SIU Clinical Coder & Fraud Investigator
MetroPlusHealth
MetroPlusHealth in New York seeks a Clinical Certified Coder to support fraud detection and investigations in the Special Investigations Unit. The successful candidate will review medical records and claims, conduct audits, and collaborate with the team on suspected fraudulent activities. A minimum of 5 years of relevant experience and AAPC coding certification are required. This role emphasizes strong analytical skills, communication, and integrity in handling sensitive healthcare information. #J-18808-Ljbffr MetroPlusHealth
- AllState, National General Insurance’s SIU field investigator role in New York is on-site in the Bronx area. The position focuses on investigating complex, multi-discipline claims that may involve fraud, including scene investigations, statements, and surveillance. You...Suggested
- National General Insurance is seeking an experienced SIU Field Investigator to join our Special Investigations Unit in New York. This field-based... .... You will conduct complex investigations into potential fraud, gather statements, perform site inspections, and use analytic...Suggested
- Origin Investigations Inc. in Las Vegas is seeking an experienced SIU Investigator to join our growing team. The role focuses on insurance fraud investigations, gathering statements, and building comprehensive case files through fieldwork and surveillance. You will conduct...Suggested
- ...A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...Suggested
$28 - $32 per hour
...Job Type Part-time Description Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum of three years... ...team. This is a great opportunity for individuals with prior SIU experience who demonstrate integrity, independence, and a drive...SuggestedHourly payFull timePart timeWork at officeRemote workFlexible hours- ...Special Investigations Unit (SIU) - Field Investigator Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights...Casual workLocal areaNight shift
- ...Root Insurance in the United States is seeking an SIU Investigator II to lead complex fraud investigations within auto claims. You will collaborate with claims teams, interview witnesses, review documents, and testify as needed to support case outcomes. Ideal candidates...Flexible hours
$60k - $87.4k
...Description This job is responsible for investigating and analyzing complex, multi-... ...referred to the special investigation unit (SIU) for potential fraud. This role typically handles a... ...searches, scene investigations, and clinic inspections; (2) taking recorded statements...Work at officeWork from homeVisa sponsorshipWork visa$26 - $33 per hour
...Type Full-time, Part-time Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum... ...possess the following: A minimum of 1-3 years of Claims, SIU, or adjusting experience. Other related experience should be indicated...Hourly payFull timePart timeSecond jobWork at officeRemote workFlexible hoursNight shift- J T Becker & Co Inc is looking for skilled Field Investigators to join our team on an 'as needed' basis, perfect for those wishing to work flexible... ...will conduct varied investigations, including surveillance and SIU assignments, within New Jersey. Key responsibilities include...Flexible hours
- J T Becker & Co Inc is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. The role offers flexible... ...expert investigative services, including surveillance and SIU assignments. Successful candidates will conduct a variety of investigations...Flexible hours
- J T Becker & Co Inc is looking for skilled Field Investigators to join our team on an as-needed basis. This role offers flexibility, ideal for... ...investigations. Ideal candidates will conduct surveillance and SIU assignments, completing video recordings and maintaining...Flexible hours
- ...Becker & Co Inc is seeking skilled Field Investigators to join our team in New York. This role is... ..., including workers' compensation and fraud. The ideal candidate will conduct various... ...investigations such as surveillance assignments and SIU investigations. Key responsibilities...Flexible hours
- J T Becker & Co Inc is seeking skilled Field Investigators in Idaho to provide expert investigative services on an as-needed basis. This role... ...’s license, investigative tools, and experience in surveillance and SIU claim investigations. #J-18808-Ljbffr J T Becker & Co IncFlexible hours
- Ethos Risk Services is seeking a Special Unit Investigations (SIU) Field Investigator to conduct field investigations, interview witnesses, and produce detailed reports for claims decisions. You will travel to accident scenes, gather evidence, and upload documents into...
- National General Insurance is seeking an experienced SIU Field Investigator to join the Special Investigations Unit in New York. This field-based role will cover Bronx, Manhattan, Westchester and surrounding areas, performing surveillance, site inspections, witness interviews...Remote job
- ...Becker & Co Inc, located in Georgia, is seeking skilled Field Investigators for flexible hours on an as-needed basis. Ideal for licensed investigators... ...conducting various investigations, including surveillance and SIU assignments, delivering high-quality results tailored to client...Flexible hours
- Becker & Company seeks skilled Field Investigators for an as-needed role in Idaho. This position offers flexible... ...expert services across workers' compensation, fraud, and liability claims. Responsibilities include surveillance, SIU assignments, documenting findings, securing...Flexible hours
- J T Becker & Co Inc is seeking skilled Field Investigators in Pennsylvania for flexible, as-needed investigative work. Ideal candidates will... ...investigator license, and have experience in surveillance and SIU investigations. Work will be carried out with limited supervision...Flexible hours
- J T Becker & Co Inc is seeking skilled Field Investigators to join our team on an as-needed basis. This role is perfect for licensed investigators... ...a variety of investigations, including surveillance and SIU assignments, ensuring high-quality results while maintaining confidentiality...Flexible hours
- J T Becker & Co Inc is looking for skilled Field Investigators for flexible hours, ideal for licensed investigators. Responsibilities include video surveillance and SIU investigations, adhering to case manager's instructions and meeting deadlines. The ideal candidate must...Flexible hours
- National General is seeking an experienced SIU Field Investigator to join our Special Investigations Unit in New York. This field-based role requires residing in or near Bronx, Manhattan, Westchester, or surrounding areas and involves investigating complex, potentially...Remote job
$100k - $130k
...top civil defense law firm, is seeking an SIU Litigation Attorney for its New York... ...experience, a passion for fighting insurance fraud, and strong litigation skills. The role... ...defending against claims, conducting investigations, and preparing legal documents. Compensation...- ...Centene Corporation is seeking a senior leader to direct SIU analytics, detection, and investigative analytics across healthcare programs. You will work... ...integrity. The role requires 5+ years in healthcare analytics, fraud detection, SIU operations, and leadership of analytics...
- Origin is seeking an experienced SIU Investigator to join our growing team in Las Vegas, Nevada. This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are...Flexible hours
$32 - $40 per hour
...Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance... ...opportunities for claim investigators, SIU investigators, and surveillance investigators... ...knowledge of insurance policies and fraud components to determine if claims warrant...$20 - $27 per hour
Join to apply for the SIU Investigator Bronx, NY role at ISG 2 days ago Be among the first 25 applicants This range is provided by ISG. Your... ...services firm specializing in cost containment and anti-fraud related services. We are dedicated to maintaining the highest...Full time- Allied Universal® Compliance and Investigation Services is seeking an experienced SIU Investigator in New York with construction investigation experience under NY Labor Law. The role focuses on identifying fraud in insurance claims and deciding on reporting to state authorities...
$70.1k - $126.2k
...Position Purpose: Provides guidance to team members who investigate and remediate compliance and fraud, waste, and abuse related matters. Assists manager on... ...training and mentoring to team on casework and other SIU activities. Evaluates and assesses allegations to...Full timePart timeWork at officeRemote workFlexible hours$95k - $120k
About the role AIG is seeking a Fraud Investigations Manager who is fluent in English and Spanish (reading, writing, and speaking) to join the Global Investigative Group (“GIG”) team in our New York Office. GIG is a specialized unit within AIG’s Global Legal, Compliance...Full time
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