- UPMC (Pittsburgh, PA)
- … highly preferred. Under the direction of the manager, the Special Investigations Unit ( SIU ) Investigator is responsible for investigating ... UPMC Health Plan has an exciting opportunity for a SIU Investigator ! This is a remote, full-time role working daylight hours Monday through Friday. Experience as… more
- Sedgwick (Philadelphia, PA)
- …Best Workplaces in Financial Services & Insurance SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing online ... ensures investigations are completed according to service expectations and SIU best practices. + Maintains technical competency and adherence with all applicable… more
- CVS Health (PA)
- …at a time. **Position Summary** **WEST VIRGINIA RESIDENCY** **REQUIRED** As a Senior Investigator you will conduct high level, complex investigations of known or ... in identifying resources and best course of action on investigations + Serves as back up to the Team...years of working health care fraud, waste and abuse investigations ). **Anticipated Weekly Hours** 40 **Time Type** Full time… more
- Philadelphia Insurance Companies (Bala Cynwyd, PA)
- … reports for thoroughness and accuracy. Review and evaluation of completed SIU investigations for referral to state authorities, law enforcement and/or ... and evaluation of claims and applications referred to the SIU for possible fraud. Conduct database investigations ,...the SIU for possible fraud. Conduct database investigations , including use of CLEAR, ISO and various search… more
- Centene Corporation (Harrisburg, PA)
- …outpatient, ancillary, behavioral health care, laboratory, etc. Provides investigative support to the Special Investigations Unit ( SIU ) related to coding ... of audit findings in meetings and/or judicial hearings, and assist SIU investigators during interviews, discussions and negotiations with providers, suppliers, and… more
- Allied Universal (Philadelphia, PA)
- …As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation ... us and make a difference. Allied Universal(R) is hiring a Surveillance Investigator . The Surveillance Investigator will perform discreet mobile and stationary… more
- Command Investigations (Pittsburgh, PA)
- …lines experience, with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required. We are seeking individuals ... Visit our website and find out why at www.GoCommand.com . The Claims Investigator should demonstrate proficiency in the following areas: + AOE/COE, Auto, or… more
- The Robison Group (Philadelphia, PA)
- Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance ... WHO SHOULD APPLY: We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment, and individuals who have… more