Design, code, conduct, test, debug and conduct studies and analyze the data to assist with the ... SIU. * Researches, evaluates and recommends business solutions that may include software ...
Design, code, conduct, test, debug and conduct studies and analyze the data to assist with the ... SIU. * Researches, evaluates and recommends business solutions that may include software ...
Design, code, conduct, test, debug and conduct studies and analyze the data to assist with the ... SIU. * Researches, evaluates and recommends business solutions that may include software ...
Design, code, conduct, test, debug and conduct studies and analyze the data to assist with the ... SIU. * Researches, evaluates and recommends business solutions that may include software ...
Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting, preventing, and correcting health care fraud, waste ...
Blue Cross NC is hiring a Special Investigations Unit (SIU) Manager of Audit/Clinical to lead a team of clinicians and coders focused on detecting, preventing, and correcting health care fraud, waste ...
... SIU major case investigators in the identification of activity involving medical providers, body ... Code of Conduct, company policies, and operating principles. 10. MEETS attendance standard at ...
... SIU major case investigators in the identification of activity involving medical providers, body ... Code of Conduct, company policies, and operating principles. 10. MEETS attendance standard at ...
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
Plantation, FL · On-site
$46K - $102K/yr
The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention ... Knowledge of CPT/HCPCS/ICD coding * Knowledge and understanding of clinical issues. * Experience ...
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
Plantation, FL · On-site
$46K - $102K/yr
The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention ... Knowledge of CPT/HCPCS/ICD coding * Knowledge and understanding of clinical issues. * Experience ...
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
Miami, FL · On-site
$46K - $102K/yr
The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention ... Knowledge of CPT/HCPCS/ICD coding * Knowledge and understanding of clinical issues. * Experience ...
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
Miami, FL · On-site
$46K - $102K/yr
The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention ... Knowledge of CPT/HCPCS/ICD coding * Knowledge and understanding of clinical issues. * Experience ...
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
$46K - $102K/yr
The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention ... Knowledge of CPT/HCPCS/ICD coding * Knowledge and understanding of clinical issues. * Experience ...
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
$46K - $102K/yr
The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention ... Knowledge of CPT/HCPCS/ICD coding * Knowledge and understanding of clinical issues. * Experience ...
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
Plantation, FL · On-site
$46K - $102K/yr
The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention ... Knowledge of CPT/HCPCS/ICD coding * Knowledge and understanding of clinical issues. * Experience ...
Senior Investigator, Special Investigations Unit (Aetna SIU) - Must reside in Florida
Plantation, FL · On-site
$46K - $102K/yr
The SIU Senior Investigator conducts complex investigations to effectively pursue the prevention ... Knowledge of CPT/HCPCS/ICD coding * Knowledge and understanding of clinical issues. * Experience ...
Application Support Engineer - Level 3
Orlando, FL · On-site
$80K - $100K/yr
Coding / programming experience Minimum 2 years writing and maintaining code in .NET, Python, or ... Preferred Qualifications • HL7 (ADT, SIU) and FHIR (R4 resources and Bundles) hands-on ...
Application Support Engineer - Level 3
Orlando, FL · On-site
$80K - $100K/yr
Coding / programming experience Minimum 2 years writing and maintaining code in .NET, Python, or ... Preferred Qualifications • HL7 (ADT, SIU) and FHIR (R4 resources and Bundles) hands-on ...
Application Support Engineer - Level 3
$80K - $100K/yr
Coding / programming experience Minimum 2 years writing and maintaining code in .NET, Python, or ... HL7 (ADT, SIU) and FHIR (R4 resources and Bundles) hands-on integration experience. * Experience ...
Quick apply
Application Support Engineer - Level 3
$80K - $100K/yr
Coding / programming experience Minimum 2 years writing and maintaining code in .NET, Python, or ... HL7 (ADT, SIU) and FHIR (R4 resources and Bundles) hands-on integration experience. * Experience ...
Application Support Engineer - Level 3
Orlando, FL · On-site
$80K - $100K/yr
Coding / programming experience Minimum 2 years writing and maintaining code in .NET, Python, or ... Preferred Qualifications • HL7 (ADT, SIU) and FHIR (R4 resources and Bundles) hands-on ...
Application Support Engineer - Level 3
Orlando, FL · On-site
$80K - $100K/yr
Coding / programming experience Minimum 2 years writing and maintaining code in .NET, Python, or ... Preferred Qualifications • HL7 (ADT, SIU) and FHIR (R4 resources and Bundles) hands-on ...
System Integration Engineer - Project Senior Consultant Managed Services
Jacksonville, FL · On-site
$154K/yr
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
System Integration Engineer - Project Senior Consultant Managed Services
Jacksonville, FL · On-site
$154K/yr
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
System Integration Engineer - Project Senior Consultant Managed Services
Tallahassee, FL · On-site
$158K/yr
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
System Integration Engineer - Project Senior Consultant Managed Services
Tallahassee, FL · On-site
$158K/yr
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
System Integration Engineer - Project Senior Consultant Managed Services
Lake Mary, FL · On-site
$146K/yr
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
System Integration Engineer - Project Senior Consultant Managed Services
Lake Mary, FL · On-site
$146K/yr
... SIU, DFT-including triggers, acknowledgements (ACK), error handling, retries, and reprocessing. * Create and maintain data mappings/transformations (e.g., HealthConnect DTL), and implement code-based ...
Senior Mirth Engineer
Tampa, FL · On-site
$93 - $104/hr
Develop reusable transformation logic, shared frameworks, coding standards, and migration patterns ... Strong HL7 v2.x messaging expertise, including ADT, ORU, ORM, SIU, and similar message types
Quick apply
Senior Mirth Engineer
Tampa, FL · On-site
$93 - $104/hr
Develop reusable transformation logic, shared frameworks, coding standards, and migration patterns ... Strong HL7 v2.x messaging expertise, including ADT, ORU, ORM, SIU, and similar message types
Previous experience in Medicare and/or Medicaid Managed Care, Special Fraud Investigations (SIU ... coding, auditing, investigations, or related work experience required. Knowledge, Skills ...
Previous experience in Medicare and/or Medicaid Managed Care, Special Fraud Investigations (SIU ... coding, auditing, investigations, or related work experience required. Knowledge, Skills ...
Compliance Professional
Orlando, FL · On-site
Previous experience in Medicare and/or Medicaid Managed Care, Special Fraud Investigations (SIU ... coding, auditing, investigations, or related work experience required. Knowledge, Skills ...
Compliance Professional
Orlando, FL · On-site
Previous experience in Medicare and/or Medicaid Managed Care, Special Fraud Investigations (SIU ... coding, auditing, investigations, or related work experience required. Knowledge, Skills ...
Claims PIP Manager
Marianna, FL · On-site +1
Identifies potential fraud and makes referrals to the special investigation unit (SIU) as ... Medical terminology, medical coding and ICD9/10 experience preferred. * Ability to read, analyze ...
Claims PIP Manager
Marianna, FL · On-site +1
Identifies potential fraud and makes referrals to the special investigation unit (SIU) as ... Medical terminology, medical coding and ICD9/10 experience preferred. * Ability to read, analyze ...
Coding Siu information
What is the difference between Coding Siu vs Coding Technician?
| Aspect | Coding Siu | Coding Technician |
|---|---|---|
| Required Credentials | Certification in coding standards, possibly a diploma or certificate in medical coding | Certification in coding or health information technology, often a diploma or associate degree |
| Work Environment | Healthcare facilities, clinics, hospitals | Medical offices, hospitals, outpatient clinics |
| Employer & Industry Usage | Used by healthcare providers for billing and record-keeping | Employed in healthcare settings for coding and documentation |
| Common Search & Comparison | Often compared for roles in medical coding and billing | Related but more technical, focusing on coding accuracy |
Both Coding Siu and Coding Technician roles involve medical coding, but Coding Siu typically emphasizes billing and insurance claims, while Coding Technicians focus more on accurate medical record coding. They share similar credentials and work environments, making them closely related in the healthcare industry.
What are popular job titles related to Coding Siu jobs in Florida?
For Coding Siu jobs in Florida, the most frequently searched job titles are:
What job categories do people searching Coding Siu jobs in Florida look for?
The top searched job categories for Coding Siu jobs in Florida are:
What cities in Florida are hiring for Coding Siu jobs?
Cities in Florida with the most Coding Siu job openings:
Full-time
Medical, Dental, Vision, Life, Retirement, PTO
Posted 26 days ago
Job description
About our Special Investigations Unit (SIU)
At Citizens, financial stewardship drives our Special Investigations Unit's (SIU) mission to detect and deter insurance fraud with speed and precision. We are committed to continuous improvement-leveraging advanced analytics, investigative expertise, and innovative strategies to stay ahead of emerging fraud trends.
Building a best-in-class SIU requires more than tools and technology-it requires exceptional people. We seek high-performing professionals who thrive in an environment that values accountability, respect, growth, and ownership. Our culture encourages fresh thinking, where the best ideas-even if new and untried-rise to the top and help shape our success.
As part of Citizens' SIU team, your contributions will be recognized and rewarded. We value dedication, performance, and integrity, and we are committed to supporting your professional development while empowering you to make a meaningful impact in the fight against insurance fraud.
About the Position
We are seeking a high-performing Senior Intelligence Analyst to join our Analytics and Technology Team in Jacksonville. This team conducts complex forensic data analysis to identify, detect, and support investigations involving insurance fraud, including organized fraud schemes and other sophisticated criminal activity.
The ideal candidate is a strategic, innovative, and self-motivated professional with experience developing analytical solutions, interpreting complex datasets, and delivering actionable intelligence that supports property and casualty (P&C) fraud investigations. This individual will possess strong analytical and critical-thinking skills, with the ability to transform large volumes of data into meaningful insights that drive investigative outcomes.
The successful candidate will have advanced proficiency in SQL and/or programing languages Python, R, combined with Microsoft Excel, Power BI, and other analytical tools, including experience building and analyzing complex datasets using pivot tables, data modeling, advanced formulas, and visualization techniques to identify trends, anomalies, patterns, and fraud indicators.
In this role, the analyst will collaborate with SIU, Claims, Underwriting, and Analytics professionals to develop data queries, evaluate emerging fraud trends, and convert analytical findings into actionable investigative leads. Experience supporting investigations involving organized fraud rings, network-link analysis, and complex fraud schemes is highly desirable.
The ideal candidate will also demonstrate a passion for leveraging emerging technologies, including artificial intelligence (AI), machine learning, automation, predictive analytics, and advanced visualization tools, to enhance fraud detection and investigative effectiveness. The ability to evaluate and apply innovative technologies to solve complex business challenges and strengthen SIU operations is highly preferred.
This role offers a unique opportunity to combine advanced analytics, investigative expertise, and emerging technologies to help protect Citizens, its policyholders, and Florida's insurance marketplace from fraud.
Job Summary:
This position's primary purpose is to lead the efforts in the detection of fraud impacting Citizens' claims and policies by providing independent and objective data gathering, reconciling, and visual analyses. Design, code, conduct, test, debug and conduct studies and analyze the data to assist with the fraud detection processes.
Job Duties:
- Conducts data-gathering assignments; Plans, designs and develops ad hoc query and data mining of insurance claims, policy, agency and payment records using available tools and internal data warehouse, including quality assurance of data.
- Reconcile, interpret, and analyze moderate to highly complex internal and external data sets to support decision making and detect potential fraudulent trends and patterns involving Citizens' claims and policies.
- Summarizes and provides independent and objective appraisals of analytical findings using innovative and high-quality data visualization and presents recommendations of results to individual contributors and management.
- Collaborates with business units across the enterprise and self- initiates designs and implements statistical/predictive models and uses cutting edge algorithms to assist with the detection of potentially fraudulent activities.
- Participates in the creation and delivery of fraud awareness training to Citizens' employees, business partners and other stakeholders as necessary to facilitate the identification and referral of potentially fraudulent insurance acts to SIU.
- Researches, evaluates and recommends business solutions that may include software procurement, internal application development, and changes to the scope of vendor services.
- May coach, advise, counsel or train less-experienced staff; may also direct the work activities of others, provide input in the Performance Management goal setting and review process.
Required Education and Experience:
- High School Diploma | GED
- Bachelor's Degree OR 3 years relevant experience, OR a combination of college education and relevant experience equivalent to 3 years.
AND
- 6 years of experience quantitatively analyzing detailed data and/or data analytics, data warehousing, or data mining knowledge of advanced statistical techniques and concepts.
Preferred Experience/Education:
- Advanced proficiency with SQL query, programming languages and expertise with one of the reporting tools.
- Advanced proficiency with Visualization tools, such as Tableau, Power BI.
- Knowledge and experience in statistical and data mining techniques, querying databases & visualizing/presenting data for stakeholders.
- 7 or more years of experience quantitatively analyzing detailed data and/or programming experience in the Property & Casualty Insurance industry.
- Demonstrated broad problem-solving skills.
- Master's degree in quantitative field such as Statistics, Economics, Engineering, Actuarial Science or related field OR master's degree in information technology.
Knowledge Skills and Abilities:
- Advanced SQL query and or advanced knowledge with one of the programming languages like Python, R and proficiency in any one of the reporting tools like Power BI, Tableau.
- Good knowledge of Software engineering life cycle, principles, practices and ability to review programming code and identify issues, troubleshoot code to identify defects and root cause.
- Demonstrated knowledge of IT audit, data analytics, as well as investigation processes and methodologies.
- Solid understanding of Enterprise Software Development and maintenance.
- Advanced levels of demonstrated analytical and problem- solving skills.
- Ability to work independently and take initiative, and to interact with all levels of management.
- Identify and resolve issues and identify solutions, utilizing comprehensive analytical skills and demonstrating attention to detail.
- Advanced Project management skills.
- Ability to communicate highly technical topics to non- technical insurance professions. Ability to resolve conflicts and create rapport with business partners.
- Advanced Microsoft Office Suite skills.
- Knowledge software life cycle, design, implementation, and deployment, including object-oriented programming concepts.
- Advanced quantitative, analytical, data-analytics and data-mining skills, problem solving, negotiation, and organizational skills.
Citizens is proud to be an Equal Opportunity Employer.
Visa sponsorship is not available for this position.
About Us
Citizens Property Insurance Corporation plays a crucial role in Florida's property insurance marketplace by providing property insurance to those homeowners who are unable to obtain coverage in the private market. We are a not-for-profit company whose employees are driven first and foremost by our mission to serve the people of Florida as the state's insurer of last resort, and as an innovative thought leader focused on promoting a healthy property insurance market.
Our employees are Citizens' greatest resources. That is why we strive to create a corporate culture where employees are engaged - one that maximizes employee potential, encourages innovation and fosters career development. Our employees are proud of the company they work for, and proud to be active in the communities where they live and work.
Become Part of Citizens' Future!
About the Team
We provide many opportunities for personal and professional growth, along with competitive salaries and benefits to include:
- Retirement savings plan with a generous company match
- Medical, dental and vision coverage
- Company-paid employee basic life insurance and short-term disability
- Supplemental life and health insurance
- Generous company-paid time off: vacation, sick and holiday leave
- Employee assistance and wellness programs
- Tuition reimbursement
- Learning and career development opportunities
- Active employee engagement and recognition programs
- Community and volunteering opportunities
- Casual dress
About Citizens Property Insurance
Sourced by ZipRecruiter
Industry
Insurance services
Company size
1,001 - 5,000 Employees
Headquarters location
Tallahassee, FL, US
Year founded
2002