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The Administrative Assistant / Junior Investigator supports the daily operations of Covert Special Investigations by assisting with client communications, case intake, file management, research, and investigative support activities. Covert Special Investigations is a multi-state private investigation firm with more than 20 years of experience specializing in insurance investigations, process serving, surveillance, background investigations, and specialized investigative services.

HOUR

Benefits: <ul><li>Paid time off</li><li>Flexible schedule</li></ul> <h1>Administrative Assistant / Junior Investigator (Part-Time)</h1>Covert Special Investigations – Chandler, Arizona Part-Time | Minimum 20 Hours Per Week | Potential for Additional Hours & Growth Opportunities | In Office About Us Covert Special Investigations is a multi-state private investigation firm with more than 20 years of experience specializing in insurance investigations, process serving, surveillance, background investigations, and specialized investigative services. We work with insurance carriers, law firms, corporations, and private clients to uncover facts and solve complex problems. We are seeking a motivated, detail-oriented Administrative Assistant with an inquisitive nature and an interest in investigative work. This position is designed as an entry point into the investigative field and offers hands-on exposure to real-world investigations, research techniques, case management, and investigative support. This is not a typical administrative position. We are looking for someone who enjoys solving problems, learning new systems, finding answers, and asking questions. This role will begin as a part-time position with a minimum schedule of 20 hours per week, with the potential for increased hours, expanded responsibilities, and long-term advancement opportunities as the company and position continue to grow. Position Overview The Administrative Assistant / Junior Investigator supports the daily operations of Covert Special Investigations by assisting with client communications, case intake, file management, research, and investigative support activities. The ideal candidate is organized, resourceful, comfortable speaking with people, and naturally curious. An interest in investigations, criminal justice, legal services, insurance, or law enforcement is highly desirable. As our company grows, this position is expected to evolve and expand based upon company needs and employee strengths. Primary Responsibilities Responsibilities may include, but are not limited to: <ul><li>Professionally answer incoming phone calls and serve as the first point of contact for clients and prospective clients</li><li>Route calls and messages appropriately while creating a positive first impression</li><li>Review and process incoming assignments received by phone and email</li><li>Enter and manage process serving assignments in case management software</li><li>Assist with investigation file intake and case setup</li><li>Request police reports and follow up with law enforcement agencies</li><li>Prepare and organize investigative correspondence and documentation</li><li>Assist with mailing letters and case-related documents</li><li>Maintain organized electronic files and documentation</li><li>Conduct internet and database research</li><li>Learn skip tracing and locating techniques</li><li>Research law firms and business contacts for marketing efforts</li><li>Enter and maintain client data within CRM systems including HubSpot</li><li>Assist with special projects and operational support as needed</li><li>Support general office organization and day-to-day office functions</li></ul>Qualifications <ul><li>Strong communication and customer service skills</li><li>Strong attention to detail and organizational skills</li><li>Ability to manage multiple responsibilities simultaneously</li><li>Strong problem-solving and critical-thinking abilities</li><li>Comfortable learning and using technology and software platforms</li><li>Resourceful and self-motivated</li><li>Professional written and verbal communication skills</li><li>Naturally curious with an investigative mindset</li></ul>Preferred but not required: <ul><li>Administrative experience</li><li>Customer service experience</li><li>Criminal justice, investigations, legal, or insurance background</li><li>CRM or case management software experience</li><li>Research experience</li><li>Spanish-speaking ability is a plus</li></ul>What We Are Looking For We are seeking someone who: <ul><li>Notices details others miss</li><li>Enjoys solving problems and asking questions</li><li>Thinks independently and uses common sense</li><li>Takes pride in quality work</li><li>Enjoys helping people</li><li>Wants a long-term opportunity with room to grow</li></ul>Growth Opportunity This role offers hands-on exposure to investigations and opportunities for advancement into investigative support and junior investigator responsibilities as experience and training develop. Employees will receive exposure to investigative techniques, skip tracing, process serving operations, insurance investigations, and specialized investigative services. Schedule: Minimum 20 hours per week with flexible scheduling options and opportunity for expanded hours based upon workload, performance, and company growth. Application Instructions To help us identify candidates who pay attention to details and can follow instructions, please include the following with your application: <ol><li>Attach your resume</li><li>Include a brief paragraph explaining why this position interests you</li><li>Answer this question:</li></ol>"Tell us about a time you solved a problem, located information others could not find, or figured something out on your own." Bonus question: If you had access to public records and online research tools, what would you investigate just for fun? Compensation: $15.50 – $18.00 per hour DOE

Covert Special Investigations, Inc

Administrative Assistant / Junior Investigator (Part-Time)

Administrative Skills

Background Investigation

Business Law

Case Management

Communication Skills

Corporate Law

Criminal Justice

Customer Relations

Customer Relationship Management (CRM)

Customer Relationship Management (CRM) Systems

Customer Support/Service

Customer/Client Research

Detail Oriented

Develop and Maintain Customers

Documentation

File Maintenance

File Management

Insurance

Insurance Regulations

Internet Research

Law Enforcement

Legal

Legal Investigation

Legal Research

Marketing

Operational Support

Operations

Operations Processes

Organizational Skills

Presentation/Verbal Skills

Problem Solving Skills

Process Management

Sales Prospecting

Spanish Language

Surveillance

Telephone Skills

Writing Skills

Bachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN) with a Bachelor of Science in Health Administration, Clinical Informatics, or a related Medical Science field, or Associate Degree in Nursing (ADN) with 5+ years of specialized clinical audit experience. Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia.

YEAR

Hi, we're Oscar. We're hiring a Senior Analyst, Special Investigations Unit Clinical Investigator to join our SIU.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family.About the role:The Senior Analyst, SIU Clinical Investigator detects and audits aberrant billing patterns within claims and clinical documentation, using forensic clinical expertise to protect the integrity of healthcare spend. You will perform comprehensive pre-payment and post-payment reviews of medical records to ensure billed services align with established clinical guidelines, CMS regulations, and contractual obligations. Beyond individual claim accuracy, you will analyze provider behavior to identify schemes such as record cloning, upcoding, and unbundling that may be invisible to automated systems. As a clinical subject matter expert, you will act to translate audit findings into relevant education. You will facilitate professional discussions with colleagues and providers to correct billing behaviors and promote long-term compliance. You will partner with clinical and non-clinical investigators to build evidentiary files for potential recovery, legal action, or referrals to appropriate outside agencies.You will report into the Investigations Manager, SIU.Work Location: This is a remote position, open to candidates who reside in: Arizona, Florida, Georgia, Illinois, Iowa, Kansas, Michigan, Missouri, Nebraska, New Jersey, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas and Virginia. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area.If you live within commutable distance to our New York City office (in Hudson Square) or our Tempe office (off the 101 at University Ave), you will be expected to come into the office at least three days each week. Otherwise, this is a remote / work-from-home role.  Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. The base pay for this role in the states of New Jersey and New York is: $72,036 - $94,546 per year. The base pay for this role in all other locations is: $64,832 - $85,092 per year.  You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.Responsibilities:<ul><li>Identify and conduct clinical audits into suspected FWA with high autonomy</li><li>Document findings, to include formal reports, graphs, audit logs, and other supporting documentation.</li><li>Metrics to align with unit goals.</li><li>Participate in the development and presentation of FWA-related education for Oscar teams</li><li>Compliance with all applicable laws and regulations</li><li>Other duties as assigned</li></ul>Requirements:<ul><li>Active, unrestricted Registered Nurse (RN) license</li><li>3+ years of direct patient care clinical experience. Case Management experience a bonus.</li><li>2+ years of experience in Medical Review, Utilization Management, or Clinical Documentation Improvement, featuring demonstrated expertise in the forensic application of complex clinical guidelines (e.g., MCG, CMS, and specialty-specific professional organizations) to multifaceted medical records.</li><li>Experience conducting forensic medical audit with a focus on validating that clinical narrative supports the specificity and necessity of billed CPC, HCPCS, and ICD-10 codes.</li></ul>Bonus points:<ul><li>Bachelor of Science in Nursing (BSN), Associate Degree in Nursing (ADN) with a Bachelor of Science in Health Administration, Clinical Informatics, or a related Medical Science field, or Associate Degree in Nursing (ADN) with 5+ years of specialized clinical audit experience.</li><li>Experience working in health insurance with competency regarding claims processing, billing, reimbursement, or provider contracting.</li><li>Experience delivering feedback or education to providers/physicians in a professional, non-confrontational, and persuasive manner.</li><li>Identifying trends, for example "cloned documentation" or change in billing habits of a provider.</li><li>Experience with HIPAA, data privacy, and/or data security processes</li><li>Certified Case Manager (CCM), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), or similar.</li></ul><div class="content-conclusion">This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud<a href="http://hioscar.com/careers/recruitment-fraud-alert" rel="nofollow">here</a>. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.Pay Transparency:  Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.Artificial Intelligence (AI): Our <a href="http://hioscar.com/careers/ai-guidelines" rel="nofollow noopener noreferrer" target="_blank">AI Guidelines</a> outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known.California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our <a href="https://www.hioscar.com/legal/privacy/" rel="nofollow">Privacy Policy</a>.</div>

Oscar Health

Clinical Investigator, SIU

Analysis Skills

Artificial Intelligence (AI)

Auditing

Billing

Billing Records

Centers for Medicare and Medicaid Services (CMS)

Certified Case Manager (CCM)

Certified Financial Examiner (CFE)

Certified Professional Coder (CPC)

Claims Processing

Clinical Medicine

Clinical Practices/Protocols

Clinical Study Publications

Clinical Support

Cloning

Content Management Systems (CMS)

Contract Requirements

Drug Development

Forensic Accounting

Fraud Investigation

HIPAA (Health Insurance Portability and Accountability Act)

Health Informatics

Health Insurance

Health Science

Healthcare

Healthcare Administration

Healthcare Common Procedure Coding System (HCPCS)

Healthcare Reimbursement

ICD-10

Information/Data Security (InfoSec)

Medical Records

Nursing

Patient Care

Persuasion Skills

Provider Contracting

Registered Nurse (RN)

Regulations

Regulatory Compliance

Trend Analysis

Utilization Management

Work From Home

GreenHouseAPI

Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your surveillance expertise.

Ready to put your surveillance skills to work for a national leader?Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your surveillance expertise. Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment.At Lemieux & Associates, we set the standard in investigative services. We are seeking experienced Surveillance Field Investigators in Phoenix, AZ and surrounding areas on a part-time basis. Enjoy flexible hours, competitive pay, and opportunities for professional growth.Requirements<ul><li>Extensive surveillance experience; must reside in the Phoenix or surrounding area.</li><li>Licensed by the State of Arizona as a Private Investigator.</li><li>Reliable vehicle, digital camera, and computer with Windows OS, Microsoft Word, and internet access.</li><li>Strong computer and internet proficiency.</li><li>Ability and willingness to travel as needed.</li><li>Flexibility to work irregular hours.</li><li>Commitment to timely, high-quality work.</li></ul>Responsibilities<ul><li>Conduct mobile and stationary surveillance.</li><li>Capture clear, steady HD video.</li><li>Accurately identify and confirm subjects' locations.</li><li>Prepare detailed, accurate reports.</li></ul>Skills & Experience<ul><li>Proven experience as a private investigator conducting surveillance.</li><li>SIU/Claims investigation experience (preferred).</li><li>Bilingual skills (preferred).</li><li>Degree in Criminal Justice or related field (preferred).</li><li>Skilled in taking written and recorded statements (preferred).</li><li>Ability to photograph evidence accurately (e.g., accident scenes, vehicle damage).</li><li>Strong organizational and time-management skills.</li></ul>Pay Range: $25-$32Take the next step toward an exciting investigative career-apply today and become part of a team that sets the standard in surveillance excellence.

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Administrative Assistant / Junior Investigator (Part-Time) Covert Special Investigations, Inc

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Surveillance Investigator Lemieux & Associates LLC

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