SIU Investigator: Fraud Investigation & Claims Analysis
W.R. Berkley
W.R. Berkley in Urbandale, Iowa is seeking an experienced SIU Investigator to conduct timely investigations into potential fraud. This role involves evaluating claims, conducting interviews, and maintaining accurate documentation to support anti-fraud initiatives. The ideal candidate will have a bachelor's degree, strong organizational skills, and at least 3 years of SIU experience. Responsibilities include collaborating with claims personnel and ensuring compliance with regulations. #J-18808-Ljbffr W.R. Berkley
- Siu Investigator The SIU Investigator is responsible for conducting timely investigations into claims where indicators of potential fraud, misrepresentation, or suspicious activity exist. This role supports the organization's anti-fraud objectives by gathering facts, evaluating...ClaimsFraudFlexible hours
- Stryker Corporation is seeking a Clinical Investigator to analyze claims data and identify fraud, waste, or abuse. This critical role involves managing client relationships and conducting in-depth analysis of healthcare claims to ensure compliance and integrity. The ideal...ClaimsFraud
$54.1k - $81.2k
Crains Cleveland is looking for a Clinical Investigator to perform retrospective reviews of claims and analyze data for potential fraud, waste, or abuse. This role entails in-depth analysis and maintaining professional relationships with clients, providers, and regulatory...ClaimsFraud$54.1k - $81.2k
Sun Life in Des Moines, Iowa is seeking a Clinical Investigator to analyze claims data for fraud detection. The role involves comprehensive investigative processes, coordination with clients, and communication of findings. Candidates should have a preferred Registered Dental...ClaimsFraud$54.1k - $81.2k
...Clinical Investigator Sun Life embraces a hybrid work model that balances in-office collaboration with the... ...responsible for the retrospective review of paid claims and analysis of claims data to identify provider fraud, waste or abuse. The Clinical Investigator will...ClaimsFraudWork at officeLocal areaFlexible hours$54.1k - $81.2k
...Candidates must reside in the state of Iowa. The Opportunity As a Clinical Investigator, you will conduct retrospective review of paid claims and analysis of claims data to identify provider fraud, waste or abuse. Your responsibilities include in‑depth analysis, trend...ClaimsFraudWork at officeLocal area$71.1k - $97.8k
...of our caring community. The Senior Fraud and Waste Investigator conducts investigations of allegations... ...complex to complex issues where the analysis of situations or data requires an in-... ...Understanding of healthcare industry, claims processing and investigative process...ClaimsFraudBi-weekly payTemporary workApprenticeshipRemote workWork from homeHome officeMonday to Friday- ...employer. Responsibilities The SIU Support Specialist will be... ...for conducting background investigations through the research, analysis, and interpretation of... ...media to support SIU and Claim departments. In addition... ...completeness, assessing initial fraud indicators, assigning...ClaimsFraudFlexible hours
- W. R. Berkley Corporation in Urbandale, Iowa, is seeking a SIU Investigator to conduct investigations into claims with potential fraud. The candidate will evaluate claims, conduct interviews, and document findings while collaborating with claims personnel and regulatory...ClaimsFraud
- ...Investigator II Locations: VA - Norfolk, IN - Indianapolis, IA - Des Moines, TN - Nashville,... ...of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact:...ClaimsFraudTemporary workWork at officeLocal area2 days per week1 day per week
- Sun Life Financial is seeking a Clinical Investigator to conduct detailed fraud investigations within the dental claims sector. The role, based in Des Moines, Iowa, emphasizes a strong analytical approach to identify and combat fraud, waste, and abuse. Candidates should...ClaimsFraudWork at officeRemote work
$54.1k - $81.2k
Wisconsin Psychiatric Association Inc is seeking a Clinical Investigator responsible for analyzing claims data to uncover fraud and abuse in the healthcare system. This role demands a dental background and extensive investigative experience. The successful candidate will...ClaimsFraud- Responsibilities The SIU Manager is responsible for assisting with leading our anti-fraud efforts to include both commercial and... ...safeguarding the integrity of our claims process, mitigating financial... ...for overseeing a team of investigators and support specialists, managing...ClaimsFraudWork at office
$29.17 - $34.11 per hour
...Responsible for reviewing, analyzing, investigating, monitoring, and reporting of potential... ...Determines Credit Union and member liability for fraud loss, communicate with member, and post... ...activity. Manages check fraud claims. Documents, accurately and thoroughly...ClaimsFraudHourly payFull timeWork at officeMonday to Friday- W. R. Berkley Corporation is seeking an experienced SIU Manager to lead anti-fraud initiatives across commercial and personal insurance lines. This role involves supervising a team of investigators, overseeing fraud investigations, and ensuring compliance with regulatory...Fraud
- Company Overview Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation... ...dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our...ClaimsFull timeWork at officeLocal area
- ...national leader? Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your surveillance expertise... ...as a private investigator conducting surveillance. SIU/Claims investigation experience ( preferred ). Bilingual skills ( preferred...ClaimsPart timeFlexible hours
$25 - $30 per hour
...determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of... ...our efforts to deter and combat insurance fraud. The surveillance investigator position is... ...for advancement include Management, SIU Investigations, and other operational positions...FraudBi-weekly payHourly payWork at office- ...party bodily injury and liability claims within a specialty casualty... ...litigation management, coverage analysis, negotiation, and investigative skills are essential. Key... ...Identify potential fraud indicators and submit SIU referrals when appropriate...ClaimsFraudRemote work
$29.17 - $34.11 per hour
A financial institution in Clive, IA is seeking a Fraud Analyst to ensure the integrity of credit and debit transactions. The role involves investigating potential fraud, providing excellent member service, and maintaining confidentiality. Candidates should possess a high...Fraud- ...opportunity. Job Purpose The Claims Attorney II position is responsible to independently investigate and adjust complex claims made... ...Claim Investigation and Loss Analysis Reviews and analyzes correspondence... ...required claim and anti‑fraud training. Reviews bond language...ClaimsFraudContract workFor contractorsRemote workFlexible hours
- ...seeking skilled and experienced Field Investigators to join our team on an "as... ...investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at... ...and Special Investigations Unit (SIU) assignments, within an assigned...ClaimsFraudFlexible hours
- CoventBridge Group is seeking a full-time Surveillance Investigator in the Des Moines area. This role involves conducting vehicle-based investigations to uncover insurance fraud while working remotely with flexible scheduling. Responsibilities include preparing cases,...FraudRemote jobFull timeFlexible hours
- Frasco is looking for a part-time Surveillance Investigator in Des Moines, Iowa. This role involves fraud investigation, surveillance, and documentation of activities. Candidates will receive fully paid training and must possess strong communication skills and a valid...FraudHourly payPart timeFlexible hoursNight shift
- The Robison Group is seeking enthusiastic candidates for an investigative position focused on workers’ compensation and liability claims in Des Moines, Iowa. Key responsibilities include conducting investigations, performing video surveillance, and assisting fellow investigators...ClaimsRemote work
- ...Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are... ...be expected to perform investigations of workers’ compensation claims, liability investigations, multi‑line insurance claims, criminal...ClaimsHourly payDaily paidRemote work
$22 - $26 per hour
Job Type Part‑time Job Title Surveillance Investigator Job Location Des Moines, IA - and surrounding area Job Type Part‑Time, Billable... ...career in a growing industry? Get paid to learn the ropes of fraud investigation and real‑world surveillance. Frasco offers fully...FraudHourly payWeekly payPart timeFlexible hoursNight shift- ...Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and... ...provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our...ClaimsWork experience placementWork at officeLocal area
$105.6k - $140.7k
...Department Overview: As a member of the Employee Relations Investigations & Policy team, you will strive to be a role model for the... ..., from investigation planning through closure (fact-finding, analysis, and report writing). The Investigator will work closely with...Hourly payLocal areaRemote workWork from homeRelocationRelocation packageFlexible hours- ...fuel the progress of humankind. We are seeking an **Associate Investigator** who is a driven and detailed-oriented individual to join our... ...of bioinformatic programs and computational workflows for the analysis of nucleic acid and protein sequences. + Experience with...Local areaRelocationVisa sponsorshipShift work
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