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Remote Siu Director Jobs (NOW HIRING)

centralins

Anti-Fraud Manager

Van Wert, OH · On-site +1

Hybrid or Remote based on location Position type: Full time - salary We're a team of employees ... Collaborates with the SIU Director on all matters of the SIU function to include, but not limited ...

centralins

Anti-Fraud Manager

Waltham, MA · On-site +1

Hybrid or Remote based on location Position type: Full time - salary We're a team of employees ... Collaborates with the SIU Director on all matters of the SIU function to include, but not limited ...

Devoted Health

SIU Investigator

Nottingham, MD · On-site +1

$58K - $90K/yr

Provider Education: Conduct impactful provider education sessions as a direct response to ... Certified Professional Coder (CPC) #LI-DS1 #LI-Remote Salary range: $58,000 - $90,000 /year The pay ...

Kemper

SIU Expert Investigator

Miami, FL · On-site +1

$70K - $117K/yr

Location(s) Miami, Florida, Remote-FL Details Position Summary: The SIUInvestigator III is ... conducting and/or directing Examinations Under Oath. This investigator will coordinate ...

USAA

SIU Major Case Manager (Medical Provider)

Dallas, TX · On-site +1

$119/hr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Directors. The above description reflects the details considered necessary to describe the ...

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USAA

SIU Major Case Manager (Medical Provider)

Miami, FL · On-site +1

$119/hr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Directors. The above description reflects the details considered necessary to describe the ...

New

USAA

SIU Major Case Manager (Medical Provider)

Newton, NH · On-site +1

$119/hr

USAA roles may offer remote or hybrid flexibility for active-duty military spouses consistent with ... Directors. The above description reflects the details considered necessary to describe the ...

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eFinancial

(Remote) Sr. Special Investigator

Des Plaines, IL · On-site +1

$91K - $118K/yr

... with a proven direct-to-consumer life insurance model. Using a proprietary and patented sales ... Independently prioritize and triage the SIU's cases based on risk, severity, exposure, regulatory ...

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Remote Siu Director information

What is the difference between Remote Siu Director vs Remote Security Analyst?

AspectRemote Siu DirectorRemote Security Analyst
Required CredentialsCertifications like CISSP, CISA, or CISM; relevant experience in security leadershipCertifications such as CompTIA Security+, CISSP; technical security knowledge
Work EnvironmentStrategic oversight, leadership meetings, policy developmentMonitoring security systems, analyzing threats, incident response
Employer & Industry UsageUsed in cybersecurity firms, large corporations, and government agenciesCommon in IT departments, cybersecurity firms, and tech companies
Search & Comparison IntentUnderstanding leadership roles in securityTechnical security responsibilities and daily tasks

The Remote Siu Director focuses on strategic security oversight and leadership, while the Remote Security Analyst handles technical threat analysis and monitoring. Both roles require security certifications but differ in scope and responsibilities, with the Siu Director playing a higher-level, managerial role and the Security Analyst focusing on technical security operations.

What are the key skills and qualifications needed to thrive as a Remote SIU Director, and why are they important?

To thrive as a Remote SIU (Special Investigations Unit) Director, you need expertise in insurance fraud detection, investigative techniques, and regulatory compliance, typically supported by a bachelor's degree in criminal justice or a related field and several years of relevant experience. Familiarity with case management software, data analytics tools, and certifications such as CFE (Certified Fraud Examiner) are often required. Strong leadership, analytical thinking, and effective communication skills are essential for managing teams and coordinating with stakeholders across different locations. These skills and qualifications are vital to ensure thorough investigations, regulatory adherence, and the effective reduction of fraudulent activities in a remote environment.

What are some unique challenges faced by a Remote SIU Director, and how can they effectively manage a geographically dispersed investigative team?

As a Remote SIU (Special Investigations Unit) Director, one of the main challenges is maintaining strong communication and oversight with investigators who are operating in different locations. It is crucial to implement clear protocols, utilize digital collaboration tools, and schedule regular virtual meetings to ensure consistency in investigative practices. Additionally, fostering a sense of team cohesion despite physical distance can boost morale and efficiency. Staying proactive about compliance updates and leveraging data analytics can also help remote SIU Directors monitor trends and results effectively.

What is a Remote SIU Director?

A Remote SIU Director is a senior professional responsible for overseeing the Special Investigations Unit (SIU) of an insurance company or similar organization, while working remotely. Their primary role is to manage teams that investigate suspicious insurance claims, detect potential fraud, and ensure regulatory compliance. They develop investigative strategies, coordinate with legal and law enforcement agencies, and analyze data to identify fraud trends. Working remotely, they leverage digital tools to manage teams and conduct investigations efficiently across various locations.
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Remote Siu Director jobs near you

Anti-Fraud Manager

centralins

Van Wert, OH • On-site, Remote

Other

Medical, Retirement

Posted 28 days ago

Job description

Location: Van Wert, OH; Dublin, OH; Waltham, MA; Alpharetta, GA; Irving, TX
Work Model: Hybrid or Remote based on location 
Position type: Full time - salary 

We’re a team of employees passionate about delivering best-in-class customer service and innovation in the industry. Integrity, relationships, and excellence are at the heart of everything we do.

Our employees fully utilize their talents and bring their best selves to work. We believe who you are is just as important as what you do!

Fraud prevention is at the heart of protecting our customers and our business—and that’s where this role makes an impact. As Anti-Fraud Manager, you’ll lead front-line investigative efforts, tackle complex and high-impact cases, and partner with a wide network of internal teams and external agencies. This is an opportunity to shape strategy, develop talent, and bring modern tools and analytics into real-world fraud detection and deterrence.

 Key Responsibilities of the Role  

  • Supervises the day-to-day investigative activity of SIU field/desk investigations and support activities throughout regions. 
  • Acts as the direct liaison with the various Claims Staff, Departments of Insurance and other regulatory agencies, NICB and other industry investigative representatives.
  • Monitors and evaluates the quality of performance and key results through ongoing audits and review of results of both direct adjuster and advanced cutting edge analytic referrals of both artificial intelligence and machine learning.
  • Reviews and evaluates all available information to assess the appropriateness of referrals for prosecution and/or recovery. 
  • Ensures that all SIU investigation files include a concise and complete summary of the investigation, including the investigators findings regarding the suspected insurance fraud and the basis for their findings and ensure that all investigative cases are thoroughly, promptly, and efficiently investigated and referred to the proper authority within the timeframe as mandated. 
  • Works with all members of the Claims Management, Underwriting and Marketing Teams, Claim Support Staff, Independent Vendors, Defense Counsel, and all other entities as may be required, to ensure effective implementation of fraud detection and deterrent protocols.
  • Assists with the training of Central Mutual Insurance anti-fraud personnel and Claims Staff in fraud detection, prevention, and suspect claim handling measures.  
  • Represents the Company at various industry, state and local organizations which focus on anti-fraud activities.
  • Coordinates investigation of complex suspect claims and assignments as warranted ensuring proper resolution and documentation within case management system.  
  • Collaborates with the SIU Director on all matters of the SIU function to include, but not limited to; investigation, investigative strategy, training and other department matters.
  • Oversees reporting of all suspected fraudulent insurance transactions to the appropriate departments of insurance within the required time frames for their team. 
  • Establishes and maintains relationships with law enforcement, Department of Insurance officials and insurance industry personnel and assist them when required.
  • Selects, trains, and develops new employees
  • Sets expectations with regards to performance
  • Communicates with, motivate and recognize employees
  • Evaluates performance and conducts weekly check-ins and performance reviews
  • Manages staff and other resources appropriately 

Required Qualifications  

  • Bachelor’s Degree in Criminal Justice, Criminology, or Fraud Management and 2 years relevant experience 
  • Or 4 years of relevant SIU investigator/SIU Supervisor experience  


Preferred Qualifications  

  • Licensure & Certification: None required; One or more of the following certifications/designations are desirable: Senior Claims Law Associate Designation, Certified Insurance Fraud Investigator Designation, and Certified Fraud Examiners Designation.
  • Familiarity with anti-fraud analytics programs as it relates to fraud prevention and identification 

 
Knowledge, Skills, and Abilities  

  • SIU Supervisor needs to have significant knowledge and experience in all levels of P&C claim fraud investigation and reporting requirements to the various fraud bureaus.  
  • Advanced practical knowledge of conducting medical and property investigations in the field is necessary
  • Good working knowledge of Word, Excel, and PowerPoint applications
  • Demonstrated ability to build and maintain collaborative relationships with internal and external partners and business areas.
  • Proven management skills
  • Ability to demonstrate monthly productive outcomes from investigations assigned to the SIU team
  • Excellent leadership, team building, communication and strategic thinking skills
  • Ability to prepare and present training sessions
  • Successful track record in facilitating and managing projects and teams
  • Attain and be very proficient at the SIU protocols and procedures that would include SIU compliance to the specific states the company operates in
  • Possess in-depth knowledge of insurance policies and procedures related to SIU investigations
  • As a Team Member at Central Mutual Insurance, you will be part of a growing SIU Team that continues to evolve to be a Best in Class SIU group utilizing state of the art analytic programs. Three keys words guide this unit, Unique, Innovative and Creative
  • Ability to understand Central Insurance’s policies and processes 

Total Rewards

Central establishes base pay based on several factors including labor market data and an evaluation of candidate qualifications relative to role requirements. Base pay is one component of a comprehensive total rewards package designed to support employees’ financial, health, career, and retirement objectives. Central provides extensive health and wellness benefits to promote flexibility, work-life balance, and long-term financial security. For more information, see Central Insurance Benefits

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