SIU Investigator
Virtual Vocations Inc
Seeking a seasoned SIU Investigator with health plan experience, the full-time position focuses on building and managing cases from intake to referral, ensuring compliance with regulatory standards while collaborating with various departments. Key responsibilities Conduct end-to-end investigations, including case preparation and referrals to law enforcement Analyze claims data to identify patterns and develop prosecutable cases Collaborate with Payment Integrity, Compliance, and Legal teams to ensure adherence to state and federal reporting requirements Required qualifications Experience working within a health plan or payer environment Strong understanding of pre-payment and post-payment strategies Proven ability to conduct interviews professionally and confidently Knowledge of regulatory scrutiny and compliance standards Demonstrated ability to manage investigations from start to finish
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the SIU Investigator in United States vacancy
- ...joining our team, you are helping to provide an experience to our stakeholders that delivers on our promises. Position Summary:The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation by the...SuggestedFull timeWork experience placementWork at officeRemote work
- AllState, National General Insurance’s SIU field investigator role in New York is on-site in the Bronx area. The position focuses on investigating complex, multi-discipline claims that may involve fraud, including scene investigations, statements, and surveillance. You...Suggested
$25 - $32 per hour
...national leader? Join Lemieux & Associates , a trusted leader in investigative services, and make an impact with your surveillance expertise.... ...standard in investigative services. We are seeking experienced SIU Field Investigators in Odessa, TX and surrounding areas on a...SuggestedHourly payPart timeLive inFlexible hoursLemieux & Associates
Odessa, TX5 days ago$25 - $32 per hour
...Job Description Job Description Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the Albany or surrounding area. This is a part-time position to start with the ability to turn...SuggestedFull timePart timeLemieux & Associates LLC
Albany, NY2 days ago- ...A leading investigations firm is seeking a SIU Investigator to join their team in Frederick, Maryland. The role involves conducting insurance claims investigations, gathering evidence, and preparing comprehensive reports. Candidates should have 3-5 years of experience...SuggestedFull time
Command Investigations
Frederick, MD1 day ago - ...Special Investigations Unit (Siu) Desk Investigator At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in creating a culture where every associate has the opportunity to learn and grow. We strive to create a work environment to meet...Contract workWork at officeRemote workRelocation package
AssuranceAmerica
United States1 day ago - ...Aspire General Insurance in Rancho Cucamonga is looking for a Pre-SIU Adjuster who will be responsible for investigating automobile claims with a focus on fraud detection. The role involves detailed documentation of investigations, adherence to industry regulations, and...
Aspire General Insurance
Rancho Cucamonga, CA4 days ago - A national investigative services firm seeks a meticulous SIU Investigator to conduct thorough investigations into potential fraud. Responsibilities include scene recreations, witness statements, obtaining documents, and compiling detailed reports. Ideal candidates will...
$78.9k
...position can be remote anywhere in the United States, however Texas is preferred.We are seeking an experienced investigator to join our Special Investigations Unit (SIU). SIU is responsible for detecting, investigating and deterring insurance fraud committed against our...Work at officeRemote workFlexible hours$23 - $30 per hour
...Description Command Investigations LLC is seeking an Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum... ...must possess the following: A minimum of 1-3 years of Claims, SIU, or adjusting experience. Other related experience should be indicated...Hourly paySecond jobWork at officeRemote workFlexible hoursNight shiftCommand Investigations
Cincinnati, OH3 days ago- ## 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
Kemper
Glendale, CA1 day ago - ...About Us Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti‑fraud related services... ...within our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating risks associated...
ISG
Savannah, GA1 day ago - ...National General Holdings Corp. is seeking an experienced SIU Field Investigator to cover Northern Louisiana and Mississippi, with preference for Monroe, LA. This role focuses on Auto Bodily Injury investigations and supports homeowners claims, including weather-related...
Allstate Northern Ireland
Brooklyn, NY1 day ago $43.89k - $93.57k
...bigger - helping to simplify health care one person, one family and one community at a time. Position Summary The Special Investigations Unit (SIU) Investigator conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud...Hourly payFull timeTemporary workLocal areaTexas Health Institute
Austin, TX4 days ago- ...Lemieux & Associates LLC in Amarillo, TX is seeking experienced SIU Field Investigators on a part-time basis to join a trusted leader in investigative services. The role offers flexible hours, travel opportunities, and the chance to impact case outcomes with detailed reports...Part timeFlexible hours
Lemieux & Associates
Amarillo, TX4 days ago $78.34k - $92.21k
...Clearbrook Group Holdings Inc. Job Description Business Title(s): SIU Analyst Employment Type: Full-Time FLSA Status: Exempt Location... ...highly capable SIU Analyst to serve in a support role for our investigative teams in both Argo and Farm Family on basic and major...Full timeLocal areaArgo Group
Los Angeles, CA12 hours ago- ...GEICO is seeking an Internal Major Case SIU Investigator to lead complex fraud investigations across multiple jurisdictions. The role requires coordinating field investigations, reviewing digital evidence, and analyzing data trends to identify evolving fraud schemes....
GEICO
Wausau, WI4 days ago - ...National General Insurance, part of The Allstate Corporation, is seeking an experienced SIU Field Investigator to join our Special Investigations Unit in New York. This field-based role will reside in or near Nassau County, Suffolk County, Brooklyn, Queens, or surrounding...
Stryker
Brooklyn, NY1 day ago - ...Lemieux & Associates, a trusted leader in investigative services, is seeking experienced SIU Field Investigators in Omaha, NE on a part-time basis. Write reports, obtain statements, conduct scene investigations, and photograph evidence as part of a team that sets the...Part time
Lemieux & Associates
Omaha, NE4 days ago - ...Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation... ...leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed...Work at officeLocal area
Allied Universal® Compliance and Investigations
Mcdonough, GA4 days ago $25 - $35 per hour
...Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the San Francisco or surrounding area. The owners are entrepreneurial, experienced, field investigators, each with over 25 years...Hourly payLemieux & Associates
San Mateo, CA4 days ago$70.2k - $120.4k
...in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. The SIU Investigator IV leads advanced investigations into suspected fraud, waste, and abuse involving members, providers, and employees. The role...Work experience placementWork at office3 days per weekMedica Services Company LLC
Minnetonka, MN12 hours ago- ...Insight Service Group (ISG) seeks a meticulous SIU Investigator to join our team in Boston. The role involves conducting comprehensive investigations into potential fraud and misconduct, gathering evidence, and supporting ethical practices across cases. Key duties include...
ISG
Boston, MA4 days ago $20 - $27 per hour
...Shift: Any About Us Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related... ...within our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating risks associated...Hourly payPart timeShift workISG
Pensacola, FL4 days ago- ...Argo Group is seeking a highly capable SIU Analyst to support investigative teams for Argo and Farm Family from our Omaha office. This is a 100% in-office role requiring on-site presence during standard business hours. The analyst will apply investigative methods, conduct...Work at office
Argonaut Management Services, Inc
Omaha, NE3 days ago $28 - $32 per hour
...Description Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum of three years experience to become part... ...team. This is a great opportunity for individuals with prior SIU experience who demonstrate integrity, independence, and a drive...Hourly payFull timePart timeWork at officeRemote workFlexible hoursCommand Investigations
Albany, NY4 days ago$25 - $30 per hour
...Part-Time SIU/Claims Investigator For the past 28 years, Advantage Investigations has been the Nation's only insurance defense investigation firm that invests in the operational capabilities necessary to produce consistent, high-quality results—ultimately helping our...Bi-weekly payHourly payPart timeWork at officeRemote workFlexible hoursAdvantage Investigations
Dallas, TX5 days ago- ...Origin is seeking an experienced SIU Investigator to join our growing team in Las Vegas, Nevada. This role is ideal for investigators with experience handling insurance fraud investigations, obtaining statements, and identifying indicators of fraudulent activity. We are...
Origin
Nevada, IA1 day ago - ...prevention and payment integrity solutions, is looking for a talented Coder or Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES Work with SIU Team (Clinical Reviewers, CPCs, Investigators, Analysts-including performing quality check on work, assisting...Full timeRemote workFlexible hours
Healthcare Fraud Shield
Wildwood, MO1 day ago - ...Location Glendale, California, Remote-CA Job Summary The Special Investigator 1 will complete field and desk assignments that support... ...analysis, and development of facts from evidence that support our SIU and claims organization. This entry level role is a career path...Work at officeRemote work
Kemper
California, MO4 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to SIU Investigator. Be the first to apply!
Related searches
- sub investigator United States
- clinical investigator United States
- compliance investigator United States
- defense investigator United States
- opm background investigator United States
- assistant investigator United States
- background investigator United States
- healthcare investigator United States
- corporate investigator United States
- surveillance investigator United States