PART_TIME

FEED

UNKNOWN

You'll document findings through detailed reports, obtain written and recorded statements, conduct scene investigations, and capture photographic evidence such as accident scenes and vehicle damage. With a leadership team boasting over 25 years of field experience, we are committed to unlocking the potential of our employees and creating a supportive, tight-knit community.

HOUR

Lemieux & Associates LLC

Licensed SIU Field Investigator

Talent Acquisition

FULL_TIME

Lemieux & Associates is seeking a part-time, on-call SIU Field Investigator in Charleston, WV, who is ready to put their investigative expertise to work in a rewarding role where every case presents a new challenge. With a leadership team boasting over 25 years of field experience, we are committed to unlocking the potential of our employees and creating a supportive, tight-knit community.

SIU Field Investigator

Licensed Surveillance Field Investigator

Lemieux & Associates is seeking a part-time, on-call Bilingual SIU Field Investigator in Stamford, CT, who is ready to put their investigative expertise to work in a rewarding role where every case presents a new challenge. With a leadership team boasting over 25 years of field experience, we are committed to unlocking the potential of our employees and creating a supportive, tight-knit community.

Bilingual SIU Field Investigator

Partners with internal departments (e.g., Claims, Medical Management, Legal, Provider Relations) to implement corrective actions such as provider education, prepayment review, payment suspension, and overpayment recovery; manages corrective action and repayment plans and processes claims in SIU pend queues. frame-loader#lazyLoad clinch:authenticated@document->frame-loader#reload" data-controller="frame-loader" data-src="/blocks/jobs/22dd666b9db20bcc871b61c3c4656ac0/favourites?page_id=307adbbfc8bd0f5a14f95c1c6bbc3490" id="22dd666b9db20bcc871b61c3c4656ac0_favourites">.

YEAR

Boston Medical Center

Clinical Investigator II

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Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. Investigates files by using appropriate field, computer and telephone investigative techniques and provides appropriate documentation of actions in a thorough timely manner.

Military, Veterans and Diverse Job Seekers

SIU Investigator

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Analyze insurance company and producer conduct for adherence to critical statutes, including the Insurance Trade Practices Act (Iowa Code Chapter 507B), the Insurance Producer Law (Iowa Code Chapter 522B), Licensing of Adjuster (Iowa Code Chapter 522C), Licensing of Appraisers and Umpires (Iowa Code Chapter 522F) and Uniform Securities Act (Iowa Code Chapter 502). Business management and administration including: budget administration and analysis, regulatory and legal compliance, quality assurance, and customer service administration., where thirty semester hours of accredited college or university course work in any field equals one year of full-time experience?.

State of Iowa

Investigator

Claim Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation. Associate's degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims.

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

Claims 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.

SIU / Claims Investigator

Surveillance / Claims Investigator Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation. Associate’s degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims.

Surveillance / Claims Investigator - Part Time

[AW]-iCims

SIU Investigator - Part Time

Preferred certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Specialist (CFS), Certified Fraud Examiner (CFE), Certified Forensic Interviewer (CFI), or. Overview: As a Senior Investigator, you will investigate suspected incidents of healthcare fraud, waste, or abuse through data analysis (a high level of proficiency with Excel is required).

Cotiviti

Senior Investigator - Lead Validation (Healthcare FWA)

Senior Investigator (Healthcare FWA)

Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. In this role, the Investigator will perform high level complex Medicare and Medicaid investigations and develop cases for future action, including referral to law enforcement, education, overpayment recovery and other administrative actions.

Integrity Management Services, Inc.

Investigator (Full-time, Remote)

Workable

Integrity Management Services, Inc. (IntegrityM) is an award-winning, women-owned small business specializing in assisting government and commercial clients in compliance and program integrity efforts, including the prevention and detection of fraud, waste and abuse in government programs. In this role, the Senior Investigator will conduct investigations that support healthcare program integrity initiatives by identifying potential fraud, waste, and abuse (FWA), analyzing complex information, and developing investigative findings.

Sr. Investigator (Full-time, Remote)

Specifically, the Fraud Specialist is responsible for dispositioning alerts, positive pay payment decisions for internal bank accounts, reviewing bill payment exceptions (level 2), on-us signature verification, and escalating fraudulent activity to Fraud Case Reviewers. The Fraud Specialist I's primary objective is to review anomalous activity identified through manual processes, internal referrals, and system-generated alerts to identify suspicious check and deposit fraud activity.

TowneBank

Fraud Specialist I - Alert Reviewer

Must be able to work in a law enforcement environment that includes the presence of firearms; Must qualify and carry a firearm; A valid California driver license is required; Must be 21 years of age; Must be able to work both indoors and outdoors, depending on the situation in which investigator is involved, at any given time; There is a reasonable expectation of contact with dangerous suspects; Frequent sitting, standing, walking, and carrying is required; and. Incumbents may work alone, with a team, or as a lead criminal investigator assigned to conduct investigations of criminal enterprises and profiteering and assist in the prosecution of cases involving these groups in both State and Federal courts; and conduct investigations involving a broad range of felony violations, both State and Federal judicial systems.

State Of California

INVESTIGATOR

Claim Investigators validate the facts of loss for Insurance claims through scene Investigations, claimant and witness Interviews, document retrieval and data Interpretation. Associate’s degree in Criminal Justice with a minimum of four (4) years of demonstrated experience conducting complex insurance investigations or adjusting complex claims.

Surveillance / Claims Investigator- Part Time

Four years of recent (within last ten years) full-time investigative experience which included: 1.) conducting fact finding; 2.) collecting and preserving evidence according to the rules of evidence; 3.) examining records; 4.) locating and interviewing witnesses to verify or disprove claims of suspected law violations; 5.) and writing investigation reports sufficient for use at administrative hearings or in court. Working alongside attorneys, auditors, and other investigators, you will gather and analyze evidence, interview witnesses and suspects, collaborate with law enforcement partners, and help protect public resources and vulnerable Oregonians.

Fraud Investigator Jobs in the United States

Licensed SIU Field Investigator Lemieux & Associates LLC

SIU Field Investigator Lemieux & Associates LLC

Licensed Surveillance Field Investigator Lemieux & Associates LLC

Bilingual SIU Field Investigator Lemieux & Associates LLC

Clinical Investigator II Boston Medical Center

SIU Investigator Military, Veterans and Diverse Job Seekers

Investigator State of Iowa

Claims Investigator Allied Universal

SIU Investigator Allied Universal

SIU / Claims Investigator Allied Universal

Surveillance / Claims Investigator - Part Time Allied Universal

SIU Investigator - Part Time Allied Universal

Senior Investigator - Lead Validation (Healthcare FWA) Cotiviti

Senior Investigator (Healthcare FWA) Cotiviti

Investigator (Full-time, Remote) Integrity Management Services, Inc.

Sr. Investigator (Full-time, Remote) Integrity Management Services, Inc.

Fraud Specialist I - Alert Reviewer TowneBank

INVESTIGATOR State Of California

Surveillance / Claims Investigator- Part Time Allied Universal

*Investigator 3 - Civil Enforcement Division (Portland) State of Oregon

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