Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.
Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.
Must possess a valid driver's license with at least one year of driving experiencePrivate Investigator’s license required prior to applyingRESPONSIBILITIES:
Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disabilityAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of InsuranceCreate and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directedProduce professional and expert reports, memos, and letters that are clear, concise, and grammatically correctRun appropriate database indices if necessary and verify the accuracy of results foundIndependently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit SupervisorQUALIFICATIONS (MUST HAVE):
Must possess one or more of the following:Bachelor’s degree in Criminal JusticeHigh School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraudAbility to be properly licensed as a Private Investigator as required by the state where work Is completedPost offer, must be able to successfully complete the Allied Universal Investigations training/orientation courseMinimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claimsProficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.Proficient in utilizing laptop computers and cell phones.Special Investigative Unit (SIU) Compliance knowledgeAbility to type 40+ words per minute with minimum errorFlexibility to work varied and irregular hours and days including weekends and holidaysPREFERRED QUALIFICATIONS (NICE TO HAVE):
Military experienceLaw enforcementInsurance administration experienceFamiliarity with California SIU regulationsOne or more of the following professional industry certifications:Certified Fraud Investigator (CFE)Certified Insurance Fraud Investigator (CIFI)Fraud Claim Law Associate (FCLA)Fraud Claim Law Specialist (FCLS)Certified Protection Professional (CPP)Associate in Claims (AIC)Chartered Property Casualty Underwriter (CPCU)BENEFITS:
Medical, dental, vision, basic life, AD&D, retirement plan and disability insuranceSeven paid holidays annually, sick days available where required by lawVacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by lawAllied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.
Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.
Must possess a valid driver's license with at least one year of driving experience Florida applicants must either hold a C Private Investigators' License or independently complete the 40-hour course necessary to successfully apply for a CC Private Investigator’s license (apprenticeship) before applyingRESPONSIBILITIES:
Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disabilityAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of InsuranceCreate and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directedProduce professional and expert reports, memos, and letters that are clear, concise, and grammatically correctRun appropriate database indices if necessary and verify the accuracy of results foundIndependently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit SupervisorQUALIFICATIONS (MUST HAVE):
Must possess one or more of the following:Bachelor’s degree in Criminal JusticeHigh School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraudAbility to be properly licensed as a Private Investigator as required by the state where work Is completedPost offer, must be able to successfully complete the Allied Universal Investigations training/orientation courseMinimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claimsProficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.Proficient in utilizing laptop computers and cell phones.Special Investigative Unit (SIU) Compliance knowledgeAbility to type 40+ words per minute with minimum errorFlexibility to work varied and irregular hours and days including weekends and holidaysPREFERRED QUALIFICATIONS (NICE TO HAVE):
Military experienceLaw enforcementInsurance administration experienceFamiliarity with California SIU regulationsOne or more of the following professional industry certifications:Certified Fraud Investigator (CFE)Certified Insurance Fraud Investigator (CIFI)Fraud Claim Law Associate (FCLA)Fraud Claim Law Specialist (FCLS)Certified Protection Professional (CPP)Associate in Claims (AIC)Chartered Property Casualty Underwriter (CPCU)BENEFITS:
Medical, dental, vision, basic life, AD&D, retirement plan and disability insuranceSeven paid holidays annually, sick days available where required by lawVacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by lawAllied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.
JOB DESCRIPTION:
Allied Universal Compliance and Investigations is seeking candidates to fill the role of the Field Site Inspector. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements. The Inspector works independently to visit assigned locations, take photographs, conduct interviews, collect data, and document findings. Inspections must be completed using approved guidelines and standards.
Must possess a valid driver's license with at least one year of driving experience Pay Rate: $23 - $28 / hrRESPONSIBILITIES:
Conduct independent investigations of assigned cases in a specific geographic area. Document and report observations, activities, and any relevant information in a clear and concise manner using mobile devices (tablets and cell phones) Maintain confidentiality and adhere to legal and ethical standards with the highest professional standards while conducting site inspections Efficient and timely workload management to meet assignment time completion. Review and verify credentials, including education, training, licensure, and certification, for healthcare providers and healthcare facilities as required. Ensure that healthcare providers meet all necessary qualifications and requirements as detailed on provider/supplier-specific site visit checklist forms. Collaborate with Desktop Inspectors and other PEO SVS operational staff for the execution and reporting of site visit inspection performance. Professional attire, demeanor, and Interaction during all contacts with provider/suppliers/facility administrative staff/representative throughout the entire site inspection process.QUALIFICATIONS (MUST HAVE):
High school diploma or equivalent Proficient in utilizing laptop computers, mobile devices, and tablets. Flexibility to work varied and irregular hours/days including weekends Successful completion of the Allied Universal Investigations’ training/orientation course Successful completion of all required Site Inspector training, internal and CMS-required, both initial and in-service training.PREFERRED QUALIFICATIONS (NICE TO HAVE):
Associate degree or higher, preferably in Criminal Justice Prior insurance investigations and/or healthcare facility on-site inspections/compliance.Knowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred. Effective public speaking and communication skills.BENEFITS:
Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law.Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.
Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.
Pay Rate: $25 - $32 / hrAuto and travel allowances!Must possess a valid driver's license with at least one year of driving experienceRESPONSIBILITIES:
Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disabilityAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of InsuranceCreate and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directedProduce professional and expert reports, memos, and letters that are clear, concise, and grammatically correctRun appropriate database indices if necessary and verify the accuracy of results foundIndependently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit SupervisorQUALIFICATIONS (MUST HAVE):
Must possess one or more of the following:Bachelor’s degree in Criminal JusticeHigh School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraudAbility to be properly licensed as a Private Investigator as required by the state where work Is completedPost offer, must be able to successfully complete the Allied Universal Investigations training/orientation courseMinimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claimsProficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.Proficient in utilizing laptop computers and cell phones.Special Investigative Unit (SIU) Compliance knowledgeAbility to type 40+ words per minute with minimum errorFlexibility to work varied and irregular hours and days including weekends and holidaysPREFERRED QUALIFICATIONS (NICE TO HAVE):
Military experienceLaw enforcementInsurance administration experienceFamiliarity with California SIU regulationsOne or more of the following professional industry certifications:Certified Fraud Investigator (CFE)Certified Insurance Fraud Investigator (CIFI)Fraud Claim Law Associate (FCLA)Fraud Claim Law Specialist (FCLS)Certified Protection Professional (CPP)Associate in Claims (AIC)Chartered Property Casualty Underwriter (CPCU)BENEFITS:
Medical, dental, vision, basic life, AD&D, retirement plan and disability insuranceSeven paid holidays annually, sick days available where required by lawVacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by lawAllied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.
JOB DESCRIPTION:
Allied Universal Compliance and Investigations is seeking candidates to fill the role of the Field Site Inspector. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements. The Inspector works independently to visit assigned locations, take photographs, conduct interviews, collect data, and document findings. Inspections must be completed using approved guidelines and standards.
Must possess a valid driver's license with at least one year of driving experience Pay Rate: $23 - $28 / hrRESPONSIBILITIES:
Conduct independent investigations of assigned cases in a specific geographic area. Document and report observations, activities, and any relevant information in a clear and concise manner using mobile devices (tablets and cell phones) Maintain confidentiality and adhere to legal and ethical standards with the highest professional standards while conducting site inspections Efficient and timely workload management to meet assignment time completion. Review and verify credentials, including education, training, licensure, and certification, for healthcare providers and healthcare facilities as required. Ensure that healthcare providers meet all necessary qualifications and requirements as detailed on provider/supplier-specific site visit checklist forms. Collaborate with Desktop Inspectors and other PEO SVS operational staff for the execution and reporting of site visit inspection performance. Professional attire, demeanor, and Interaction during all contacts with provider/suppliers/facility administrative staff/representative throughout the entire site inspection process.QUALIFICATIONS (MUST HAVE):
High school diploma or equivalent Proficient in utilizing laptop computers, mobile devices, and tablets. Flexibility to work varied and irregular hours/days including weekends Successful completion of the Allied Universal Investigations’ training/orientation course Successful completion of all required Site Inspector training, internal and CMS-required, both initial and in-service training.PREFERRED QUALIFICATIONS (NICE TO HAVE):
Associate degree or higher, preferably in Criminal Justice Prior insurance investigations and/or healthcare facility on-site inspections/compliance.Knowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred. Effective public speaking and communication skills.BENEFITS:
Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law.Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.
JOB DESCRIPTION:
Allied Universal Compliance and Investigations is seeking candidates to fill the role of the Field Site Inspector. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements. The Inspector works independently to visit assigned locations, take photographs, conduct interviews, collect data, and document findings. Inspections must be completed using approved guidelines and standards.
Must possess a valid driver's license with at least one year of driving experience Pay Rate: $23 - $28 / hrRESPONSIBILITIES:
Conduct independent investigations of assigned cases in a specific geographic area. Document and report observations, activities, and any relevant information in a clear and concise manner using mobile devices (tablets and cell phones) Maintain confidentiality and adhere to legal and ethical standards with the highest professional standards while conducting site inspections Efficient and timely workload management to meet assignment time completion. Review and verify credentials, including education, training, licensure, and certification, for healthcare providers and healthcare facilities as required. Ensure that healthcare providers meet all necessary qualifications and requirements as detailed on provider/supplier-specific site visit checklist forms. Collaborate with Desktop Inspectors and other PEO SVS operational staff for the execution and reporting of site visit inspection performance. Professional attire, demeanor, and Interaction during all contacts with provider/suppliers/facility administrative staff/representative throughout the entire site inspection process.QUALIFICATIONS (MUST HAVE):
High school diploma or equivalent Proficient in utilizing laptop computers, mobile devices, and tablets. Flexibility to work varied and irregular hours/days including weekends Successful completion of the Allied Universal Investigations’ training/orientation course Successful completion of all required Site Inspector training, internal and CMS-required, both initial and in-service training.PREFERRED QUALIFICATIONS (NICE TO HAVE):
Associate degree or higher, preferably in Criminal Justice Prior insurance investigations and/or healthcare facility on-site inspections/compliance.Knowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred. Effective public speaking and communication skills.BENEFITS:
Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law.Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.
JOB DESCRIPTION:
Allied Universal Compliance and Investigations is seeking candidates to fill the role of the Field Site Inspector. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements. The Inspector works independently to visit assigned locations, take photographs, conduct interviews, collect data, and document findings. Inspections must be completed using approved guidelines and standards.
Must possess a valid driver's license with at least one year of driving experience Pay Rate: $23 - $28 / hrRESPONSIBILITIES:
Conduct independent investigations of assigned cases in a specific geographic area. Document and report observations, activities, and any relevant information in a clear and concise manner using mobile devices (tablets and cell phones) Maintain confidentiality and adhere to legal and ethical standards with the highest professional standards while conducting site inspections Efficient and timely workload management to meet assignment time completion. Review and verify credentials, including education, training, licensure, and certification, for healthcare providers and healthcare facilities as required. Ensure that healthcare providers meet all necessary qualifications and requirements as detailed on provider/supplier-specific site visit checklist forms. Collaborate with Desktop Inspectors and other PEO SVS operational staff for the execution and reporting of site visit inspection performance. Professional attire, demeanor, and Interaction during all contacts with provider/suppliers/facility administrative staff/representative throughout the entire site inspection process.QUALIFICATIONS (MUST HAVE):
High school diploma or equivalent Proficient in utilizing laptop computers, mobile devices, and tablets. Flexibility to work varied and irregular hours/days including weekends Successful completion of the Allied Universal Investigations’ training/orientation course Successful completion of all required Site Inspector training, internal and CMS-required, both initial and in-service training.PREFERRED QUALIFICATIONS (NICE TO HAVE):
Associate degree or higher, preferably in Criminal Justice Prior insurance investigations and/or healthcare facility on-site inspections/compliance.Knowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred. Effective public speaking and communication skills.BENEFITS:
Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law.Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.
JOB DESCRIPTION:
Allied Universal Compliance and Investigations is seeking candidates to fill the role of the Field Site Inspector. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established requirements. The Inspector works independently to visit assigned locations, take photographs, conduct interviews, collect data, and document findings. Inspections must be completed using approved guidelines and standards.
Multiple positions are available! Must possess a valid driver's license with at least one year of driving experience Pay Rate: $25 - $30 / hrRESPONSIBILITIES:
Conduct independent investigations of assigned cases in a specific geographic area. Document and report observations, activities, and any relevant information in a clear and concise manner using mobile devices (tablets and cell phones) Maintain confidentiality and adhere to legal and ethical standards with the highest professional standards while conducting site inspections Efficient and timely workload management to meet assignment time completion. Review and verify credentials, including education, training, licensure, and certification, for healthcare providers and healthcare facilities as required. Ensure that healthcare providers meet all necessary qualifications and requirements as detailed on provider/supplier-specific site visit checklist forms. Collaborate with Desktop Inspectors and other PEO SVS operational staff for the execution and reporting of site visit inspection performance. Professional attire, demeanor, and Interaction during all contacts with provider/suppliers/facility administrative staff/representative throughout the entire site inspection process.QUALIFICATIONS (MUST HAVE):
High school diploma or equivalent Proficient in utilizing laptop computers, mobile devices, and tablets. Flexibility to work varied and irregular hours/days including weekends Successful completion of the Allied Universal Investigations’ training/orientation course Successful completion of all required Site Inspector training, internal and CMS-required, both initial and in-service training.PREFERRED QUALIFICATIONS (NICE TO HAVE):
Associate degree or higher, preferably in Criminal Justice Prior insurance investigations and/or healthcare facility on-site inspections/compliance.Knowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred. Effective public speaking and communication skills.BENEFITS:
Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law.Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.
Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.
Must possess a valid driver's license with at least one year of driving experienceGeorgia applicants must independently complete the 70-hour course necessary to receive a Private Investigator’s license prior to applying.RESPONSIBILITIES:
Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disabilityAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of InsuranceCreate and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directedProduce professional and expert reports, memos, and letters that are clear, concise, and grammatically correctRun appropriate database indices if necessary and verify the accuracy of results foundIndependently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit SupervisorQUALIFICATIONS (MUST HAVE):
Must possess one or more of the following:Bachelor’s degree in Criminal JusticeHigh School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraudAbility to be properly licensed as a Private Investigator as required by the state where work Is completedPost offer, must be able to successfully complete the Allied Universal Investigations training/orientation courseMinimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claimsProficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.Proficient in utilizing laptop computers and cell phones.Special Investigative Unit (SIU) Compliance knowledgeAbility to type 40+ words per minute with minimum errorFlexibility to work varied and irregular hours and days including weekends and holidaysPREFERRED QUALIFICATIONS (NICE TO HAVE):
Military experienceLaw enforcementInsurance administration experienceFamiliarity with California SIU regulationsOne or more of the following professional industry certifications:Certified Fraud Investigator (CFE)Certified Insurance Fraud Investigator (CIFI)Fraud Claim Law Associate (FCLA)Fraud Claim Law Specialist (FCLS)Certified Protection Professional (CPP)Associate in Claims (AIC)Chartered Property Casualty Underwriter (CPCU)BENEFITS:
Medical, dental, vision, basic life, AD&D, retirement plan and disability insuranceSeven paid holidays annually, sick days available where required by lawVacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by lawAllied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
Company Overview:
Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.
Allied Universal® is hiring a Surveillance / Claims Investigator. Surveillance / Claims Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation.
No office to go to - travel daily to cases in the field! Must possess a valid driver's license with at least one year of driving experienceWill require Claims and Surveillance investigations as needed to ensure a full scheduleRESPONSIBILITIES:
Investigate insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disabilityGather information independently and in collaboration with clients and case managers through various methods such as data collection, interviews, research, and scene investigationsFollow guidance from the handling insurance adjuster to perform field tasks essential to the investigationDevelop and document information on any investigation in a professional and expert manner by writing clear, concise, and grammatically correct reports, memos, and lettersRun appropriate database indices if necessary and verify the accuracy of results foundQUALIFICATIONS (MUST HAVE):
Must possess one or more of the following:Bachelor’s degree in Criminal JusticeAssociate’s degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claimsHigh school diploma with a minimum of six (6) years of demonstrated experience conducting complex insurance investigations or adjusting complex claimsAbility to be properly licensed as a Private Investigator as required by the states in which you workPost offer, must be able to successfully complete the Allied Universal Investigations training/orientation courseMinimum of two (2) years of demonstrated experience conducting insurance claims investigations or adjusting complex claimsWorking knowledge and understanding of anti-fraud laws, insurance regulations, and compliance rules and standards in their home state and within their designated region of the countrySpecial Investigative Unit (SIU) Compliance knowledgeAbility to type 40+ words per minute with minimum errorFlexibility to work varied and irregular hours and days including weekends and holidaysProficient in utilizing laptop computers and cell phonesPREFERRED QUALIFICATIONS (NICE TO HAVE):
Military experienceLaw enforcementInsurance administration experienceOne or more of the following professional industry certificationsCertified Fraud Investigator (CFE)Certified Insurance Fraud Investigator (CIFI)Fraud Claim Law Associate (FCLA)Fraud Claim Law Specialist (FCLS)Certified Protection Professional (CPP)Associate in Claims (AIC)Chartered Property Casualty Underwriter (CPCU)BENEFITS:
Medical, dental, vision, basic life, AD&D, retirement plan and disability insuranceSeven paid holidays annually, sick days available where required by lawVacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by lawAllied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.
