Territory Business Manager driving sales initiatives and building relationships in dermatology healthcare. Develop partnerships with physicians to enhance product awareness and utilization in assigned territory.
About the role
- The SIU Non-Medical Major Case Manager oversees the investigation and resolution of complex, high-impact fraud cases within the Special Investigations Unit.
- Manage and mentor a team of Major Case Investigators, ensuring adherence to SIU protocols and performance standards.
- Direct investigations involving organized fraud rings, staged accidents, identity theft, and other high-severity schemes.
- Coordinate with internal stakeholders (Claims, Legal, Compliance) and external agencies (NICB, law enforcement).
- Conduct performance reviews and audits based on SIU Major Case guidelines and procedures.
Requirements
- Minimum 5 years of SIU experience, with at least 2 years in a supervisory or managerial role.
- Strong knowledge of insurance fraud schemes, investigative techniques, and legal processes.
- Excellent leadership, communication, and decision-making skills.
- Certifications such as CIFI, CPCU, or FCLS preferred.
- Ability to manage sensitive information with discretion and integrity.
Benefits
- Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family’s overall well-being.
- Financial benefits including market-competitive compensation.
- A 401K savings plan vested from day one that offers a 6% match.
- Performance and recognition-based incentives.
- Tuition assistance.
- Access to additional benefits like mental healthcare as well as fertility and adoption assistance.
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