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$33.5K

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$119K

How much do special investigative unit jobs pay per year?

As of Jul 30, 2026, the average yearly pay for special investigative 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 Investigative Unit?

A Special Investigative Unit (SIU) is a specialized team within an organization, often in insurance or law enforcement, dedicated to detecting, investigating, and preventing fraudulent activities. In the insurance industry, SIUs focus on identifying potentially fraudulent claims and working with law enforcement to prosecute fraudsters. These units use a variety of investigative techniques, including surveillance, interviews, and forensic analysis, to uncover evidence. SIUs play a crucial role in protecting companies from financial losses and maintaining the integrity of their operations.

What are the key skills and qualifications needed to thrive as a Special Investigative Unit (SIU) Investigator, and why are they important?

To thrive as a Special Investigative Unit (SIU) Investigator, you need strong analytical abilities, attention to detail, and a background in criminal justice or insurance, often supported by certifications like CIFI or FCLS. Familiarity with claims management systems, fraud detection software, and legal research databases is typically required. Excellent communication, critical thinking, and ethical judgment are essential soft skills for conducting interviews and preparing reports. These competencies ensure accurate investigations, effective fraud prevention, and compliance with legal and industry standards.

What does a special investigation unit do?

A special investigation unit is a team within an organization that conducts in-depth investigations into complex or sensitive cases, such as fraud, corruption, or criminal activity. They often use specialized skills, tools, and techniques to gather evidence, analyze data, and support legal or disciplinary actions.

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

AspectSpecial Investigative UnitClaims Adjuster
Required CredentialsInsurance or law enforcement background, certifications like CPCU or ARMInsurance license, relevant state certifications
Work EnvironmentOffice, field investigations, sometimes law enforcement settingsOffice-based, field inspections, client interactions
Employer & Industry UsageInsurance companies, law enforcement agenciesInsurance companies, third-party claims firms
Common Search & ComparisonInvestigations, fraud detection, insurance claimsClaims processing, settlement, damage assessment

While both roles are involved in insurance, the Special Investigative Unit focuses on fraud detection and complex investigations, often requiring law enforcement or specialized insurance credentials. Claims Adjusters handle claims processing, damage assessments, and settlement negotiations. Understanding these differences helps clarify career paths and employer expectations in the insurance industry.

What are the different types of SIU jobs?

Special Investigative Unit (SIU) jobs include roles such as claims investigators, special investigators, fraud analysts, and surveillance specialists. These positions often require skills in interviewing, data analysis, and the use of investigative tools, and may involve working with law enforcement or legal teams to detect and prevent insurance fraud or other misconduct.

What is the highest paying investigator job?

The highest paying investigator roles are often senior positions such as private investigators, corporate security investigators, or federal agents like FBI special agents, with salaries exceeding $100,000 annually. Factors influencing pay include experience, certifications, and the complexity of investigations handled.

Are SIU jobs stressful?

Special Investigative Unit (SIU) jobs can be stressful due to the nature of investigating complex cases, often involving fraud, insurance claims, or criminal activity. The role requires attention to detail, analytical skills, and sometimes long or irregular hours, which can contribute to job-related stress.

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

Professionals in a Special Investigative Unit often encounter challenges such as managing complex cases that require attention to detail and strict adherence to legal and regulatory guidelines. They may face tight deadlines, high case volumes, and the need to collaborate across departments, including legal, claims, and law enforcement. Maintaining confidentiality while gathering evidence and communicating findings is crucial. Additionally, staying updated on evolving fraud tactics and investigation technologies is essential for success in this role.
More about Special Investigative Unit jobs
What cities are hiring for Special Investigative Unit jobs? Cities with the most Special Investigative Unit job openings:
What states have the most Special Investigative Unit jobs? States with the most job openings for Special Investigative Unit jobs include:
What job categories do people searching Special Investigative Unit jobs look for? The top searched job categories for Special Investigative Unit jobs are:
Special Investigative Unit jobs near you
Infographic showing various Special Investigative Unit job openings in the United States as of July 2026, with employment types broken down into 2% Locum Tenens, 91% Full Time, 6% Part Time, and 1% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $69,931 per year, or $33.6 per hour.

Investigator, Special Investigative Unit Coding-Miami Florida

Molina Healthcare

Saint Petersburg, FL

$21.82 - $42.55/hr

Full-time

Re-posted 28 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 197 frontline employees who took The Breakroom Quiz

160th of 299 rated insurance

Job description

JOB DESCRIPTION
Provides investigative support for special investigation unit (SIU) activities specific to medical provider coding fraud, waste and abuse (FWA). Investigates and resolves instances of health care fraud and abuse investigations of medical providers using informational tips from member benefits and medical records following review of post-payment claims. 
Essential Job Duties
  • Independently re-evaluates medical claims and associated records by applying knowledge of advanced coding, all relevant and applicable Federal and State regulatory requirements, and Molina policies.
  • Reviews post-pay claims against corresponding medical records to determine accuracy of claims payments. 
  • Manages documents and prioritizes caseloads to ensure timely turnaround. 
  • Ensures adherence to applicable state/federal/internal policies, Current Procedural Terminology (CPT) guidelines and provider contract requirements.
  • Devises clinical summary post-review.
  • Communicates and participates in meetings related to cases.
  • Completes medical review to facilitate referral to law enforcement or payment recovery. 
  • Supports investigation work as necessary and required by the regulatory agency.
Job Requirements
  • At least 2 years CPT coding experience in a surgical, hospital and/or clinic setting, or equivalent combination of relevant education and experience.
  • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Professional Medical Auditor (CPMA), or American Academy of Professional Coders (AAPC) certified
  • Critical-thinking, problem-solving and analytical skills. 
  • Ability to prioritize and manage multiple tasks.
  • Ability to work in a team setting.
  • Strong verbal/written communication skills, and presentation skills.
  • Microsoft Office suite (including Excel), and applicable software program(s) proficiency.
  • In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements). 
  • Knowledge of investigative and law enforcement procedures with emphasis on fraud investigations.
  • Knowledge of Managed Care and the Medicaid, Medicare, and Marketplace programs.
  • Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems.
  • Ability to research and interpret regulatory requirements.
Preferred Qualifications
  • Certified Professional Compliance Officer (CPCO). 
  • Certified Fraud Examiner (CFE) and/or Accredited Health Care Fraud Investigator (AHFI). 
  • Experience working in group health insurance, particularly within claims processing or operations. 
  • Working knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). 
  • Experience with claims processing systems. 
  • Ability to use Microsoft Excel/Access platforms working with large quantities of data. 
  • Ability to answer questions, identify trends and patterns, and present findings. 
 #PJCorp
#LI-AC1
To all current Molina employees. If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $21.82 - $42.55 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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