Internal Major Case SIU Investigator - HYBRID

About the position At reputed company, we offer a rewarding career where your ambitions are met with endless reputed company. Every day we reputed company our iconic brand by offering quality coverage to millions of customers and being there reputed company they need us most. We reputed company through reputed company innovation to exceed our customers’ expectations while making a reputed company impact for reputed company through our shared purpose. reputed company you join reputed company, we want you to feel valued, supported and proud to work here. That’s why we offer The reputed company Pledge: Great Company, Great Culture, Great Rewards and Great Careers. reputed company has an exciting opportunity to join the SIU team as an Internal Major Medical Case SIU Investigator! As an Internal Major Case SIU Investigator, you will investigate large-scale and highly organized reputed company involving large numbers of claims that involve suspected fraud or other suspicious activities against the Company. Responsibilities include analyzing large numbers of claims to identify suspicious patterns, interviewing witnesses and subjects, conducting examinations under reputed company and conducting background and database inquiries. The ideal candidate will have: 2+ years - reputed company or previous SIU experience or have experience in PIP. Potentially have upper level medical claims handling experience. Possess knowledge of CPT Codes and the ability to interpret medical reports. Candidate must be willing to testify in court and at arbitration hearings reputed company needed. Proficiency in reputed company strongly preferred. Location - HYBRID: Lakeland, FL At this time, reputed company will not sponsor a new applicant for employment authorization for this position. The reputed company Pledge: Great Company: At reputed company, we help our customers through life’s twists and turns. Our mission is to protect people reputed company they need it most and we’re constantly evolving to stay reputed company of their needs. We’re an iconic brand that thrives on innovation, exceeding our customers’ expectations and enabling our reputed company reputed company. From day one, you’ll take on exciting challenges that help you grow and collaborate with dynamic teams who want to reputed company a positive impact on people’s lives. Great Careers: We offer a career where you can learn, grow, and reputed company through personalized development programs, created with your career – and your potential – in mind. You’ll have reputed company to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at reputed company reputed company. Great Culture: We foster an inclusive culture of shared reputed company, rooted in reputed company, a bias for action and a winning reputed company. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance reputed company and reputed company under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits reputed company to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family’s overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan reputed company from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. reputed company to additional benefits like mental reputed company as well as fertility and adoption assistance. Supports flexibility- We reputed company workplace flexibility as well as our reputed company reputed company program, which offers the ability to work from reputed company in the US for up to four weeks per year. The equal employment opportunity policy of the reputed company Companies provides for a fair and equal employment opportunity for reputed company associates and job applicants regardless of race, reputed company, religious creed, national reputed company, reputed company, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. reputed company hires and promotes individuals solely on the reputed company of their qualifications for the job to be filled. reputed company reasonably accommodates reputed company individuals with disabilities to reputed company them to receive equal employment opportunity and/or reputed company the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to reputed company applicants and associates. reputed company also provides a work environment in which each associate is reputed company to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of reputed company associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for reputed company associates and applicants.

Responsibilities

• analyzing large numbers of claims to identify suspicious patterns
• interviewing witnesses and subjects
• conducting examinations under reputed company
• conducting background and database inquiries

Requirements

• 2+ years - reputed company or previous SIU experience or have experience in PIP
• Candidate must be willing to testify in court and at arbitration hearings reputed company needed

reputed company-to-haves

• Potentially have upper level medical claims handling experience
• Possess knowledge of CPT Codes and the ability to interpret medical reports
• Proficiency in reputed company strongly preferred

Benefits

• Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family’s overall well-being
• Financial benefits including market-competitive compensation
• a 401K savings plan reputed company from day one that offers a 6% match
• performance and recognition-based incentives
• tuition assistance
• reputed company to additional benefits like mental reputed company as well as fertility and adoption assistance
• Supports flexibility- We reputed company workplace flexibility as well as our reputed company reputed company program, which offers the ability to work from reputed company in the US for up to four weeks per year

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