Top 308 Claims Associate Siu Jobs

SIU Investigator
Centene —Ohio
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- Paid holidays
- Health insurance
Third Party Sr. Claims Representative
Fleet Response —Hudson, OH
- $22.00 - $22.50 an hour
- Full-time
- Research
- Analysis skills
- Math
- Disability insurance
- Health insurance
Quick Apply
5d
SIU Investigator
Allied Universal® Compliance and Investigations —LaGrange, GA
- Weekends as needed
- Military
- Computer literacy
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
SIU Investigator
Allied Universal® Compliance and Investigations —Covington, GA
- Weekends as needed
- Military
- Computer literacy
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
SIU Investigator
Allied Universal® Compliance and Investigations —Kennesaw, GA
- Weekends as needed
- Military
- Computer literacy
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
Outside Auto Appraiser
Travelers —Brockton, MA
- $63,800 - $105,400 a year
- Mid-level
- Windows
- Residential
- Wellness program
- Continuing education credits
9d
Outside Auto Appraiser
Travelers —Barnstable, MA
- $63,800 - $105,400 a year
- Mid-level
- Windows
- Residential
- Wellness program
- Continuing education credits
9d
Field Site Inspector - Part Time
Allied Universal® Compliance and Investigations —Bismarck, ND
- $23 - $28 an hour
- Part-time
- Computer literacy
- Public speaking
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
Property Adjuster Specialist - Field
USAA —Colorado Springs, CO
- $72,080 - $129,740 a year
- Overtime
- Hybrid work
- Military
- Research
- Mid-level
- Paid holidays
- Health insurance
Claim Examiner Associate - Boca Raton Office
AmTrust Financial Services, Inc. —Boca Raton, FL
- $26.50 an hour
- Full-time
- Mid-level
- Office
- 3 years
- Paid training
- Wellness program
Outside Auto Appraiser
Travelers —White Plains, NY
- $63,800 - $105,400 a year
- Mid-level
- Windows
- Residential
- Wellness program
- Continuing education credits
9d
SIU Investigator
Allied Universal® Compliance and Investigations —Chicago, IL
- $27 - $32 an hour
- Weekends as needed
- Military
- Computer literacy
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
SIU / Claims Investigator - Northern VA / DC Area
Allied Universal® Compliance and Investigations —Fredericksburg, VA
- $25 - $32 an hour
- Weekends as needed
- Military
- Computer literacy
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
10d
Outside Auto Appraiser
Travelers —West Bridgewater, MA
- $63,800 - $105,400 a year
- Mid-level
- Windows
- Residential
- Wellness program
- Continuing education credits
9d
SIU Expert Investigator
Kemper Insurance —Miami, FL
- $70,000 - $117,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Management
Quick Apply
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —North Carolina
- $46,988 - $122,400 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
- Health insurance
- Dental insurance
SIU Claims Investigator
Lemieux & Associates LLC —Buffalo, NY
- $25 - $35 an hour
- Part-time
- Bilingual
- Microsoft Word
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply
Senior (Special Investigation Unit (SIU) Investigator
AAA Life Insurance Company —Livonia, MI
- Full-time
- Remote
- Finance
- 8 years
- Analysis skills
- Life insurance
Field Investigator - SIU
Auto-Owners Insurance Company —Mount Vernon, IL
- $73,000 - $93,000 a year
- Full-time
- Writing skills
- Mid-level
- Driver's License
- Paid holidays
- Disability insurance
Quick Apply
Field Investigator - SIU Claims
Auto-Owners Insurance Company —Independence, MO
- Full-time
- Writing skills
- Mid-level
- Driver's License
- Paid holidays
- Paid time off
Quick Apply

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SIU Investigator

Centene -
Ohio

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Job Details

Full-time
$56,200 - $101,000 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Healthcare financial misconduct investigations
Health data analysis
Suspicious activity investigations
Investigative data analysis
Healthcare billing investigations
Insurance claims auditing
Healthcare claims compliance audits
Healthcare coding investigations

Full Job Description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Please note: this is a remote role with preference on candidates residing within Ohio.

Position Purpose: Investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.

Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party
Perform data mining and analysis to detect aberrancies and outliers in claims
Develop new queries and reports to detect potential waste, abuse, and fraud
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions
Assist with complex allegations of healthcare fraud
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies
Complete various special projects and audits
Performs other duties as assigned
Complies with all policies and standards

Education/Experience:

Bachelor's degree, or an Associate's degree with an additional 2 years working on health care fraud, waste, and abuse investigations and audits in lieu of a Bachelors is required.
A minimum of 2 years in a health care field working on fraud, waste, and abuse investigations and audits required.
The ability to understand and analyze health care claims and coding required.

Pay Range: $56,200.00 - $101,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

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