California Licensed SIU Specialist

A company is looking for a SIU Specialist - Remote in the California market. Key Responsibilities Maintain a caseload of fraud, waste, and abuse incidents, prioritizing and managing workload to meet performance metrics Conduct preliminary investigations by analyzing data and gathering information from various sources Document findings and recommendations clearly and concisely while providing backup support to team members as needed Required Qualifications Bachelor's degree preferred 2+ years of experience in fraud investigations and claims Knowledge of healthcare coding conventions, fraud schemes, and relevant regulations Proficiency in Microsoft Office applications Must be eligible to work in the United States without visa sponsorship

Jun 23, 2025 - 23:30
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California Licensed SIU Specialist
A company is looking for a SIU Specialist - Remote in the California market. Key Responsibilities Maintain a caseload of fraud, waste, and abuse incidents, prioritizing and managing workload to meet performance metrics Conduct preliminary investigations by analyzing data and gathering information from various sources Document findings and recommendations clearly and concisely while providing backup support to team members as needed Required Qualifications Bachelor's degree preferred 2+ years of experience in fraud investigations and claims Knowledge of healthcare coding conventions, fraud schemes, and relevant regulations Proficiency in Microsoft Office applications Must be eligible to work in the United States without visa sponsorship