Senior SIU Investigator: Fraud & Claims Expert
Delta Group
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 case managers, law enforcement, and regulators to deter fraud. The position requires strong investigative skills, attention to detail, and the ability to work independently. #J-18808-Ljbffr
- ...Senior Claims Adjuster – Detroit, MI We are seeking an experienced Senior Claims Adjuster to... ...processing standards. Responsibilities Investigate and analyze complicated claims filed under... ...while identifying any potential fraud Negotiate optimum settlements and authorize...SeniorClaimsFraud
- ...Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate... ...is seeking a Special Unit Investigations (SIU) Field Investigator to conduct field...ClaimsFraudCasual workLocal areaNight shift
- ...Services CGS is seeking a Senior Auditor who will assist... ...staff by conducting medical claims data analysis, forensic investigations, financial damages,... ...Review defense presentations, expert reports, and arguments... ...consulting, and/or health care fraud analysis required The...SeniorClaimsFraudFull timeFlexible hours
- ...Description Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time,... ...skills in investigative techniques and fraud detection to provide assistance for a large... ...electronic data, such as health care claims data, financial transaction data, accounting...ClaimsFraudFull timeWork at officeLocal areaFlexible hours
$85k - $105k
...CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for... ...law enforcement entity #CJ Seniority level Seniority level Not Applicable... ...Investigations Unit (SIU) - Field Investigator Full... ...community knowledge in a new way. Experts add insights directly into...FraudFull timeWork experience placementWork at officeLocal area$72k - $141k
...complex commercial claims with large... ...coverage, conduct investigations, develop and employ... ...and working with experts, or other parties,... ...opportunities or potential fraud occurrences by... ...Claim, Recovery or SIU resources for further... ...case summaries to senior management....ClaimsFraudWork experience placementWork at officeLocal areaShift work$130k - $160k
...to measurable success. Senior Insurance Defense Attorney... ...first-rate team of subject matter experts in the field of law, insurance... ...internal counsel in conjunction with claims to strategize, implement, and... ...pet insurance, and identity & fraud protection ~24/7 Employee...SeniorClaimsFraudWork at officeLocal areaRemote workWork from homeWork visaFlexible hours$150k - $200k
...tied to measurable success. Senior Trial Attorney CURE Auto... ...written discovery, retainment of experts, attendance at depositions,... ...status of the file regularly to claims Possess excellent academic... ...pet insurance, and identity & fraud protection ~24/7 Employee...SeniorClaimsFraudWork at officeLocal areaRemote workWork from homeWork visaFlexible hours1 day per week- ...and experienced Field Investigators to join our team on an... ...hours while providing expert investigative services.... ...all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at... ...Special Investigations Unit (SIU) assignments, within an...ClaimsFraudFlexible hours
$70.35k - $205.8k
...We Are: Accenture Security is one of the fastest growing areas of our business, and our global Cyber Investigation and Forensic Response (CIFR) practice is at the heart of how we help clients prepare for, respond to, and recover from the most consequential cyber incidents...SeniorWork experience placementLive inWork at officeLocal area- ...A government services provider is seeking a Healthcare Fraud Investigator in Detroit to support a large government project. The ideal candidate will have a degree in criminal justice or finance, three years of relevant investigative experience, and strong proficiency...FraudWork at office
$74.3k - $124.5k
...at Ford. Ford is seeking an experienced Investigator to join our Global Security team, conducting... ...investigations into criminal activity, fraud, conflicts of interest, theft,... ...camera systems. Legal Knowledge: Apply expert-level understanding of local, state, and...FraudWork at officeLocal areaImmediate startFlexible hours- ...Senior Counsel, Toxic Tort and Product Liability Defense About the Company Respected... ...discovery, motions, depositions, and expert work. This role also involves preparing cases... ...general liability, employment, bad faith/fraud, or insurance defense. While trial...SeniorFraud
- ...carriers reinvent Underwriting and Claims through process redesign,... ...a Transformation Manager / Senior Manager, you will lead cross-... ...insurance (e.g., automation, fraud detection, decision support,... ...charge, (b) in furtherance of an investigation, proceeding, hearing, or...ClaimsFraudLive inWork at officeLocal area
$80k - $85k
A leading risk and claims management firm is looking for a Litigation Consultant to address high-end legal cases. You will develop strategies for resolution and coordinate with legal counsel. The ideal candidate has a JD and ten years of litigation experience. This role...SeniorClaimsRemote work- ...of advanced statistical and machine learning models that improve claims outcomes, operational efficiency, and risk management. Serve as... ...technical authority for complex modeling initiatives including fraud detection, claims severity prediction, litigation risk modeling,...ClaimsFraud
- ...strong leadership and communication skills and be detail-oriented. Responsibilities include drafting motions, preparing proofs of claims, and ensuring accurate record-keeping. This full-time position offers a supportive environment to thrive in a prominent law firm while...SeniorClaimsFull time
$25 per hour
The Auto Club Group is seeking a Unit Administrator for their location in Dearborn, Michigan. This role involves overseeing programming activities, providing essential support and development, and modeling under the guidance of the Site Director. Candidates should exhibit...Hourly payFull time- A government services provider is seeking an eDiscovery Analytics Lead in Detroit, Michigan. You will leverage your legal expertise to support a federal agency in electronic discovery efforts. This role requires advanced knowledge of Relativity and the litigation process...SeniorFull time
$150k - $200k
...Job Description Senior Financial Analyst - Employee Benefits Job Summary Seeking a highly skilled and motivated Senior Financial... ...Analyze medical, pharmacy, dental, and vision claims data Build and maintain underwriting and financial models...SeniorClaimsWork at officeRemote work3 days per week- ...the Compliance Specialist is responsible for conducting investigations and audits related to fraud, waste, and abuse within the DWIHN provider network.... ...Collect, review, and analyze relevant documents, data, claims, medical records, and other evidence to assess compliance...ClaimsFraudWork at office
- An environmental consulting firm in Detroit is seeking a qualified professional specializing in ecology and wetland sciences. The role involves leading wetland delineation projects and conducting ecological assessments while ensuring regulatory compliance for various projects...Senior
- ...General Purpose & Essential Duties: The Senior Accounts Payable Specialist is responsible for overseeing and managing the full Accounts... ...documentation and adherence to internal controls to prevent fraud, errors, and misstatements in financial records. Assist with...SeniorFraudWork experience placementWork at office
- ...Middle Market Senior Underwriter We are seeking an experienced Middle Market Senior Underwriter to underwrite commercial property &... ...schedules, or industry-specific hazards). Engage internal partners (Claims, Actuarial, Risk Control, Legal) to structure appropriate terms...SeniorClaimsLocal areaRemote work
$100k - $110k
...as internal counsel in conjunction with claims to strategize, implement, and manage representation... ...environment and follow guidance from senior counsel. Eagerness to learn, grow, and... ...Voluntary Benefits (Pet Insurance, ID & Fraud, Accident & Illness, and more!)...ClaimsFraudFull timeInternshipWork at officeLocal areaRemote workVisa sponsorshipWork visaRelocation packageMonday to Friday1 day per week- ...Position: Senior Auditor of Internal Audit and Compliance Location: Detroit, MI Summary The Society of St... ...processes, to prevent, detect and correct incidents of fraud and material misstatements. Conduct ad hoc investigations into identified and reported variances to...SeniorFraudWork at office
$23 - $30 per hour
...Auto Claims Representative - First Notice of Loss CURE Auto Insurance is a leading direct writer of auto insurance in New Jersey, Pennsylvania... ...benefits such as legal services, pet insurance, and identity & fraud protection 24/7 Employee Assistance Program (EAP) for employees...ClaimsFraudHourly payWork at officeLocal areaRemote workWork visaFlexible hours1 day per week$94.4k - $293.8k
...with strategic direction set by senior management. Exercise... ...design innovative solutions for claims challenges. ~ Foundational... ...annuities (e.g., automation, fraud detection, predictive analytics... ..., (b) in furtherance of an investigation, proceeding, hearing, or action...ClaimsFraudLive inWork at officeLocal area- ...Employment Type: Full‑Time, Mid‑Level Department: Financial Investigation CGS is seeking a Senior Financial Investigator to join our team providing legal... ..., including but not limited to money laundering, wire fraud, mail fraud, bank fraud, health care fraud, procurement...SeniorFraudFull timeInterim roleLocal areaFlexible hours
- ...Job DescriptionAs a Warranty Senior Financial Analyst, you will support timely, data-driven decisions across warranty forecasting, accounting... ...models.Support quarterly reserve adequacy studies through claims analysis.Assess warranty reserve balances using appropriate actuarial...SeniorClaimsH1bLocal areaWork from homeRelocationRelocation package
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