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Remote Siu Insurance Jobs in Riverside, CA (NOW HIRING)

All JobsSiu Insurance JobsRemote Siu Insurance JobsRemote Siu Insurance Jobs in Riverside, CA

Remote Siu Insurance information

See Riverside, CA salary details

$20.3K

$77.9K

$115.3K

How much do remote siu insurance jobs pay per year?

As of Jul 7, 2026, the average yearly pay for remote siu insurance in Riverside, CA is $77,911.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,100.00 and $104,300.00 per year, depending on experience, location, and employer.

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 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 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 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 are popular job titles related to Remote Siu Insurance jobs in Riverside, CA? For Remote Siu Insurance jobs in Riverside, CA, the most frequently searched job titles are:
What job categories do people searching Remote Siu Insurance jobs in Riverside, CA look for? The top searched job categories for Remote Siu Insurance jobs in Riverside, CA are:
What cities near Riverside, CA are hiring for Remote Siu Insurance jobs? Cities near Riverside, CA with the most Remote Siu Insurance job openings:
Remote Siu Insurance jobs near you

Staff Dentist (1099 Independent Contractor)

Liberty Dental Plan Careers

Tustin, CA • Remote

Other

Posted 6 days ago

Job description

Staff Dentist (1099 Independent Contractor – 6-Month Assignment | Fully Remote)About the Role

We are seeking an experienced Staff Dentist (1099 Independent Contractor) to support Utilization Management (UM) and Utilization Review (UR) functions across our dental plans. This is a fully remote, non-clinical, review-focused role ideal for dentists who want to apply their clinical expertise to drive quality, compliance, and appropriate care delivery at scale.

In this role, you will perform clinical reviews of claims, prior authorizations, and referrals across Commercial, Medicare Advantage, and Medicaid lines of business, helping ensure regulatory compliance, cost-effective care, and high-quality oral health outcomes.

Assignment Details
  • Work Type: 100% Remote (U.S.-based)
  • Contract Type: 1099 Independent Contractor
  • Duration: 6-month assignment with potential for extension
  • Schedule: Flexible, based on business needs
  • Licensure: Active, unrestricted dental license in California or New Jersey is required; candidates without one of these state licenses will not be considered
Key ResponsibilitiesUtilization Management & Clinical Review
  • Perform timely clinical adjudication of dental claims and prior authorization requests
  • Determine medical necessity and benefit coverage using clinical expertise and plan guidelines
  • Interpret radiographs, charts, and supporting documentation to inform decisions
  • Identify inappropriate, unnecessary, or low-value services
Quality Management & Improvement
  • Participate in quality improvement initiatives, audits, and utilization analyses
  • Conduct focused chart reviews to identify utilization trends and potential quality concerns
  • Support SIU activities, including provider site reviews and corrective recommendations
  • Analyze treatment patterns and recommend improvements
Provider Engagement & Peer Review
  • Conduct peer-to-peer consultations with network providers
  • Participate in grievance, appeal, and secondary review processes
  • Collaborate with specialists or subject-matter experts as needed
Collaboration, Training & Committees
  • Participate in calibration sessions, trainings, and interrater reliability activities
  • Attend clinical and operational meetings
  • Contribute to credentialing and quality committees
  • Support resolution of provider and member concerns
Tele-Dentistry & Clinical Support
  • Provide clinical input during tele-dentistry consultations when needed
Regulatory & Subject Matter Expertise
  • Maintain expertise in dental benefit plans and Medicaid program requirements
  • Support regulatory reporting and compliance initiatives
Qualifications
  • DDS or DMD from an accredited dental school
  • Active, unrestricted dental license in good standing in a U.S. state
  • Minimum:
    • 4+ years practicing as a dentist
    • 2+ years experience with claims review, utilization management, or payer-side dentistry preferred
  • Strong knowledge of:
    • Dental coding and clinical guidelines
    • Managed care and reimbursement systems
    • Medical necessity criteria and adjudication processes
  • Ability to interpret radiographs and dental records
  • Strong analytical, decision-making, and communication skills
  • Current professional malpractice insurance required (must be maintained throughout the contract period)
Work Environment & Structure
  • Fully remote, computer-based role
  • Work is primarily sedentary and requires extended screen time
  • Flexible scheduling aligned with business needs
  • 1099 contractor position (no employee benefits)
What Makes You a Strong Fit
  • You bring a clinical lens to business decisions, balancing quality, cost, and compliance
  • You are detail-oriented and consistent in applying guidelines and policies
  • You communicate effectively in peer-to-peer provider discussions
  • You thrive in a collaborative, healthcare environment
Why Join
  • Fully remote opportunity with flexible scheduling
  • Apply your clinical expertise beyond the operatory
  • Influence care quality and outcomes at a population level
  • Work on meaningful, mission-driven initiatives
  • Opportunity for contract extension based on performance and business needs
How to Apply

Submit your resume, licensure details, and proof of current malpractice insurance to be considered for this opportunity.

Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. 

Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. 

We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements.

Sponsorship and Relocation Specifications

Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled.

No relocation assistance or sponsorship available at this time.

Apply