Senior SIU Investigator - Insurance Fraud & Claims
Delta Group
Delta Group is a private, national investigative firm established in 1983, headquartered in Buford, GA, with nationwide coverage. The Special Investigation Unit handles claims across lines, focusing on workers’ compensation and other insurance investigations. The team emphasizes integrity, confidentiality, and professional relationships with law enforcement and regulators. The final level and salary are determined based on education, qualifications, knowledge, and experience, calibrated against #J-18808-Ljbffr Delta Group
$25 - $29 per hour
...past 28 years, Advantage Investigations has been the Nation's only insurance defense investigation firm... ...Covert Surveillance, Claims Investigations, Net-Sweep... ...time and money on insurance fraud cases. Advantage Investigations... ...is seeking a Part-Time SIU/Claims Investigator in...FraudInsurance claimsBi-weekly payHourly payPart timeWork at officeRemote workFlexible hours$46.99k - $112.2k
...a time. Position Summary The Senior Investigator, Aetna Special Investigations... ...suspected acts of healthcare fraud and abuse. This position will... ...prevent payment of aberrant claims submitted to the Medicaid lines... ...proactive data mining using SIU Tools to identify aberrant billing...SeniorFraudHourly payFull timeTemporary workWork at officeLocal area- ...CVS Health is seeking a Senior Investigator for the Aetna Special Investigations Unit. The role focuses on complex national healthcare fraud investigations across multiple lines of business... ...research, perform data mining, analyze claims data for aberrancies, and...SeniorFraud
$56.2k - $101k
...preferred. Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify... ...and audits, (or) 5+ years of insurance claims investigation experience...FraudInsurance claimsFull timePart timeWork at officeRemote workFlexible hours- ...A healthcare company in New York is seeking a Fraud Investigator to conduct in-depth investigations of reported fraud. Responsibilities include mentoring other investigators, investigating Medicaid fraud cases, and maintaining relationships with law enforcement. Candidates...SeniorFraud
$27 - $32 per hour
...Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal®... ...for claim investigators, SIU investigators, and surveillance... ...policies and the components of fraud to determine If claims warrant...FraudInsurance claimsWork at officeLocal area$75.35k - $98.89k
...Oscar. We're hiring a Senior Analyst, Special Investigations Unit Clinical Investigator to join our SIU. Oscar is the first health insurance company built around a... ...billing patterns within claims and clinical... ...Auditor (CPMA), Certified Fraud Examiner (CFE), Accredited...FraudInsurance claimsFull timeWork at officeRemote workWork from homeFlexible hours3 days per week- ...US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide... ...seeking a Special Unit Investigations (SIU) Field Investigator to conduct field investigations...FraudInsurance claimsCasual workLocal areaNight shift
- ...ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront of, we provide accurate data and actionable insights that translate into better decision-making...FraudInsurance claimsFull timeLocal areaNight shiftWeekend work
$56.2k - $101k
...Position Purpose Conduct fraud, waste, and abuse (FWA) investigations by reviewing referrals, claims data, medical records, provider information, and other relevant evidence... ...package including: competitive pay, health insurance, 401K and stock purchase plans, tuition...FraudFull timePart timeH1bWork at officeRemote workFlexible hours$90k - $142k
...time Location: New York, NY (Hybrid) ABOUT THE POSITION: The Senior/Supervisor – Litigation will oversee forensic accounting and... ...support engagements, providing expertise in financial fraud investigations, damage calculations, and dispute resolution. The role involves...SeniorFraudFull time$95.6k - $188.4k
...ends 10/30/2026Work You’ll DoAs a Senior Consultant, Forensics and Investigations, you will work with a cross disciplinary team to deploy a fraud detection accelerator for a large federal... ...Responsibilities:Analyze health insurance claims data, open source, and public...SeniorFraudInsurance claimsLocal area- ...building the future, today. About the Role As our Senior Fraud Analyst for Consumer Lending , you will be the gatekeeper protecting... ...to build, optimize, and scale automated block and manual investigation policies. Advanced Risk Tooling: Liaison with the...SeniorFraudRemote work
$182k - $250k
...marketplace that empowers providers, augments insurance payors, and serves patients. Every... ...lasting relationships with their providers. Claims Engine The Claims Engine team powers... ...specific criteria and may flag potential fraud or integrity issues for recruiter review....SeniorFraudInsurance claimsFull timeRemote workHome officeFlexible hoursDay shift3 days per week- ...skilled and experienced Field Investigators to join our team on an "as needed... .... We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating... ...Special Investigations Unit (SIU) assignments, within an...FraudInsurance claimsFlexible hours
$500 per month
...markets. In this role, you will play a critical part in supporting the firm's BSA/AML, Anti-Fraud, and Securities Fraud Monitoring programs. You will lead and support investigations, ensure adherence to regulatory requirements, and help build a scalable and risk-based...SeniorFraudRemote workHome office$28 - $32 per hour
...Part-time Description Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum... ...opportunity for individuals with prior SIU experience who demonstrate... ...Do: In this role, you will conduct claims investigations by gathering evidence...Insurance claimsHourly payFull timePart timeWork at officeRemote workFlexible hours- ...Job Description Job Description ABOUT US: 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 data and actionable insights that translate...FraudInsurance claimsLocal areaNight shiftWeekend work
$60k - $87.4k
...accident and health insurance, as well as other specialty... ...is responsible for investigating and analyzing... ...discipline coverage and claims that have been... ...investigation unit (SIU) for potential fraud. This role typically... ...and direction to less senior employees and provides...FraudWork at officeWork from homeVisa sponsorshipWork visa$27 - $33 per hour
...Job Type Part-time Description Command Investigations LLC is seeking an Insurance Claims Investigator with a minimum of one year of... ...the following: A minimum of 1-3 years of Claims, SIU, or adjusting experience. Other related experience should...Insurance claimsHourly payPart timeSecond jobWork at officeRemote workFlexible hoursNight shift$72k - $141k
...professional liability insurance. CNA offers... ...seeking a Complex Claims Consultant in our... ...this position will investigate and maintain complex... ...opportunities or potential fraud occurrences by... ..., Recovery or SIU resources for... ...paid timely. Keeps senior leadership informed...FraudInsurance claimsFull timeWork experience placementWork at officeLocal areaShift work$47k - $78k
...limits to manage commercial claims of low to moderate... ...position is responsible for investigating, evaluating, and... ...communication with customers and insureds and may support... ...opportunities or potential fraud occurrences by... ...appropriate Claim, Recovery or SIU resources for further...FraudInsurance claimsWork experience placementWork at officeLocal areaFlexible hours$85k - $110k
...serving middle-market businesses, insurance carriers, law firms, and... ...currently seeking a career-minded Senior Forensic Accountant with two... ...to work within our Investigative Accounting Group. We offer a... ...expense projections, insurance claim evaluations and economic damage...SeniorInsurance claimsWork experience placementLocal areaFlexible hoursNight shift$101.18k - $120.46k
...Senior Shared Services Specialist Argo Group is an underwriter of specialty insurance products in the property and casualty market. Argo... ...meet the unique coverage and claims-handling needs of... ...performance. Provide support for SIU counter fraud initiatives....SeniorFraudWork experience placementLocal area$126.1k - $168.13k
A prominent title insurance company is seeking a Senior Claims Counsel to manage title insurance and escrow claims from investigation to resolution. The role demands excellent communication, negotiation, and organizational skills. The ideal candidate holds a law degree...SeniorInsurance claims- ...A national investigative services firm based in New York is seeking a meticulous SIU Investigator responsible for conducting thorough investigations into fraud and misconduct. The role includes scene recreations, document retrieval, wellness checks, and engaging with...Fraud
- A leading health organization seeks an investigator for healthcare fraud allegations. Responsibilities include conducting investigations, analyzing claims data, and preparing reports. A bachelor's degree and 1+ years in medical claim analysis are essential. Preferred candidates...FraudRemote work
$200k - $350k
...Job Description Job Description Senior Vice President – Corporate About the... ...risk exposure Manage the company's insurance program and claims process, including policy procurement,... ...~ Legal Plan benefits ~ Identity & Fraud benefits ~ Pet Solution benefits ~...SeniorFraudInsurance claimsContract workWork at office$85.05k - $130.41k
...Adjuster Specialist. This insurance client empowers members... ...and framework, investigate, evaluate, negotiate, and... ...complex property insurance claims. You will confirm/... ...Special Investigation Unit (SIU) referrals, when... ...Associate in Claims), or SCLA (Senior Claims Law Associate)...SeniorInsurance claimsHourly payH1bLocal areaAfternoon shift$70.1k - $126.2k
...related to non compliance and fraud waste and abuse. Convene... ...operational areas (such as SIU, claims, program integrity, provider... ...with regard to identifying, investigating and corrective actions for fraud... ...: competitive pay, health insurance, 401K and stock purchase plans...SeniorFraudFull timeContract workPart timeInterim roleH1bWork at officeRemote workFlexible hours
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