2+ YOEBachelor's degree and 2+ years of SIU investigation experience required; CIFI plus another insurance designation may substitute. Requires analytics, insurance knowledge, MS Office proficiency, and fluent English.
RGPNasdaq: RGP: Provides specialized consulting and on-demand talent for business transformation.
Experience in healthcare investigations, compliance, SIU, clinical auditing, utilization review, or medical record review; knowledge of medical necessity, fraud schemes, billing, claims review, and documentation standards.
Allied Universal: Provides security personnel, technology, and facility management services.
5+ YOE5+ years conducting complex insurance or law enforcement investigations, ability to obtain PI license, valid driver's license, strong documentation and interviewing skills, ability to complete company training.
Advantage Investigations: Provides surveillance and investigative services for insurance defense and fraud.
5+ YOE5+ MgmtBachelor's degree preferred in criminal justice or related field; 5+ years managing claims investigations and investigative personnel. Requires strong communication, organization, attention to detail, and multitasking skills.
KemperNYSE: KMPR: Provides specialized auto, life, and health insurance services.
3+ YOE3 years of claims or professional investigation experience, knowledge of auto casualty claims, strong communication and time management, Microsoft Office proficiency, digital/document metadata familiarity, valid driver's license and clean driving record.
SCAN Health Plan: Providing Medicare Advantage plans and integrated healthcare for seniors.
10+ YOEBachelor's degree or equivalent; 10+ years compliance/FWA/special investigations experience in managed care or CMS; experience with regulators; AHFI/CFE/CHC or similar credentials preferred; ability to develop SIU strategy and lead teams.