Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

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

Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Senior SIU Investigator - Insurance Fraud & Claims in New York, NY vacancy
  • $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... 
    Fraud
    Insurance claims
    Bi-weekly pay
    Hourly pay
    Part time
    Work at office
    Remote work
    Flexible hours

    Advantage Investigations

    New York, NY
    4 days ago
  • $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... 
    Senior
    Fraud
    Hourly pay
    Full time
    Temporary work
    Work at office
    Local area

    CVS Health

    New York, NY
    1 day ago
  •  ...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... 
    Senior
    Fraud

    CVS Health

    New York, NY
    20 hours ago
  • $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... 
    Fraud
    Insurance claims
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    New York, NY
    1 day ago
  •  ...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... 
    Senior
    Fraud

    EmblemHealth

    New York, NY
    4 days ago
  • $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... 
    Fraud
    Insurance claims
    Work at office
    Local area

    Allied Universal® Compliance and Investigations

    New York, NY
    23 days ago
  • $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... 
    Fraud
    Insurance claims
    Full time
    Work at office
    Remote work
    Work from home
    Flexible hours
    3 days per week

    Oscar Health

    New York, NY
    9 days ago
  •  ...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... 
    Fraud
    Insurance claims
    Casual work
    Local area
    Night shift

    Ethos Risk Services

    New York, NY
    1 day ago
  •  ...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... 
    Fraud
    Insurance claims
    Full time
    Local area
    Night shift
    Weekend work

    Ethos Risk Services

    New York, NY
    3 days ago
  • $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... 
    Fraud
    Full time
    Part time
    H1b
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    New York, NY
    4 days ago
  • $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... 
    Senior
    Fraud
    Full time

    Whitman Transition Advisors Job Community

    New York, NY
    1 day ago
  • $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... 
    Senior
    Fraud
    Insurance claims
    Local area

    Deloitte

    New York, NY
    4 days ago
  •  ...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... 
    Senior
    Fraud
    Remote work

    Felix Technologies, Inc.

    New York, NY
    1 day ago
  • $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.... 
    Senior
    Fraud
    Insurance claims
    Full time
    Remote work
    Home office
    Flexible hours
    Day shift
    3 days per week

    Grow Therapy

    New York, NY
    1 hour ago
  •  ...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... 
    Fraud
    Insurance claims
    Flexible hours

    J T Becker & Co Inc

    New York, NY
    4 days ago
  • $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... 
    Senior
    Fraud
    Remote work
    Home office

    Alpaca

    New York, NY
    22 days ago
  • $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 claims
    Hourly pay
    Full time
    Part time
    Work at office
    Remote work
    Flexible hours

    Command Investigations

    New York, NY
    4 days ago
  •  ...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... 
    Fraud
    Insurance claims
    Local area
    Night shift
    Weekend work

    Ethos Risk Services

    New York, NY
    1 day ago
  • $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... 
    Fraud
    Work at office
    Work from home
    Visa sponsorship
    Work visa

    National General

    New York, NY
    3 days ago
  • $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 claims
    Hourly pay
    Part time
    Second job
    Work at office
    Remote work
    Flexible hours
    Night shift

    Command Investigations

    New York, NY
    3 days ago
  • $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... 
    Fraud
    Insurance claims
    Full time
    Work experience placement
    Work at office
    Local area
    Shift work

    CNA Financial

    New York, NY
    3 days ago
  • $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... 
    Fraud
    Insurance claims
    Work experience placement
    Work at office
    Local area
    Flexible hours

    CNA Insurance

    New York, NY
    1 day ago
  • $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... 
    Senior
    Insurance claims
    Work experience placement
    Local area
    Flexible hours
    Night shift

    Meaden & Moore

    New York, NY
    11 days ago
  • $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.... 
    Senior
    Fraud
    Work experience placement
    Local area

    Argo Group

    New York, NY
    4 days ago
  • $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... 
    Senior
    Insurance claims

    First American

    New York, NY
    1 day ago
  •  ...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

    ISG Inc

    New York, NY
    3 days ago
  • 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... 
    Fraud
    Remote work

    Centene Corporation

    New York, NY
    3 days ago
  • $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 ~... 
    Senior
    Fraud
    Insurance claims
    Contract work
    Work at office

    I-Grace

    New York, NY
    15 days ago
  • $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)... 
    Senior
    Insurance claims
    Hourly pay
    H1b
    Local area
    Afternoon shift

    AlphaStaffHCM

    New York, NY
    22 days ago
  • $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... 
    Senior
    Fraud
    Full time
    Contract work
    Part time
    Interim role
    H1b
    Work at office
    Remote work
    Flexible hours

    Centene Corporation

    New York, NY
    1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Senior SIU Investigator - Insurance Fraud & Claims. Be the first to apply!