- Humana (Montpelier, VT)
- **Become a part of our caring community and help us put health first** The Special Investigations Unit Manager leads and monitors investigations of ... approach, resources, schedules and goals. **Where you Come In** The Special Investigations Unit Manager assists coordinating investigation with law… more
- Capital One (Mclean, VA)
- AML Sr Investigator II-SIU Subject Matter Expert (SME) **The Special Investigations Unit in the AML Department** performs specialized investigations to ... of ideas + Collaborating with investigators and people leaders on complex investigations and/or special projects, often functioning in a leadership capacity… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... and local traffic regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special crime prevention and… more
- State of Massachusetts (Boston, MA)
- …and others with insurance laws, rules, regulations and administrative bulletins (ie, referral to Special Investigations Unit ). * Participate on special ... Insurance Examiner II position reports to the Director of the Consumer Services Unit , which is responsible for ensuring that consumers are informed of their rights… more
- USAA (Tampa, FL)
- …USAA is searching for a technically strong and proven leader to manage our SIU ( Special Investigations Unit ) Analytics and Digital Fraud Detection Team. The ... actions and decisions to carry out proactive claim's projects and investigations . + Reviews and evaluates investigation recommendations from investigators to ensure… more
- M. C. Dean (Vienna, VA)
- …coverage; review the established reserve requirements, identified claims for subrogation and/or Special Investigations Unit as appropriate. + Assesses actual ... regulatory issues and available resources. + Plans and conducts investigations of claims to confirm coverage and to determine...Knowledge and abilities of Microsoft suite of applications with special emphasis on excel and the ability to pivot… more
- CVS Health (Hartford, CT)
- …We are seeking a skilled and proactive **QuickBase Developer** to support the Special Investigations Unit (SIU) by designing, developing, and maintaining ... solutions + Develop dashboards, reports, and automation to support investigations , compliance, and performance monitoring + Troubleshoot and resolve application… more
- 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 ... for potential fraud indicators and recommend cases for referral to ZCIS investigations . + Partner with investigators to collect additional insights, utilizing social… more
- NTT DATA North America (Boston, MA)
- …an overall sourcing strategy. NTT DATA's Client is seeking a Investigator for Health Plan Special Investigations Unit ( "SIU ) REMOTE EAST COAST The ... reviews Qualifications: 1-3 year's related experience in health insurance fraud investigations , health insurance coding, provider relations, or another similar role… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …purposes. + Collaborate with internal teams (eg, claims processing, provider relations, special investigations unit ). + Utilize auditing software and ... communicate audit results and will collaborate with internal teams including the Special Investigation Unit and Payment Integrity Specialists. This role requires… more