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Siu Auditor Jobs (NOW HIRING)

StateJobsNY

Auditor 2 (Forensic)

Latham, NY · On-site

$86K - $109K/yr

... auditor to serve in the Latham office ... The SIU-FCU supports the Division of State Police by working in partnership with its sworn Members ...

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How much do siu auditor jobs pay per year?

As of Jun 11, 2026, the average yearly pay for siu auditor in the United States is $92,797.00, according to ZipRecruiter salary data. Most workers in this role earn between $72,000.00 and $112,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as an SIU Auditor, and why are they important?

To thrive as an SIU Auditor, you need a strong background in investigative techniques, knowledge of insurance regulations, and a bachelor’s degree in criminal justice, accounting, or a related field. Familiarity with data analysis tools, case management software, and sometimes certifications like CFE (Certified Fraud Examiner) are typically required. Critical thinking, attention to detail, and strong written and verbal communication skills are essential soft skills in this role. These abilities are vital for effectively detecting, investigating, and documenting insurance fraud while ensuring compliance with legal and regulatory standards.

What is the difference between Siu Auditor vs Insurance Auditor?

AspectSiu AuditorInsurance Auditor
Required CredentialsCertifications like CPA, CIA often preferredCertifications such as CPCU, ARM may be advantageous
Work EnvironmentGovernment agencies, corporate compliance teamsInsurance companies, third-party claims departments
Employer & Industry UsageUsed in regulatory and compliance contextsCommon in insurance industry for claims and policy audits
Search & Comparison IntentUnderstanding audit roles in complianceEvaluating insurance-specific audit functions

The Siu Auditor primarily focuses on compliance and regulatory audits within organizations, often in government or corporate settings. In contrast, an Insurance Auditor specializes in reviewing insurance claims, policies, and underwriting processes. While both roles involve auditing skills and certifications, their industries and specific responsibilities differ. Understanding these distinctions helps job seekers identify the right career path based on their credentials and interests.

What are SIU Auditors?

SIU Auditors, or Special Investigations Unit Auditors, are professionals who investigate and review claims, transactions, or activities within organizations to detect and prevent fraud, waste, and abuse. They often work in insurance, healthcare, or financial services, analyzing suspicious claims and ensuring compliance with laws and regulations. SIU Auditors collect evidence, prepare reports, and may work closely with law enforcement or regulatory agencies when necessary. Their work helps protect companies from financial losses and ensures ethical business practices.

What is an SIU audit?

An SIU (Special Investigations Unit) audit is a thorough review conducted by SIU auditors to detect and prevent insurance fraud, verify claims accuracy, and ensure compliance with policies. These audits often involve analyzing claim files, interviewing involved parties, and using investigative tools to identify suspicious activities.

What are some common challenges SIU Auditors face when investigating insurance fraud cases, and how can they effectively address them?

SIU Auditors often encounter challenges such as incomplete documentation, uncooperative claimants, and distinguishing between legitimate and fraudulent claims. To address these, they rely on strong analytical skills, thorough attention to detail, and effective communication to gather information from various sources. Collaborating with legal teams, claims adjusters, and law enforcement can also help build comprehensive cases and ensure proper resolution. Staying current with industry trends and ongoing training in fraud detection techniques further enhances their effectiveness.

What is the highest paying investigator job?

For investigator roles, senior positions such as private investigators, forensic investigators, or corporate security investigators tend to have the highest salaries. Specialized skills, certifications, and experience in areas like cybersecurity or fraud detection can also lead to higher-paying investigative jobs.

How much do SIU investigators get paid?

SIU investigators typically earn between $50,000 and $80,000 annually, depending on experience, location, and employer. They often require strong analytical skills and knowledge of insurance policies or fraud detection tools.

Is an auditor a high paying job?

Auditors, including SIU auditors, often earn competitive salaries that vary based on experience, location, and industry. Entry-level positions tend to have lower pay, while experienced auditors with certifications like CPA or CIA can earn higher salaries, especially in large organizations or financial hubs.
More about Siu Auditor jobs
What cities are hiring for Siu Auditor jobs? Cities with the most Siu Auditor job openings:
What states have the most Siu Auditor jobs? States with the most job openings for Siu Auditor jobs include:
What job categories do people searching Siu Auditor jobs look for? The top searched job categories for Siu Auditor jobs are:
Siu Auditor jobs near you
Infographic showing various Siu Auditor job openings in the United States as of June 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, and 40% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.
Clinical Provider Auditor II - Payment Integrity SIU

Clinical Provider Auditor II - Payment Integrity SIU

Elevance Health

Norfolk, VA • Hybrid

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Elevance Health rating

7.8

Company rating: 7.8 out of 10

Based on 331 frontline employees who took The Breakroom Quiz

166th of 260 rated insurance

Job description

Anticipated End Date:

2026-06-15

Position Title:

Clinical Provider Auditor II - Payment Integrity SIU

Job Description:

Clinical Provider Auditor II - Payment Integrity SIU

Location: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center-connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together.

Among us are care providers, engineers, data scientists, and other dedicated professionalsdetermined to recover, eliminate and prevent unnecessary medical-expense spending.

The Clinical Provider Auditor II is responsible for identifying issues and/or entities that may pose potential risk associated with fraud and abuse.

How you will make an impact:

  • Examines claims for compliance with relevant billing and processing guidelines and identifies opportunities for fraud and abuse prevention and control.

  • Reviews and conducts analysis of claims and medical records prior to payment and uses required systems/tools to accurately document determinations and continue to next step in the claims lifecycle.

  • Researches new healthcare related questions as necessary to aid in investigations and stays abreast of current medical coding and billing issues, trends and changes in laws/regulations.

  • Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern.

  • Recommends possible interventions for loss control and risk avoidance based on the outcome of the investigation.

  • Assists with training of new associates.

Minimum Requirements:

  • Requires a AA/AS and minimum of 3 years medical coding/auditing experience, including minimum of 1 year in fraud, waste abuse experience; or any combination of education and experience, which would provide an equivalent background.

  • Requires coding certification (CPC, CCS, CPMA).

Preferred Experience:

  • Prepay review of Medicare and Medicaid experience highly desired.

  • Knowledge of ICD-10 and CPT/HCPC coding guidelines and terminology and Bachelor's degree strongly preferred.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

FRD > Audit

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.


Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.


How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.


We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.


Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.


The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.


Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.


Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.


NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words - the job is posted until 3/13, not through 3/13.

What Elevance Health employees say

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About Elevance Health

Sourced by ZipRecruiter

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Indianapolis, IN, US

Year founded

2004

Social media

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