Remote SIU Investigator III: Complex Fraud & Large Claims
$70k - $117kKemper
- 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
$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 jobClaimsFraud$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 jobClaimsFraudWork at office$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 workClaimsFraudTemporary workWork at officeLocal area- ...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 workClaimsFraudContract workWork at officeRelocation package
$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 jobClaimsFraudWork experience placementLive inWork at office$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 workClaimsFraudHourly payFull timeTemporary workWork experience placementLocal areaWork from home- ...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 workClaimsFraudFull time
- ...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 workClaimsFraudFull timeTemporary workWork at officeLocal areaFlexible hours
- 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 jobClaimsFraud
- 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 jobClaimsFraudFull time
$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 workClaimsFraudWork at officeFlexible hours$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 workClaimsFraudHourly payPart timeWork at officeHome officeAfternoon shift$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 workClaimsFraudWork at officeFlexible hours- 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 workClaimsFraudWork experience placementWork at office
- ...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 workClaimsFraudFull timeFlexible hours
- ...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...ClaimsFraudContract workWork at officeRelocation package
$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 jobClaimsFraudMinimum wageFull timeWork experience placementWork at officeLocal area- ...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...ClaimsFraudH1bWork at officeRelocation
- ...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 workClaimsFraudFull time
$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 workClaimsFraudHourly payContract workWork experience placementWork at officeLocal area- ...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 workClaimsFraudWork from home
- 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 jobClaimsFraud
$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 workClaimsFraudTemporary workWork experience placementLocal area$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 workClaimsFraudMinimum wageFull timeTemporary workWork experience placementLocal area$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 workClaimsFraudFull timeTemporary work- ...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...ClaimsFraudWork at office
- ...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 workClaimsFraudFlexible hours
$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 jobFraud$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....ClaimsFraudHourly payPart timeLive inFlexible hours$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...ClaimsFraud
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