Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Remote SIU Investigator III: Complex Fraud & Large Claims

$70k - $117k

Kemper

Miami, FL
  • Remote job

Kemper is seeking a SIU Investigator III based in Miami, Florida, responsible for investigating complex claims that may involve fraud. This remote position requires the investigator to reside in the Miami Dade area and to conduct comprehensive investigations, collaborate with law enforcement, and support training initiatives. The ideal candidate will have extensive investigative experience and strong communication skills. The role offers a competitive salary range of $70,000 to $117,000 and various employee benefits including health plans, 401(k) match, and paid time off. #J-18808-Ljbffr Kemper

Vacancy posted 3 days ago
Similar jobs that could be interesting for youBased on the Remote SIU Investigator III: Complex Fraud & Large Claims in Miami, FL vacancy
  • $70k - $117k

    Kemper Corporation is hiring a SIU Investigator III in Miami, Florida. This role focuses on investigating complex, suspicious claims and coordinating with various law enforcement agencies...  ...in Microsoft products. The position is remote but requires residency in Miami Dade... 
    Remote job
    Claims
    Fraud

    Kemper Corporation

    Miami, FL
    4 days ago
  • $70k - $117k

    Kemper Corporation is hiring a SIU Investigator III responsible for investigating complex and suspicious claims, with the role requiring...  ...and investigative skills. This remote position primarily targets candidates...  ..., and collaborate with state fraud bureaus. A minimum of four... 
    Remote job
    Claims
    Fraud
    Work at office

    Kemper Corporation

    Florida, NY
    4 days ago
  • $70k - $117k

    ## SIU Expert InvestigatorApplylocations: Remote-FL: Miami, Floridatime type: Full timeposted...  ...Summary:**The SIU Investigator III is responsible for the investigation of complex, large loss, and multi-injury claims that may contain elements of fraud or claims otherwise... 
    Remote work
    Claims
    Fraud
    Temporary work
    Work at office
    Local area

    Kemper Corporation

    Miami, FL
    2 days ago
  •  ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica...  ...the SIU and claims departments with fraudulent...  ...of insurance fraud related to the application...  ...suspicious and complex investigations. This...  ...often involves reviewing large volumes of information... 
    Remote work
    Claims
    Fraud
    Contract work
    Work at office
    Relocation package

    AssuranceAmerica

    United States
    3 days ago
  • $83k - $132.8k

     ...Summary The Special Investigations Unit (SIU) Investigator Lead serves...  ...and monitor emerging fraud, waste, and abuse (...  ...conduct research on claims and other data sources...  ...platforms to mine large volumes of data, identify...  ...investigators with complex investigations. Collaborate... 
    Remote job
    Claims
    Fraud
    Work experience placement
    Live in
    Work at office

    CareSource

    Brooklyn, NY
    1 day ago
  • $46.99k - $112.2k

     ...Senior Healthcare Fraud Investigator We're building a world of health around...  ...Investigations Unit (Aetna SIU), Self-Funded investigations...  ...In this role, you will manage complex investigations into suspected...  ...payment of suspect or fraudulent claims submitted by insured's,... 
    Remote work
    Claims
    Fraud
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Local area
    Work from home

    CVS Health

    United States
    4 days ago
  •  ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct investigations, perform data...  ...detailed reports while working remotely, preferably from Ohio. Key...  ...abuse, and fraud in healthcare claims Document case activities... 
    Remote work
    Claims
    Fraud
    Full time

    Virtual Vocations Inc

    United States
    2 days ago
  •  ...carrier is seeking a Senior SIU Investigator. The SIU Senior...  ...suspicious indicators of potential fraud committed by claimants, insureds...  ...investigations of varying complexity. This is a remote position and reports to...  ...in investigating claims across multiple lines of business... 
    Remote work
    Claims
    Fraud
    Full time
    Temporary work
    Work at office
    Local area
    Flexible hours

    Core Specialty Insurance Holdings, Inc.

    New York State
    4 days ago
  • Safepoint MGA, LLC is seeking a highly motivated SIU Examiner to work remotely in Louisiana. This role requires expertise in handling claims fraud investigations, including analysis and recommendation of actions. The examiner will conduct interviews, coordinate with SIU... 
    Remote job
    Claims
    Fraud

    Safepoint MGA, LLC

    New Orleans, LA
    4 days ago
  • Centene Corp. is seeking a full-time SIU Investigator to work remotely in California. This role involves investigating healthcare fraud allegations, performing data mining, and analyzing claims to identify potential abuse. Applicants should possess a Bachelor’s degree... 
    Remote job
    Claims
    Fraud
    Full time

    Centene Corp.

    California, MO
    12 hours ago
  • $56.2k - $101k

    Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning...  ..., and executing claims investigations or audits...  ...resolutions. Assist with complex allegations of healthcare...  ...approach to work with remote, hybrid, field or office... 
    Remote work
    Claims
    Fraud
    Work at office
    Flexible hours

    Centene Management Company LLC

    New York, NY
    1 day ago
  • $25 - $50 per hour

     ...scheduling Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance claims. This role requires a strong...  ..., compensability analysis, fraud indicators, and investigative documentation... 
    Remote work
    Claims
    Fraud
    Hourly pay
    Part time
    Work at office
    Home office
    Afternoon shift

    Kelley Alliance

    Fort Lauderdale, FL
    20 days ago
  • $56.2k - $101k

    Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning...  ..., and executing claims investigations or audits...  ...resolutions. Assist with complex allegations of healthcare...  ...approach to work with remote, hybrid, field, or office... 
    Remote work
    Claims
    Fraud
    Work at office
    Flexible hours

    Centene Management Company LLC

    Florida, NY
    1 day ago
  • The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the Special...  ...will function as a remote investigator working from her...  ...the Department of Insurance Fraud Division, NICB, and various... 
    Remote work
    Claims
    Fraud
    Work experience placement
    Work at office

    Military, Veterans and Diverse Job Seekers

    Los Angeles, CA
    3 days ago
  •  ...application. Healthcare Fraud Shield will not contact...  ...Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES Work with SIU Team (Clinical Reviewers...  ...information submitted on the claims in order to determine...  ...initiatives Remote work eligible REMOTE WORK... 
    Remote work
    Claims
    Fraud
    Full time
    Flexible hours

    Healthcare Fraud Shield

    Chesterfield, MO
    1 day ago
  •  ...Job Summary A Special Investigations Unit (SIU) Desk Investigator...  ...assisting the SIU and claims departments with fraudulent...  ...of insurance fraud related to the application...  ...suspicious and complex investigations. This...  ...Attention to detail: review large volumes of... 
    Claims
    Fraud
    Contract work
    Work at office
    Relocation package

    AAMGA AssuranceAmerica Managing General Agency, LLC

    Tampa, FL
    3 days ago
  • $72.8k - $130k

     ...Principal Investigator At UnitedHealthcare...  ...of healthcare fraud, waste, and...  ...Investigator will utilize claims data,...  ...flexibility to work remotely from anywhere...  ...highly complex cases of fraud,...  ...and synthesize large volumes of information...  ...Investigations Unit's (SIU's) case... 
    Remote job
    Claims
    Fraud
    Minimum wage
    Full time
    Work experience placement
    Work at office
    Local area

    UnitedHealthcare At Home

    Minnetonka, MN
    3 days ago
  •  ...strategic Senior Special Investigation Unit (SIU) Investigator to lead...  ...improvement. Lead complex, high-exposure, and multi-jurisdictional fraud investigations across...  ...application, underwriting, claims, and identity-related...  ...ability to evaluate large, complex data sets and... 
    Claims
    Fraud
    H1b
    Work at office
    Relocation

    AAA Life Insurance Company

    Livonia, MI
    12 hours ago
  •  ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will manage complex investigations into healthcare fraud,...  ...guidance and training to other SIU Investigators and contribute...  ...programs, including medical claim billing Demonstrated experience... 
    Remote work
    Claims
    Fraud
    Full time

    Virtual Vocations Inc

    United States
    12 hours ago
  • $19.64 - $42.55 per hour

     ...DESCRIPTION Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA)....  ...review of post-payment claims. Essential Job Duties...  ...platforms working with large quantities of data. Ability... 
    Remote work
    Claims
    Fraud
    Hourly pay
    Contract work
    Work experience placement
    Work at office
    Local area

    Molina Healthcare

    United States
    12 hours ago
  •  ...Stryker Corporation in Greensboro, NC is seeking an investigator to conduct inquiries into insurance fraud on claims. The ideal candidate will work primarily from home while traveling in the NC area as needed. Responsibilities include investigating suspicious claims,... 
    Remote work
    Claims
    Fraud
    Work from home

    Stryker

    Greensboro, NC
    1 hour ago
  • ICW Group is seeking a Senior Investigator to join their Special Investigation Unit. The role involves investigating suspected fraudulent claims across various insurance lines. Ideal candidates will have significant experience in investigations, strong analytical abilities... 
    Remote job
    Claims
    Fraud

    ICW Group

    California, MO
    3 days ago
  • $58.9k - $80.07k

     ...The Investigator within the Special Investigations Unit (SIU) will be responsible for effectively...  ...carrying out complex investigations of...  ...alleged misconduct and Fraud, Waste and Abuse...  ...position is 100% remote. Scope Of Responsibilities...  ...of insurance claims investigation... 
    Remote work
    Claims
    Fraud
    Temporary work
    Work experience placement
    Local area

    Health First

    Hartford, CT
    3 days ago
  • $60.2k - $107.4k

     ...Senior Investigator At UnitedHealthcare, we're simplifying...  ...of healthcare fraud, waste and abuse. The Senior...  ...Investigator will utilize claims data, applicable...  ...Investigate medium to highly complex cases of fraud, waste and...  ...Investigations Unit's (SIU's) case tracking system... 
    Remote work
    Claims
    Fraud
    Minimum wage
    Full time
    Temporary work
    Work experience placement
    Local area

    UnitedHealthcare At Home

    United States
    3 days ago
  • $85k - $100k

     ...Temporary Workers Compensation Claims Adjuster III Temporary Workers...  ...Claims Adjuster III Fully Remote Full-time Description...  ...include cases of extreme complexity or with unique or unusual...  ...the referral to the SIU of cases with suspected fraud. Aggressively pursue subrogation... 
    Remote work
    Claims
    Fraud
    Full time
    Temporary work

    Intercareins

    California, MO
    3 days ago
  •  ...Overview CITON Claims Solutions, LLC is a premier provider...  ...claims management and investigation services for insurance...  ...claim outcomes, reduce fraud exposure, and enhance...  ...seeking an experienced SIU Investigator to conduct...  ...independently manage complex case assignments across... 
    Claims
    Fraud
    Work at office

    CITON Claims Solutions

    Atlanta, GA
    4 days ago
  •  ...Transportation, SIU & Catastrophic Claims The team prepares...  ...insureds in complex, high-risk matters...  ...matters from pre-suit investigation through trial...  ...disputes, fraud, and regulatory...  ...coverage issues, and large loss events ,...  ...with hybrid and remote flexibility True... 
    Remote work
    Claims
    Fraud
    Flexible hours

    Platinum Legal Search Group, LLC

    Houston, TX
    1 day ago
  • $51k - $80.07k

    Healthfirst is looking for an Investigator within the Special Investigations Unit (SIU) to conduct complex investigations of alleged misconduct and fraud in a fully remote position. The ideal candidate must possess an Associate's degree in criminal justice or equivalent... 
    Remote job
    Fraud

    Healthfirst

    Florida, NY
    1 day ago
  • $25 - $30 per hour

     ...Associates, a trusted leader in investigative services, and make an...  ...seeking experienced SIU Field Investigators in...  ...Must have SIU/Claims investigation experience...  ...Private Investigator or Fraud Investigator and live in...  ...Experience Experience handling complex SIU/Claims cases.... 
    Claims
    Fraud
    Hourly pay
    Part time
    Live in
    Flexible hours

    Lemieux & Associates

    Saint Louis, MO
    1 day ago
  • $32 - $40 per hour

     ...Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied...  ...for claim investigators, SIU investigators, and surveillance...  ...insurance policies and fraud components to determine...  ...demonstrated experience conducting complex insurance investigations... 
    Claims
    Fraud

    Allied Universal

    New York, NY
    3 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote SIU Investigator III: Complex Fraud & Large Claims. Be the first to apply!