Trabajos insurance fraud investigator en Bayonne, New JerseyCrear alertas

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 a Special Unit Investigations (SIU) Field Investigator to conduct field investigations, gather and analyze evidence, and produce detailed reports that support claims decisions. You'll work both independently and collaboratively, often traveling to accident scenes, interviewing witnesses, and uploading documentation into our claims system. KEY RESPONSIBILITIES: • Scene Investigations: Conduct thorough on-site investigations of accidents and property losses., • Interviews & Statements: Conduct in-person interviews and obtain accurate, detailed statements from all parties involved., • Online Research: Gather case information through digital sources and background checks., • Report Writing: Draft thorough, detailed investigative reports summarizing findings and observations., • Case Documentation: Conduct in-person interviews and obtain accurate, detailed statements from all parties involved, and retrieve relevant documents to support investigative findings., • Case Management: Track case progress, time, and expenses accurately within Ethos systems., • Fraud Detection: Recognize compensability issues, misrepresentation, and other red flags in claims., • Client Communication: Maintain professional contact with clients and claim handlers throughout the investigation process. QUALIFICATIONS: Education: Associate's or Bachelor's degree in Criminal Justice or a related field preferred. Experience: • Minimum of 2 years of SIU experience with an investigative firm or insurance carrier, working across various lines of business such as liability, auto, and property., • Former military or law enforcement background preferred. Licenses/Certifications: • Active Private Investigator license or willingness to obtain one (where required by state)., • Active driver's license and valid auto insurance. Other Requirements: • A well-maintained and reliable vehicle for exclusive use., • SIU equipment, including a recorder and a high-quality digital camera., • A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks. 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., • Occasional weekend work may be required to align with case demands and or/client requests. 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

Are you ready to embark on a thrilling adventure in the world of covert surveillance? Team 360 Staffing, on behalf of Meridian Investigative Group, is seeking a Covert Surveillance Investigator to join their dynamic Investigative Team. Your mission, should you choose to accept it, is to uncover the truth behind worker’s compensation fraud with stealth and precision. As their covert sleuth, you'll embark on thrilling field surveillance adventures, blending seamlessly into the shadows to gather evidence. Your toolkit includes stationary and mobile surveillance tactics, capturing high-quality video and photographic proof of subjects in action. Crafting comprehensive investigative reports is just the beginning, you'll be uploading your findings into their cutting-edge case management system, readying them for the next thrilling chapter. Job type: Full-time or Part-time Responsibilities: • Conduct covert field surveillance using both stationary and mobile tactics., • Capture top-notch video and photographic evidence of subjects., • Prepare comprehensive investigative reports based on collected intelligence., • Upload findings into our cutting-edge case management system., • Conduct interviews and recorded statements, extracting key insights., • Provide compelling legal testimony when called upon., • Assist in setting up outside surveillance cameras for our Unmanned department. Requirements: • Excellent communication skills, both verbal and written., • Strong ability to gather, compile, and report data., • Capable of providing legal depositions and testimony., • Expertise in evidence gathering and organization., • Knowledge of legal documentation procedures. License/Certification Requirements: • Valid state-issued driver’s license., • Current auto insurance., • Possess an investigator license in the state of operation. Required Equipment: • Reliable vehicle., • Smartphone with access to the app store (Android OS 7 or higher, Apple iOS 11 or higher)., • Laptop computer with Microsoft Word, Windows, and wireless Internet., • Digital video camera with upload capability and accurate time/date stamp. Working Conditions: • Flexible hours with occasional overnight travel, weekend/evening work, and holiday shifts., • Work both indoors and outdoors, embracing various environments and conditions. Physical Requirements: • Ability to sit, stand, walk, and lift up to 50 pounds., • Sharp vision and focus for extended periods., • Moderate exposure to environmental elements. Benefits for Full-time employees: • Weekly Pay & Expense Reimbursement., • Company-paid PI License Renewal., • Vehicle Allowance & Fuel Card., • Cellphone Reimbursement., • Report Writing Pay & Break-Off Time Pay., • Per Diem & 401K with Employer Matching., • Health, Dental, Vision, & Life Insurance., • Accident & Critical Illness Insurance., • Paid Holidays & Time Off. Ready to uncover the truth while enjoying awesome benefits and perks? Apply now to join their elite team of covert operatives! Employment is subject to a background check.

Job DescriptionDescription: Becker & Company is seeking skilled and experienced Field Investigators to join our team on a Full-Time basis. 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 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 of, we provide accurate data and actionable insights that translate into better decision-making for our clients. To learn more, visit: https://ethosrisk.com/about-us/ JOB SUMMARY: Have you ever thought about becoming a Private Investigator? Are you ready to kick-start your career in a rapidly growing industry? Want to get paid to learn how to investigate fraud and conduct covert surveillance in the real world? Our Full-Time Entry-Level Field Investigator position will help launch your career by providing you with an industry leading FULLY PAID Investigator Training Program - no prior experience necessary! KEY RESPONSIBILITIES: • Case Preparation: Conduct preliminary investigations using social media and analyzing database research., • 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 field supervisor, receiving regular guidance and mentorship. QUALIFICATIONS: • Driver's License: Active driver's license that is not currently suspended or revoked., • Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows). Proof of auto insurance coverage is required., • Travel Expectations: While we aim to keep assignments within a reasonable drive of your residence, occasional further travel and overnight stays (covered by the company) may be required., • Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks., • Required Skills: Strong computer & internet proficiency. Excellent communication, verbal & writing skills. WHAT WE OFFER: • Paid Investigator Training Program: Fully paid training program led by industry experts with ongoing development and support. Initial training will be held via virtual classroom then transition into on-the-job training., • Paid Licensing: We pay for all your licensing fees! Our licensing team will guide you through the process of acquiring all investigator licensing to ensure a smooth process., • Surveillance Equipment: We will provide you with necessary surveillance equipment. After a year of employment, it is yours to keep!, • Pay Increases & Milage Reimbursement: There are several performance milestones within your training & first year of employment that will reward you with pay increases. Additionally, we offer a mileage reimbursement program., • Health Insurance/Retirement: Medical, Dental Vision, Life/Disability Insurance + 401k WORKING CONDITIONS: • 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 Description Registered Nurse - Nursing Home Surveyor/Complaint Investigator - New York, NY (#6045A) • Location: New York City, NY – Bronx, Kings, Richmond, Manhattan, and Queens, • Employment Type: Temporary-to-permanent, • Hourly Rate: $60 per hour About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: We are seeking a dedicated and experienced Registered Nurse - Nursing Home Surveyor/Complaint Investigator to join our team in New York City, NY (Bronx, Kings, Richmond, Manhattan, and Queens). This role is a temporary-to-permanent position that involves conducting surveys, complaint investigations, and surveillance activities at nursing homes to ensure compliance with Federal and State regulations. Why Join Us? • Competitive Compensation: Earn $60/hr with mileage reimbursement., • Comprehensive benefits:, • 5 sick days (40 hours), subject to the provisions of the NYS Paid Sick Leave Act, • Health insurance, subject to plan eligibility requirements, • Premium pay for holiday work and overtime hours., • Mileage reimbursement, • Flexibility: Enjoy a flexible schedule and the opportunity to work a temporary-to-permanent position., • Professional Growth: Gain valuable experience in a collaborative, innovative, and supportive environment., • Impactful Work: Contribute to a mission-driven organization dedicated to improving patient outcomes. Qualifications: • Education: Bachelor’s degree in Nursing., • Licensure: Must hold an active NYS Registered Nurse license., • Experience:, • Minimum of 2 years of experience in utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR, • 3 years of clinical or administrative experience; OR, • A Bachelor’s degree in Nursing and 2 years of clinical or administrative experience., • At least 1 year of survey experience is required., • Technical Skills: Strong computer skills with the ability to learn new programs., • Soft Skills: Strong attention to detail, excellent interpersonal and communication skills, superior investigative and analytical abilities. Can work independently and as part of a team., • Additional Requirements:, • SMQT Certification is preferred but must be obtained within 12 months of employment., • Must have a valid driver’s license and the ability to travel to on-site facilities., • Candidates must be flexible with scheduling, as the state will determine the work schedule., • Employees must be available to work weekends, holidays, and evening shifts, as needed., • Weekend, holiday, and evening shift schedules will be assigned on a rotating basis., • This is a travel position. Key Responsibilities: • Participate in surveys and complaint investigations, including allegations of abuse and neglect, at nursing homes (long-term care facilities)., • Produce written documentation and draft Statements of Deficiencies (SOD) within required timeframes using Principles of Documentation., • Assess compliance with Plans of Correction within required timeframes., • Complete data entry in federal and state reporting databases as required., • Participate in state monitoring during immediate jeopardy situations., • Attend meetings and testify in administrative hearings as needed., • Adhere to DOH work schedules, policies, and procedures., • Travel to onsite locations according to the work schedule. Greenlife Healthcare Staffing – Empowering Healthcare Professionals, Enriching Lives.

Job Locations US-NY-Brooklyn | US-NY-Staten Island Requisition ID 2026-1611173 Category (Portal Searching) Compliance & Investigations Business Unit CNI Company Overview: Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Allied Universal is hiring a Special Investigations Unit (SIU) Investigator with New York Labor Law construction investigation experience. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution. Must possess a valid driver's license with at least one year of driving experience • Pay Rate: $32 - $40 / hr RESPONSIBILITIES: • Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability, • 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, • Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed, • Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct, • Run appropriate database indices if necessary and verify the accuracy of results found, • Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor QUALIFICATIONS (MUST HAVE): • Experience with New York Labor Law construction investigations, • Must possess one or more of the following:, • Bachelor's degree in Criminal Justice, • 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, • Ability to be properly licensed as a Private Investigator as required by the state where work Is completed, • Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course, • Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims, • Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area., • Proficient in utilizing laptop computers and cell phones., • Special Investigative Unit (SIU) Compliance knowledge, • Ability to type 40+ words per minute with minimum error, • Flexibility to work varied and irregular hours and days including weekends and holidays PREFERRED QUALIFICATIONS (NICE TO HAVE): • OSHA Certification, • Construction Related Experience, • Military experience, • Law enforcement, • Insurance administration experience, • Familiarity with California SIU regulations, • One or more of the following professional industry certifications:, • Certified Fraud Investigator (CFE), • Certified Insurance Fraud Investigator (CIFI), • Fraud Claim Law Associate (FCLA), • Fraud Claim Law Specialist (FCLS), • Certified Protection Professional (CPP), • Associate in Claims (AIC), • Chartered Property Casualty Underwriter (CPCU) BENEFITS: • Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance, • Seven paid holidays annually, sick days available where required by law, • Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices. 2026-1611173

At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection. Job Description A day in the life of a Litigation Bodily Injury Adjuster, and what it takes to do the job! As a Litigation Bodily Injury Adjuster, your main focus will be investigating automobile accidents involving single or multiple vehicles, which result in property damage and/or bodily injury with attorney/litigation involved. You will have the convenience of working remotely from your home while efficiently handling your responsibilities. You will assess coverage, liability, and damages while providing exceptional customer service throughout your day. Customer and attorney communication will take place through different channels, including voice calls, email, and text messages. Through the utilization of innovative platforms and tools, you will engage in negotiation processes to reach fair and timely injury settlements with all parties involved. Candidates for this role must reside in the Eastern or Central Time Zones. This position is not available to residents of California, Washington, Alaska, Hawaii and Puerto Rico. Allstate Benefits Being a part of Allstate means you receive a benefits package from Day 1 of employment. This includes time off, healthcare, retirement, and more. That is why as an Allstater, you'll enjoy a Total Rewards package that includes: Competitive pay with needed support for continuous development and career advancement. Flexibility in scheduling and a time off policy that helps support your work/life balance. Initial and ongoing training to get you proficient in your new role Comprehensive benefits like a 401K/pension, education reimbursement, and programs to help you balance work with the rest of your life. Visit _ to learn more. You'll wear a few hats to fill a few roles throughout your day that all require a level of experience: The Customer Service Expert -you'll live into Allstate's Claims Culture by caring, empowering, and restoring, and you will accomplish that by being compassionate, clear, and a committed partner in each casualty claim. You lead with empathy, always. The Investigator - you'll confidently and independently investigate casualty claims by performing detailed reviews of damage and interpreting policies to determine coverage. The Effective Communicator - you'll use phone, emails and sometimes even video chat with customers to help them through a fast, fair, and easy claims process. You'll also incorporate a specific approach to claim handling to offer the customer their preference of communication to efficiently discuss their claim needs and keep them updated on the claim progress. The Negotiator - You will evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, in accordance with all legal and business standard methodologies. With negotiations, you will incorporate tactics in handling challenging and complex situations. The Problem Solver -you'll utilize multiple tools to get the job done in a fast-paced environment, including estimate tools, job aids, and additional settlement platforms, all while using your sharp critical thinking skills. The Recorder -you'll protect the company financially by executing policies along policy agreements, and you keep a clear record of your work in a claims system that you will be trained on. You'll accomplish this by ensuring timely and accurate documentation is completed as you work on each claim. Qualifications Prior represented or litigation third-party casualty claim handling experience is required. New York, New Jersey, or Pennsylvania bodily injury claims experience preferred. 3+ years of moderate/complex bodily injury claim handling experience is preferred. Prior litigation claims experience a plus. Proficient communication skills, especially over the phone, to establish rapport and assess claims accurately. Ability to work independently and remotely, while managing time efficiently. Proficient knowledge of insurance policies, coverage, and liability determination and state regulations. Strong critical thinking and problem-solving skills to evaluate and negotiate injury claims successfully. Knowledge of innovative tools and platforms for effective claims evaluation. Proficient in Microsoft Office Suite a plus. Notice of Licensing Requirement As a condition of employment, your office/area may require you to obtain an adjuster and/or an appraiser license which includes passing an additional background check with the Department of Labor. If applicable, you will be required to secure license(s) within 60 days of hire. If required, the Hiring Manager will work with you along with the Centralized Licensing team to ensure that you are properly licensed. Sign On Bonus: You may be eligible for a $1000 Licensing Sign on Bonus if you have the applicable active licenses needed for this role. This could include Home Resident Property & Casualty License, Designated Home State (DHS) Florida or Texas License, and/or applicable Appraiser License.* **Candidates who have previously worked for and are seeking to be rehired at Allstate and its family of companies are not eligible for this sign-on bonus. #LI-KS1 Skills Bodily Injury Claims, Business Communications, Communication, Fraud Investigations, Information Collection, Legal Negotiations, Liability Analysis, Medical Evaluation, Problem Solving, Time Management Compensation Compensation offered for this role is 53,500.00 - 84,625.00 annually and is based on experience and qualifications. The candidate(s) offered this position will be required to submit to a background investigation. Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact. Allstate generally does not sponsor individuals for employment-based visas for this position. Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component. For jobs in San Francisco, please click "_" for information regarding the San Francisco Fair Chance Ordinance. For jobs in Los Angeles, please click "_" for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance. To view the "EEO Know Your Rights" poster click "_". This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs. To view the FMLA poster, click "_". This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint. It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment. Allstate provides a comprehensive technology setup, including a laptop, monitors, headset, keyboard, and mouse. Employees eligible to work from home also receive a monthly connectivity reimbursement to help offset internet costs. When working from home, you must have a dedicated, private workspace free from distractions, along with appropriate desk and seating. Reliable internet is required, with minimum speeds of 50 MB download and 5 MB upload.

Certified Professional Coder (CPC), Accredited Healthcare Fraud Investigator (AFHI), Certified Insurance Fraud Investigator (CIFI), and/or Certified Economic Crime Forensic Examiner (CECFE) preferred (but not required). Knowledge of claims processing, reimbursement procedures, and a solid understand

Uncover the Truth. Protect the Integrity. Advance Your Career. At CoventBridge Group, every claim tells a story and as a Claims Investigator, you'll be the one uncovering it. Using your investigative instincts, field experience, and attention to detail, you'll help clients get the answers they need and ensure claims are resolved with accuracy and fairness. Join a global leader in full-service investigations, where integrity meets action, and every day brings a new case and a new challenge. At this time, CoventBridge is not considering candidates who require visa sponsorship, currently or in the future, including but not limited to H-1B, H-2B, E-3, TN, O-1, F-1 (OPT/CPT, or J-1 Visa Statuses.) What You'll Do: As a Claims Investigator, you'll combine analytical skill with real-world investigation techniques to uncover facts, document findings, and deliver objective results. You will: • Conduct complex field investigations involving multiple claim types., • Submit daily updates summarizing your progress and observations., • Manage your time effectively to maintain client billable hour expectations., • Write detailed, professional statements and investigative summaries., • Deliver clear, client-ready reports that meet CoventBridge's quality standards., • Perform scene investigations, background checks, and courthouse research., • Operate safely and remain alert while driving during field assignments. Your curiosity and persistence will turn each case into a story built on truth and evidence. What You'll Bring: We're looking for investigators who are driven, professional, and dedicated to uncovering facts with accuracy and integrity. • Hold a valid (state) Investigator license (or eligibility for licensure in surrounding states)., • Demonstrate at least 1 year of field investigations experience, including face-to-face statements and report writing., • Travel across multiple states as needed to complete case assignments., • Investigate claims related to product, auto, general liability, Workers' Compensation, disability, life insurance, and contestable death cases., • Adapt to variable schedules including nights and weekends when required., • Maintain a reliable, fuel-efficient vehicle and required insurance coverage., • Equip yourself with a digital recorder, laptop (Windows OS), and necessary investigative tools. What You'll Need: To qualify for this position, applicants must possess the following: • A minimum of 3-5 years of Claims, SIU, or adjusting experience., • An Associate's or Bachelor's degree in Criminal Justice or a related field., • Strong report writing skills., • Understand investigative processes, insurance law, and claim procedures., • Excel in report writing and typing (50+ WPM) with accuracy and attention to detail., • Thrive under pressure and maintain professionalism in sensitive situations., • Demonstrate self-motivation, accountability, and sound judgment. We believe great work deserves great rewards. Here's what you can expect when you join our team: • Home-based work and flexible scheduling, • Competitive pay with monthly vehicle allowance, • Paid time off, • Company fuel card and company-issued cell phone, • Medical, Dental, Vision plans, • Employer-paid Life, LTD, STD insurance, • 401(k) with company match, • Travel and report writing compensation, • Licensing fees paid by company, • Paid ongoing career advancement training, • Expense reimbursement with minimal out-of-pocket expenses The salary range for this role is $26-$30 per hour. This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee's pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, geographic location, performance, and business or organizational needs. About Us: CoventBridge Group is a global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients' needs and delivers worldwide coverage via its 700+ employees and affiliates worldwide. CoventBridge is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace. CoventBridge is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; 888-932-7364; humanresources@coventbridge.com. CoventBridge (USA) Inc. New York License # 11000158134

About Us Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. Job Summary Our dynamic Ethos team is seeking a Special Unit Investigations (SIU) Field Investigator to conduct field investigations, gather and

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:https://cgsfederal.com/join-our-team/For more information about CGS please visit: https://www.cgsfederal.com or contact:Email: info@cgsfederal.com #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 Description Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator with New York Labor Law construction investigation experience. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution. • Must possess a valid driver's license with at least one year of driving experience, • Pay Rate: $32 - $40 / hr RESPONSIBILITIES: • Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability, • 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, • Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed, • Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct, • Run appropriate database indices if necessary and verify the accuracy of results found, • Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor QUALIFICATIONS (MUST HAVE): • Experience with New York Labor Law construction investigations, • Must possess one or more of the following:, • Bachelor’s degree in Criminal Justice, • 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, • Ability to be properly licensed as a Private Investigator as required by the state where work Is completed, • Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course, • Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims, • Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area., • Proficient in utilizing laptop computers and cell phones., • Special Investigative Unit (SIU) Compliance knowledge, • Ability to type 40+ words per minute with minimum error, • Flexibility to work varied and irregular hours and days including weekends and holidays PREFERRED QUALIFICATIONS (NICE TO HAVE): • OSHA Certification, • Construction Related Experience, • Military experience, • Law enforcement, • Insurance administration experience, • Familiarity with California SIU regulations, • One or more of the following professional industry certifications:, • Certified Fraud Investigator (CFE), • Certified Insurance Fraud Investigator (CIFI), • Fraud Claim Law Associate (FCLA), • Fraud Claim Law Specialist (FCLS), • Certified Protection Professional (CPP), • Associate in Claims (AIC), • Chartered Property Casualty Underwriter (CPCU) BENEFITS: • Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance, • Seven paid holidays annually, sick days available where required by law, • Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law

Senior Civil Investigator (Health Care Fraud). Grey Street Consulting, LLC (Grey Street), a leading small business provider of operational support services to Federal civilian and defense agencies, is seeking to hire a Senior Civil Investigator (Health Care Fraud) to support our prospective client w

Key Responsibilities Fraud Investigation & Analysis Investigate complex fraud alerts, suspicious transactions, and high‑risk account activity Perform forensic transaction analysis, account reviews, and digital activity assessments Identify patterns, trends, and emerging fraud risks Case Manag

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.

Provident Bank is seeking a Fraud Investigator III who will be responsible for investigating complex fraud cases and minimizing financial loss. The successful candidate will conduct in-depth analyses, lead investigations, and collaborate with law enforcement to mitigate fraud risks.

Conduct investigations of policy violation, data leakage, fraud and financial abuse occurring within the company and develop internal procedures and data-led fraud monitoring and identification systems that enable easy identification of financial inadequacies. Employees have day one access to medica

The role involves performing core enforcement reviews, conducting deep-dive fraud investigations, and analyzing fraud trends using data tools. Etsy Marketplace Fraud Analyst. Key responsibilities include providing feedback to improve machine learning models, offering recommendations for tooling and

Plaid is seeking a Fraud and Abuse Operations Analyst in New York to safeguard its platform against fraud. In this role, you will respond to fraud incidents, conduct investigations, and work with product teams to develop effective mitigation strategies. The ideal candidate will have 3+ years of expe

A leading AI firm is seeking a Private Investigator to work on projects evaluating AI for fraud detection and security operations. Candidates should have over 4 years of experience in loss prevention or a related field, along with strong communication skills and a valid investigator license where ne

Municipal Credit Union in New York is seeking a Digital Fraud Investigator to safeguard the organization from digital fraud threats. The role involves investigating suspicious activities and collaborating with various teams to enhance fraud prevention strategies.

A governmental support organization is seeking a Healthcare Fraud Investigator to provide legal support for a large government project in Nashville, TN. The role involves analyzing data for fraud and assisting legal teams in investigations.

A leading health organization seeks an investigator for healthcare fraud allegations. Preferred candidates will have a minimum of 5 years in fraud investigations.

Agency Official Title Fraud Investigator Job Overview As an IT Specialist (INFOSEC), you will serve as a fraud investigator and perform analyses pursuant to investigations of identity fraud, including identity fraud detection, mitigation, prevention controls, and investigative functions. Health ins

A national investigative services firm is seeking a meticulous SIU Investigator in Newark, New Jersey. This role involves conducting comprehensive investigations into potential fraud and misconduct.

UnitedHealthcare is looking for an Investigator responsible for identifying and investigating healthcare fraud, waste, and abuse. The ideal candidate should have a Bachelor’s degree or equivalent experience with at least 2 years in healthcare fraud.

MetroPlusHealth in New York seeks a Clinical Certified Coder to support fraud detection and investigations in the Special Investigations Unit. The successful candidate will review medical records and claims, conduct audits, and collaborate with the team on suspected fraudulent activities.

Ideal candidates will have extensive fraud experience and be skilled in using key compliance tools. Join a team dedicated to advancing fraud investigation techniques in a remote environment. Mercor is looking for a Financial Services Fraud Investigation Expert to work remotely.

SIU Investigator to conduct investigations into potential healthcare fraud and abuse.

You will analyze alerts and review accounts to prevent fraudulent actions while communicating with customers directly. Fanatics-Betting- seeks a Fraud Agent to monitor activities and ensure compliance with regulations.

Centene Management Company LLC is seeking a skilled investigator to handle allegations of healthcare fraud and abuse in New York. The ideal candidate will have a Bachelor's Degree in a relevant field along with extensive experience in fraud investigations. The position offers competitive pay and a r

Framework Ventures is looking for a Senior Financial Crimes Investigator in the United States. You will focus on Bank Secrecy Act compliance, fraud prevention, and investigations across various financial products. The role involves collaboration with multiple teams to mitigate fraud risks and mainta

Your role includes ensuring compliance, leading fraud investigations, and using data analytics to detect fraudulent activities. CareSource is looking for an SIU Investigator Lead in Kentucky to act as a primary representative for regulatory bodies. The ideal candidate will have a Bachelor's degree i

GSA is actively seeking a Fraud Investigator to lead investigations into identity fraud. The Fraud Investigator will analyze data, conduct investigations, and ensure effective measures are in place to address identity theft issues. The successful candidate will leverage analytical skills to mitigate

The ideal candidate has experience in Fraud Investigations or Financial Crime Operations and strong analytical skills. Angove Partners is seeking a Financial Crime Investigator to conduct investigations into suspicious onboarding activity and analyze customer behavior. You will collaborate with Prod

Grey Street Consulting LLC is seeking a Senior Civil Investigator (Health Care Fraud) to join our team supporting the United States Attorney’s Office in Newark, NJ.

VRC Investigations seeks experienced SIU Investigators to work from home in New York. This role involves conducting insurance investigations and requires travel within the designated city.

Required Qualifications 5+ years of experience in healthcare fraud, waste, and abuse investigations or related program integrity functions Experience analyzing healthcare claims data Knowledge of healthcare regulatory requirements Strong analytical, investigative, and problem‑solving skills A

Section 1: Position Summary As a key member of the Ascensus Risk Management team, the Fraud Investigator will provide meaningful contributions to the detection and prevention of fraud and financial crime. This includes identifying and analyzing fraudulent activity, acting as subject matter expert of

A government services contractor is seeking a Healthcare Fraud Investigator to provide legal support on a large Government project. Candidates should have a relevant degree and at least three years of investigatory experience.

CLAIR is seeking a Fraud Operations Specialist to tackle complex financial crime challenges impacting America's workers. In this role, you will be responsible for investigating potential fraud activity and leveraging your analytical skills to protect our platform and users.