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RELX

Senior Investigative Analyst

The Public Safety Special Investigative Unit (SIU), also serves to work with the sales team by analyzing data and monitoring production, building best practices, procedures and supporting functions ...

RELX

Senior Investigative Analyst

Washington, DC · Remote

The Public Safety Special Investigative Unit (SIU), also serves to work with the sales team by analyzing data and monitoring production, building best practices, procedures and supporting functions ...

LexisNexis

Senior Investigative Analyst

Washington, DC · On-site

The Public Safety Special Investigative Unit (SIU), also serves to work with the sales team by analyzing data and monitoring production, building best practices, procedures and supporting functions ...

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Special Investigative Unit Auditor information

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$33.5K

$69.9K

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How much do special investigative unit auditor jobs pay per year?

As of Aug 26, 2026, the average yearly pay for special investigative unit auditor 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 Investigative Unit auditor?

Special Investigative Unit (SIU) Auditors are professionals who work within insurance companies or related organizations to detect, investigate, and prevent insurance fraud. Their role involves auditing claims, analyzing data for suspicious patterns, and ensuring compliance with legal and regulatory requirements. SIU Auditors collaborate with investigators, legal teams, and law enforcement to gather evidence and support fraud cases. They play a crucial part in protecting the company and policyholders from fraudulent activities and financial losses.

What are the key skills and qualifications needed to thrive as a Special Investigative Unit auditor?

To thrive as a Special Investigative Unit Auditor, you need a strong background in auditing, fraud detection, and regulatory compliance, often supported by a bachelor's degree in accounting, finance, or criminal justice. Familiarity with investigation management software, data analytics tools, and relevant certifications like CFE (Certified Fraud Examiner) are commonly required. Attention to detail, analytical thinking, and effective communication are essential soft skills for conducting thorough investigations and collaborating with stakeholders. These skills ensure accurate identification of fraudulent activities, compliance with regulations, and the protection of organizational assets.

What are some common challenges faced by Special Investigative Unit auditors during insurance fraud investigations?

SIU Auditors often encounter challenges such as gathering sufficient evidence while adhering to legal and ethical standards, managing large volumes of complex data, and coordinating with multiple departments including claims, legal, and law enforcement. Balancing thoroughness with timely case resolution is critical, and auditors must remain objective despite pressure from stakeholders. Additionally, staying updated on evolving fraud schemes and regulatory requirements is essential for effective investigations.

What is the difference between Special Investigative Unit Auditor vs Claims Auditor?

AspectSpecial Investigative Unit AuditorClaims Auditor
CredentialsCPA, CIA, or insurance-related certificationsAdjuster licenses, certifications in claims processing
Work EnvironmentInsurance companies, corporate fraud unitsInsurance companies, third-party claims departments
Industry UsageFraud detection, internal investigationsClaims review, payment accuracy

While both roles involve auditing within the insurance industry, Special Investigative Unit Auditors focus on fraud detection and internal investigations, often requiring certifications like CPA or CIA. Claims Auditors primarily review claims for accuracy and compliance, typically holding adjuster licenses. The SIU Auditor's role is more investigative and analytical, whereas Claims Auditors concentrate on claims processing and validation.

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Special Investigative Unit Auditor jobs near you
Infographic showing various Special Investigative Unit Auditor job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, 1% Temporary, and 1% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $69,931 per year, or $33.6 per hour.

Special Investigative Unit Coordinator

Independent Living Systems

Tallahassee, FL • On-site

Full-time

Re-posted 19 days ago

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Special Investigative Unit (SIU) coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

About the Role:

The Special Investigative Unit (SIU) Coordinator plays a critical role in overseeing and managing investigations related to fraud, abuse, and other compliance issues within the healthcare and social assistance sector. This position ensures that all investigative activities are conducted thoroughly, ethically, and in accordance with regulatory standards and organizational policies. The coordinator acts as a liaison between internal departments, external agencies, and legal entities to facilitate information sharing and resolution of cases. By leading a team of investigators, the coordinator ensures timely and accurate documentation, analysis, and reporting of findings to support corrective actions and risk mitigation. Ultimately, this role contributes to safeguarding organizational integrity, protecting members rights, and maintaining compliance with healthcare laws and regulations.

Minimum Qualifications:

  • Bachelor’s degree in Criminal Justice, Healthcare Administration, Social Work, or a related field.
  • Minimum of 3 years of experience in healthcare investigations, compliance, or a related area.
  • Strong knowledge of healthcare laws, regulations, and compliance standards including HIPAA and Medicare/Medicaid rules.
  • Proven experience in managing investigative teams or projects.

Preferred Qualifications:

  • Master’s degree in Criminal Justice, Healthcare Administration, Social Work, or a related field.
  • Certification in Fraud Examination (CFE) or Healthcare Compliance (CHC) is highly desirable.
  • Experience working within a Special Investigative Unit or similar healthcare fraud prevention team.
  • Familiarity with data analytics tools and investigative software.
  • Advanced degree in a relevant field such as Public Health, Law, or Business Administration.
  • Demonstrated ability to work collaboratively with law enforcement and regulatory agencies.

Responsibilities:

  • Manage and coordinate investigations of suspected fraud, waste, and abuse within healthcare programs, ensuring compliance with legal and regulatory requirements.
  • Develop and implement investigative plans while maintaining confidentiality and security of sensitive information.
  • Supervise, train, and support investigative staff, overseeing performance, case management, and professional development.
  • Collaborate with internal departments and external agencies, including compliance, legal, clinical teams, law enforcement, and regulators.
  • Prepare detailed reports, track investigative trends, and present findings to leadership, recommending policy or procedural changes to strengthen compliance and risk management.

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