Senior SIU Investigator - Remote Fraud Specialist
$77k - $97kWest Bend Mutual Insurance Company
- Remote job
West Bend Mutual Insurance Company is hiring a Senior Investigator in Phoenix, Arizona, focusing on insurance fraud investigations. This role combines remote work with field service, requiring analytical expertise and significant experience in fraud investigation. The position demands a proactive approach to uncovering fraudulent activities, ultimately safeguarding the integrity of the company's operations and claims processes. This role offers a salary range of $77,000–$97,000 and includes comprehensive benefits such as medical insurance, a 401(k) plan, and generous PTO. #J-18808-Ljbffr West Bend Mutual Insurance Company
$46.99k - $122.4k
...Siu Senior Investigator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health... ...the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state...Remote workSeniorFraudHourly payFull timeLocal area$68.04k - $118.8k
...Summary of Job Conduct complex, in-depth investigations of reported fraud involving the full range of healthcare products. Develop and maintain... ...industry peers. Provide guidance to the Fraud Investigators on SIU investigations and issues. Assist with anti-fraud training...Remote workSeniorFraudWork experience placement$74.2k - $84.7k
...AML Senior Investigator I - Special Investigations Unit The Anti-Money Laundering... ...maintain operations of a SIU Specialty Desk and actively... ...-Money Laundering (AML) or Fraud investigative experience... ...Certified Anti-Money Laundering Specialists (ACAMS), Certified Fraud...Remote workSeniorFraudFull timePart timeWork at officeLocal areaWork from homeHome office$77k - $97k
Senior Investigator - Special Investigations Unit Job Locations US-AZ-Phoenix... ...Claims Full-Time Remote/Hybrid Remote... ...Investigate suspected insurance fraud involving auto, property, casualty... ...experience in fraud investigation, SIU, claims investigation, or...Remote workSeniorFraudFull timeTemporary workWork at officeLocal areaWork from homeFlexible hours$46.99k - $112.2k
...at a time. Position Summary The Senior Investigator role will conduct high level, complex investigations... ...known or suspected acts of healthcare fraud and abuse. This position will routinely... ...proactive data mining using SIU Tools to identify aberrant billing patterns...Remote workSeniorFraudHourly payFull timeTemporary workWork at officeLocal area$60.2k - $107.4k
...Senior Investigator At UnitedHealthcare, we're simplifying the health care experience, creating... ...investigation and prevention of healthcare fraud, waste and abuse. The Senior... ...information in the Special Investigations Unit's (SIU's) case tracking system Collect and secure...Remote workSeniorFraudMinimum wageFull timeTemporary workWork experience placementLocal areaMonday to Friday- HMSA in Honolulu seeks a candidate for Fraud, Waste, and Abuse oversight and case investigations. Responsibilities include overseeing SIU staff, managing investigations, and implementing process improvements to combat FWA. The role requires strong knowledge of claims,...SeniorFraud
$51k - $80.07k
Healthfirst is looking for a remote Investigator within the Special Investigations Unit (SIU) responsible for conducting thorough investigations into alleged misconduct, fraud, waste, and abuse. This role requires an Associate's degree or equivalent experience and knowledge...Remote jobFraud$51k - $80.07k
Healthfirst is looking for an Investigator within the Special Investigations Unit (SIU) to conduct complex investigations of alleged misconduct and fraud in a fully remote position. The ideal candidate must possess an Associate's degree in criminal justice or equivalent...Remote jobFraud- Safepoint MGA, 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 of actions. The examiner will conduct interviews, coordinate with SIU...Remote jobFraud
- RGP (Resources Connection) is seeking SIU support in Los Angeles for urgent fraud, waste, and abuse investigations. This role is essential for ensuring compliance with regulations and claims integrity. The ideal candidate will have experience in SIU investigations, strong...SeniorFraud
$58.9k - $80.07k
Healthfirst is looking for an Investigator within the Special Investigations Unit (SIU) to conduct investigations of alleged misconduct and fraud. This 100% remote role entails compiling data, writing reports, and presenting findings. Candidates must possess an Associate...Remote jobFraud$25 - $50 per hour
...strategy & scheduling Paid travel for field investigations when required Job Summary The SIU Investigator conducts field and remote investigations involving insurance claims... ...principles, compensability analysis, fraud indicators, and investigative...Remote workFraudHourly payPart timeWork at officeHome officeAfternoon shift- ...to help make things happen. Job Summary A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial... ...moderate investigations involving suspicions of insurance fraud related to the application of insurance, auto/property, and...Remote workFraudContract workWork at officeRelocation package
$30 - $35 per hour
A leading investigative firm based in Nashville seeks experienced part-time SIU Investigators to join their team. The role involves investigating potential fraud in insurance claims, conducting interviews, and preparing investigative reports. Candidates should have 5-10...Remote jobFraudHourly payPart timeWork at office$81.07k - $129.71k
...Job 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 include maintaining confidentiality, adhering to SIU Policies and Procedures,...Remote workSeniorFraudLocal area- Aspire General Insurance Company is looking for a Pre-SIU Adjuster to investigate automobile claims with potential fraud. This full-time role, structured as a career... ...and decision-making skills. The position offers a remote work option and various benefits including...Remote jobFraudFull time
$64.5k - $92.2k
...A leading healthcare technology firm is seeking a Senior Analyst for Payment Integrity Investigation. This remote role requires experience in healthcare fraud auditing, strong analytical skills, and a certified coder qualification. Key responsibilities include conducting...Remote workSeniorFraud- ...seeking skilled and experienced Field Investigators for a fully remote, as needed position. This role... ...investigating various insurance claims including fraud and liability, offering flexible... ...and Special Investigations Unit (SIU) assignments, ensuring adherence to instructions...Remote jobFraudFlexible hours
$46.99k - $112.2k
...and one community at a time. Position Summary The Special Investigations Unit (SIU) is looking for an analytically driven individual who is skilled... ...reviewer is accountable for the validation of existing Fraud, Waste and Abuse business rules/leads designed to detect...SeniorFraudHourly payFull timeTemporary workWork experience placementLocal area$77.12k - $147.39k
...SIU Investigator At USAA, our mission is to empower our members to achieve financial security... ...activity in compliance with state insurance fraud-related laws and regulations and... ...evidence of potential fraud through field or remote interviews and thorough searches of investigative...Remote workFraudH1bLocal area$70k - $90k
...A leading healthcare analytics firm is seeking a Senior Investigator to investigate incidents of healthcare fraud, waste, and abuse through data analysis. This remote position requires a Bachelor's degree, 5-8 years of experience in healthcare FWA investigations, and advanced...Remote workSeniorFraud- UnitedHealth Group is seeking a Senior Investigator responsible for identifying and preventing healthcare fraud, waste, and abuse. This role offers telecommuting flexibility and requires investigating complex fraud cases, analyzing data trends, and collaborating with regulatory...Remote jobSeniorFraud
- ...Capital One is hiring a Senior Complaints Coordinator to work from home, responsible for delivering exceptional customer service and resolving... ...with customers to ensure satisfaction. A high school diploma and experience with Fraud or Disputes is required.J-18808-Ljbffr...Remote workSeniorFraudWork from home
$49.77k
Capital One National Association is seeking a Senior Complaints Coordinator to provide exceptional virtual customer service. This role requires at least 3 years of customer service experience and strong problem-solving skills. Responsibilities include advocating for customers...Remote workSeniorFraud- TRM Labs Inc. is seeking a Senior All Source Investigator to combat scams through data-driven investigative work. This remote role requires 5-8 years of experience in a relevant investigative field, ideally within federal law enforcement, along with a strong understanding...Remote jobSeniorFraud
$77k - $97k
West Bend Insurance Company is seeking a Fraud Investigator to work remotely but may require occasional travel to Arizona for team activities. This role involves investigating suspected insurance fraud across various lines including auto and property. The ideal candidate...Remote jobSeniorFraud$71.1k - $97.8k
Humana Inc is seeking a Senior Fraud and Waste Professional to conduct investigations of fraudulent practices. The role includes coordinating with law enforcement... ...offers a salary range of $71,100-$97,800 annually, remote working options, and comprehensive benefits...Remote jobSeniorFraud$71.1k - $97.8k
Humana Inc is seeking a Senior Fraud and Waste Investigator to join their dedicated team. This remote role involves conducting extensive investigations into fraudulent activities affecting the organization and stakeholders. The ideal candidate will have a Bachelor’s degree...Remote jobSeniorFraud$71.1k - $97.8k
Humana Inc. is seeking a Senior Fraud and Waste Investigator to conduct comprehensive investigations addressing fraudulent practices and misconduct. This remote role involves analyzing complex issues and collaborating with various internal and external partners. The ideal...Remote jobSeniorFraud
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