Top 66 Siu investigator Jobs in Fl

SIU Investigator
Centene —Florida
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Florida
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
6d
SIU Expert Investigator
Kemper Insurance —Miami, FL
- $70,000 - $117,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Management
Quick Apply
SIU Desk Investigator - Miami
AssuranceAmerica —Florida
- Full-time
- Mid-level
- Office
- Finance
SIU Desk Investigator - Tampa
AssuranceAmerica —Tampa, FL
- Full-time
- Mid-level
- Office
- Finance
13d
SIU Investigator (Part-Time)
VRC Investigations —Tallahassee, FL
- Part-time
- Customer service
- 5 years
- Military
- Profit sharing
- Paid training
Quick Apply
SIU Field Investigator - Orlando
AssuranceAmerica —Orlando, FL
- Full-time
- Spanish
- 5 years
- Writing skills
Manager, SIU Prepay Investigations
Centene —Florida
- $87,700 - $157,800 a year
- Full-time
- Remote
- Management
- Mid-level
- Supervising experience
- Paid holidays
- Health insurance
Investigator, Special Investigative Unit-must reside in Florida
Molina Healthcare —Florida
- $21.82 - $42.55 an hour
- Full-time
- Anatomy knowledge
- Customer service
- Research
- Health insurance
SIU Investigator - Tampa Bay Area
Allied Universal® Compliance and Investigations —Tampa, FL
- Weekends as needed
- Military
- Computer literacy
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
Part Time SIU Investigator
The Robison Group —Tampa, FL
- $30 - $35 an hour
- Part-time
- Background check
- 5 years
- Computer literacy
Quick Apply
Part-Time SIU Investigator
The Robison Group —West Palm Beach, FL
- $30 - $35 an hour
- Part-time
- Background check
- 5 years
- Computer literacy
Quick Apply
Senior Field Security Investigator
GEICO —Orlando, FL
- $32.05 - $49.86 an hour
- Full-time
- 5 years
- Senior level
- Associate's degree
14d
Surveillance Investigator
VRC Investigations —Port Saint Lucie, FL
- Clean driving record
- Military
- Computer literacy
- Profit sharing
- Paid training
Quick Apply
Senior Internal Investigator Lakeland
GEICO —Lakeland, FL
- Full-time
- Office
- Mentoring
- Senior level
1d
SIU Investigator - Miami, FL
Delta Group —Miami, FL
- $30 - $40 an hour
- Per diem
- Microsoft Outlook
- Organizational skills
- Senior level
Quick Apply
9d
Florida, Orlando SIU Investigator PT
Insight Service Group (ISG) —Orlando, FL
- $20 - $27 an hour
- Part-time
- Mid-level
- Driver's License
- Travel
Quick Apply
Manager, Sales Investigations
Centene —Florida
- $87,700 - $157,800 a year
- Full-time
- Remote
- High school diploma or GED
- Fair chance
- 1 year
- Paid holidays
- Health insurance
SIU - Experienced Field Investigator - Part-Time
Command Investigations, LLC —Tampa, FL
- $28 - $32 an hour
- Overtime
- Bilingual
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Surveillance Investigator
Allied Universal® Compliance and Investigations —Miami, FL
- Weekends as needed
- Microsoft Word
- Military
- Mid-level
- Paid training
- AD&D insurance
Quick Apply

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SIU Investigator

Centene -
Florida

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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
Data mining
Health data analysis
Bachelor's degree in business
Mid-level
Suspicious activity investigations
Data summary reports
Criminal Justice
Audit Reporting
Investigative data analysis
Insurance investigation report preparation
Outlier detection
Healthcare billing investigations
Case referral
1 year
Insurance claims auditing
Business
Healthcare claims compliance audits
Bachelor's degree in criminal justice

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: candidates who reside in Florida are highly preferred.

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 Business, Criminal Justice, Healthcare, or related field, or equivalent experience required
1+ years Medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation 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

siu investigator jobs in fl

SIU Investigator

Senior Investigator, Special Investigations Unit (Aetna SIU)

SIU Expert Investigator

SIU Desk Investigator - Miami

SIU Desk Investigator - Tampa

SIU Investigator (Part-Time)

SIU Field Investigator - Orlando

Manager, SIU Prepay Investigations

Investigator, Special Investigative Unit-must reside in Florida

SIU Investigator - Tampa Bay Area

Part Time SIU Investigator

Part-Time SIU Investigator

Senior Field Security Investigator

Surveillance Investigator

Senior Internal Investigator Lakeland

SIU Investigator - Miami, FL

Florida, Orlando SIU Investigator PT

Manager, Sales Investigations

SIU - Experienced Field Investigator - Part-Time

Surveillance Investigator

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