- Kemper (Henderson, NV)
- …by law and management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. + Develops and maintains ... to our stakeholders that delivers on our promises._ **Position Summary** : The SIU Desk Investigator I is responsible for the investigation of simple claims that… more
- American Family Insurance - Corporate (Seattle, WA)
- …involving property claims, develop meaningful industry social network and assist special investigations leadership in promoting fraud awareness and detection ... partners, agents and customers. You will report to a Special Investigations Manager. In this primarily home-based...+ Communicate with internal and external business partners regarding investigations and insurance fraud matters. + Develop… more
- Centene Corporation (Sacramento, CA)
- …and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud ... and abuse. + Conduct investigations of potential waste, abuse, and fraud + Document...referral to Federal and State agencies + Complete various special projects and audits + Performs other duties as… more
- Corewell Health (Grand Rapids, MI)
- …SITE - Priority Health - 1231 E Beltline - Grand Rapids Department Name PH - Special Investigations Unit Employment Type Full time Shift Day (United States ... Job Summary - Manager Special Investigation Unit The SIU...with a focus on identifying, investigating, and resolving health insurance fraud, waste, and abuse (FWA). This role provides… more
- AmeriHealth Caritas (Newtown Square, PA)
- …OVERVIEW** Under direct supervision of the Director, SIU the Pharmacy Manager in the Special Investigations Unit ( SIU ) will lead efforts to detect, ... office.; **RESPONSIBILITIES** + Accountable for the performance of assigned SIU investigative analysts/investigators/ team leads.; + Manages day-to-day activities of… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit ( SIU ) Senior Investigator is to assist in the reduction and ... projects as assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education Level:** Bachelor's Degree… more
- US Bank (Minneapolis, MN)
- …skills and discover what you excel at-all from Day One. **Job Description** US Bank's Special Investigations Unit ( SIU ) is seeking an investigative ... for its Emerging Risk and Trends (ERT) Team. The SIU is part of US Bank's Enterprise Financial Crimes...This role reports directly to the Director of the Special Investigations Unit to ensure… more
- BlueCross BlueShield of North Carolina (NC)
- **Job Description** The Special Investigations Unit ( SIU ) Investigator is responsible to conduct timely and thorough health care fraud investigations ... Investigations are confidential and are conducted in accordance with SIU Policies and Procedures, contractual obligation and in accordance with applicable state… more
- Sedgwick (Irving, TX)
- …changes with internal departments. + Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit ( SIU ) as appropriate and ... a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Consumer Care Advocate **Our teams connect!** **We collaborate onsite and have a… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit ( SIU ), Provider Relations (PR), or ... the total rewards package may include participation in group health and/or dental insurance , retirement plan, wellness program, paid time away from work, and paid… more