SIU Investigator - Nashville, TN

We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-rela ...

We are looking for a SIU Investigator (mid-level). This is a desk position and you must have multi-line experience, not just auto. Within defined guidelines and framework, · protects USAA and our members from potential fraudulent claims by investigating questionable, · suspect cl ...

Centene is transforming the health of our communities, one person at a time. · Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes. · Monitor business processes and systems to as ...

We are seeking a meticulous and experienced SIU Investigator to join our team. Conducting comprehensive investigations into potential fraud and misconduct is the main responsibility of this role. · Insurance Experience, Worker's Compensation, Auto, Liability, or similar SIU / Sur ...

A career at Auto-Owners is challenging and rewarding. · We offer a merit-based work-from-home program based on job responsibilities. · Auto-Owners Insurance seeks an experienced Claims Investigator to join the Special Investigation unit. · The position requires investigating clai ...

Allied Universal is hiring a Surveillance Investigator to perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. · ...

Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. · Conduct independe ...

The Senior Field Property Adjuster is responsible for independently managing moderate to complex and high-value field property claims. · We are seeking a Senior Field Property Adjuster for the Nashville territory. This is a remote Full-time/Exempt role with field investigations. ...

This role requires leading strategic engagement with payers and ensuring policy compliance across all payer types including Commercial Medicaid and Medicare. · The Director will manage responses to Special Investigation Unit SIU inquiries and refund requests ensuring timely and a ...

The Director, Payer Policy Relations is responsible for leading strategic engagement with payers and ensuring policy compliance across all payer types, · Policy Analysis and Interpretation:Monitor and interpret payer policies and regulatory changes. · ...

We live our values every day demonstrating we CARE through our values Sustainability initiatives and inclusive corporate culture The Sr Adjuster Field Service Claims is responsible for independently managing moderate to complex and high-value field property claims This role requi ...

+Job summary · For more than 170 years, The Hanover has been committed to delivering on our promises and being there when it matters the most. · +Independently manage field property claims. · Lead thorough investigations, assess coverage. · ...

Allied Universal is hiring a Surveillance Investigator. The job requires performing discreet mobile and stationary surveillance of an insurance claimant to confirm their activities and capabilities. · Medical insurancedental insurancevacation time offered at an initial accrual ra ...