Remote SIU Desk Investigator: Fraud & Claims Analysis
Allstate Corporation
- Remote job
Allstate Corporation is seeking a Special Investigative Unit Desk Investigator II to analyze and investigate complex, multi-discipline coverage and claims for potential fraud. This remote, desk-based role involves review of medical notes, demand packages, and coordination with vendors to support claim decisions. Ideal candidates have Bodily Injury claims experience and strong analytical and investigative skills, with the ability to conduct surveillance and site inspections as needed. #J-18808-Ljbffr Allstate Corporation
- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are more... ...in assisting the SIU and claims departments with fraudulent... ...involving suspicions of insurance fraud related to the application... ...to: statements, document analysis/verification, damage...ClaimsFraudContract workWork at officeRelocation package
$60k - $98.45k
...protection. The Special Investigative Unit Consultant II is... ...coverage and claims that have been referred... ...Investigative Unit (SIU) for potential fraud. The individual performs... ...We are seeking an SIU Desk Investigator to conduct... ...investigations. This remote, desk-based role is...Remote workClaimsFraudWork from homeWork visa$105k - $110k
...Overview The SIU – Complex Major Case Investigator is a cornerstone of our fraud defense strategy. This role moves... ...suspected fraudulent claims and schemes involving... .... Intelligence & Data Analysis:· Proactively monitor... ...all matters. #LI-EF1#LI-REMOTE Qualifications...Remote workClaimsFraudFull timeWork at officeFlexible hours$75.58k - $93.37k
...Position Summary The SIU Investigator looks into suspected fraud, waste and abuse (FWA) by providers... ...through resolution. That includes data analysis, medical record review, interviews,... ...compliance hotline, internal departments (Claims, Compliance, Payment Integrity,...Remote workClaimsFraudFull timeFor contractorsWork at officeLocal area- ...SIU Investigator Department: SIU Employment Type: Full... ...Healthcare Fraud Shield, a leader in healthcare... ...information submitted on the claims in order to determine... ...Perform data analysis and lead generation/data... ...development initiatives ~ Remote work eligible...Remote workClaimsFraudFull timeFlexible hours
$64.83k - $94.55k
...hiring a Senior Analyst, SIU Investigator to join our SIU team.... ...behavior observed in claims and enrollment data.... ...process improvements for Fraud Waste and Abuse (FWA)... ...position is fully remote and open to candidates... ...savings Perform analysis on prior cases to inform...Remote workClaimsFraudFull timeWork from homeHome office$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... ...principles, compensability analysis, fraud indicators, and investigative...Remote workClaimsFraudHourly payPart timeWork at officeHome officeFlexible hoursAfternoon shift- ...The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation... ...will function as a remote investigator working... ...of claims, analysis and development of facts... ...Department of Insurance Fraud Division, NICB, and...Remote workClaimsFraudWork experience placementWork at office
$72.61k - $109.99k
...currently hiring a Fraud and Abuse Investigator/Certified... ...Professional Coder (CPC) Remote! Status: Full... ...in routine desk audits as well as... ...health insurance claims processing and ensures... ...the use of data analysis to identify claims... ..., FWA, PI, SIU, Special Investigations...Remote workClaimsFraudPermanent employmentFull timeTemporary workLive inCurrently hiringShift work$64.98k - $103.95k
...Summary: The Special Investigations Unit (SIU) III is responsible... ...allegations of healthcare fraud, waste and abuse (FWA... ...from detailed claims, eligibility, pharmacy... ...conduct on-site and desk audits of medical record... ...intelligence to their analysis and case development...ClaimsFraudHourly payFull timeWork experience placementLive inWork at office$56.2k - $101k
.... Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist... ..., and executing claims investigations or audits... ...Perform data mining and analysis to detect aberrancies and... ...flexible approach to work with remote, hybrid, field or office...Remote workClaimsFraudFull timePart timeWork at officeFlexible hours- ...for conducting confidential investigations of suspected fraud, waste & abuse (FWA)... ...are not limited to: data analysis, public records research,... ...pertaining to the submission of claims to health insurance plans.... ...:30-5:00 PM Eastern Time. Remote workspace requirements, including...Remote workClaimsFraudFull timeContract workWork at officeLocal areaMonday to FridayFlexible hoursShift work
- ...organization looking for Insurance Fraud Investigator (SIU) to join our team. Family-... ...underwriting, and strategic claims handling. Our ongoing... ...where we conduct business. Remote position, and must be located... ...conducting field as well as desk investigations to detect...Remote workClaimsFraudFull timeTemporary workWork experience placementWork at officeFlexible hours
- United Automobile Insurance Company is seeking an Insurance Fraud Investigator (SIU) to conduct field and desk investigations of high- complexity auto claims. The role involves coordinating with NICB, law enforcement, and medical professionals to detect fraud while ensuring...Remote jobClaimsFraud
$66.29k - $100.73k
...Essential Functions Investigates and evaluates moderately complex... ...Special Investigation Unit (SIU) referrals, including suspected organized fraud activity. Reviews claim, underwriting, premium audit... ...techniques, collection and analysis of public and private records...ClaimsFraudFull timeWork at officeLocal areaWork from home$22 - $28 per hour
...alternative application process. SIU Investigator Part Time Technical Saint Paul,... ...Providing Covert Surveillance, Claims Investigations, Net-Sweep Investigations, Remote Controlled Surveillance, and... ...clients time and money on insurance fraud cases. Advantage Investigations...Remote workClaimsFraudBi-weekly payHourly payPart timeWork at officeFlexible hours$62.4k - $83.2k
...privately held, national investigative firm established in 198... ...national carrier fraud divisions, state fraud prosecutorial offices, claims and program management... ...personnel, insurance carrier SIU staff, law enforcement,... ...to include analysis and organization of critical...ClaimsFraudDaily paidLocal area$105k - $110k
...Our partner is looking for an SIU, Complex Major Case Investigator based in the United States.... ...disrupting sophisticated insurance fraud schemes. Going beyond traditional claims investigations, you will use... ...gathering, and data analysis to uncover fraudulent networks...ClaimsFraudFull timeWork at officeFlexible hours$64.29k
...management and ownership of fraud, waste and abuse investigations including... ...strategies based upon analysis of referral data and... ...Plan and conduct desk audits, field audits... ...suspicious patterns in claims data, provider enrollment... ..., other company SIU staff and external contacts...ClaimsFraudFull timeTemporary workWork experience placement$60k - $87.4k
...Description Put your investigative skills to work... ...behind complex insurance claims. As an SIU Field Investigator, you... ..., identify potential fraud indicators, and... ...Investigative Skills, Problem Analysis, Special... ...along with appropriate desk and seating. Reliable...Remote workClaimsFraudContract workWork at officeWork from homeVisa sponsorshipWork visa- ...Role Overview: The Investigator is responsible for... ...or suspected fraud involving the full... ...Work Arrangement: ~ Remote within the United States... ...the Internet, data analysis tools, etc., to analyze aberrant claims billing and... ...support all aspects of SIU investigations and...Remote workClaimsFraudContract workWork experience placementLocal areaFlexible hours
- VRC Investigations in Phoenix, AZ is seeking experienced SIU investigators for part-time (and full-time hourly) roles. This... ...professionals to deter insurance fraud. You will conduct multi-line investigations... ..., property, WC, and liability claims. #J-18808-Ljbffr VRC...Remote jobClaimsFraudHourly payFull timePart timeWork from home
$65.6k - $98.4k
...arrangements that include remote and hybrid... ...provider or member fraud and abuse cases. Conduct the investigation of fraudulent and abusive... ...statutes. Identify claims patterns and... ...process. Perform data analysis, research and review... ...the direction of SIU management. Track and...Remote workClaimsFraudContract workWork at officeLocal areaWork from homeFlexible hours2 days per week1 day per week- ...Description Healthcare Fraud Shield, a leader... ...Coder/Fraud Investigator to join our team.... ...Responsibilities Work with SIU Team (Clinical... ...submitted on the claims in order to... ...needed Perform data analysis and lead... ...development initiatives ~ Remote work eligible...Remote workClaimsFraudFlexible hours
- Capital Insurance Group seeks an SIU Investigator to examine suspicious claims, identify potential fraud, and build well-documented cases for outcomes and possible prosecution. The role includes training and supporting claims staff, with statement taking and other investigative...ClaimsFraud
- ...SIU Claims InvestigatorAt AIG, we are reimagining the way we help... ...risk. Join us as a SIU Claims Investigator to play your part in that transformation... ...to ensure that the fraud risk to AIG is minimized. As... ...as assigned. This includes analysis, documentation of results...ClaimsFraudWork experience placementLocal area
$77k - $97k
...communities. Job Summary Investigate suspected insurance fraud involving auto,... ...This is a fully remote/work from home role... ...insurance transactions (claims, underwriting, policy... ...related to assigned SIU investigations.... ..., and investigative analysis; digital photo/video...Remote workClaimsFraudTemporary workWork at officeLocal areaWork from homeFlexible hours- ...Providing investigative support for special investigation... ...full-time Healthcare Fraud Investigator will focus... ...abuse, while working remotely. Key responsibilities... ...witness interviews and data analysis Develops leads and... ...Medicaid, Medicare, and claim billing codes Proven...Remote workClaimsFraudFull time
- ...the DVA VHA in establishing a Fraud Rapid Response Center, the remote Senior Healthcare Fraud Investigator will lead case development by... ...detection and network analysis Develop comprehensive healthcare... ...fraud laws, including the False Claims Act and Anti-Kickback Statute...Remote workClaimsFraud
- ...Job Title: Special Investigations Unit Investigator Number... ...Specifics: Fully Remote Job Summary: Candidates... ...treatment patterns, claim submissions, contract... ...data extraction and analysis tools and techniques.... ...defense, and prosecution of fraud, to include responding...Remote workClaimsFraudFull timeContract workWork at officeLocal area
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