SIU Investigator - Insurance Fraud & Claims
Allied Universal
Allied Universal is seeking a Special Investigations Unit (SIU) Investigator in Detroit, Michigan. This role involves investigating potential fraudulent insurance claims and ensuring compliance with relevant laws and standards. The ideal candidate will have significant experience in investigations, be knowledgeable about anti-fraud laws, and must be flexible in their working hours. The position offers competitive benefits including medical, dental, and retirement plans. #J-18808-Ljbffr Allied Universal
- ...Overview Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal®... ...opportunities for claim investigators, SIU investigators, and surveillance... ...policies and the components of fraud to determine if claims warrant...FraudInsurance claimsWork at officeLocal area
- ...Investigator 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 into better decision-making...FraudInsurance claimsLocal areaNight shiftWeekend work
- Company Overview Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services... ...dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators....Insurance claimsFull timeWork at officeLocal area
- ...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
$28 - $32 per hour
...Description Description: Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum of... ...for individuals with prior SIU experience who demonstrate integrity... ...In this role, you will conduct claims investigations by gathering evidence...Insurance claimsHourly payFull timePart timeWork at officeRemote workFlexible hours- Overview Surveillance Investigator - Part Time Detroit, MI Area CoventBridge Group... ...field investigations to help uncover insurance fraud and deliver trusted results to our... ...providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs...FraudPart timeRemote workWorldwideNight shiftWeekend work
$81.07k - $129.71k
...Description We are seeking a Special Investigations Unit (SIU) Investigator to conduct timely and thorough health care fraud investigations on behalf of our Company. Responsibilities... ..., organizations, and internet sites claiming to represent Blue Cross and Blue Shield of...FraudLocal areaRemote work$20 - $26 per hour
...Description: Job Title: Surveillance Investigator Job Location : Detroit,MI Job Type... ...industry? Get paid to learn the ropes of fraud investigation and real-world... ...Holidays ~ Health, Dental, Vision, Life Insurance, Supplemental Health Benefits, Flexible...FraudHourly payWeekly payFull timeWork at officeFlexible hoursNight shift- Detroit Wayne Integrated Health Network seeks a Compliance Specialist responsible for conducting investigations into fraud, waste, and abuse within its provider network. This role involves data gathering, audits, and regulatory compliance to maintain healthcare standards...Fraud
- Frasco Inc. is seeking a full-time Surveillance Investigator in Detroit, MI. This role includes performing surveillance, utilizing technology... ...standards. Benefits include health, dental, and vision insurance, paid time off, and a 401K with company match. We're committed...FraudFull time
- CoventBridge Group is looking for a part-time Surveillance Investigator in the Detroit area. You will manage vehicle-based investigations to uncover insurance fraud, documenting findings through detailed reports and video evidence. This independent role may require long...FraudRemote jobPart timeWeekend work
- Under general supervision, conduct investigations under the authority of the Inspector General concerning incidents of possible waste, abuse, fraud, or corruption by any public servant, city agency, program or official act, contractor and subcontractor providing goods...FraudFor contractorsFor subcontractorWork at office
- The Association of Certified Fraud Examiners, Inc. in Detroit is looking for an investigative professional to support the Inspector General in addressing allegations of fraud and corruption. Responsibilities include conducting interviews, analyzing evidence, and maintaining...Fraud
- 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 in...FraudWork at office
- ...Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full-Time... ...investigative techniques and fraud detection to provide... ...electronic data, such as health care claims data, financial transaction... ...and Vision - Life Insurance - 401k -...FraudFull timeWork at officeLocal areaFlexible hours
- ...Best Workplaces in Financial Services & Insurance Principal Data Scientist Job Responsibilities... ...and machine learning models that improve claims outcomes, operational efficiency, and... ...complex modeling initiatives including fraud detection, claims severity prediction,...FraudInsurance claimsRemote work
- Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete...FraudFull timeWork experience placementWork at officeLocal area
$25k
...contributors may: Evaluate AI-generated auto insurance claims decisions for accuracy, coverage... ...not keyword matching; Write and grade fraud-flagging scenarios using structured... ...purchased policy, inconsistent damage) for SIU referral; Build subrogation test cases...FraudInsurance claimsHourly payPermanent employmentTemporary workPart timeFreelance10 hours per week- ...quality improvement and prevent fraud, waste, and abuse. This... ...interpreting, and visualizing claims, clinical, and/or operational... ...Basic understanding of health insurance systems and the claims processing... ...to screening and background investigation including fingerprinting...FraudInsurance claimsContract workFor contractorsLive inLocal areaImmediate startRemote work2 days per week
- ...Advocate Construction is looking for an Insurance Processing Specialist to work remotely. This role involves facilitating fund recovery for roofing and exterior property claims, ensuring documentation accuracy, and maintaining communication with insurance providers. The...Insurance claimsRemote work
$69.92k - $133.62k
...within established guidelines and framework to investigate, evaluate, negotiate, and settle complex property insurance claims presented by or against our members. You will... ...determines and creates Special Investigation Unit (SIU) referrals, when appropriate. Determines...Insurance claimsHourly payH1bLocal areaRemote workRelocationAfternoon shift- ...operations - Und erwriting, and Claims -using domain depth, data... ...( FNOL, coverage/causation, investigation/SIU, subrogation, litigation... ...leadership position in the Insurance Consulting industry Responsibilities... ...(e.g., automation, fraud detection, decision support,...FraudLive inWork at officeLocal area
- A leading insurance adjusting company in Warren, Michigan, is seeking Licensed Claims Adjusters to meet the growing demand for storm-related claims assistance. This opportunity allows for significant growth, autonomy, and competitive compensation. The company provides comprehensive...Insurance claimsFlexible hours
- A leading claims adjustment firm is seeking Independent Insurance Claims Adjusters in Southfield, Michigan. This role offers a dynamic career path with opportunities for growth, flexibility, and competitive compensation. Successful candidates will assist individuals and...Insurance claimsFlexible hours
- A claims adjusting company is seeking Independent Insurance Claims Adjusters in Detroit, MI to support disaster recovery efforts. This rewarding career offers training programs tailored for both new and experienced adjusters. You will assist clients during crises, achieve...Insurance claimsFlexible hours
- ...Vice President, Auto Insurance & Risk Management Solutions About the Company Prestigious provider of risk & claims management services Industry Insurance Type Privately Held Founded 1962 Employees 5001-10,000 Categories Commercial Insurance...Insurance claims
- A leading claims adjusting firm in Michigan is seeking Independent Insurance Claims Adjusters. This role involves helping clients recover from disasters while providing training for aspiring adjusters. The position offers flexibility, autonomy, and competitive compensation...Insurance claimsFlexible hours
- A claims adjustment company is seeking a General Adjuster for a remote position based in Detroit, MI. The ideal candidate will... ...and negotiation skills. Responsibilities include investigating insurance claims, consulting with experts, and ensuring timely reporting...Insurance claimsRemote job
- A leading insurance adjusting firm is seeking Licensed Claims Adjusters to join their team in Michigan. This role offers a chance to help clients rebuild their lives after disasters. Candidates are encouraged regardless of experience level, as comprehensive training programs...Insurance claims
$55k - $70k
PURE Insurance is seeking an IT Business Systems Analyst to join their Claims Technology team in Warren, Michigan. This role involves leading the identification of business and system requirements, managing the full lifecycle of requirements, and improving business processes...Insurance claims
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