- Sedgwick (Atlanta, GA)
- …Loved Workplace(R) Forbes Best-in-State Employer SIU Research Investigator **PRIMARY PURPOSE** **:** To perform claims investigations utilizing online ... public and subscription database searches; to conduct various research investigations using specialized techniques and technologies; to analyze results for red… more
- CareOregon (Portland, OR)
- …(9-3P.M. PST - Flexible if in Central Time). Job Summary The Special Investigations Unit ( SIU ) Investigator position is responsible for administering ... Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Special Investigations Unit Investigator...and recommend policy and procedure revisions that support the FWA/ SIU program. + Attend internal and external FWA and… more
- CVS Health (Carson City, NV)
- …Exhibits behaviors outlined in Employee Competencies + Exhibits behaviors outlined in SIU Investigator Competencies **Required Qualifications** + 1-3 years of ... to work EDT hours (8:00 am - 5 pm EDT) + Conducts investigations to effectively pursue the prevention, detection, investigation and prosecution of healthcare fraud,… more
- Allied Universal (Mcdonough, GA)
- …employee assistance programs, and exclusive perks. Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator . Special ... and case managers, by means of data collection, interviews, research and collaboration with other SIU entities,...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- Molina Healthcare (Hartford, CT)
- …responsible for supporting the day to day operations and initiatives of the Special Investigations Unit ( SIU ). **Knowledge/Skills/Abilities** * Respond ... **Job Description** **Job Summary** The SIU Senior Investigator position is primarily...investigations and interviews to gather additional evidence * Research and investigate member Identity Theft cases through internal… more
- CVS Health (Sacramento, CA)
- …an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU ). In this role, you will manage complex ... abuse (FWA). **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud,...open source database search tools, social media and internet research . + Ability to travel up to 25% of… more
- ICW Group (Sacramento, CA)
- …investigative results are acted upon and measures ROI of same. + Conducts investigations with a focus on thoroughness, quality, with attention to detail, timeliness ... precedents, government regulations, executive orders, and agency rules for effective investigations . + Prepares and submits timely investigative reports covering all… more
- CareFirst (Baltimore, MD)
- **Resp & Qualifications** **PURPOSE:** The role of the Special Investigations Unit ( SIU ) Investigator is to assist in the reduction and recuperation ... special projects as assigned by management to meet the needs of the Special Investigations Unit . **SUPERVISORY RESPONSIBILITY:** Position does not have… more
- Allied Universal (Butte, MT)
- …standards in their home state and within their designated region of the country + Special Investigative Unit ( SIU ) Compliance knowledge + Ability to type 40+ ... clients and case managers through various methods such as data collection, interviews, research , and scene investigations + Follow guidance from the handling… more
- AmeriHealth Caritas (Columbia, SC)
- …administrative services. Discover more about us at www.amerihealthcaritas.com. The Investigator is responsible for conducting comprehensive investigations of ... Special Investigation Units and fraud, waste and abuse investigations . + Conducts investigations of potential; fraud,...criminal and civil rules of evidence. + Proactively performs research using the Internet, data analysis tools, etc., to… more