- Allied Universal (Charlottesville, VA)
- …**Private Investigator's license** **required** **prior to applying** Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. ... Special Investigations Unit ( SIU ) Specialists investigate claims with red flags that suggest...SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud … more
- USAA (San Antonio, TX)
- …USAA Life Company's SIU Life & Health is seeking a talented **Life Special Investigations Unit Investigator I (Mid-Level)** to review, analyze, and ... Abuse** you will support the Life Special Investigations team that is responsible for increasing fraud...other related agencies, as appropriate. + Submits Department of Insurance fraud reports in compliance with established… more
- USAA (Plano, TX)
- …us special and impactful. **The Opportunity** We are seeking a dedicated Director Special Investigations Unit - Specialty (Major Case) This role is ... control objectives, as well as compliance with state insurance fraud -related laws and regulations. + Develops... policies and broad understanding of procedures related to SIU investigations . + Capability to analyze data,… more
- MAPFRE Insurance (MA)
- …and proper use of MGL Chapter 175 Section 113H or similar state specific fraud statutes. + Insurance coursework strongly preferred, eg SCLA, CIFR or CIFI ... Field Investigator, SIU Date: Aug 5, 2025 Location: MA, US...also include the assisting of Medical Provider, Underwriting, Agency investigations as well as any other investigative needs that… more
- Prime Therapeutics (Des Moines, IA)
- …& Experience** + Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the ... and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the...visa or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations /claims experience. + Ability to manage… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit ( SIU ) Senior Investigator is to assist in the reduction and ... State/Federal criminal statutes and criminal and civil law impacting insurance fraud /abuse investigations to preserve...assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education… more
- Kemper (Henderson, NV)
- …by law and management. + Responsible for communicating critical situations to the Special Investigation Unit and field managers. + Develops and maintains ... that delivers on our promises._ **Position Summary** : The SIU Desk Investigator I is responsible for the investigation...contacts with other Special Investigative Units and fraud related organizations.… more
- Elevance Health (Metairie, LA)
- Job Description **Investigator II - Payment Integrity SIU ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration ... the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent… more
- Centene Corporation (Sacramento, CA)
- … investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. + Conduct investigations of potential waste, abuse, and ... fraud + Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and...referral to Federal and State agencies + Complete various special projects and audits + Performs other duties as… more
- Allied Universal (Buffalo, NY)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims +...+ Certified Fraud Investigator (CFE) + Certified Insurance Fraud Investigator (CIFI) + Fraud… more