- CVS Health (Trenton, NJ)
- …We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU). In this role, you will manage ... complex investigations into suspected and known acts of healthcare fraud,...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud. + Demonstrates high… more
- The Robison Group (Brooklyn, NY)
- …is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator , you will be joining an incredible team ... utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and...+ Make sound judgments during the course of the investigation . + Provide timely progress updates. + Complete detailed… more
- CVS Health (Providence, RI)
- …Kentucky Resident is preferred The SIU Investigator conducts complex investigations to effectively pursue the prevention, investigation and prosecution of ... in identifying resources and best course of action on investigations . - Cooperates with federal, state, and local law...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.… more
- CVS Health (Baton Rouge, LA)
- …is a remote position but Louisiana residency is required. + Conducts investigations to effectively pursue the prevention, detection, investigation and ... in identifying resources and best course of action on investigations + Serves as back up to the Team...federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud and abuse matters.… more
- The Hartford (GA)
- …the future. We are seeking a talented Special Investigator to join our Special Investigations Unit (SIU). This position will be based out of the ... + Bachelor's Degree preferred. + Minimum of 3 years special investigation insurance experience and/or investigative law...will require 100% travel within the assigned territory. The Special Investigator for this opportunity will be… more
- Allied Universal (Richmond, VA)
- …assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit (SIU) Investigator . Special Investigations ... ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor **QUALIFICATIONS (MUST HAVE):**… more
- Centene Corporation (Jefferson City, MO)
- …As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Position Purpose:** ... Audit medical records to identify inappropriate billing practices and recommend next steps through extensive review of claims data, medical records, corporate policy, state/federal policy, and practice standards. + Perform retrospective and prepayment reviews… more
- Kemper (Los Angeles, CA)
- …referred to and accepted for investigation by the Special Investigative Unit . Our Special Investigator will function as a remote investigator ... Investigator will conduct field as well as desk investigations of insurance claims...agencies as required by law and management. Keeps the Special Investigation Unit and field… more
- Kemper (Miami, FL)
- …referred to and accepted for investigation by the Special Investigative Unit . Our Special Investigator will function as a remote investigator ... that delivers on our promises._ **Position Summary:** The SIU Investigator will conduct field and desk investigations ...agencies as required by law and management. Keeps the Special Investigation Unit and field… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit (SIU) Investigator , Sr. is to assist in the reduction and recuperation ... timely, effective and result in an overall achievement of unit goals. + Investigator , Sr. will develop...assigned by management to meet the needs of the Special Investigations Unit . **QUALIFICATIONS:** **Education**… more