SIU Claims Investigator
$25 - $32 per hourLemieux & Associates
Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the Bronx, NY or surrounding area. This is a part-time position. The owners are entrepreneurial, experienced, field investigators, each with over 25 years of experience. We understand the job and never forgot our roots in the field. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel. Requirements: You must have complex SIU/Claims experience and reside in the Bronx or surrounding area. If you do not have SIU/Claims experience, please do not apply because we can't hire you. Responsibilities Provide detailed accurate reports Obtain written and recorded statements Perform scene investigations Ability to accurately photograph evidence i.e., accident scenes, vehicle damage, etc. Skills/Experience Experience conducting complex SIU/Claims cases is a must. Bi-lingual is a plus Associates/Bachelor, Degree in Criminal Justice or Related Field is a plus Notary license is a required Ability and willingness to travel as necessary Flexibility to work varied/irregular hours and days Strong computer and Internet skills Possess a valid state-issued driver's license Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection Must have the personal pride to get your work product in on time Competitive starting pay Travel time compensation Report writing compensation Pay Rate: $25-$32 #J-18808-Ljbffr
$23 - $30 per hour
...Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of experience to become part of a dynamic team. This is a great... .... What You’ll Need A minimum of 1-3 years of Claims, SIU, or adjusting experience. Other related experience...SuggestedHourly payPart timeSecond jobWork at officeRemote workFlexible hoursNight shift- ...CVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit. The role focuses on complex national healthcare fraud... .... You will conduct research, perform data mining, analyze claims data for aberrancies, and collaborate with Medical Directors....Suggested
$46.99k - $112.2k
...community at a time. Position Summary The Senior Investigator, Aetna Special Investigations Unit, will... ...integrity to prevent payment of aberrant claims submitted to the Medicaid lines of... ...independently proactive data mining using SIU Tools to identify aberrant billing...SuggestedHourly payFull timeTemporary workWork at officeLocal area- ...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
$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 actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $20.00/hr - $...SuggestedFull time$32 - $38 per hour
...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...- Claims Investigator - New York Roman is seeking a full time or part time claims investigator for the five boroughs and Buffalo, NY. The investigators will be responsible for handling insurance related claims. This is a unique opportunity to work for a fast growing, innovative...Full timePart time
- ...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...
$56.2k - $101k
...Position Purpose Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence to identify potential misconduct and support case resolution. Document investigative activities...Full timePart timeH1bWork at officeRemote workFlexible hours- New York City Comptroller’s Office is seeking a Claim Specialist Level II to investigate and evaluate claims against the City and to negotiate settlements when appropriate. You will manage claim files, review agency reports and medical records, and deliver objective assessments...Work at office
- ...people independent and living life on their own terms. The SIU Fraud Investigator is responsible for identifying, investigating, and resolving... ...obligations, and Elderplan policies. The investigator analyzes claims, encounter, enrollment, medical record, and provider data;...
$56.2k - $101k
...perspective on workplace flexibility. Position Purpose Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential...Full timePart timeWork at officeRemote workFlexible hours- Working remotely, the full-time Desktop Claims Investigator will investigate and evaluate potentially fraudulent claims, conduct complex claim investigations, and prepare detailed reports while maintaining communication with various divisions. Key responsibilities Investigates...Full timeRemote work
- Conducting comprehensive fraud, waste, and abuse investigations, the full-time SIU Investigator will analyze claims data, medical records, and provider information while collaborating with stakeholders to support case resolution in a remote setting. Key responsibilities...Full timeRemote work
- ...Description Job Description Company Info: Daniel J. Hannon & Associates, Inc. (DJH) is a Long Island-based insurance claims adjusting/investigating firm which works on behalf of insurance companies, TPAs, law firms and municipalities primarily in the NYC tri-state...Full timeImmediate startFlexible hours
- ...Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...Full timeWork experience placementWork at officeLocal area
- A leading health organization seeks an investigator for healthcare fraud allegations. Responsibilities include conducting investigations, analyzing claims data, and preparing reports. A bachelor's degree and 1+ years in medical claim analysis are essential. Preferred candidates...Remote work
$77.1k - $92.52k
...Investigator PositionThe Investigator will be responsible for triaging, investigating and resolving instances of healthcare waste and billing... ...the broker community. You will be utilizing information from claims data analysis, tips, complaints from plan members, the medical...- ...Abuse hotline involving the intake of all complaints and entry into the Department’s case tracking database. Conduct confidential investigations of all assigned cases: collect support evidence, data analysis, identify overpayments, apply industry guidelines, and...Work at office
- ...Summary Statement This is experienced level investigation work of alleged or probable violations of state or federal laws, rules and regulations. In addition to work performed by an Investigator I, employees independently perform the full range of Essential Functions under...
$77.1k
...Loan Forgiveness Program (PSLF) Responsibilities The Investigator will be responsible for triaging, investigating and resolving... ...the broker community. You will be utilizing information from claims data analysis, tips, complaints from plan members, the medical...Full timePart timeFlexible hours$36.63 - $57.49 per hour
...Careers. We have an exciting opportunity to join the SIU team as a Senior Internal Security Investigator! This is a Remote position. As a Senior Internal... ...providing training and support to all departments in the claims handling process. The shift schedule is Saturday...Hourly payWork experience placementLocal areaRemote workShift workWeekend work$100 - $150 per hour
Obsidian is seeking Employment and Labor Attorneys to join a leading AI lab's project. This position involves designing workplace scenarios and evaluating AI outputs against legal standards. Ideal candidates should have 1-4 years in labor law, possess a relevant J.D. or...Remote jobHourly pay- ...healthcare analytics firm, the full-time remote Healthcare Fraud Investigator will identify and qualify improper-payment leads, manage a... ...FEP lines of business Proficiency with auditing software and claims management systems Demonstrated ability to manage the full investigation...Full timeRemote work
- VRS Virginia Retirement System is seeking a Fraud Analyst to support agency fraud detection, investigation, prevention and mitigation. The role manages fraud cases end-to-end, focusing on identity and authentication of callers to protect retirees and stakeholders. The position...Remote work
- Partnering with enterprise customers, the remote Fraud Strategist will serve as a subject matter expert in fraud and identity, focusing on designing optimal product implementation strategies, evaluating risk profiles, and driving efficient customer onboarding and rollout...Remote work
- Focused on protecting the integrity and profitability of financial products, the full-time remote Fraud Investigator II will execute fraud and risk operations, conduct investigations into suspicious activities, and develop scalable fraud controls across the customer lifecycle...Full timeRemote workShift work
- A technology staffing firm is seeking a PeopleSoft Pension Analyst for a long-term contract. The position is 100% remote, working Eastern Time hours, and involves enhancing, modifying, and troubleshooting pension processes in the PeopleSoft HCM system. Ideal candidates ...Remote jobLong term contractContract work
- MaziCTools is seeking candidates for a full-time role focused on fraud investigations and analytics. The position involves engaging with engineering teams and non-technical stakeholders to enhance workflows. Ideal candidates will have a Bachelor's degree in a technical...Full timeWeekend work
- Stripe is seeking an experienced leader to own incident response for product abuse and fraud events. You will investigate high-risk accounts, identify complex fraud patterns, and drive improvements to detection and prevention at scale. Collaboration with security, data...
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