5 siu field investigator jobs found in Fort Worth, TX

This role is in the Dallas/Ft. Worth area. Primary Purpose: Identifies and investigates questionable claims, insurance transactions and other risks in order to provide assistance to internal and external customers, protect company assets and the company's policy holders. Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Receives referral of questionable claim/transaction and jointly creates an investigative Plan of Action with the referring party Completes a thorough field investigation by collecting facts and evidence through the use of database checks, recorded statements with relevant parties and witnesses, and scene investigations Documents and evaluates investigative findings, and communicates with the referring party Provides recommendations to the referring party based...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) As an Investigations Data Consultant, you’ll review claims data, look for patterns of potential fraud, waste and/or abuse and interact with the Special Investigations Unit (“SIU”) to complete investigations. You’ll be fully invested in the outcomes and will be helping the health system work better for everyone with the support and resources of a Fortune 5 industry leader.  You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Establish, mandate and implement standard policies, procedures and best practices regarding UnitedHealthcare...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The Investigations Consultant reports directly to the Manager of Investigations. The Investigations Consultant is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Investigations Consultant will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The Investigations Consultant is responsible to conduct investigations which may include field work to perform interviews and obtain records and/or other relevant documentation. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) As an Investigations Data Consultant, you’ll review claims data, look for patterns of potential fraud, waste and/or abuse and interact with the Special Investigations Unit (“SIU”) to complete investigations. You’ll be fully invested in the outcomes and will be helping the health system work better for everyone with the support and resources of a Fortune 5 industry leader.  You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Establish, mandate and implement standard policies, procedures and best practices regarding UnitedHealthcare...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) The Investigations Consultant reports directly to the Manager of Investigations. The Investigations Consultant is responsible for identification, investigation and prevention of healthcare fraud, waste and abuse. The Investigations Consultant will utilize claims data, applicable guidelines and other sources of information to identify aberrant billing practices and patterns. The Investigations Consultant is responsible to conduct investigations which may include field work to perform interviews and obtain records and/or other relevant documentation. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on...