- CVS Health (Hartford, CT)
- …health care more personal, convenient and affordable. **Position Summary:** As a Senior Investigator you will conduct high level, complex investigations of known ... 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 . **Pay Range** The typical pay range for this… more
- The Cigna Group (St. Louis, MO)
- **Job Summary:** This role will also oversee multiple investigations as it relates to pharmacy and patient outreach and must coordinate the successful transfer of ... essential case data between the partner and the SIU . **Essential Functions:** + Directly interact with multiple levels within partner organization to coordinate… more
- CVS Health (Raleigh, NC)
- …personal, convenient and affordable. **Position Summary** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and ... abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims...presentations to internal and external customers regarding ongoing case investigations . **Required Qualifications** + 3-5 years investigative experience in… more
- Molina Healthcare (GA)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... clinic settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations role for New Jersey/New York location + Thorough knowledge of PC based… more
- The Robison Group (Panama City Beach, FL)
- …and other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire… more
- Allied Universal (Minneapolis, MN)
- …employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance...and travel + Job flexibility offering both field and remote work + Investigations related educational opportunities… more
- USAA (Colorado Springs, CO)
- …part of what makes us so special ! **The Opportunity** As a dedicated SIU investigator , you will protect USAA and our members from potential fraudulent claims ... P&C experience to include Auto, Property and Underwriting + Current or prior SIU investigations experience working in diverse teams across multiple functions… more
- USAA (Orlando, FL)
- …part of what makes us so special ! **The Opportunity** As a dedicated SIU field investigator , within defined guidelines and framework, you will help protect ... + Leads high exposure, high profile and critical work assignments, and special investigations involving sophisticated niche fraud referrals, (examples: organized… more
- Travelers Insurance Company (Franklin, TN)
- …and expertise to identify potential risks and combat fraudulent practices. As an SIU Investigator , you will analyze, summarize and prioritize information to ... suspicious in nature within all lines of business. The investigator will conduct thorough and comprehensive investigations ...paced environment. This position may include a combination of remote work, work from your residence, and/or work from… more
- Elevance Health (Woburn, MA)
- **Clinical Fraud Investigator II - SIU Fraud &...aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas ... Abuse** **Location:** This position will work a hybrid model ( remote and office). The ideal candidate will live within...1-2 days in office per week The **Clinical Fraud Investigator II** is responsible for identifying issues and/or entities… more