Remote LA SIU Investigator — Fraud & Claims Analysis
Safepoint MGA, LLC
- Remote job
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 investigators, and provide training to associates. Candidates should possess a Louisiana Resident Adjuster License, an Associate's Degree or higher, and significant experience in claims handling or law enforcement. A robust benefits package is offered, including health insurance and paid time off. #J-18808-Ljbffr Safepoint MGA, LLC
- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct investigations, perform data analysis, and prepare detailed reports while working remotely, preferably from Ohio. Key responsibilities... ...in healthcare claims Document case...Remote workClaimsFraudFull time
- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we... ...role in assisting the SIU and claims departments with fraudulent... ...suspicions of insurance fraud related to the application... ...limited to: statements, document analysis/verification, damage...Remote workClaimsFraudContract workWork at officeRelocation package
$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...Remote workClaimsFraudHourly payPart timeWork at officeHome officeAfternoon shift$56.2k - $101k
...Position Purpose Investigate allegations of potential healthcare fraud and abuse activity.... ...organizing, and executing claims investigations or... ...data mining and analysis to detect aberrancies... ...to work with remote, hybrid, field, or... ...accordance with the LA County Ordinance and...Remote workClaimsFraudWork at officeFlexible hours$56.2k - $101k
...state of Kentucky. Investigate allegations of potential healthcare fraud and abuse activity.... ...organizing, and executing claims investigations or... ...data mining and analysis to detect... ...approach to work with remote, hybrid, field or office... ...accordance with the LA County Ordinance...Remote workClaimsFraudFull timePart timeWork at officeFlexible hours$77.12k - $147.39k
...USAA roles may offer remote or hybrid flexibility... ...Opportunity As a dedicated SIU Investigator, within established... ...and questionable claims activity, ensuring compliance... ...state insurance fraud laws, regulations, policies... ...and extract data for analysis from relevant data...Remote workClaimsFraudH1bWork at officeLocal area- ...application. Healthcare Fraud Shield will not... ...Coder/Fraud Investigator to join our team.... ...RESPONSIBILITIES Work with SIU Team (Clinical... ...submitted on the claims in order to determine... ...Perform data analysis and lead generation... ...development initiatives Remote work eligible...Remote workClaimsFraudFull timeFlexible hours
$83k - $132.8k
Job Summary The Special Investigations Unit (SIU) Investigator Lead serves as the... ...and monitor emerging fraud, waste, and abuse (FWA) trends... ...trends, and conduct research on claims and other data sources to... .... Aid in designing data analysis strategies to identify potential...Remote jobClaimsFraudWork experience placementLive inWork at office$70k - $117k
Location(s) Miami, Florida, Remote-FL Details Position Summary: The SIU Investigator III is responsible for the... ...large loss, and multi-injury claims that may contain elements of fraud or claims otherwise deemed... ...: Investigation of claims, analysis and development of facts...Remote workClaimsFraudFull timeTemporary workFor contractorsCasual workWork at officeLocal area- ...Providing investigative support for special investigation unit (SIU) activities, the full-time... ...investigation of healthcare fraud, waste, and abuse... ...), while working remotely to analyze... ...interviews and data analysis Complete... ...Medicaid, Medicare, and claim billing codes Proven...Remote workClaimsFraudFull time
- ...Glendale, California, Remote-CA Job Summary The Special Investigator 1 will complete... ...support insurance claims referred to and accepted... ...of claims, analysis, and development of... ...evidence that support our SIU and claims... ...Hollywood area of LA. Position Qualifications...Remote workClaimsWork at office
- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will... ...and abuse, utilizing data analysis techniques and serving as... ...guidance and training to other SIU Investigators and... ...programs, including medical claim billing Demonstrated experience...Remote workClaimsFraudFull time
$46.99k - $112.2k
...Senior Healthcare Fraud Investigator We're building a world of health around every individual —... ...our Special Investigations Unit (Aetna SIU), Self-Funded investigations team. In... ...prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants...Remote workClaimsFraudHourly payFull timeTemporary workWork experience placementLocal areaWork from home- 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
- Clough AMEC. is seeking an SIU Investigator in Lake Oswego, Oregon. This role involves analyzing and investigating potentially fraudulent insurance claims and requires strong analytical and problem-solving skills. The ideal candidate will possess at least a Bachelor's degree...ClaimsFraud
$19.64 - $42.55 per hour
...Job Summary Provides investigative support for special investigation unit (SIU) activities.... ...related to health care fraud, waste, and abuse (FWA)... ...medical records and data analysis, and makes determinations... ...services, member services, claims, etc.), to gather documentation...Remote workClaimsFraudHourly payContract workWork experience placementWork at officeLocal area$67k - $79k
...Great American's Special Investigation Unit (SIU) stands to prevent, detect... ...instances of potential insurance claims fraud, collaborating with... ...locations. The position is fully remote. Travel is primarily by... ...meticulous investigation and analysis. Gathers and analyzes data...Remote workClaimsFraudFull timePart timeSeasonal workNight shift- The Travelers Indemnity Company is seeking an SIU Investigator located within 40 miles of Columbus, Ohio. This role involves uncovering potential fraud through thorough investigations and collaborating with various stakeholders. The ideal candidate will have a Bachelor'...ClaimsFraud
- The SIU Investigator will conduct field as well as desk investigations... ...of insurance claims referred to and accepted... ...will function as a remote investigator working from... ...of claims, analysis and development of facts... ...Department of Insurance Fraud Division, NICB, and various...Remote workClaimsFraudWork experience placementWork at office
- Profile We offer remote work opportunities... ..., IA, ID, IL, KS, LA, MD, MN, MO, MT, NE... ...adjudicated DOD background investigation for this position.... ...identification, analysis, case development,... ...of suspected fraud, waste and abuse (... ...‑related medical claims and records for...Remote workClaimsFraudContract workFor subcontractorInterim role
$49.7k - $88.8k
...the organization Conduct investigations of low- to moderately complex fraud, waste, and abuse cases... ...activities through data analysis, trend identification, and... ...within the SIU case management system Gather... ...identification in healthcare claims Formal training in healthcare...Remote jobClaimsFraudMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday- ...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...ClaimsFraudLocal area
$43.89k - $76.5k
...Position Summary The Special Investigations Unit (SIU) Investigator is... ...allegations of Medicaid healthcare fraud, waste or abuse in accordance... ...well as payer billing and claims guidelines. Communicate case... ...to support data mining, analysis, and information gathering....ClaimsFraudHourly payFull timeTemporary workLocal area$65.9k - $107.9k
Zurich is seeking an experienced Claims Fraud Investigator to join its Claims Fraud and... ...opportunity to work fully remote from one of the following... ...media assessments, and link analysis to identify inconsistencies... ...investigative activity complies with SIU regulatory requirements,...Remote workClaimsFraudTemporary workFor contractorsApprenticeshipWork at officeLocal area- ...Insurance Group is seeking a Special Claims Investigator for their Special Investigation Unit. This fully remote role involves detecting and... ...through investigation and analysis, preparing detailed reports,... ...in Criminal Investigation or Fraud Detection, along with a...Remote workClaimsFraud
- ...healthcare organization is seeking a PI Investigator responsible for investigating fraud, waste, and abuse. This role... ...experience and can be performed remotely in several U.S. states. The... ...have a background in healthcare claims analysis, data analysis techniques, and knowledge...Remote jobClaimsFraud
$63k - $84.42k
...is accountable for analytical and investigative activities (external and internal) related to claims, enrollment, accounting and other operations... ..., receive and review suspected fraud and to complete cases with all information and analysis for resolution. This is a senior...Remote workClaimsFraudLive inLocal area$40k
...Anti-Money Laundering (AML) Investigator , you will review transactions... ..., terrorist financing, fraud, sanctions violations, and escalate... ...(Microsoft, internet) for analysis Adhere to designated timeframes... ...where individuals falsely claim to represent AML RightSource....Remote workClaimsFraudOngoing contractFull timeWork at officeLocal areaWork from homeMonday to Friday- UMR is seeking an Investigator to identify and prevent healthcare fraud, waste, and abuse. The role includes conducting investigations using claims data analysis and regulatory guidelines. Candidates should have a Bachelor's degree and strong analytical skills. The position...Remote jobClaimsFraudFlexible hours
- UnitedHealthcare is seeking a Senior Investigator Pharmacy to identify, investigate and prevent healthcare fraud, waste, and abuse. This role focuses on utilizing claims data and conducting field investigations. Applicants must reside within commutable distance to Los...Remote jobClaimsFraudWork experience placementWork at office
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