SIU Investigator
2 weeks ago
Job Description Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.No office to go toMust possess a valid driver's license with at least one year of driving experienceCompany credit card to cover fuel and travel expensesRESPONSIBILITIES:Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disabilityAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of InsuranceCreate and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directedProduce professional and expert reports, memos, and letters that are clear, concise, and grammatically correctRun appropriate database indices if necessary and verify the accuracy of results foundIndependently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit SupervisorQUALIFICATIONS (MUST HAVE):Must possess one or more of the following:Bachelor’s degree in Criminal JusticeHigh School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraudAbility to be properly licensed as a Private Investigator as required by the state where work Is completedPost offer, must be able to successfully complete the Allied Universal Investigations training/orientation courseMinimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claimsProficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.Proficient in utilizing laptop computers and cell phones.Special Investigative Unit (SIU) Compliance knowledgeAbility to type 40+ words per minute with minimum errorFlexibility to work varied and irregular hours and days including weekends and holidaysPREFERRED QUALIFICATIONS (NICE TO HAVE):Military experienceLaw enforcementInsurance administration experienceFamiliarity with California SIU regulationsOne or more of the following professional industry certifications:Certified Fraud Investigator (CFE)Certified Insurance Fraud Investigator (CIFI)Fraud Claim Law Associate (FCLA)Fraud Claim Law Specialist (FCLS)Certified Protection Professional (CPP)Associate in Claims (AIC)Chartered Property Casualty Underwriter (CPCU)BENEFITS:Medical, dental, vision, basic life, AD&D, and disability insuranceEnrollment in our company’s 401(k)plan, subject to eligibility requirementsSeven paid holidays annually, sick days available where required by lawVacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law.
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SIU Investigator
4 weeks ago
Phoenix, United States U-Haul Full timeSIU InvestigatorUnder the direction of the Regional Claims Manager, Repwest Insurance Company, responsible for the identification, investigation, and prosecution of fraudulent intent by all persons directed against Repwest and its insureds. Direct and train Repwest personnel in the detection and investigation of fraudulent submissions. Work with the Regional...
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Special Investigations Unit
5 days ago
Phoenix, United States Remote Staffing Full timeSpecial Investigations Unit (Siu) Investigator - RemoteAt Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.The Special Investigations Unit (SIU) Investigator is responsible for...
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Special Investigations Unit
1 week ago
Phoenix, United States Veterans Staffing Full timeSpecial Investigations Unit (Siu) InvestigatorAt Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.The Special Investigations Unit (SIU) Investigator is responsible for conducting...
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Phoenix, AZ SIU Investigator
2 weeks ago
Phoenix, Arizona, United States Lemieux & Associates LLC Full time $60,000 - $100,000 per yearCome grow with us Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the Phoenix, AZ or surrounding area. This is a part-time position to start with the ability to turn into a full-time position for the right individual. The owners are entrepreneurial, experienced, field investigators,...
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SIU Investigator
4 weeks ago
Phoenix, United States Arizona Staffing Full timeSpecial Investigation Unit PositionUnder the direction of the Regional Claims Manager, Repwest Insurance Company, responsible for the identification, investigation, and prosecution of fraudulent intent by all persons directed against Repwest and its insureds. Direct and train Repwest personnel in the detection and investigation of fraudulent submissions....
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SIU Investigator
4 weeks ago
Phoenix, United States Phoenix Staffing Full timeJob TitleLocation: 2721 N Central Ave, Phoenix, Arizona 85004 United States of America Under the direction of the Regional Claims Manager, Repwest Insurance Company is responsible for the identification, investigation, and prosecution of fraudulent intent by all persons directed against Repwest and its insureds. Direct and train Repwest personnel in the...
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SIU Investigator
6 days ago
Phoenix, Arizona, United States Block Full timeBlock is one company built from many blocks, all united by the same purpose of economic empowerment. The blocks that form our foundational teams — People, Finance, Counsel, Hardware, Information Security, Platform Infrastructure Engineering, and more — provide support and guidance at the corporate level. They work across business groups and around the...
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SIU Investigator P&C
1 week ago
Phoenix, Arizona, United States USAA Full time $77,120 - $147,390Why USAA?At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we...
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SIU Investigator
2 weeks ago
Phoenix, Arizona, United States U-Haul Full time $60,000 - $120,000 per yearLocation:2721 N Central Ave, Phoenix, Arizona 85004 United States of AmericaJob DescriptionUnder the direction of the Regional Claims Manager, Repwest Insurance Company, responsible for the identification, investigation, and prosecution of fraudulent intent by all persons directed against RepWest and its insureds. Direct and train RepWest personnel in the...
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Senior Investigator, Special Investigations Unit
3 weeks ago
Phoenix, United States Arizona Staffing Full timeSenior Healthcare Fraud InvestigatorAt CVS Health, we are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. This position can be work from home anywhere in the United States. We are seeking an experienced Senior Healthcare Fraud Investigator to join our...
