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Job DescriptionHealthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries. Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity. #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job DescriptionDescription: Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect for a licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results. We are seeking a detail-oriented and proactive investigator to join our team. The ideal candidate will conduct a variety of investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within an assigned geographical area. Surveillance assignments require the investigator to obtain videotape documentation of the subject and for SIU assignments the investigator must complete the assignment as per the instructions given by the case manager. Key Responsibilities: • Adhere to specific requirements of an assignment based upon the case manager's instructions, • Review all case materials prior to conducting investigative activity, • Complete video surveillance on identified individuals for the allotted amount of time and utilizes established investigative techniques to secure covert video footage, • Conduct investigations such as securing recorded statements, scene inspections, activity checks and securing documents as assigned, • Complete written notes on each case assignment in a timely manner, • Submit all videotaped results, photographs, and digital recordings via e-mail by the next business day, • Meet established deadlines set by the client, • Communicate effectively with the assigning case manager with regularity regarding the progress of assignments, • Ensure confidentiality of all information obtainedRequirements:, • Possess a valid state issued driver's license, • Possess a current private investigator license (if applicable), • Must be dependable and able to meet deadlines, • Must be a self-starter capable of working with limited supervision, • Possess investigative tools (Laptop, Video Cameras, Digital Recorder, etc.), • Possess strong writing and verbal communication skills, • Experience conducting surveillance as a field investigator, • Experience completing SIU claim investigations, • Possess a reliable vehicle

Job DescriptionCompany Overview ID.me is the next-generation digital identity wallet that simplifies how individuals securely prove their identity online. Consumers can verify their identity with ID.me once and seamlessly login across websites without having to create a new login and verify their identity again. Over 152 million users experience streamlined login and identity verification with ID.me at 20 federal agencies, 45 state government agencies, and 70+ healthcare organizations. More than 600+ consumer brands use ID.me to verify communities and user segments to honor service and build more authentic relationships. ID.me's technology meets the federal standards for consumer authentication set by the Commerce Department and is approved as a NIST 800-63-3 IAL2 / AAL2 credential service provider by the Kantara Initiative. ID.me is committed to "No Identity Left Behind" to enable all people to have a secure digital identity. To learn more, visit . Role Overview ID.me is seeking a Fraud Investigations Manager to lead a high-performing fraud investigations team responsible for complex, high-volume digital investigations. This role is a hands-on people manager who brings prior experience as an individual contributor fraud investigator, combined with proven success building, managing, and developing teams. The Fraud Investigations Manager will oversee sophisticated investigations involving identity fraud, account takeover, synthetic identity, and coordinated fraud activity. This leader will operate in a fast-paced, data-rich environment and will serve as a key escalation point for executive communications, subpoenas, RFIs, and other high-sensitivity matters where precision, clarity, and attention to detail are critical. This role is based out of our McLean, VA office and requires full-time in-office attendance. Key ResponsibilitiesFraud Investigations Oversight • Oversee investigations into sophisticated fraud schemes, including account takeover (ATO), identity theft, synthetic identity, and organized fraud networks., • Act as an escalation point for the most complex, high-risk, or sensitive cases., • Ensure investigations are thoroughly documented, well-reasoned, and aligned to internal policy, regulatory standards, and evidentiary requirements., • Work efficiently to balance speed and accuracy in a high-volume investigations environment.Executive Communication & External Requests, • Draft and deliver clear, precise written communications for executive escalations, subpoenas, regulatory inquiries, and RFIs., • Present investigation findings, trends, and risk assessments to senior leadership., • Partner closely with Legal, Compliance, Security, and Trust teams on sensitive fraud matters., • Ensure consistency, accuracy, and defensibility in all external-facing investigation outputs.Data & Analytical Partnership, • Use data to inform investigation strategy, prioritization, and quality improvements., • Maintain a working understanding of fraud detection signals, risk models, and investigation tooling., • Read, interpret, and question data outputs to guide investigative decisions., • Leverage SQL and data exploration to support investigations and trend analysis., • Collaborate with Product, Engineering, and Data teams to surface gaps and improve fraud detection and investigation workflows.People Leadership & Team Development, • Build, manage, and develop a team of Fraud Investigators supporting urgent, hhighly visible-volume, and complex digital investigations., • Set clear expectations for quality, productivity, and investigative rigor; coach team members through regular feedback and performance management., • Own hiring, onboarding, training, and career development for investigators., • Foster a culture of accuracy, accountability, and continuous improvement.Basic Qualifications, • 7+ years of experience in fraud investigations, trust & safety, or risk operations., • Prior experience as an individual contributor fraud investigator handling complex digital investigations., • 3+ years of people management experience, including hiring, coaching, and performance management., • Experience leading teams in high-volume, highly sophisticated digital investigations environments., • Strong written and verbal communication skills, with demonstrated experience handling executive escalations, subpoenas, or RFIs., • Bachelor's degree required (any field); quantitative or analytical fields strongly preferred.Preferred Qualifications, • Experience in digital identity, fintech, payments, or other regulated environments., • Baseline understanding of machine learning models used in fraud detection (inputs, outputs, limitations)., • Working knowledge of SQL and comfort reading and interpreting data., • Experience partnering with Legal, Compliance, or law enforcement., • Proven track record of improving investigation quality, consistency, or operational efficiency., • Exceptional attention to detail and documentation discipline.Why ID.me, • Lead a mission-critical function protecting millions of users from identity fraud., • Manage and grow a team operating at scale with real-world impact. ID.me offers comprehensive medical, dental, vision, health savings account, flexible spending accounts (medical, limited purpose, dependent care, commuter benefit accounts), basic and voluntary life and AD&D insurance, 401(k) with company match, parental leave, ability to participate in unlimited paid time off subject to the terms and conditions of the PTO policy, including 8 company wide holidays, short and long-term disability insurance, accident and critical illness insurance, referral bonus policy, employee assistance program, pet insurance, travel assistant program, wellbeing and childcare discounts, benefit advocates, and a learning and development benefit. The above represents the anticipated total rewards package for this job requisition. Final offers may vary from the amount listed based on qualifications, professional experiences, skills, education, relevant training, geographic location, and other job related factors. Pay Range$104,000—$152,500 USD ID.me is a full-time, in-office culture. Unless a specific job description explicitly states otherwise, all roles are on-site five days per week at one of our offices in McLean, VA; Mountain View, CA; New York City, NY; or Tampa, FL. Certain roles — such as field-based sales or other remote-by-design positions — may have different work arrangements as noted in their individual postings. ID.me maintains a work environment free from discrimination, where employees are treated with dignity and respect. All ID.me employees share in the responsibility for fulfilling our commitment to equal employment opportunity. ID.me does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. ID.me adheres to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline. In addition, ID.me's policy is to provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations and ordinances where a particular employee works. Upon request we will provide you with more information about such accommodations. Please review our Privacy Policy, including our CCPA policy, at id.me/privacy. If you provide ID.me with any personally identifiable information you confirm that you have read and agree to be bound by the terms and conditions set out in our Privacy Policy. ID.me participates in E-Verify.

Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a desk position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. The candidate selected will have strong multi-line SIU Investigation experience. This role is remote eligible. However, you must live in the assigned territory which is ME, VT, NH, MA, CT, RI, DE, MD or Washington DC. There may be occasional business travel. What you'll do: * Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims. * Participates in the development of fraud prevention strategies. * Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy contracts, coverages and internal claims handling process and procedures. * Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. * Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. * Makes recommendations within defined authority guidelines. * Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome. * Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention. * May serve as a resource team member on specific matters through demonstrated skill or training. * Assists with the delivery of fraud awareness training initiatives in a defined environment. * Handles CAT duty responsibilities as business requires. * Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: * High School Diploma or General Equivalency Diploma (GED). * 2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience. * Proven investigatory skills. * Experience obtaining statements from various parties to incidents, witnesses, and suspects. * Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud. * Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems. * Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems. * Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology. What sets you apart: * SIU experience conducting low to complex P&C fraud investigations OR a combination of Insurance Claims and (Law Enforcement Investigations OR Military Investigations) experience. * Strong background with multi-line SIU investigations * Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other. * US military experience through military service or a military spouse/domestic partner Compensation range: The annualized range for this position is: $77,120 - $147,390. This is an hourly position. USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, F-1, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

We are seeking an experienced Illicit Finance Investigator to lead and support complex financial investigations involving money laundering, terrorist financing, narcotics trafficking, fraud schemes, and sanctions evasion. Minimum 15 years of experience in financial crime investigations, illicit fina

Are you excited by the chance to create an impact and work in a dynamic flexible environment? Do you have expertise in fraud operations? If so, please apply to Freddie Mac's Fraud Investigator opportunity and work in conjunction with Single Family (SF) Acquisitions business leaders. In this role, yo

Investigator I - Transaction Monitoring Operations Fraud Team. Are you looking for a challenging role that includes the convenience of working virtually at home? Then a Capital One Anti-Money Laundering Investigator role may be the role for you! You must be within 50 miles driving distance from our

Association of Certified Anti-Money Laundering Specialists (ACAMS), Certified Fraud Examiner (CFE), Certified Financial Crimes Investigator (CFCI), or other relevant certification(s) or industry-related association membership. McLean, VA: $69,100 - $78,900 (AML Investigator II). Plano, TX: $62,900 -

CGS is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville, TN. Analyze data for evidence of fraud, waste and abuse. Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.

Job Description ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for our clients. JOB SUMMARY: Our dynamic Ethos team is seeking an Experienced Field Investigator to conduct surveillance and investigative activities to identify potential fraudulent insurance claims. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients. KEY RESPONSIBILITIES: • Case Preparation: Prepare for surveillance assignment by reviewing Ethos' preliminary reports and case information., • Field Surveillance: Perform covert surveillance from your vehicle by tracking and capturing high-quality video evidence of surveillance targets., • Report Writing: Draft detailed and court-ready investigative reports summarizing activity and key findings., • Documentation: Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day., • Communication: Work closely with the field supervisor and operations teams, receiving regular guidance and mentorship. REQUIREMENTS: • Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports., • Driver's License: Valid driver's license and proof of automobile insurance., • Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows)., • Surveillance Equipment: A handheld camcorder with high-quality zoom and a covert camera device. Use of stabilization equipment (gimbals, tripods, etc.) is strongly encouraged., • Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks., • Private Investigator License: Active Private Investigator license or willingness to obtain one (where required by state). WORKING CONDITIONS: • While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be required, • Most surveillance cases start at 6:00AM. End time can vary depending on activity and a typical workday can vary from 3-12 hours., • Weekends/holidays are common workdays as claimants are more likely to be active., • This is an independent role often requiring long hours alone in your vehicle, regardless of weather conditions., • Must remain alert with no external distractions, ready to use videography equipment to document subjects. Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic. A background check will be conducted, in accordance to the local state law and regulations. Job Posted by ApplicantPro

Job DescriptionAffirmative Civil Enforcement (ACE) InvestigatorEmployment Type: Full-Time, Experienced Department: Legal Services CGS is seeking an experienced ACE Investigator with extensive knowledge and skills in investigative techniques and fraud detection to provide assistance for a large Federal agency initiative. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- The investigator will generate new investigations, and to continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of federal public funds and programs.- Regularly meets with the ACE attorneys and with designated agency personnel for the purpose of generating fraud investigations.- Performs a variety of ancillary investigations-related services in direct support of any assigned fraud- Utilizes electronic databases such as public records, property records, business records, and other government-maintained databases, to identify documents, witnesses and other physical evidence.- Prepares reports on progress of investigations for use by AUSAs and supervisory attorneys. These reports may include significant findings and conclusions, analyses of information located in electronic databases, presentations, recommendations for additional investigative actions and candid assessments of strengths and weaknesses of witnesses, documentary evidence, or other aspects of a case.- Examines books, ledgers, payrolls, cost reports, billing statements, invoices, correspondence, computer data, and other records pertaining to the transactions, events, or allegations under investigation.- Performs sophisticated analyses of large-scale hard-copy and electronic data, such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue.- Gathers and analyzes facts including witness statements, timelines, and scientific or technical data for the purpose of advancing investigative objectives. Establishes and verifies relationships between facts and evidence obtained or presented to confirm authenticity of documents, to corroborate witness statements, and to otherwise build proof necessary for successful litigation or settlement.- Develops and analyzes evidence and collects information relating to such evidence, or other legal matters under consideration, from appropriate primary and secondary sources. Performs analysis to clarify the target suspect's or organization's pattern of operations, to identify information relevant to the legal issues involved, and to recommend valuable approaches to the AUSAs or other members of the investigative team. Develops and refines proof required to assist in determining legal responsibility for violations.- Assists ACE AUSAs with in-person and/or telephonic interviews of witnesses, depositions, and sworn witness examinations.- Assists with the preparation and service of subpoenas for documentary materials, interrogatory answers, or witness testimony in connection with ACE investigations.- Develops an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigations. Determines proof required to affix responsibility for violations, and devise methods for obtaining, preserving, and presenting evidence to the greatest effect.- Assists with determining the most efficacious methods for planning, scheduling, and conducting investigations, and identifies any resources that may be required.- Performs other related ACE investigator duties as assigned and within scope.- Attends meetings and trainings as may be required and appropriate. Qualifications:- Computer Skills: Applicant shall have the ability to use MS Word, MS Excel, MS Outlook, MS Access, and other databases as well as Adobe Acrobat Professional. Experience with working on document review/management platforms such as Relativity, with analyzing spreadsheets of claims data, and with utilizing docketing software is a plus.- Ability to review and understand the import of a wide variety of documents, both legal and non-legal, including Motions and Briefs.- Ability to think independently and to develop investigative strategies in response to the needs of a specific case.- Communication skills are extremely important. Applicant shall work and interact professionally and effectively with all levels of staff.- Ability to meet established deadlines and work as a team player in a professional office.- Skill in meeting and dealing with people in a courteous and tactful manner. Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government-contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board: more information about CGS please visit: or contact:Email: #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.