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Siu Fraud Jobs (NOW HIRING)

USAA

SIU Investigator I

Las Vegas, NV · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Bend, OR · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Belgrade, MT · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

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USAA

SIU Investigator I

Missoula, MT · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Portland, OR · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Los Angeles, CA · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Reno, NV · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Bismarck, ND · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Seattle, WA · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Denver, CO · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Phoenix, AZ · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Scottsdale, AZ · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Phoenix, AZ · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Denver, CO · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Santa Fe, NM · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Albuquerque, NM · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Seattle, WA · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

USAA

SIU Investigator I

Belgrade, MT · On-site +1

$77K - $147K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role requires a strong understanding of fraud schemes and investigation strategies to ... SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and ...

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Siu Fraud information

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$12

$26

$51

How much do siu fraud jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for siu fraud in the United States is $26.68, according to ZipRecruiter salary data. Most workers in this role earn between $17.31 and $32.21 per hour, depending on experience, location, and employer.

What is the difference between Siu Fraud vs Fraud Investigator?

AspectSiu FraudFraud Investigator
CredentialsCertifications like CFE, ACFE often preferredCertifications like CFE, ACFE often preferred
Work EnvironmentCorporate, insurance, or financial sectorsCorporate, law enforcement, or consulting firms
Employer & IndustryInsurance companies, corporations, government agenciesFinancial institutions, law enforcement, consulting firms
Search & Comparison IntentUnderstanding roles in fraud detection and preventionInvestigating and resolving fraud cases

Both Siu Fraud and Fraud Investigators focus on detecting and preventing fraud, often requiring similar certifications and working in related environments. However, Siu Fraud specialists typically work within corporate or insurance settings to identify internal fraud, while Fraud Investigators may work in law enforcement or consulting to investigate external fraud cases. The roles overlap but differ mainly in their scope and employer context.

How to become a SIU fraud investigator?

To become a SIU fraud investigator, candidates typically need a background in insurance, law enforcement, or criminal justice, along with strong analytical and investigative skills. Relevant certifications, such as Certified Fraud Examiner (CFE), and experience with fraud detection tools can enhance prospects. A bachelor's degree is often required, and investigators may need to pass background checks and obtain specific licensing depending on the employer.
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What cities are hiring for Siu Fraud jobs?

Cities with the most Siu Fraud job openings:

What states have the most Siu Fraud jobs?

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Siu Fraud jobs near you
Infographic showing various Siu Fraud job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 17% Part Time, and 1% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $55,485 per year, or $26.7 per hour.

Clinical SIU Investigator

Resources Global Professionals

Los Angeles, CA • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

About This Role
Our client is seeking an experienced SIU Clinical Investigator / Healthcare Compliance Professional to support a growing Special Investigations Unit (SIU). This role focuses on conducting clinical and compliance reviews of medical records to identify potential fraud, waste, abuse, and billing irregularities. The individual will not maintain a traditional investigation caseload but will serve as a subject matter expert, performing detailed reviews and analyses of complex healthcare claims and documentation.
What You Will Work On
  • Review medical records, claims, and supporting documentation for clinical consistency, completeness, and compliance.
  • Identify potential indicators of fraud, waste, and abuse, including:
  • Cloning of medical documentation
  • Upcoding
  • Billing inconsistencies
  • Unsupported services and procedures
  • Medical necessity concerns
  • Conduct initial reviews and assessments of complex healthcare cases to determine potential compliance risks.
  • Analyze documentation to validate medical necessity and appropriateness of billed services.
  • Collaborate with SIU investigators and leadership to support ongoing investigations.
  • Document findings and provide clear recommendations for further review or action.
  • Stay informed of healthcare regulations, billing guidelines, and industry best practices.

What You Will Bring
  • Experience in healthcare investigations, healthcare compliance, SIU, clinical auditing, utilization review, medical record review, or related healthcare oversight functions.
  • Strong understanding of medical necessity criteria and healthcare documentation standards.
  • Knowledge of healthcare fraud schemes, billing practices, and claims review methodologies.
  • Experience reviewing complex medical records and identifying documentation discrepancies.
  • Ability to analyze clinical information and communicate findings effectively.
  • Clinical background strongly preferred.
  • Experience in healthcare payer, managed care, SIU, fraud investigations, clinical auditing, or healthcare compliance environments is highly desirable.

What You Can Expect
  • An inspirational place for you to do your best work, be engaged in meaningful ways, and continually develop the skills, competencies and qualities that set our team apart.
  • Compensation commensurate with your qualifications, experience, and other factors including geographic location, market and operational factors.
  • Total Rewards include: Medical, Dental, Vision, Life Insurance, Disability Insurance, 401(k) Savings Plan, Employee Stock Purchase Plan, Professional Development Program, Paid Time Off and Paid Sick Time (in geographies where legally required).

What We Do
At RGP, we're creating a future where businesses produce their best work without constraints. We've built a global network of over 2,600 experts across four regions, providing a comprehensive suite of solutions across on-demand talent, next-generation consulting, and outsourced services to support organizations at every stage of their growth journey. Trusted by Fortune 100 companies and emerging disruptors alike, we challenge conventional ways of working, drive growth, and pave the way for long-term success through bold innovation and fearless collaboration.
Our values guide everything we do and strengthen our commitment to people. By combining smart processes, human-centered design, and advanced technology, we celebrate our team's excellence and ensure we grow together. We believe in the power of continuous learning and development to drive both individual and organizational success. It's time to rethink how work gets done. Dare to Work Differently® with RGP.
RGP is proud to be an Equal Opportunity Employer and committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, national origin, gender, pregnancy, sexual orientation, gender identity, age, physical or mental disability, genetic information, veteran status, or any other legally protected trait and encourage all applicants to apply.
Resources Global Professionals logo

About Resources Global Professionals

Sourced by ZipRecruiter

Resources Global Professionals (RGP) is a multinational professional services firm, headquartered in Irvine, California, United States. Founded in 1996, the firm operates in various industries including finance, technology, healthcare, and retail among others. RGP is recognized for its unique approach to consulting, where they help clients transform their businesses through a combination of human talent, industry knowledge, and experience in problem-solving. The company's mission is "to help clients change their businesses from the inside out."

Industry

Business management consulting

Company size

1,001 - 5,000 Employees

Headquarters location

Irvine, CA, US

Year founded

1996

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