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The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.

HOUR

Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. With over 140,000 employees, Allied Universal delivers high-quality, tailored solutions, which allows clients to focus on their core business. For more information: 866.825.5433 or <a href="http://www.aus.com/" target="_blank">www.AUS.com</a>


Allied Universal

Surveillance Investigator

Experience utilizing data analytics to identify high-risk providers and claims for pre-payment review within a healthcare payer, SIU, Program Integrity, or Payment Integrity environment is strongly preferred . Experience conducting pre-pay investigations, provider risk assessments, data mining, fraud, waste and abuse (FWA) analysis, and proactive identification of billing anomalies and emerging provider trends.

Sentara Hospitals

Senior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI

Work hours vary depending on availability of leads and do not always fall within normal business hours, to include potential weekend hours or third-shift appointments. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States.

OMNIPLEX World Services Corporation, A Constellis Company

Contract Investigator - Harrisonburg, VA

Contract Investigator - Charlottesville, VA

DOLI is seeking highly motivated and skilled individuals to work as full-time Wage Protection Investigators to support its enforcement efforts including the protection of workers' wages, protection from independent contractor misclassification, child labor protections and prevailing wage requirements on public works contracts. Current and former employees of the Commonwealth of Virginia who have either been laid off or will be laid off from State service, who indicate preferential hiring rights in the form of a valid Interagency Placement Screening Form (yellow card) or a Preferential Hiring Form (blue card), must submit the card to our office by the application deadline.

YEAR

Commonwealth of Virginia

Wage Protection Investigator

DOLI is seeking highly motivated and skilled individuals to work as full-time Wage Protection Investigators to support its enforcement efforts including the protection of workers’ wages, protection from independent contractor misclassification, child labor protections and prevailing wage requirements on public works contracts. Current and former employees of the Commonwealth of Virginia who have either been laid off or will be laid off from State service, who indicate preferential hiring rights in the form of a valid Interagency Placement Screening Form (yellow card) or a Preferential Hiring Form (blue card), must submit the card to our office by the application deadline.

DHRM

Leads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions. Education/Experience: A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.

Centene Corporation Group

Senior Compliance Investigator

Independently plan, conduct, and manage prompt, thorough onsite and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to create comprehensive case files in accordance with established policies and procedures. Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer .

PacificSource

Senior Fraud, Waste and Abuse (FWA) Investigator

Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .

Field Investigator Jobs in Charlottesville, VA

Surveillance Investigator Allied Universal

Senior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI Sentara Hospitals

Contract Investigator - Harrisonburg, VA OMNIPLEX World Services Corporation, A Constellis Company

Contract Investigator - Charlottesville, VA OMNIPLEX World Services Corporation, A Constellis Company

Wage Protection Investigator Commonwealth of Virginia

Wage Protection Investigator DHRM

Senior Compliance Investigator Centene Corporation Group

Senior Fraud, Waste and Abuse (FWA) Investigator PacificSource

SIU / Claims Investigator - Central / South VA Allied Universal

SIU Investigator - Central / South VA Allied Universal

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