- USAA (Louisville, KY)
- …of what truly makes us special and impactful. **The Opportunity** As a dedicated ** Manager , Special Investigations Unit for Property & Casualty** , ... actions and decisions to carry out proactive claim's projects and investigations . + Reviews and evaluates investigation recommendations from investigators to ensure… more
- State of Massachusetts (Boston, MA)
- …the improvement of monitoring systems and overall practices for the Special Investigations Unit . This strategic manager collaborates with the Associate ... an experienced and dedicated individual to fill the role of Director for the Special Investigations Unit . In this role, the Director will be responsible for… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …characteristic. Blue Cross and Blue Shield of Minnesota Position Title: Supervisor - Special Investigations Unit Clinical Location: Hybrid | Eagan, Minnesota ... reporting requirements. This position works under the direction of the Manager , Operational Risk Management (SIU). This position ensures SIU department objectives… more
- Banco Popular Puerto Rico (San Juan, PR)
- …Special Investigations Manager is responsible for overseeing the Special Investigations unit , which handles inquiries into customer claims, ... areas. + Foster a culture of integrity, accountability, and continuous improvement. Special Investigations & Audit Collaboration + Oversee investigations … more
- CVS Health (Concord, NH)
- …The Senior Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding ... SIU schemes. + Act as management back-up and supports the team when the manager is out of the office. + Maintains up-to-date coding knowledge, including new changes… more
- Army National Guard Units (Carson City, NV)
- …in effecting a resolution for an IG complaint or IGAR. Conducts recurring/ special investigations /inquiries, analyses, and studies as required. Special ... Summary This position is for a INVESTIGATIONS AND INQUIRIES SPECIALIST, PD# D1165P01, part of... and prepare reports or briefings on findings. Provides unit training and guidance to command and personnel on… more
- Molina Healthcare (Louisville, KY)
- …accountability for compliance by overseeing, follow-up and resolution of investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU ... referral intake and investigation process while giving guidance and direction to team on case investigation steps and actions. + Works with leadership to maintain and revise policies and procedures, fraud, waste, and abuse plans, annual audit work plans,… more
- 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 ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on.... This position will be accountable for tracking on investigations conducted by his/her team and will provide oversight… more
- State of Colorado (Denver, CO)
- …The Criminal Justice Section is seeking an experienced investigator to join the Special Prosecutions Unit . In this role, you'll investigate allegations of ... other crimes appropriate for investigation and prosecution by the Special Prosecutions Unit . As such, this position...partner with and assist any law enforcement agency with investigations and enforcement of laws related to all crimes… more
- State of Colorado (Denver, CO)
- Financial Fraud Investigator ( Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5155250) Apply Financial Fraud Investigator ( ... Special Agent III) Salary $98,328.00 - $117,996.00 Annually Location...the Office of the Attorney General! The Financial Fraud Unit within the Colorado Department of Law (DOL) is… more
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