• SIU Investigator

    Allied Universal (Palm Coast, FL)
    …on the position and eligibility. **Job Description:** Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
    Allied Universal (09/13/25)
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  • AML Sr Investigator II- SIU Subject Matter…

    Capital One (Mclean, VA)
    AML Sr Investigator II- SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized investigations ... (SME)** will work closely with key stakeholders in the SIU and outside of the SIU when...+ Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in… more
    Capital One (09/11/25)
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  • SIU QuickBase Developer

    CVS Health (Hartford, CT)
    …Summary** We are seeking a skilled and proactive **QuickBase Developer** to support the Special Investigations Unit ( SIU ) by designing, developing, and ... and support monitoring and reporting needs. This role also includes managing SIU digital assets, conducting user access reviews, and supporting SharePoint site… more
    CVS Health (09/10/25)
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  • SIU Investigator

    NTT DATA North America (Boston, MA)
    …strategy. NTT DATA's Client is seeking a Investigator for Health Plan Special Investigations Unit ( " SIU ) REMOTE EAST COAST The Investigator will ... investigator and work closely with other members of the SIU . Reviews are fast-paced and require the investigator to...summaries of findings, supported by evidence collected in the investigation Assisting in the preparing fraud referrals to other… more
    NTT DATA North America (08/26/25)
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  • Clinical Fraud Investigator II - Registered Nurse…

    Elevance Health (Richmond, VA)
    …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU ** **Location:** This role requires associates to be in-office 1 - 2 days… more
    Elevance Health (09/11/25)
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  • Bachelor Apprenticeship Program - Claims Fraud…

    Zurich NA (Overland Park, KS)
    …+ Participate in National Insurance Crime Bureau (NICB) and International Association of Special Investigations Unit (IASIU) meetings to stay informed on ... Bachelor Apprenticeship Program - Claims Fraud Investigation - Schaumburg (January 2026) 126569 Have you...fraud indicators and recommend cases for referral to ZCIS investigations . + Partner with investigators to collect additional insights,… more
    Zurich NA (08/27/25)
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  • Insurance Examiner II - Pharmacy

    State of Massachusetts (Boston, MA)
    …and others with insurance laws, rules, regulations and administrative bulletins (ie, referral to Special Investigations Unit ). * Participate on special ... position reports to the Director of the Consumer Services Unit , which is responsible for ensuring that consumers are...information from all parties as appropriate to complete an investigation and communicate their findings to complainants and DOI… more
    State of Massachusetts (08/19/25)
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  • Field Investigator - Macp/ACP/OOP

    Command Investigations (Detroit, MI)
    Investigations ) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator. SuperiorX ... demand for quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud, one case at… more
    Command Investigations (07/18/25)
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  • Consumer Care Advocate

    Sedgwick (Irving, TX)
    …changes with internal departments. + Provides referrals to legal, utilization review, pharmacy, and Special Investigations Unit ( SIU ) as appropriate and ... communication skills + PC literate, including Microsoft Office products + Strong investigation and organizational skills + Good interpersonal skills + Ability to… more
    Sedgwick (06/20/25)
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  • Claim Rep Trainee, Outside Property

    Travelers Insurance Company (Upper Marlboro, MD)
    …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
    Travelers Insurance Company (09/12/25)
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