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Siu Fraud Jobs (NOW HIRING)

Berkley

SIU Manager

Urbandale, IA · On-site

Responsibilities The SIU Manager is responsible for assisting with leading our anti-fraud efforts to include both commercial and personal lines of business. This role is critical in safeguarding the ...

Berkley

SIU Manager

Urbandale, IA · On-site

The SIU Manager is responsible for assisting with leading our anti-fraud efforts to include both commercial and personal lines of business. This role is critical in safeguarding the integrity of our ...

Berkley

SIU Manager

Urbandale, IA · On-site

Responsibilities The SIU Manager is responsible for assisting with leading our anti-fraud efforts to include both commercial and personal lines of business. This role is critical in safeguarding the ...

Allied Universal

SIU Investigator

San Antonio, TX · On-site

$20.25 - $25.75/hr

The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution. * Job ...

Allied Universal

SIU Investigator

Bronx, NY · On-site

$32 - $38/hr

The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution. * Pay ...

Allied Universal

SIU Investigator

Dallas, TX · On-site

$22 - $28.25/hr

The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution. * Job ...

Allied Universal

SIU Investigator

Phoenix, AZ · On-site

$22 - $28.25/hr

The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution. * Job ...

Allied Universal

SIU Investigator

Provo, UT · On-site

$21.25 - $27.25/hr

The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.

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How much do siu fraud jobs pay per hour?

As of Sep 7, 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 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, 80% Full Time, 18% Part Time, and 1% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $55,485 per year, or $26.7 per hour.

Senior SIU (Claims Fraud) Investigator

Texas Children's Hospital

Bellaire, TX

Full-time

Posted 4 days ago

Texas Children's Hospital rating

8.3

Company rating: 8.3 out of 10

Based on 177 frontline employees who took The Breakroom Quiz

86th of 1,065 rated hospitals

Job description

We are searching for a Senior SIU Investigator -- someone who works well in a fast-paced setting. In this position, you will assist the Director of Controls and Compliance and the Special Investigative Unit Manager in conducting investigations into suspected incidents of Fraud, Waste, and Abuse (FWA).  This includes data mining for potential intakes, performing preliminary analysis on provider cases, and working on projects focused on preventing, detecting, and correcting fraud, waste, and abuse.

Job Duties & Responsibilities
    Conducts Fraud, Waste and Abuse (FWA) and related compliance investigations.
    Completes detailed and extensive investigations in adherence with organization's procedures and best practices. Gather evidence and determine potential recoveries.
    Independently develops and executes appropriate investigation strategy for assigned cases. Leads in-depth interviews of participants, witnesses or affected parties.
    Researches and prepares cases for clinical and legal reviews.
    Conducts reviews of flagged claims and suspected FWA, identifying opportunities for improving payment accuracy and preventing FWA.
    Analyzes compliance and FWA cases for root cause, trends, and tracks data to translate findings and develop processes for improvement or investigation.
    Prepares accurate, timely, unbiased, and detailed written reports and case summaries in compliance with corporate standard operating procedures and guidelines documenting investigative results.
    Prepares referrals for preliminary investigations, including Requesting medical records, creating forms, reports and updating logs.
    Facilitates the recovery of inappropriate payments from FWA matters.
    Drafts recoupment letters for FWA findings.
    Supports other investigators in SIU operations.
    Trains SIU Investigator on Investigation procedures.
    Maintains case management log with investigative notes, reports, and summaries.
    Proactively collaborates with line of business personnel to generate referrals.
    Partners with the federal and state agencies on data requests, projects, investigations, and meetings.
    Communicates investigation outcomes to line of business personnel and partners to implement provider and other compliance/ SIU related edits when appropriate.
    Maintains organization's confidential information in accordance with corporate policies, as well as state and federal laws, rules, and regulations regarding confidentiality.

Skills & Requirements
    High School Diploma or GED with preferred bachelor's degree
    6 years' experience in claims examination, adjusting, fraud detection, or investigations preferably in a healthcare environment
    Preferred certification as an Accredited Health Care Fraud Investigator (AHFI) by the National Healthcare Anti-Fraud Association (NHCAA)
 

Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

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