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
$56.2k - $101k
Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist... ..., and executing claims investigations or... ...Perform data mining and analysis to detect... ...approach 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- ...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
$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$70k - $117k
## SIU Expert InvestigatorApplylocations: Remote-FL: Miami, Floridatime type: Full timeposted... ...Summary:**The SIU Investigator III is responsible... ..., and multi-injury claims that may contain elements of fraud or claims otherwise... ...of claims, analysis and development of facts...Remote workClaimsFraudTemporary workWork at officeLocal area$78.9k
...seeking an experienced investigator to join our... ...Investigations Unit (SIU). SIU is... ...deterring insurance fraud committed against... ...ability to work largely remotely and/or with a hybrid... ...questionable insurance claims and policies in... ...require research, analysis and preservation...Remote jobClaimsFraudWork at officeFlexible hours- ...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
$53.5k - $77.8k
...steps. Our partner is looking for a SIU Investigator based in United States. This... ...to identify and prevent insurance fraud while supporting fair claim outcomes. You will analyze complex... ...and strong communication. This remote opportunity provides a collaborative...Remote workClaimsFraud$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 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...Remote jobClaimsFraud- ...Investigating allegations of potential healthcare fraud and abuse, the full-time SIU Investigator will conduct claims investigations, perform data analysis, and prepare detailed reports while working remotely from various locations. Key responsibilities Conduct investigations...Remote workClaimsFraudFull time
$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- 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
- SafePoint Insurance is seeking a seasoned SIU Investigator to manage fraud investigations across our claims portfolio. You will review referrals, conduct interviews... ...requests, and stay current with state regulations. Remote work from a home office is supported with a...Remote jobClaimsFraudWork from homeHome office
$46.99k - $122.4k
...SIU Senior Investigator We're building a world of health around every individual — shaping a more... ...investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and... ...prevents payment of fraudulent claims committed by insured's, providers, claimants...Remote workClaimsFraudHourly payFull timeTemporary workLocal area- ...TX is seeking an experienced SIU investigator to join our Special Investigations... ..., and deter insurance fraud across commercial lines, with flexible location including remote or hybrid regional offices. You will screen data from claims and policies, coordinate investigations...Remote jobClaimsFraudFlexible hours
$49.7k - $88.8k
...Investigator At UnitedHealthcare, we're simplifying... ...of healthcare fraud, waste, and abuse.... ...will utilize claims data, applicable guidelines... ...to work remotely from anywhere within... ...Investigations Unit's (SIU's) case tracking... ...MLT) Statistical Analysis *All...Remote workClaimsFraudMinimum wageFull timeWork experience placementLocal area- Safepoint Insurance is seeking an SIU Examiner in Louisiana to identify and handle all aspects of fraud investigations within the Claims Department. You will review SIU reported claims... ...the ability to work independently in a remote home-office environment. #J-18808-Ljbffr...Remote jobClaimsFraudHome office
$60.2k - $107.4k
...Senior Investigator At UnitedHealthcare, we're simplifying... ...of healthcare fraud, waste, and abuse. The... ...Investigator will utilize claims data, applicable guidelines... ...Investigations Unit's (SIU's) case tracking system... ...Technician (MLT) Statistical Analysis *All Telecommuters...Remote workClaimsFraudMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday- 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
$46.99k - $112.2k
...Summary The Senior Investigator, Aetna Special Investigations... ...acts of healthcare fraud and abuse. This... ...prevent payment of aberrant claims submitted to the Medicaid... ...proactive data mining using SIU Tools to identify... ...detection Conduct extensive analysis of claims data to...ClaimsFraudHourly payFull timeTemporary workWork at officeLocal area- 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- ...happen. Job Summary A Special Investigations Unit (SIU) Desk Investigator within... ...in assisting the SIU and claims departments with fraudulent... ...involving suspicions of insurance fraud related to the application... ...statements, document analysis/verification, damage analysis...ClaimsFraudContract workWork at officeRelocation package
- Chicago, IL (Remote) Des Plaines, IL 60018, USA Description... ...alerts, referrals, and claims for indicators of fraud or suspicious activity, including... ...prioritize and triage the SIU’s cases based on risk,... ...of complex, high-value investigations from intake through resolution...Remote jobClaimsFraudTemporary workWork at officeFlexible hours
- ...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
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