Claims SIU Investigator Job at JCW, Atlanta, GA

U3did1ZRei9TZmhxQ3FHZVBKZVRBdjJCdVE9PQ==
  • JCW
  • Atlanta, GA

Job Description

JCW has partnered with a specialty insurance carrier in hiring a Claims SIU Investigator for their Atlanta office. They are looking for a candidate to join their claims compliance and shared service team on a hybrid basis, 2 days in office a week. If interested in this opportunity, apply today!

Responsibilities:

  • Investigate and analyze referred claims for potential fraud, including background searches, scene investigations, witness interviews, and surveillance.
  • Prepare detailed investigative reports summarizing findings and recommended actions while ensuring compliance with fraud-related laws and regulations.
  • Utilize analytic tools and data to identify fraudulent claims and support investigations.
  • Collaborate with the SIU Manager, external vendors, and business partners on investigative assignments.
  • Provide stakeholder training and promote fraud awareness within the claims department.

Qualifications:

  • Minimum 5 years of analytical/investigative experience in insurance or a related field.
  • Bachelor’s degree or equivalent work experience.
  • Preferred certifications: FCLS, FCLA, CFE, or CIFA.

For more information, reach out to Cassidy Tsakoniatis at cassidy.tsakoniatis@jcwresourcing.com.

Job Tags

Work experience placement, 2 days per week,

Similar Jobs

Legacy Health

Certified Hospital Technician II (CNA2) - Surgical Specialties Job at Legacy Health

The nursing philosophy at Legacy focuses on our patients and their families. Everything we do centers around them. At Legacy, you will be part of an interprofessional team focused on one goal: making life better for our patients and the community. If you believe this...

Royal Caribbean Group

Sr Analyst, IT Vendor Maritime Construction Job at Royal Caribbean Group

Journey with us! Combine your career goals and sense of adventure by joining our exciting team of employees. Royal Caribbean Group is pleased to offer a competitive compensation and benefits package, and excellent career development opportunities, each offering unique...

Tuscaloosa Public Library

Outreach Librarian Job at Tuscaloosa Public Library

 ...Description POSITION DESCRIPTION Title Of The Position Librarian Department Outreach Status Full-Time Non-Exempt - 40 hours per week Schedule Day, evening, and weekend hours. Schedules will be adjusted in response to changing operational needs... 

Terumo Medical Corporation

Product Manager Job at Terumo Medical Corporation

 ...Job Summary: The Product Manager is responsible for all marketing-related aspects of the products within the assigned product portfolio and/or therapeutic area(s) for Terumo Interventional Systems (TIS). This includes developing and implementing effective marketing strategies... 

The Joshua School

School Nurse Job at The Joshua School

 ...to a life of their choosing. POSITION SUMMARY: The School Nurse at The Joshua School plays a vital role in supporting the...  ...~100% employer paid medical insurance (including HSA option), telehealth services, short term disability and life insurance policy. Optional...