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Siu Analyst Jobs in Wisconsin (NOW HIRING)

thg

Sr Adjuster Field Claims

Madison, WI

$65K - $87K/yr

It involves thorough analysis, collaboration with internal teams and external experts, and will ... SIU) as needed. Maintain awareness of fraud indicators and regulatory reporting obligations. * Set ...

thg

Sr Adjuster Field Claims

Madison, WI

$65K - $87K/yr

It involves thorough analysis, collaboration with internal teams and external experts, and will ... SIU) as needed. Maintain awareness of fraud indicators and regulatory reporting obligations. * Set ...

Imedica

Director, Claims Operations

Madison, WI

$113K - $194K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... SIU, Markets) to ensure accurate, timely claims outcomes and alignment across a matrixed ... Drive operational excellence through issue resolution, root cause analysis, and continuous ...

CSAA

  • Retirement

Investigate coverage by analyzing policy language, endorsements, and applicable state regulations ... Identify subrogation and Special Investigation Unit (SIU) opportunities and prepare referrals as ...

CSAA

  • Retirement

Investigate coverage by analyzing policy language, endorsements, and applicable state regulations ... Identify subrogation and Special Investigation Unit (SIU) opportunities and prepare referrals as ...

CSAA

  • Retirement

Investigate coverage by analyzing policy language, endorsements, and applicable state regulations ... Identify subrogation and Special Investigation Unit (SIU) opportunities and prepare referrals as ...

CSAA

  • Retirement

Investigate coverage by analyzing policy language, endorsements, and applicable state regulations ... Identify subrogation and Special Investigation Unit (SIU) opportunities and prepare referrals as ...

All JobsSiu Analyst JobsSiu Analyst Jobs in Wisconsin

Siu Analyst information

See Wisconsin salary details

$32.3K

$85K

$134.7K

How much do siu analyst jobs pay per year?

As of Aug 14, 2026, the average yearly pay for siu analyst in Wisconsin is $84,995.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,600.00 and $99,400.00 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.

What are the most commonly searched types of Siu Analyst jobs in Wisconsin?

The most popular types of Siu Analyst jobs in Wisconsin are:

What are popular job titles related to Siu Analyst jobs in Wisconsin?

For Siu Analyst jobs in Wisconsin, the most frequently searched job titles are:

What job categories do people searching Siu Analyst jobs in Wisconsin look for?

The top searched job categories for Siu Analyst jobs in Wisconsin are:

Siu Analyst jobs near you
Infographic showing various Siu Analyst job openings in Wisconsin as of August 2026, with employment types broken down into 89% Full Time, and 11% Part Time. Highlights an 89% In-person, and 11% Hybrid job distribution, with an average salary of $84,995 per year, or $40.9 per hour.

FRAUD WASTE ABUSE ANALYST - ASPIRUS HEALTH PLAN

ASPIRUS HEALTH

Wausau, WI • On-site

Full-time

Medical, Retirement

Re-posted 12 hours ago

Aspirus Health rating

6.5

Company rating: 6.5 out of 10

Based on 259 frontline employees who took The Breakroom Quiz

605th of 887 rated healthcare providers

Job description

Compassion. Accountability. Collaboration. Foresight. Joy.
These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.
Aspirus Health in Wausau, WI is seeking a FRAUD WASTE ABUSE ANALYST to join our ASPIRUS HEALTH PLAN team!
The FWA Analyst plays a critical role in protecting the organization from improper billing, abusive practices, and potential fraud. This position conducts detailed reviews of medical claims, provider patterns, and member activity to identify anomalies and ensure compliance with regulatory, contractual, and clinical standards.
The analyst will work closely with Senior Claims Analysts, the SIU, and cross-functional teams to support investigations, recommend corrective actions, and strengthen internal controls. A clinical background, particularly as an RN, along with utilization management and claims is strongly preferred to support accurate clinical interpretation of documentation and coding.
HOURS: Full-Time or 1.0 FTE, 80 hours every 2 weeks.
Experience/Qualifications
Required Qualifications
  • Bachelor's degree is required.
  • Active RN license is strongly preferred; LPN or other clinical credentials may be considered.
  • Minimum of two years' experience in health insurance claims analysis or related experience required.

Preferred Qualifications
  • Experience in SIU, FWA investigations, or compliance within a payer or provider environment.
  • Knowledge of CPT, HCPCS, and ICD-10 coding and medical terminology.
  • Familiarity with CMS, Medicare, and commercial plan regulations
  • Strong analytical and problem-solving skills with the ability to interpret complex data sets.
  • Excellent written and verbal communication skills for reporting and cross-department collaboration.
  • Proficiency with claims platforms and data tools such as Facets, ClaimsXten, Excel, or similar systems.
  • Background in clinical case management or utilization review.

Employee Benefits
  • Full benefits packages available for part- and full-time status.
  • Time away from work accrual.
  • Retirement plans available.
  • Wellness program for employees and their families.

Our Mission: We heal people, promote health and strengthen communities.
Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.
As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.
Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.
Click here to learn more.

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