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Siu Analyst Jobs (NOW HIRING)

Berkley

SIU Support Specialist

Lawrenceville, GA · On-site

The SIU Support Specialist is responsible for supporting the SIU and Claims departments by conducting research, analysis, and triage activities to identify, document, and escalate potential fraud ...

Berkley

SIU Support Specialist

Lawrenceville, GA

Responsibilities The SIU Support Specialist is responsible for supporting the SIU and Claims departments by conducting research, analysis, and triage activities to identify, document, and escalate ...

Berkley

SIU Support Specialist

Lawrenceville, GA · On-site

Responsibilities The SIU Support Specialist is responsible for supporting the SIU and Claims departments by conducting research, analysis, and triage activities to identify, document, and escalate ...

W. R. Berkley

SIU Manager

Harrisburg, PA · On-site

Leverage data analytics, predictive modeling, and fraud detection software to enhance investigative capabilities. * Evaluate and implement new tools and technologies to improve SIU efficiency and ...

W. R. Berkley

SIU Manager

Pensacola, FL · On-site

Leverage data analytics, predictive modeling, and fraud detection software to enhance investigative capabilities. * Evaluate and implement new tools and technologies to improve SIU efficiency and ...

W. R. Berkley

SIU Manager

Irving, TX · On-site

Leverage data analytics, predictive modeling, and fraud detection software to enhance investigative capabilities. * Evaluate and implement new tools and technologies to improve SIU efficiency and ...

Command Investigations

SIU Specialist - Experienced

$32 - $36/hr

The ideal candidate is highly analytical, organized, and capable of independently managing multiple ... Manage Multi-Lines SIU investigations from initiation through closure, with an emphasis on any of ...

W. R. Berkley

SIU Manager

Atlanta, GA · On-site

Leverage data analytics, predictive modeling, and fraud detection software to enhance investigative capabilities. * Evaluate and implement new tools and technologies to improve SIU efficiency and ...

W. R. Berkley

SIU Manager

High Point, NC · On-site

Leverage data analytics, predictive modeling, and fraud detection software to enhance investigative capabilities. * Evaluate and implement new tools and technologies to improve SIU efficiency and ...

W. R. Berkley

SIU Manager

Wildwood, MO · On-site

Leverage data analytics, predictive modeling, and fraud detection software to enhance investigative capabilities. * Evaluate and implement new tools and technologies to improve SIU efficiency and ...

W. R. Berkley

SIU Manager

Scottsdale, AZ · On-site

Leverage data analytics, predictive modeling, and fraud detection software to enhance investigative capabilities. * Evaluate and implement new tools and technologies to improve SIU efficiency and ...

W. R. Berkley

SIU Manager

Glen Allen, VA · On-site

Leverage data analytics, predictive modeling, and fraud detection software to enhance investigative capabilities. * Evaluate and implement new tools and technologies to improve SIU efficiency and ...

Berkley

SIU Manager

Urbandale, IA · On-site

Leverage data analytics, predictive modeling, and fraud detection software to enhance investigative capabilities. * Evaluate and implement new tools and technologies to improve SIU efficiency and ...

Berkley

SIU Manager

Urbandale, IA · On-site

Leverage data analytics, predictive modeling, and fraud detection software to enhance investigative capabilities. * Evaluate and implement new tools and technologies to improve SIU efficiency and ...

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Siu Analyst information

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$84.2K

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How much do siu analyst jobs pay per year?

As of Aug 7, 2026, the average yearly pay for siu analyst in the United States is $84,207.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What does an SIU analyst do?

A typical day for an SIU (Special Investigations Unit) Analyst involves reviewing suspicious insurance claims, analyzing patterns for potential fraud, compiling detailed investigative reports, and coordinating with legal and claims professionals. SIU Analysts often collaborate with field investigators, underwriters, and sometimes law enforcement to gather evidence and validate claim legitimacy. Regular meetings and case discussions are common, promoting teamwork and knowledge sharing. This multi-faceted collaboration ensures that fraud is appropriately identified and managed, making teamwork and communication central to success in the role.

What are the key skills and qualifications needed to thrive as an SIU analyst?

To thrive as an SIU Analyst, you need strong analytical abilities, investigative skills, and a background in insurance or claims, often supported by a bachelor's degree in criminal justice or a related field. Familiarity with claims management software, data analytics tools, and industry certifications like the Certified Insurance Fraud Investigator (CIFI) are commonly important. Attention to detail, critical thinking, and excellent communication skills help you stand out when evaluating complex claims and working with diverse stakeholders. These skills are vital to effectively detect, investigate, and mitigate fraud risks while ensuring regulatory compliance.

What is an SIU analyst?

A SIU (Special Investigations Unit) Analyst is responsible for detecting and investigating potential fraud, waste, and abuse in insurance claims or financial transactions. They analyze data, review claims, and collaborate with investigators to identify suspicious activities. SIU Analysts also assist in developing fraud prevention strategies and ensuring compliance with industry regulations. Their role is crucial in minimizing financial losses and protecting company assets.

More about Siu Analyst jobs
What are the most commonly searched types of Siu Analyst jobs? The most popular types of Siu Analyst jobs are:
What states have the most Siu Analyst jobs? States with the most job openings for Siu Analyst jobs include:
What job categories do people searching Siu Analyst jobs look for? The top searched job categories for Siu Analyst jobs are:
Siu Analyst jobs near you
Infographic showing various Siu Analyst job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 7% Part Time, 1% Temporary, and 7% Contract. Highlights an 80% Physical, 8% Hybrid, and 12% Remote job distribution, with an average salary of $84,207 per year, or $40.5 per hour.

Special Investigations Unit (SIU) Analyst II

CoventBridge Group

Remote

$74K - $87K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

CoventBridge Group rating

6.7

Company rating: 6.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

297th of 482 rated business services

Job description

Overview
The SIU Analyst II conducts end to end fraud, waste and abuse investigations on referred cases that have been triaged for investigative handling. This role is responsible for developing the investigative plan, gathering and analyzing data, documenting findings and producing clear, defensible case files and reports to support recoveries, administrative actions, referrals and other program outcomes. The SIU Analyst II works independently on moderately complex cases, collaborates with clinical and analytics partners as needed and ensures investigative activities meet regulatory requirements, policy standards and evidentiary expectations. This role also supports team success by contributing investigative expertise, mentoring SIU Analyst I staff on quality fundamentals and escalating risk, trends and barriers to case progression.
Responsibilities/ Requirements
Responsibilities:
  • Evaluate and develop leads, complaints, and/or investigations to determine if further investigation is warranted
  • Execute assigned investigations from start to closure (post-triage), including strategy, documentation and recommendations
  • Conduct interviews and outreach as required
  • Build defensible case narrative and prepare findings report with clear overpayment/impact logic (when applicable)
  • Utilize data analysis techniques to detect aberrancies in our health plan clients' Commercial, Medicare, Medicaid, ACA/Exchange, FEHB, and Tricare claims data, and proactively seeks out and develops leads/investigations received from a variety of sources
  • Review information contained in standard claims processing system files (e.g., claims history, provider files) to determine provider billing patterns and to detect potential fraudulent or abusive billing practices or vulnerabilities in health plan, Medicare and/or Medicaid payment policies and recommend appropriate action
  • Make potential fraud determinations by utilizing a variety of sources such as internal guidelines, Medicare and Medicaid provider manuals, Medicare and Medicaid regulations, health plan client resources, guidelines, and policies
  • Compile and maintain documentation and information related to investigations, cases, and/or leads
  • Participate in onsite audits in conjunction with investigation development
  • Develop and prepare potential Fraud Alerts and program vulnerabilities for submission to health plan clients, law enforcement, and other applicable stakeholders
  • Prepare and submit external correspondence and reports, including, but not limited to, overpayment letters, fraud case referrals, rebuttals, findings reports, and administrative action recommendations
  • Prepare and submit correspondence to providers for medical record requests or suspension overpayment determinations
  • Serve as mentor/trainer to new CoventBridge Healthcare SIU staff

Requirements:
  • Research and organization skills
  • Ability to establish and/or evaluate prioritization criteria
  • Time management skills and ability to meet deadlines
  • Verbal and written communication skills
  • Ability to work independently with minimal supervision
  • Ability to multi-task in a fast-paced environment

Educational/Experience Qualifications:
  • College or technical degree programs related to the position (e.g., Criminal Justice, Statistics, Data Analysis, etc.)
  • Candidates with Accredited Health Care Fraud Investigator (AHFI) and Certified Fraud Examiner (CFE) Certifications will be given priority consideration
  • At least 1 year of experience in SIU, Program Integrity investigation/detection or a related field that demonstrates expertise in reviewing, analyzing/developing information, and making appropriate decisions

Benefits
Benefits:
  • Medical, Dental, Vision plans
  • Life, LTD and STD paid by the employer
  • 401(k) with company match up to 4%
  • Paid Time Off and company paid holidays
  • Tuition assistance after 1 year of service

The salary range for this role is $74,000 to $87,000 annually. This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, geographic location, performance, and business or organizational needs.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
About Us:
CoventBridge Integrity Systems delivers investigative services, technology, and expertise that help healthcare and government organizations protect critical programs, strengthen oversight, and address fraud, waste, abuse, and operational risk.
CoventBridge Integrity Systems is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace.
CoventBridge Integrity Systems is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge Integrity Systems will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; 888-932-7364; humanresources@coventbridge.com.

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