Healthcare Fraud SIU Investigator
Kforce Inc
Kforce Inc. is seeking an experienced healthcare fraud investigator in Los Angeles to review allegations, analyze claims data, and gather evidence for complex cases involving providers, pharmacies, employers, and members. You will document findings in reports, maintain case files, and collaborate with internal teams and regulatory bodies while staying current on emerging fraud trends and investigative techniques. This role emphasizes meticulous analysis and strong written communication. #J-18808-Ljbffr Kforce Inc
$30 - $38 per hour
Allied Universal is seeking a Special Investigations Unit (SIU) Investigator to handle insurance claims involving possible fraud. Candidates should have at least five years of experience in investigations, a Bachelor's degree in Criminal Justice, or equivalent. This role...SuggestedHourly pay- 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 Angeles...SuggestedRemote jobWork experience placementWork at office
- ...Job Description Job Description Healthcare Fraud Investigator 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...SuggestedFull timeWork experience placementWork at officeLocal area
- AIDS Healthcare Foundation is looking for a Claims Investigator-Examiner in Los Angeles, CA to join their dynamic Claims Department. The role involves examining and adjudicating claims for various health plans, ensuring accuracy and timeliness of payments, and providing...Suggested
$102.18k - $163.49k
L.A. Care Health Plan is seeking a Manager for the Special Investigations Unit. This role involves overseeing fraud investigations and managing a team to ensure operational efficiency and compliance. The ideal candidate will have at least 5 years of experience in fraud...SuggestedFull timeContract work$42 per hour
Kforce has a client in the Healthcare industry in Los Angeles who is looking for a SIU Investigator. Responsibilities: * Reviews allegations and complex issues related to potential healthcare fraud, waste, and abuse involving providers, pharmacies, employers, and members...Contract work- AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation! Does the idea of doing something that really makes a difference... ...health plans and AHF grants and contracts. The Claims Investigator-Examiner contributes to AHF's mission by ensuring accurate...
- The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the... ...with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop...Work experience placementWork at officeRemote work
- ## SIU Investigator - Fast TeamApplylocations: Remote-CA: Glendale, Californiatime type: Full timeposted on: Posted 3 Days Agojob requisition id: R-26-0036859Location(s)Glendale, California, Remote-CA**Details***Kemper is one of the nation’s leading specialized insurers...Temporary workFor contractorsCasual workWork at officeRemote work
$30 - $38 per hour
...Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance... ...opportunities for claim investigators, SIU investigators, and surveillance investigators... ...Insurance policies and the components of fraud to determine if claims warrant reporting...- Kemper Corporation is looking for an SIU Investigator for their Glendale, California location. This role supports insurance claims investigations through field and desk assignments, requiring strong communication skills and knowledge of claims processes. Ideal candidates...Remote job
- A specialized investigative organization is seeking a remote SIU Investigator to conduct detailed investigations of insurance claims in the Los Angeles area. Responsibilities include collaborating with regulatory agencies, preparing necessary reports, and ensuring compliance...Remote jobWork at office
$30 - $40 per hour
...Salary: USD30 - USD40 per hour Job Title: Fraud Analyst Location: Glendale, CA Job Type: Contract (6 months, potential temp-to-hire... ...environment. This role is responsible for identifying, investigating, and mitigating potential fraud activity across multiple transaction...Hourly payContract workTemporary workMonday to Friday- A leading healthcare institution in Los Angeles seeks a Clinical Investigator specializing in pediatric hematology-oncology. Ideal candidates will have a Medical Degree, board certification or eligibility, and an aptitude for teaching and mentorship in a collaborative environment...
- ...The County of Los Angeles is seeking Medical Examiner Investigator Trainees to respond to the homelessness emergency. These temporary positions offer vital experience in death investigations, with the potential for permanent employment based on performance. Successful...Permanent employmentTemporary workTraineeship
- Job Description Job Description ** Accountant ** Job Summary: We are seeking a detail-oriented and highly organized Accountant to join the growing Commercial Litigation department. The ideal candidate will play a key role in managing accounting operations, ensuring...Work at officeLocal area
- ...research into suspicious activity and other anomalies to mitigate fraud and prevent losses to clients and the firm by utilizing a... ...systems, and analysis methodologies. Participates in the initial investigation, which may involve client contact, and thoroughly documents...Temporary workWork experience placementRemote work
$85k - $110k
...Expected starting base salary $85,000 to $110,000 per year. Job responsibilities : Analyze financial data to detect and investigate potential fraud, embezzlement, and other financial crimes. Compile detailed reports of findings, including evidence of financial...Work at office$70k - $90k
...advancement opportunities in a team-focused environment, the core of RadNet’s success is its people with the commitment to a better healthcare experience. When you join RadNet as a Governance, Risk and Compliance Analyst , you will be joining a dedicated team of...Work experience placementImmediate startFlexible hours- Fraud Investigator - Responsibilities A fraud investigator is responsible for detecting fraudulent activities, gathering evidence, and preventing future fraud within an organization. Their key duties include: Detecting Fraud: Apply expertise across industries to uncover...Contract workLocal area
- A leading fraud investigation firm in California is seeking a dedicated Fraud Investigator to uncover fraud, gather evidence, and implement preventive measures. The ideal candidate should have proven fraud investigation experience, expertise in digital forensics, and relevant...
- GEICO in Los Angeles is seeking a Senior Field Investigator to conduct investigations of suspected fraud involving insurance claims. The role involves interviewing witnesses, gathering evidence, and coordinating with outside agencies, offering an engaging environment focused...Remote job
$61.91k - $118.25k
...How We Lead UMG’s fraud prevention team is leading the industry by example in fighting the existential threats of streaming fraud... ...and copyright fraud. This analyst role will be responsible for investigating and documenting ongoing patterns of suspicious behavior related...Summer workWork at officeImmediate startRemote workFlexible hours$30 - $35 per hour
Ultimate Staffing Services is seeking a detail-oriented Fraud Analyst in Glendale, CA. This role requires strong analytical skills to identify and investigate fraud across various transaction channels. The ideal candidate should have experience in fraud detection tools...Hourly payContract workTemporary workMonday to Friday- CBIZ Advisory Services seeks a forensic accountant to perform preliminary valuations and forensic analyses in Los Angeles, California. This role involves managing client engagements, creating models for expert testimony, and supervising staff. A Bachelor's degree and experience...
- ...Summary This position is located within the Greater Los Angeles VA Healthcare System, performing law enforcement work for the preservation of peace and the prevention, detection, and investigation of crimes occurring on Department of Veterans Affairs (VA) controlled...Full timeTemporary workPart timeSeasonal workWork at officeLocal areaTrial periodRelocation packageFlexible hoursWeekend work
- High Value Residential Insurance Inspector Join Signature Companies as a High Value Residential Insurance Inspector and contribute to quality service in the Los Angeles area. Signature Companies ( has led the industry for 30 years, providing innovative solutions to client...Full timeFor contractorsFlexible hours
- High Value Residential Insurance Inspector Los Angeles, United States | Posted on 12/01/2025 State/Province California Country United States About Us Since 1993, Signature Companies has been a trusted provider of inspection and appraisal services to insurance carriers....For contractorsWork from homeHome officeFlexible hours
$22 - $28 per hour
A leading investigative services provider is seeking a part-time Investigator in Los Angeles, California. Your responsibilities will involve conducting insurance claims investigations including gathering evidence, preparing reports, and maintaining communication with clients...Remote jobHourly payPart timeWork at officeWork from homeFlexible hours- Frasco Inc. is looking for an Investigator in Los Angeles to conduct insurance claims investigations. This role offers both full-time and part-time opportunities with flexible scheduling. Duties include collecting evidence, handling document signings, and preparing detailed...Remote jobFull timePart timeFlexible hours
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