- Prime Therapeutics (Atlanta, GA)
- …**Job Posting Title** SIU Investigator - Remote **Job Description** The Special Investigations Unit ( SIU ) Investigator is responsible for ... FWA prevention efforts ensure proper identification of potential FWA. The SIU Investigator prepares investigative reports for leadership, remediation actions,… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...assessments of FWA allegations, and end to end full investigations , including but not limited to witness interviews, background… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, ... that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and...Services, Member Services, Claims) to gather documentation pertinent to investigations . * Detect potential health care fraud, waste, and… more
- Molina Healthcare (Atlanta, GA)
- **JOB DESCRIPTION** **Job Summary** The SIU Coding Investigator is responsible for investigating and resolving instances of healthcare fraud and abuse by medical ... clinic settings) or 5+ years of experience working in a FWA / SIU or Fraud investigations role + Thorough knowledge of PC based software including Microsoft Word… more
- Elevance Health (Atlanta, GA)
- ** Investigator II - Carelon Payment Integrity SIU ** **Location** : Alternate locations may be considered. This position will work in a hybrid model ( remote ... recover, eliminate, and prevent unnecessary medical expense spending. The ** Investigator II** is responsible for the identification, investigation, and development… more
- Elevance Health (Atlanta, GA)
- …INVESTIGATOR LEAD** is responsible for providing leadership and guidance to the Special Investigations Unit team in investigating, collecting, researching ... ** Investigator Lead** **Location** : This position will work...with the administration and operational activities occurring within the Special Investigations Unit for … more
- Command Investigations (Atlanta, GA)
- $350 SIGN ON BONUS Command Investigations LLC is a dynamic and forward-thinking investigative company that has been at the forefront of the industry since its ... as a leader in the investigation industry. At Command Investigations , we take pride in our proven track record...with multi-lines preferred to include AOE/COE, Auto, and Homeowners. SIU experience is highly desired, but not required, as… more
- The Robison Group (Atlanta, GA)
- Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations , multi-line insurance ... We are looking for people who are enthusiastic about investigations , those who thrive in a diverse work environment,...be willing and able to obtain a Georgia Private Investigator license. + Self-motivated, determined, and intuitive. + Strong… more