation claims , liability investigations , multi-line ... We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment,...integrity and respect. Candidates with a valid AZ private investigator license and least one year of private … more
- AmeriHealth Caritas (Washington, DC)
- …Alexandria and Falls Church VA. Site visits required as needed. The Investigator is responsible for conducting comprehensive investigations of reported, alleged ... related to Special Investigation Units and fraud, waste and abuse investigations . + Conducts investigations of potential; fraud, waste and/or abuse with… more
- Sedgwick (Fort Worth, TX)
- …Complex Claims **PRIMARY PURPOSE** **:** To be responsible for managing SIU investigations of complex fraud schemes involving providers, vendors, attorneys ... Bachelor's degree from an accredited college or university preferred. Fraud Claims Law Associate (FCLA), Certified Insurance Fraud Investigator (CIFI),… more