- State of Massachusetts (Boston, MA)
- …highly organized, mission-driven individual to fill the role of Area Program Manager (APM) for the Special Investigations Unit ( SIU ). The Special ... The Area Program Manager is a member of the SIU senior management team, is involved with all aspects...of Children & Families* **Title:** *Area Program Manager - Special Investigations Unit * **Location:** *Massachusetts-Boston-600… more
- Capital One (Richmond, VA)
- …United States of America, Richmond, Virginia Anti-Money Laundering Subject Matter Expert (SME) - Special Investigations Unit ( SIU ) The Complex ... certification + At least 2 years of Anti-Money Laundering experience within the Special Investigations Unit Preferred Qualifications: + Bachelor's Degree +… more
- The Hartford (Chicago, IL)
- …help shape the future. We are seeking a talented Special Investigator to join our Special Investigations Unit ( SIU ). This position will be based out ... within his or her area of responsibility and leverage knowledge gained to SIU analytical resources. + Independently complete investigations in accordance with… more
- The Robison Group (Daytona Beach, FL)
- …searches, and other investigative tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As an SIU ... are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire… more
- The Robison Group (Miami, FL)
- …canvasses and other tasks. This is a remote opportunity for part-time employment in our Special Investigations Unit ( SIU ). As a Case Associate , ... investigators and industry leaders. PRINCIPAL RESPONSIBILITIES: + Complete scene investigations , including photographing. + Complete neighborhood canvasses. + Make… more
- CVS Health (Hartford, CT)
- …fraud plans and reporting.- Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by both members and providers.- ... match current skills and development needs.- Assesses training needs and works with SIU Director on development plans for team members.- Develops and maintains close… more
- CVS Health (Springfield, IL)
- …Position Summary: As a Senior Investigator you will conduct high level, complex investigations of known or suspected acts of healthcare fraud and abuse. Routinely ... in identifying resources and best course of action on investigations * Serves as back up to the Team...years of working health care fraud, waste and abuse investigations . Pay Range The typical pay range for this… more
- Citigroup (Sioux Falls, SD)
- …+ Complete Decision Effectiveness (DE) and Quality reviews for multiple lines of business. + Conducts re-scores of QA and managers Quality samples. + Conduct ... regulatory sampling to ensure the business is compliant. + Ability to represent the department as Subject Matter Expert (SME) on projects. + Applies working knowledge of Process and Procedures (P&P's) and regulatory requirements in the re-score and call study… more
- Allied Universal (Pittsburgh, PA)
- …more for most full-time compliance and investigation jobs! Allied Universal(R) is hiring a Special Investigations Unit ( SIU ) Investigator. Special ... Allied Universal(R) Compliance and Investigations , North America's leading expert insurance claim ...Proficient in utilizing laptop computers and cell phones. + Special Investigative Unit ( SIU ) Compliance… more
- CareFirst (Baltimore, MD)
- …programs/plans (all benefits/incentives are subject to eligibility requirements). **Department** Special Investigations Unit **Equal Employment Opportunity** ... accurately in Fraud, Waste and Abuse case management system. Monitor and notify SIU associates on dollar recovery and Corrective Action Plan status. + Pursues low… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …entity. + Experience conducting fraud investigations , working in an insurance company Special Investigations Unit ( SIU ) or Insurance Compliance. + ... insurance law, regulations, and guidelines. + Experience independently conducting investigations of consumer complaints and interviewing witnesses. SPECIAL … more
- City of New York (New York, NY)
- Job Description The Special Investigations Unit ( SIU ) of the Law Department conducts Investigations . In-House investigations include, but are not ... ensure the PE'd individual is not present in the unit . The visits are documented in the Law Department's...general supervision, with latitude for independent initiative and judgment, SIU Team members conduct professional investigations of… more
- RELX INC (Denver, CO)
- …as a subject matter expert on LexisNexis and Accurint TraX (ZetX) solutions within the Special Investigations Unit ( SIU ). The Public Safety SIU ... the link below. https://risk.lexisnexis.com/government About our Team The LexisNexis(R) Public Safety Special Investigations Unit is comprised of former… more
- Molina Healthcare (Albuquerque, NM)
- **JOB DESCRIPTION** **Job Summary** The Special Investigation Unit ( SIU ) Investigator is responsible for supporting the prevention, detection, investigation, ... review audits that may also include coding and billing reviews. The SIU Investigator is responsible for reviewing and analyzing information to draw conclusions… more
- National General Insurance Company (TX)
- …and analyzing complex, multi-discipline coverage and claims that have been referred to the special investigation unit ( SIU ) for potential fraud. This role ... National General is seeking an SIU Field Investigator for the San Antonio, or...a thorough investigation including; (1) conducting background searches, scene investigations , and clinic inspections; (2) taking recorded statements; (3)… more
- RELX INC (Washington, DC)
- …and production outcome as a subject matter expert on LexisNexis Risk solutions within the Special Investigations Unit ( SIU ). This is a hybrid position, ... Risk at the link below. https://risk.lexisnexis.com/government About our Team The Public Safety Special Investigative Unit ( SIU ) is comprised of former law… more
- Premera Blue Cross (Spokane, WA)
- …serve through our Healthsource blog: https://healthsource.premera.com . As a member of Premera's Special Investigations Unit ( SIU ), the **Investigator ... initiate, analyze, develop, and successfully complete and resolve fraud investigations of medium to high level complexity. You will...+ (3) years of experience in fraud investigation, a special investigation unit , or a related field.… more
- New York State Civil Service (Rochester, NY)
- …Managed Care Organizations and participate in regular meetings with their Special Investigations Unit representatives. Additional Comments Non-Competitive, ... Investigative Specialist 1 Occupational Category No Preference Salary Grade 18 Bargaining Unit PS&T - Professional, Scientific, and Technical (PEF) Salary Range From… more
- The Cigna Group (Sunrise, FL)
- As a Junior Fraud Investigator for Cigna's Special Investigations Unit , you'll support our US Commercial Healthcare Business in conducting and supporting ... in fraud detection, investigation, claim auditing and other areas related to Special Investigations . Primary focus is to mitigate the risk of fraud in the… more
- City of La Mesa, CA (La Mesa, CA)
- …patrol, field training officer, investigations , motor officer, school resource officer, special investigations unit , street team, honor guard and the ... and local traffic regulations; participates in and conducts a variety of criminal investigations ; provides support and assistance to special crime prevention and… more