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Special Investigation Unit Jobs (NOW HIRING)

Careoregon

Special Investigations Unit Investigator

OR · On-site +1

Special Investigations Unit Investigator ----- This position is responsible for administering the fraud, waste, and abuse (FWA) duties for CareOregon and its affiliated lines of business. Core work ...

Parkland Health

... Special Investigations Unit is to implement an effective compliance program that includes ... investigation and pursuit of fraud, waste, and abuse violations. The Clinical SIU Investigator ...

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$33.5K

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How much do special investigation unit jobs pay per year?

As of Sep 8, 2026, the average yearly pay for special investigation unit in the United States is $69,931.00, according to ZipRecruiter salary data. Most workers in this role earn between $48,000.00 and $86,000.00 per year, depending on experience, location, and employer.

What is a Special Investigation Unit (SIU)?

A Special Investigation Unit (SIU) is a specialized team within an organization, often in insurance or law enforcement, that is responsible for investigating suspicious or potentially fraudulent activities. In the insurance industry, SIUs focus on detecting, preventing, and investigating claims that may involve fraud or other criminal behavior. Their work helps protect both the company and its customers from losses due to dishonest practices. SIU professionals use various investigative techniques, including interviews, surveillance, and analysis of documents, to uncover the truth behind questionable cases.

What are the key skills and qualifications needed to thrive as a Special Investigation Unit (SIU) investigator?

To thrive as a Special Investigation Unit (SIU) Investigator, you need strong analytical abilities, attention to detail, and experience in insurance, law enforcement, or fraud detection, often supported by a relevant bachelor's degree. Familiarity with case management software, data analysis tools, and industry-recognized certifications like CIFI or CFE is typically required. Outstanding communication, critical thinking, and ethical judgment are soft skills that distinguish top performers in this role. These competencies are essential for accurately detecting, investigating, and preventing fraudulent activities, thereby safeguarding organizational integrity and resources.

What are some common challenges faced by professionals working in a Special Investigation Unit (SIU)?

Professionals in a Special Investigation Unit often face challenges such as managing complex caseloads, navigating sensitive or confidential information, and coordinating with various internal and external stakeholders like law enforcement agencies and legal teams. The work can be fast-paced and requires strong analytical and communication skills to ensure thorough and accurate investigations. Additionally, SIU team members must stay updated on regulatory changes and industry best practices to effectively detect and prevent fraud or other suspicious activities.

What is the difference between Special Investigation Unit vs Insurance Fraud Investigator?

AspectSpecial Investigation UnitInsurance Fraud Investigator
CredentialsVaries; often law enforcement or legal backgroundInsurance industry certifications, investigative training
Work EnvironmentLaw enforcement agencies, corporate securityInsurance companies, private investigation firms
Employer & IndustryGovernment, law enforcement, corporateInsurance companies, third-party agencies
Primary FocusInvestigating criminal activities, fraud, and misconductDetecting and preventing insurance fraud

While both roles involve investigation skills, the Special Investigation Unit typically handles broader criminal investigations within law enforcement or corporate settings, whereas Insurance Fraud Investigators focus specifically on identifying and preventing insurance fraud within the insurance industry.

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Special Investigation Unit jobs near you
Infographic showing various Special Investigation Unit job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 74% Full Time, 22% Part Time, 1% Temporary, and 2% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $69,931 per year, or $33.6 per hour.

Special Investigations Unit Investigator

Delta Dental of Michigan

Okemos, MI • On-site, Remote

Full-time

Medical, Dental

Posted 20 days ago

Job description

Job Title:
Special Investigations Unit Investigator
Number of Positions:
3
Location:
Okemos, MI
Location Specifics:
Fully Remote
Job Summary:
Candidates must reside in Michigan within a reasonable commuting distance of our Okemos, MI office for team meetings, collaborative sessions, and training.
At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.
At Delta Dental, we celebrate our All In culture. It's a mindset, feeling and attitude we wrap around all that we do - from taking charge of our careers, to helping colleagues and lending a hand in the community.
Position Description:
Responsible for the research and reporting of internal and external activities of providers and members involved in questionable conduct as it pertains to treatment patterns, claim submissions, contract agreements, and state licensing requirements.
Primary Job Responsibilities:
  • Plans, coordinates, prepares, and performs in-depth provider and member audits, and researches questionable conduct using data extraction and analysis tools and techniques.
  • Conducts interviews, requests and preserves evidence, reviews auditee's treatment and financial records, controls, and other pertinent records.
  • Prepares written communications to the auditee and mid to senior level management, including requests, audit reports and general correspondence to ensure compliance with contracts or state licenses.
  • Educates providers and members regarding contractual requirements in order to gain or maintain compliance with participating agreements, client contracts, and applicable laws and regulations.
  • Provides assistance to law enforcement agencies or attorneys in the detection, defense, and prosecution of fraud, to include responding to subpoenas, preparing documentation, and testifying in administrative or judicial proceedings regarding violations of contracts.
  • Makes recommendations to enhance system controls and contract agreements in order assist in preventing aberrant behavior.
  • Develops training programs and educates corporate staff in Anti-Fraud activities.
  • Assists in implementing, supporting, developing and maintaining relationships with Delta Dental affiliates.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.
#LI-Remote
Minimum Requirements:
Position requires a bachelor's degree in accounting, business administration, finance, healthcare administration, information technology, or a related field and three years of experience auditing, utilizing analytical tools and software, dental claims billing or review, or as a dental hygienist. Will accept any suitable combination of education, training, or experience.
Position requires advanced knowledge of dental terminology and dental procedure codes; knowledge of common data mining tools, such as Audit Command Language (ACL), SQL Developer and IBM's Fraud and Abuse Management System (FAMS); strong verbal and written communication skills; strong organizational and analytical skills; ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment.
An Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), or Certified Internal Auditor (CIA) designation is preferred.
The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

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