- Command Investigations (Detroit, MI)
- …) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator . SuperiorX Investigations ... quality investigations to gather critical information, conduct special investigations , examine coverage/loss, and combat fraud,...of the case. On average, anticipate 40% of the investigator 's time to be spent in the field… more
- Command Investigations (Jacksonville, FL)
- Seeking a part-time experienced SIU Field investigator . A minimum of 3 years' experience as an insurance Investigator is required. Must have background ... in handling multi-lines investigations and some SIU experience. Must have...Part Time role; subcontractors will not be considered. The SIU /Insurance Investigator should demonstrate proficiency in the… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …or bachelor's degree in criminal justice or related field ; or employment as an investigator in the SIU on or before December 28, 2022. + Current NYS RN ... investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or...include: A minimum of five years in the healthcare field working in FWA investigations and audits;… more
- USAA (Baton Rouge, LA)
- …special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). **This is a field position.** A company car is provided. ... you apart:** + SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military… more
- Centene Corporation (Sacramento, CA)
- …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
- 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...+ BA/BS degree in criminal justice or a related field , and minimum of five years of insurance claims… more
- 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
- Allied Universal (Billings, MT)
- …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
- 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
- The Robison Group (Albany, NY)
- …commensurate with education and experience. OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager, Case ... Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance… more
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