- Prime Therapeutics (Annapolis, MD)
- …Experience** + Education Level Bachelors + Experience Level 2+ years + Required Fraud Investigations and Claims experience Must be eligible to work in the United ... and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the...or residency sponsorship. **Additional Qualifications** + 3+ years' fraud investigations / claims experience. + Ability to manage workload… more
- Elevance Health (Hanover, MD)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... investigations on identified providers as warranted. + Examines claims for compliance with relevant billing and processing guidelines...several times per week. Specific requirements and expectations for time onsite will be discussed as part … more
- Travelers Insurance Company (Baltimore, MD)
- …external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit . + ... of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees...Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions… more
- USAA (Baltimore, MD)
- …+ Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit ( SIU ) referrals, when appropriate. Determines ... how we treat each other and our members. Be part of what truly makes us special ...to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will… more