• Field Investigator - Macp/ACP/OOP

    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
    Command Investigations (10/17/25)
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  • Clinical Investigator

    MVP Health Care (Rochester, 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 ... a passion for problem solving and investigations , commitment to compliance and ethical standards and dedication...involving economic or insurance related matters. + A clinical investigator must have in addition to the above requirements:… more
    MVP Health Care (09/20/25)
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  • Investigator 1 - FWA Prepayment Review

    Point32Health (Canton, MA)
    …an essential team member of the Special Investigation Unit (" SIU ") responsible for leading complex provider investigations related to fraud, waste, and ... **Job Summary** The Investigator I is...for conducting high-volume Pre-Payment Fraud Waste & Abuse ("FWA") investigations under the direction of the Manager, FWA Prepayment… more
    Point32Health (10/31/25)
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  • Surveillance / Claims Investigator…

    Allied Universal (Fargo, ND)
    …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation… more
    Allied Universal (11/29/25)
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  • Special Investigator

    AmeriHealth Caritas (Columbus, OH)
    … investigations . + Performs necessary functions to support all aspects of SIU investigations and responsibilities to include, but not limited to: Intake; ... Special Investigation Units and fraud, waste and abuse investigations . + Conducts investigations of potential; fraud,...in lieu of formal educational requirements for the Lead SIU Investigator position may be considered.; +… more
    AmeriHealth Caritas (10/22/25)
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  • Lead Investigator , Special…

    Molina Healthcare (Cincinnati, OH)
    **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager, SIU , the Team Lead is responsible to lead a small team of investigators and provide ... on daily investigative activities as a back-up to the SIU Manager. This position will be accountable for tracking...Manager. This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
    Molina Healthcare (11/21/25)
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  • Surveillance Investigator

    Allied Universal (Sweetwater, TN)
    …As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation ... us and make a difference. Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and stationary… more
    Allied Universal (11/30/25)
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  • Claims Investigator - Experienced

    Command Investigations (San Diego, CA)
    CLAIMS INVESTIGATOR Seeking an experienced investigator with multi-lines investigations to include W/C and P&C experience. SIU experience is also highly ... and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: +...proficiency in the following areas: + W/C and P&C investigations + Writing accurate, detailed reports + Strong initiative,… more
    Command Investigations (10/31/25)
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  • Investigator , Coding Special…

    Molina Healthcare (Ann Arbor, MI)
    **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations + Thorough knowledge of PC based software including Microsoft Word (edit/save… more
    Molina Healthcare (11/20/25)
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  • Surveillance Investigator

    The Robison Group (Albany, NY)
    Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance ... We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment,...willing and able to obtain a New York Private Investigator license. + Self-motivated, determined, and intuitive. + Strong… more
    The Robison Group (10/16/25)
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