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Remote Siu Insurance Jobs in Reston, VA (NOW HIRING)

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Remote Siu Insurance information

See Reston, VA salary details

$20.3K

$77.7K

$115K

How much do remote siu insurance jobs pay per year?

As of Jun 2, 2026, the average yearly pay for remote siu insurance in Reston, VA is $77,693.00, according to ZipRecruiter salary data. Most workers in this role earn between $49,900.00 and $104,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote SIU (Special Investigations Unit) Insurance Investigator, and why are they important?

To thrive as a Remote SIU Insurance Investigator, you need a strong background in investigative techniques, insurance claims processes, and typically a relevant bachelor's degree or equivalent experience. Familiarity with case management software, fraud detection tools, and secure communication platforms is essential. Excellent analytical thinking, attention to detail, and strong written and verbal communication skills help you stand out in this role. These skills are crucial for accurately identifying and documenting fraudulent activity while maintaining compliance and protecting company assets.

What are the typical challenges faced by Remote SIU Insurance Investigators, and how can they be addressed?

Remote SIU (Special Investigations Unit) Insurance Investigators often encounter challenges such as limited access to on-site evidence and coordinating effectively with field investigators or law enforcement. To overcome these, investigators leverage digital tools for secure document review, conduct interviews via video calls, and maintain thorough, organized records. Success also depends on strong communication skills and a disciplined approach to managing caseloads independently while collaborating closely with colleagues and external partners.

What is a Remote SIU Insurance Investigator?

A Remote SIU (Special Investigations Unit) Insurance Investigator is a professional who works remotely to detect, investigate, and help prevent insurance fraud. They analyze claims for suspicious activity, gather evidence, interview claimants and witnesses, and work with law enforcement when necessary. Remote SIU investigators utilize digital tools and databases to conduct their investigations from home or another remote location instead of a traditional office. Their work is crucial for insurance companies to minimize fraudulent losses and ensure legitimate claims are processed correctly.

What is the difference between Remote Siu Insurance vs Remote Claims Adjuster?

AspectRemote Siu InsuranceRemote Claims Adjuster
CertificationsInsurance licenses, SIU-specific trainingAdjuster licenses, state-specific certifications
Work EnvironmentInsurance company, SIU department, remoteInsurance companies, third-party firms, remote
Industry UsageInsurance industry, fraud investigationInsurance industry, claims assessment
Job FocusInvestigating insurance fraud, SIU casesEvaluating claims, determining payouts

Remote Siu Insurance specialists focus on investigating insurance fraud cases remotely, requiring specific SIU training and licenses. Remote Claims Adjusters handle claims assessments and payouts, often with similar licensing. While both roles are remote and within the insurance industry, their core responsibilities differ: fraud investigation versus claims evaluation.

What are popular job titles related to Remote Siu Insurance jobs in Reston, VA? For Remote Siu Insurance jobs in Reston, VA, the most frequently searched job titles are:
What job categories do people searching Remote Siu Insurance jobs in Reston, VA look for? The top searched job categories for Remote Siu Insurance jobs in Reston, VA are:
What cities near Reston, VA are hiring for Remote Siu Insurance jobs? Cities near Reston, VA with the most Remote Siu Insurance job openings:
Remote Siu Insurance jobs near you
SIU Investigator (Full-time, Remote)

SIU Investigator (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Job Summary

We are seeking a detail-oriented SIU Investigator to join our team. In this role, you will play a crucial role in ensuring the accuracy, compliance, and integrity of healthcare claims through comprehensive audits, analyses, and process improvements. The SIU Investigator (Analyst) primary responsibility is to detect, investigate, and produce change in aberrant behavior observed in our healthcare customer's claims and enrollment data. You will work both independently and with a team of clinical SMEs to analyze data, assess exposure, and manage investigative caseload from identification through to resolution including overpayment recovery, measuring behavior change and completing necessary reporting for FWA recoupments and savings.

Key Responsibilities

  • Identify and conduct investigations into known or suspected FWA with high autonomy
  • Develop documentation to substantiate findings, including formal reports, graphs, audit logs, and other supporting documentation.
  • Perform root cause analysis to inform future algorithmic identification of similar claims or cases and associated savings (i.e., help move identified case types from "pay-and-chase" to preventive edits and pre-payment activity)
  • Participate in the development and presentation of FWA-related education for assigned Customers
  • Perform coding reviews for flagged claims, to support Coding team (if applicable).

Requirements

Qualifications

  • Education:
    • Bachelor's degree in Criminal Justice or a related field, OR at least 3 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies.
  • Experience:
    • Minimum of 2 years of experience in healthcare claims analysis, auditing, payment integrity, or a related field.
    • Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity
    • Experience handling confidential information and following policies, rules, and regulations
    • Experience with commercial, Medicare, or Medicaid claims is highly preferred.
  • Skills:
    • Strong analytical and problem-solving skills, with attention to detail and accuracy.
    • Excellent communication skills, both written and verbal, for effective collaboration with internal teams and external providers.
    • Proficiency in Microsoft Office, particularly Excel, and familiarity with claims processing or audit software is a plus.

Preferred Qualifications

  • Certifications: Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML (Anti-Money Laundering) and Fraud Professional (CAFP), or similar desired.
  • Additional Certifications: Certified Professional Coder (CPC) or similar desired.