ZipRecruiter

Log In

1

Siu Auditor Jobs (NOW HIRING)

MetroPlusHealth

Senior Management Consultant

Manhattan, NY · On-site

$100K - $110K/yr

Collaborate with other SIU team members to evaluate suspected cases of fraudulent activities, such ... Auditor (CPMA) or Certified Coding Specialist (CCS) * Bachelor's degree in Nursing, Medical Billing ...

next page

Showing results 1-20

All JobsSiu Auditor Jobs

Siu Auditor information

See salary details

$38.5K

$92.8K

$151K

How much do siu auditor jobs pay per year?

As of Jun 9, 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 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.
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 May 2026, with employment types broken down into 100% Full Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $92,797 per year, or $44.6 per hour.
SIU Healthcare Investigator (Full-time, Remote)

SIU Healthcare Investigator (Full-time, Remote)

Integrity Management Services, Inc.

Alexandria, VA • On-site, Remote

Other

Posted 7 days ago

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.

Apply