Remote SIU Investigator: Fraud & Claims Enforcement
$68k - $90kWest Bend Mutual Insurance Company
- Remote job
West Bend Mutual Insurance Company is searching for a skilled investigator to handle insurance fraud cases. This fully remote position requires at least 50% fieldwork in Tennessee, North Carolina, Kentucky, and Virginia. The ideal candidate will have 6-8 years of relevant experience, strong analytical and communication skills, and a valid driver's license. Compensation ranges from $68,000 to $90,000, and comprehensive benefits are offered. #J-18808-Ljbffr West Bend Mutual Insurance Company
- ...Origin is seeking an experienced SIU Investigator to join our growing team in... ...handling insurance fraud investigations, obtaining statements... ...candidates with prior law enforcement, detective, or investigative... ...fraudulent insurance claims through surveillance, interviews...Remote workClaimsFraud
$70k - $117k
Kemper Corporation is hiring a SIU Investigator III in Miami, Florida. This role... ...investigating complex, suspicious claims and coordinating with various law enforcement agencies. The ideal candidate... ...Microsoft products. The position is remote but requires residency in Miami...Remote jobClaimsFraud- ..., 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... ...in claims handling or law enforcement. A robust benefits package is offered...Remote jobClaimsFraud
- ...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... ...network of SIU, claims, law enforcement, attorney, and related contacts...Remote workClaimsFraudContract workWork at officeRelocation package
- The SIU Investigator will conduct field as well as desk investigations of insurance claims referred to and accepted for investigation... ...will function as a remote investigator working... ...of Insurance Fraud Division, NICB, and various law enforcement agencies. A laptop computer...Remote workClaimsFraudWork experience placementWork at office
$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... ..., and various law enforcement agencies. The...Remote workClaimsFraudTemporary workWork at officeLocal area- ...Investigating potentially fraudulent auto claims, the fully remote SIU Investigator will conduct site inspections, gather and analyze evidence, and collaborate with claims... ...research to evaluate claims for potential fraud Obtain recorded statements, conduct witness interviews...Remote workClaimsFraud
- 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
$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$53.5k - $77.8k
...SIU Investigator At Allstate, great things happen when our people work together to protect families and... ...and analyzing moderately complex auto claims referred to the Special Investigation Unit (SIU) for potential fraud. The role conducts site inspections, including...Remote workClaimsFraudWork from homeWork visa$46.99k - $112.2k
...Senior Investigator We're building a world of health around every individual... ...suspected acts of healthcare fraud and abuse. Routinely handles... ...payment of fraudulent claims submitted to the Medicaid lines... ..., state, and local law enforcement agencies in the investigation...Remote workClaimsFraudHourly payFull timeTemporary workWork at officeLocal area$56.2k - $101k
Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in... ...organizing, and executing claims investigations or... ...investigation experience with law enforcement agencies. 7+ years of... ...approach to work with remote, hybrid, field or...Remote workClaimsFraudWork at officeFlexible hours- ...application. Healthcare Fraud Shield will not contact... ...Clinical Coder/Fraud Investigator to join our team. RESPONSIBILITIES Work with SIU Team (Clinical Reviewers... ...information submitted on the claims in order to determine... ...initiatives Remote work eligible REMOTE WORK...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... ..., compensability analysis, fraud indicators, and investigative documentation...Remote workClaimsFraudHourly payPart timeWork at officeHome officeAfternoon shift$77.12k - $147.39k
...We are looking for a SIU Investigator (mid-level). This is a... ...potential fraudulent claims by investigating questionable... ...with state insurance fraud-related laws and... ...procedures. This role is remote eligible. However, you... ...with industry, law enforcement and other contacts...Remote workClaimsFraudHourly payLive inLocal area$53.5k - $77.8k
...steps. Our partner is looking for a SIU Investigator based in United States. This role... ...to identify and prevent insurance fraud while supporting fair claim outcomes. You will analyze complex... ...documentation and strong communication. This remote opportunity provides a...Remote workClaimsFraudFull time- ...Seeking a full-time remote Healthcare Fraud Investigator, the successful candidate will... ...guidance and training to other SIU Investigators and... ...or investigator for a law enforcement agency Proven experience... ...programs, including medical claim billing Demonstrated experience...Remote workClaimsFraudFull time
- ICW Group is seeking a Senior Investigator to join their Special Investigation Unit. The role involves investigating suspected fraudulent claims across various insurance lines. Ideal candidates will have significant experience in investigations, strong analytical abilities...Remote jobClaimsFraud
- ...Stryker Corporation in Greensboro, NC is seeking an investigator to conduct inquiries into insurance fraud on claims. The ideal candidate will work primarily from home while traveling in the NC area as needed. Responsibilities include investigating suspicious claims,...Remote workClaimsFraudWork from home
- Kemper is searching for a Special Investigator III to handle complex, potentially fraudulent claims. Responsibilities include conducting investigations, analyzing evidence... ...skills. Preferred certifications include Fraud Claims Law Specialist or Certified Fraud Examiner...Remote jobClaimsFraud
$19.64 - $42.55 per hour
...DESCRIPTION Provides investigative support for special investigation unit (SIU) activities specific to... ...provider coding fraud, waste and abuse (FWA).... ...review of post-payment claims. Essential Job Duties... ...facilitate referral to law enforcement or payment recovery....Remote workClaimsFraudHourly payContract workWork experience placementWork at officeLocal area$19.64 - $42.55 per hour
...Job Summary Provides investigative support for special investigation unit (SIU) activities.... ...related to health care fraud, waste, and abuse (FWA)... ...services, member services, claims, etc.), to gather documentation... ...agencies and law enforcement. Documents appropriately...Remote workClaimsFraudHourly payContract workWork experience placementWork at officeLocal area$32 - $40 per hour
Allied Universal is seeking a Special Investigations Unit (SIU) Investigator to handle... ...role focuses on identifying fraudulent claims within the insurance sector. The ideal... ...Criminal Justice or significant law enforcement experience, alongside a valid driver’...ClaimsFraudHourly pay$27 - $32 per hour
...Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied... ...for claim investigators, SIU investigators, and surveillance... ...and the components of fraud to determine If claims... ...SIU entities, law enforcement and state Departments of...ClaimsFraudWork at officeLocal area- Allied Universal is hiring a Special Investigations Unit (SIU) Investigator in Tampa, Florida. This... ...involves investigating fraudulent insurance claims and requires strong investigative... ...Criminal Justice or significant law enforcement experience. The position offers...ClaimsFraud
- Delta Group, a national investigative firm, seeks a Special Investigation... ...professional to lead claims investigations with... ...personnel, insurers, law enforcement, and regulators to deter fraud and protect client interests... ...have extensive SIU experience, strong analytical...ClaimsFraud
$56.2k - $101k
Position Purpose Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate, and... ...Flexible approach to work with remote, hybrid, field, or office schedules...Remote workClaimsFraudWork at officeFlexible hours$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... ...proactive data mining using SIU Tools to identify... ...state, and local law enforcement agencies for the investigation...ClaimsFraudHourly payFull timeTemporary workWork at officeLocal area$30 - $35 per hour
VRC Investigations is seeking experienced and motivated Part-Time SIU Investigators in New Orleans, Louisiana. These roles allow... ...investigations into potential insurance fraud. The ideal candidates will have... ..., and collaborating with law enforcement when necessary. VRC offers...Remote jobFraudHourly payPart timeWork from home$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... ...in-depth evaluation of potential fraud and abuse cases and develops complex... ...* Experience analyzing claims data and detecting unusual billing...Remote workClaimsFraudContract workWork at office
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote SIU Investigator: Fraud & Claims Enforcement. Be the first to apply!
- investigator New York, NY
- work from home background investigator New York, NY
- case investigator New York, NY
- forensic investigator New York, NY
- legal investigator New York, NY
- background investigator New York, NY
- human rights investigator New York, NY
- aml investigator New York, NY
- accident investigator New York, NY
- healthcare investigator New York, NY



