Base: $73,600 to $123,200; bonus/equity: not speci...
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California department of insurance compliance
Vendor management for field investigations
Medical provider fraud investigation oversight
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The SIU Specialist position at AF Group focuses on managing vendor-conducted investigations, specifically for California claims, ensuring compliance with relevant laws and regulations. The role includes conducting fraud investigations, overseeing quality assurance, and providing training and mentorship within the Special Investigations Unit.
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Job Summary
The primary focus of this role is the development and management of vendor-conducted Special Investigations Unit (SIU) investigations while ensuring strict adherence to California laws and regulations.
The specialist is responsible for analyzing intelligence, conducting desk investigations, managing external vendors for field work, and developing medical provider fraud investigations.
This position requires a minimum of seven years of law enforcement or insurance claims investigation experience with a strong emphasis on California-specific regulatory reporting and compliance.
Matching Summary
Match Score: 75
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The SIU Specialist position at AF Group focuses on managing vendor-conducted investigations, specifically for California claims, ensuring compliance with relevant laws and regulations. The role includes conducting fraud investigations, overseeing quality assurance, and providing training and mentorship within the Special Investigations Unit.
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Salary
Base: $73,600 to $123,200; Bonus/Equity: Not specified; Benefits: Not specified