Top 20 Remote siu Jobs in Florida

SIU Investigator
Centene —Florida
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Senior Compliance Investigator
Centene —Florida
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
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
In-House Cyber/Backbround Investigator (FL based) - Experienced
SPi Investigations —Florida
- $22 - $26 an hour
- Full-time
- Microsoft Word
- Research
- Analysis skills
- Health insurance
- Paid time off
Quick Apply
Litigation Specialist - REMOTE
K2 Claims Services, LLC —Miami, FL
- $95,000 - $115,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Property Claims Adjuster Specialist - Field
USAA —Palm Bay, FL
- $69,920 - $133,620 a year
- Overtime
- Hybrid work
- Military
- Research
- Mid-level
- Paid holidays
- Health insurance
Auto Adjuster (Mid-Level) – Experienced Non-Injury
USAA —Tampa, FL
- $51,370 - $86,680 a year
- Weekends as needed
- Hybrid work
- Military
- Mid-level
- Office
- Paid holidays
- Health insurance
Inside Senior Property Claims Adjuster
USAA —Tampa, FL
- $63,590 - $121,530 a year
- 8 hour shift
- Hybrid work
- Up to 50% travel
- Military
- Research
- Paid training
- Paid holidays
Private Investigator (Insurance Fraud) C license REQUIRED
All American Investigations, LLC —Florida
- $25 - $35 an hour
- Part-time
- Remote
- Background check
- Writing skills
- Mid-level
Quick Apply
1d
Senior Casualty Claims Specialist - Southeast
Liberty Mutual —Tampa, FL
- $61,000 - $126,000 a year
- Full-time
- Mid-level
- Bachelor's degree
- Experience equivalent to degree accepted
7d
Sr. Auto Adjuster
USAA —Tampa, FL
- $54,550 - $74,000 a year
- Weekends as needed
- Hybrid work
- Military
- Bachelor's degree
- 1 year
- Paid holidays
- Health insurance

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SIU Investigator
Centene —Florida
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time…
$56,200 - $101,000 a year
Corporate Ethics & Compliance Investigator
Centene —Florida
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time…
$107,700 - $199,300 a year

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Claims Specialist II, First Party Medical
Branch Financial, LLC —Columbus, OH
Adjuster license(s) and experience handling claims in multiple states is strongly preferred (MI, NY, NJ, FL). 3+ years of progressive front line multi-state PIP…
$59,500 - $85,000 a year
Quick Apply
2h
Property Claims Adjuster Specialist - Field
USAA —Columbus, OH
May need to meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver’s license.
$69,920 - $133,620 a year
10d

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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

remote siu jobs in florida

SIU Investigator

Senior Compliance Investigator

Manager, Sales Investigations

In-House Cyber/Backbround Investigator (FL based) - Experienced

Litigation Specialist - REMOTE

Property Claims Adjuster Specialist - Field

Auto Adjuster (Mid-Level) – Experienced Non-Injury

Inside Senior Property Claims Adjuster

Private Investigator (Insurance Fraud) C license REQUIRED

Senior Casualty Claims Specialist - Southeast

Sr. Auto Adjuster

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