- Allied Universal (Raleigh, NC)
- …and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator/Case Manager ! _ Work from home anywhere in the ... As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation… more
- The Hartford (Los Angeles, CA)
- …shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will cover Los Angeles ... the adjudication of the claim. The mission of the Special Investigations Unit ( SIU...investigating questionable claims. This position will report to the SIU Manager and will be responsible for… more
- Providence (WA)
- **Description** **Investigator External Audit Special Investigations Unit ( SIU )** **_Remote._** The SIU Audit Investigator supports the compliance ... related activities of the Special Investigations Unit ( SIU...Health Plan. This role assists the External Audit Senior Manager with developing, implementing and performing compliance related auditing… more
- Molina Healthcare (Akron, OH)
- …contract provisions, and internal policies and procedures + Supports the Special Investigations Unit ( SIU ) Manager , Director, and team in ... Under direct supervision of the Manager , the Reporting Analyst, SIU supports a team in the Special Investigation Unit ( SIU ). The Reporting Analyst, … more
- Centene Corporation (Harrisburg, PA)
- …Purpose:** Position acts as a subject matter expert in the field of Compliance and/or Special Investigations Unit ( SIU ) investigations . Provides ... matters; while maintaining an investigative workload of moderate to high complexity. Assists manager on monitoring team caseload and report on metrics. + Serves as… more
- CVS Health (Annapolis, MD)
- …compassionate. And we do it all with heart, each and every day. The Special Investigations Unit is seeking a Manager to lead our team of Certified ... Professional Coders (CPC). The Manager is responsible for overseeing and managing coding reviews...external stakeholders and ensuring compliance with regulatory requirements. The Manager develops strategies to manage workload, quality of reviews… more
- Allied Universal (Corona, CA)
- …employee assistance programs, and exclusive perks. Allied Universal(R) is hiring an ** SIU Client Embedded Case Manager ** This position will include effective, ... As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation… more
- CVS Health (Tallahassee, FL)
- …current skills and development needs. + Assess training needs and collaborate with the SIU Sr. Manager to create development plans for team members. + Develop ... for ensuring the quality and integrity of healthcare fraud and abuse investigations . This role involves overseeing the training and development of team members,… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …as a liaison for activity generated by Customer Advocacy (CAU), Customer Service (CS), Special Investigations Unit ( SIU ), Provider Relations (PR), or ... Case Management staff, members, and providers. + Provides backup for the Supervisor/ Manager , whenever necessary by: + Participating in the orientation of new staff… more
- Travelers Insurance Company (Winston Salem, NC)
- …internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... Identifies and refers claims with Major Case Unit exposure to the manager . + Performs administrative functions such as expense accounts, time off reporting, etc.… more
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