As is discussed in this answer, S-equivalence class can be regarded as the Alexander module plus Blachfield pairing, an isomorphism of some duals of Alexander modules.
There are examples of knots having the same Alexander polynomial but different Alexander modules. For example, the knots $6_1$ and $9_{46}$ have the same Alexander polynomial but their Alexander modules are different, because their second Alexander ideals are different.
However, I do not know explicit examples of non S-equivalent knots having the same Alexander modules. (Presumably such example exists and appeared before, but I cannot find references)
Q1. What is the simplest example of knots having the same Alexander module which are not S-equivalent ?
Q2. How to construct such knots systematically ?
It would be nice if there is a move that always preserves the Alexander module but (potentially) changes the S-equivalence class.
Although there are many ways to construct a knot having the same Alexander polynomial, in most cases, they actually produce S-equivalent knots, or, often more strongly, knots having the same Seifert matrices.
One exception I know is mutation. Mutation preserves the Alexander polynomial. Kearton showed that mutation may not preserve the Alexander modules, so it does not preserve the S-equivalence classes. However, Kim-Livingston proved that mutation preserves the algebraic concordance classes so in particular, mutation preserves the Levine-Tristram signatures.