- Command Investigations (Baltimore, MD)
- Seeking experienced Claims / SIU and/or Workers' Comp. Investigators for Insurance Investigations that include Recorded Statements, Accident Scene, and ... Investigators and staff. Must have a background in handling multi-lines investigations with personal lines highly desired. Must have reliable transportation, along… more
- The Robison Group (Oklahoma City, OK)
- …investigative tasks. This is a remote opportunity for part - time employment in our Special Investigations Unit ( SIU ). As an SIU Investigator, ... utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and...Please submit your FULL resume, including salary requirements. Department SIU Employment Type Part time … more
- Geisinger (Danville, PA)
- …Responsible for the strategic direction, planning, oversight, and operation of the Special Investigations ("SI") and Program Integrity ("PI") teams. Develops and ... Job Duties + Provides leadership and strategic direction of Special Investigations and Program Integrity units spanning...the Geisinger family We offer healthcare benefits for full time and part time positions… more
- Humana (Annapolis, MD)
- **Become a part of our caring community and help us put health first** The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and ... Bachelor's Degree + Minimum of 3 yrs health insurance claims or Medicare experience + Minimum 3 years of...skills + Core business hours align to Eastern Standard Time (EST) + Able to analyze large amount of… more
- Allied Universal (Burlington, VT)
- … Unit ( SIU ) Investigator. Special Investigations Unit ( SIU ) Specialists investigate claims with red flags that suggest fraudulent ... five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims +...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- NTT DATA North America (Boston, MA)
- …strategy. NTT DATA's Client is seeking a Investigator for Health Plan Special Investigations Unit ( " SIU ) REMOTE EAST COAST The Investigator will ... Outsourcing is not just a method of gaining a one- time cost advantage, but an effective strategy for gaining...to conduct pre-payment reviews of medical records for healthcare claims in one or more of the following areas:… more
- Allied Universal (Fargo, ND)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... course + Minimum of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claims + Working knowledge… 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 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 (Richmond, VA)
- …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 (Diamond Bar, CA)
- … SIU Specialized Investigator, you will lead complex, multi-claim investigations with regional and national impact-often involving potential litigation. This role ... and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible… more