Senior SIU Investigator III - Remote (Fraud Focus)
$70k - $117kKemper Corporation
- Remote job
Kemper Corporation is hiring a SIU Investigator III responsible for investigating complex and suspicious claims, with the role requiring strong communication and investigative skills. This remote position primarily targets candidates residing in the Miami Dade County area. The candidate will document investigations, develop key contacts, and collaborate with state fraud bureaus. A minimum of four years' experience as a Special Investigator II or three years with specified certifications is needed. The position offers an attractive salary range of $70,000-$117,000. Additional benefits include 401(k) match, health plans, and generous paid time off. #J-18808-Ljbffr Kemper Corporation
$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 jobFraud$32.05 - $57.49 per hour
GEICO is looking for a Senior Internal Security Investigator to conduct investigations on suspected insurance fraud and claims. This fully remote role requires at least five years of relevant... ...hour and is part of a dynamic team focused on integrity and innovation in the...Remote jobSeniorFraudHourly pay- CVS Health seeks an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), Self-Funded investigations team. You will manage complex investigations into suspected and known healthcare fraud, waste and abuse (FWA). Responsibilities...Remote jobSeniorFraud
$53.5k - $77.8k
...is looking for a SIU Investigator based in United States... ...prevent insurance fraud while supporting... .... This remote opportunity provides... ...qualifications: SIU Analyst III: $53,500 - $77,800... ...2,700 USD. SIU Senior Consultant I: $68,... ...environment focused on innovation,...Remote workFraud$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... ...proficiency in Microsoft products. The position is remote but requires residency in Miami Dade County for...Remote jobFraud- Kemper is searching for a Special Investigator III to handle complex, potentially fraudulent claims. Responsibilities include conducting investigations... ...communication skills. Preferred certifications include Fraud Claims Law Specialist or Certified Fraud Examiner. This role...Remote jobFraud
$43 per hour
Kforce has a client that is seeking a SIU Investigator III in Los Angeles, CA. This is a remote position (must live within driving distance from office). The duration... ...III performs in-depth evaluation of potential fraud and abuse cases and develops complex investigations...Remote workFraudContract workWork at office$70k - $117k
## SIU Expert InvestigatorApplylocations: Remote-FL: Miami, Floridatime type: Full timeposted... ...Position Summary:**The SIU Investigator III is responsible for the... ...may contain elements of fraud or claims otherwise deemed... .... Kemper is focused on expanding our Diversity...Remote workFraudTemporary workWork at officeLocal area$46.99k - $112.2k
...Senior Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health... ...investigations of known or suspected acts of healthcare fraud and abuse. Routinely handles cases that are sensitive or high...Remote workSeniorFraudHourly payFull timeTemporary workWork at officeLocal area$46.99k - $112.2k
.... Position Summary The Senior Investigator, Aetna Special Investigations... ...suspected acts of healthcare fraud and abuse. This position will... ...proactive data mining using SIU Tools to identify aberrant billing... ...clinical issues ~ Customer-Focused. Ability to effectively...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area- Origin Investigations is seeking an experienced SIU Investigator to join our Las Vegas team. You will conduct investigations into suspected fraudulent insurance... ..., evidence collection, and fieldwork, with a focus on thorough, well-documented case files. The role requires...SeniorFraud
- ...Managing multiple investigations remotely, the full-time Senior Internal Security Investigator will conduct inquiries into suspected insurance fraud, develop investigative plans, and prepare detailed... ...fraud and claims referred for SIU review Develop investigative plans...Remote workSeniorFraudFull timeWork at office
$72.2k - $115.5k
Job Summary The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professionals, facilities, and members. Researches, gathers, and analyzes data to identify...FraudWork experience placementWork at office- ...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 Conduct investigations...Remote workFraudFull time
- Delta Group, a national investigative firm, seeks a Special Investigation Unit professional to lead claims... ...insurers, law enforcement, and regulators to deter fraud and protect client interests. Ideal candidates have extensive SIU experience, strong analytical and...SeniorFraud
$60.2k - $107.4k
...Senior Investigator At UnitedHealthcare, we're simplifying the health care experience, creating... ...investigation and prevention of healthcare fraud, waste, and abuse. The Senior... ...information in the Special Investigations Unit's (SIU's) case tracking system Collect and secure...Remote workSeniorFraudMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday$46.99k - $122.4k
...SIU Senior Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health... ...the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state...SeniorFraudHourly payFull timeTemporary workLocal area- Praescient Analytics is looking for a Senior Forensic Accountant to support complex financial investigations, particularly in identifying fraud and abuse in federal programs. The ideal... ...in forensic accounting, with a strong focus on financial investigations and fraud analysis...Remote jobSeniorFraud
- Magnus Management Group LLC is seeking a Senior Forensic Accountant to support financial investigations involving fraud, money laundering, asset tracing, and federal benefit programs. The role focuses on forensic analyses to aid oversight organizations and law enforcement...Remote jobSeniorFraud
- Delta Group is seeking an experienced Special Investigation Unit investigator to support claims investigations, focusing on workers’ compensation and related fraud detection. The role involves interviewing claimants and witnesses, documenting files, and coordinating with...SeniorFraud
$30 - $35 per hour
VRC Investigations is seeking experienced and motivated Part-Time SIU Investigators in New Orleans, Louisiana. These roles allow for work from home or on-site, requiring... ...for investigations into potential insurance fraud. The ideal candidates will have relevant experience...Remote jobFraudHourly payPart timeWork from home- ...Management Group LLC in Washington, DC is seeking a seasoned forensic accountant to support complex financial investigations focused on tracing the proceeds of fraud and money laundering. The role requires five years of experience in forensic accounting, experience tracing...Remote jobSeniorFraud
- 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...Remote jobFraud
- EmblemHealth is seeking a seasoned fraud investigator to conduct complex investigations into Medicaid fraud, develop leads, review claim files... ...records, and ensure accurate CPT coding while mentoring the SIU team. The role requires 4-6+ years of investigation experience...SeniorFraud
- ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in... ...moderate investigations involving suspicions of insurance fraud related to the application of insurance, auto/property, and...Remote workFraudContract workWork at officeRelocation package
- 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 jobFraudFull time
$68.74k
...Job Title Investigator I / II / III (260004OV) Agency Office of the Attorney General, Health Care & Fair Competition Bureau, Medicaid Fraud Division Position Overview We are seeking highly motivated... ..., non‑exempt. Hybrid model with remote workdays; on in‑office days must...Remote workFraudFull timeWork at officeLocal areaAfternoon shiftEarly shift$70.1k - $126.2k
...of the VP of Compliance Investigations this position assists... ...Investigations and/or senior management regarding the... ...Legal, People Relations, SIU, Privacy, Finance, and... ...Certifications Certified Fraud Examiner (CFE)... ...approach to work with remote, hybrid, field or office...Remote workSeniorFraudFull timePart timeWork at officeFlexible hours$30 - $35 per hour
VRC Investigations is seeking experienced Part-Time SIU Investigators to join its team in Las Vegas, Nevada. You will investigate potential insurance fraud, conduct interviews, and document findings in detailed reports. The role requires excellent communication, analytical...Remote jobFraudHourly payPart time- SafePoint Insurance is seeking a seasoned SIU Investigator to manage fraud investigations across our claims portfolio. You will review referrals, conduct... ...626 requests, and stay current with state regulations. Remote work from a home office is supported with a professional...Remote jobFraudWork from homeHome office
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