• SIU Investigator - Experienced

    Command Investigations (San Diego, CA)
    SIU INVESTIGATOR A minimum of 5...is required. Must have experience in Commercial and P&C investigations . * Candidates who do not have property (non-auto) ... a W-2 role; subcontractors will not be considered. The SIU Investigator should demonstrate proficiency in the...should demonstrate proficiency in the following areas: + P&C investigations , with all lines preferred. + Writing accurate and… more
    Command Investigations (11/06/25)
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  • SIU Investigator - Experienced

    Command Investigations (Chicago, IL)
    Seeking an experienced SIU /Insurance investigator to cover Chicago, IL and its surrounding areas. Candidates must reside within 60 miles of Chicago. A minimum of ... staff. This is a W-2 role; subcontractors will not be considered. The SIU /Insurance Investigator should demonstrate proficiency in the following areas: +… more
    Command Investigations (09/15/25)
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  • SIU Investigator P&C (Mid-level)

    USAA (Colorado Springs, CO)
    …makes us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and ... (GED). + 2+ years claims adjusting experience, or P&C SIU /Fraud Investigation experience OR 4+ years prior investigative law...SIU experience conducting low to complex PNC fraud investigations OR a combination of Claims and Law Enforcement… more
    USAA (11/18/25)
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  • SIU Field Investigator

    Travelers Insurance Company (Fort Lauderdale, FL)
    …and expertise to identify potential risks and combat fraudulent practices. As an SIU Investigator , you will analyze, summarize and prioritize information to ... claims deemed suspicious in nature within all lines of business. The investigator will conduct thorough and comprehensive investigations in a dynamic,… more
    Travelers Insurance Company (11/24/25)
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  • SIU Investigator - Experienced

    Command Investigations (Baltimore, MD)
    …Claims/ SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and Industrial/workplace accidents. ... and staff. Must have a background in handling multi-lines investigations with personal lines highly desired. Must have reliable...our website and find out why at www.GoCommand.com. The SIU /WC Investigator should demonstrate proficiency in the… more
    Command Investigations (09/11/25)
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  • Senior Investigator (Aetna SIU )

    CVS Health (Morgantown, WV)
    …every day. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known ... in identifying resources and best course of action on investigations + Serves as back up to the Team...years of working health care fraud, waste and abuse investigations ). **Anticipated Weekly Hours** 40 **Time Type** Full time… more
    CVS Health (11/15/25)
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  • SIU Investigator

    Centene Corporation (Columbus, OH)
    …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
    Centene Corporation (11/22/25)
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  • Sr. Claims Examiner - SIU

    Philadelphia Insurance Companies (Ewing, NJ)
    … reports for thoroughness and accuracy. Review and evaluation of completed SIU investigations for referral to state authorities, law enforcement and/or ... and evaluation of claims and applications referred to the SIU for possible fraud. Conduct database investigations ,...the SIU for possible fraud. Conduct database investigations , including use of CLEAR, ISO and various search… more
    Philadelphia Insurance Companies (11/20/25)
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  • Investigator , Special Investigative…

    Molina Healthcare (Bowling Green, KY)
    **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
    Molina Healthcare (11/26/25)
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  • Medical Investigator I/II (RN Required)

    Excellus BlueCross BlueShield (Rochester, NY)
    …OMIG's minimum investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or experience, which shall ... addition to Level I Accountabilities) + Performs more complex investigations with less direct supervision. Performs compliance and/or governance...criminal justice or related field; or employment as an investigator in the SIU on or before… more
    Excellus BlueCross BlueShield (09/17/25)
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