SIU Investigator Allied UniversalSIU InvestigatorLos Angeles, California$30–$38 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
NewInvestigator Ethos Risk ServicesInvestigatorLos Angeles, CAFull timeCONDITIONS: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 requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
NewEntry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorLos Angeles, CAFull timeOur 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! Documentation: Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day.
Workers'' Compensation Claims Representative - California biBerk Business Insurance IncWorkers'' Compensation Claims Representative - CaliforniaCalifornia, CARemote$90,000–$105,000 / yearJob Responsibilities Determine compensability and/or coverage issues for loss time workers' compensation claims Effectively manage a caseload of loss time claims from numerous jurisdictions Negotiate and direct settlements under management's review Gather medical and factual evidence to determine compensability Direct outside investigation and handle litigation files within given authority Coordinate and maintain contact with claimants and/or their attorneys, outside investigators, and rehabilitation personnel as well as routine contact with insureds, account liaisons and medical providers Requirements Qualifications A minimum of 3 years of experience required Experience handling claims in multiple jurisdictions Bachelor's degree required SIP Certification required Carrier experience preferred Experience in handling lost time or litigated claims Familiarity with medical terminology Demonstration of strong organizational, problem solving, negotiation, and conflict resolution skills Excellent verbal and written communication skills needed About Us biBerk is where commercial insurance buyers can obtain coverage for their businesses from insurers of the Berkshire Hathaway group of Insurance Companies, one of the best capitalized insurance groups in the world. BHDIC and the team at biBerk are focused on helping small business owners quickly and easily buy affordable insurance directly from a financially strong insurance company they can trust.
AOE/COE Investigator A.N. Investigations Inc.AOE/COE InvestigatorAnaheim, California$25–$35Our AOE/COE caseload across Southern California keeps growing, and we need a seasoned field investigator who can own compensability investigations end to end — from the first interview to a report an attorney can hand straight to a judge. Investigations Inc. is a California-licensed private investigation firm handling AOE/COE (arising out of employment / course of employment) workers’ compensation investigations for attorneys, insurance carriers, and third-party administrators throughout California.
NewSenior Litigation Construction Liability Claims Representative The Travelers Companies IncSenior Litigation Construction Liability Claims RepresentativeDiamond Bar, CA$94,400–$155,800 / yearDirectly investigates each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
SIU Investigator Military, Veterans and Diverse Job SeekersSIU InvestigatorLos Angeles, CaliforniaFraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. Investigates files by using appropriate field, computer and telephone investigative techniques and provides appropriate documentation of actions in a thorough timely manner.
BACKGROUND INVESTIGATOR 1764 (Revised 07/01/26) City of Los AngelesBACKGROUND INVESTIGATOR 1764 (Revised 07/01/26)Los Angeles, CA$86,443–$143,090 / yearIn the interview, the following competencies may be evaluated: Judgment and Decision Making; Attention to Detail; Self-Management; Fact Finding; Interpersonal Skills; Job Knowledge, including knowledge of: objective symptoms of use of alcohol and commonly used controlled substances sufficient to recognize when a person may be under the influence; interviewing techniques sufficient to obtaining necessary background information; investigative techniques and concepts of background investigations to collect accurate and complete information; and other necessary knowledge, skills, and abilities. I UNDERSTAND that the City of Los Angeles Personnel Department is NOT RESPONSIBLE for any lost or redirected emails and that it is MY RESPONSIBILITY to add info@governmentjobs.com to my email contact list to avoid email notifications related to this examination from being classified as "spam" or "junk" mail.
SIU Investigator - Fast Team KemperSIU Investigator - Fast TeamGlendale, California$23.13–$39.45 / hourWe believe a high-performing culture, valuable opportunities for personal development and professional challenge, and a healthy work-life balance can be highly motivating and productive. The Special Investigator 1 will complete field and desk assignments that support insurance claims referred to and accepted for investigation by the Special Investigative Unit.
Claims Supervisor Athens AdministratorsClaims SupervisorLos Angeles, CaliforniaATHENS POSITION DETAILS Position Title: Claims Supervisor Department: Workers’ Compensation Reports To: Division Claims Manager FLSA Status: Exempt Job Grade: 14 Career Ladder: Next step in progression could include Division Claims Manager ATHENS ADMINISTRATORS Explore the Athens Administrators difference: We have been dynamic, innovative leaders in claims administration since our founding in 1976. Provide direct supervision for 6-10 employees, typically consisting of Senior Claims Examiners, Future Medical Claims Examiners, Claims Examiners, Assistant Claims Examiners and Assistant Claims Examiner Trainees.
NewSenior Litigation Construction Liability Claims Representative TravelersSenior Litigation Construction Liability Claims RepresentativeDiamond Bar, California$94,400–$155,800 / yearDirectly investigates each claim through prompt and strategically-appropriate contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Actively engages in the identification, selection and direction of appropriate internal and/or external resources for specific activities required to effectively evaluate claims, such as Subrogation, Risk Control, nurse consultants, and fire or fraud investigators, and other experts.
Lead SIU Investigator Centene Corporation GroupLead SIU InvestigatorCARemote$70,100–$126,200 / yearEducation/Experience: Bachelor's Degree in related field; or Associate's degree with 6 years related experience; or High School Diploma/GED with 7 years related experience. Provides direction and guidance to staff who investigate and remediate compliance and fraud, waste, and abuse related matters; while maintaining an investigative workload of moderate to high complexity.
SIU Clinical Healthcare Fraud Investigator III (ATL) The Intersect GroupSIU Clinical Healthcare Fraud Investigator III (ATL)Los Angeles, CARemote$45–$55 / hourThe SIU Clinical Healthcare Fraud Investigator III leads complex, high impact investigations into fraud, waste, and abuse across multiple healthcare service lines. The Intersect Group partners with mission focused healthcare organizations dedicated to improving access, quality, and equity of care for large and diverse member populations.
Surveillance Investigator Allied UniversalSurveillance InvestigatorMonterey Park, California$20–$24 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
NewInvestigator, Special Investigative Unit Coding (Remote) Molina Healthcare IncInvestigator, Special Investigative Unit Coding (Remote)CARemoteWorking knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
Investigator Attorney Jacoby and MeyersInvestigator AttorneyLos Angeles, CASpecializing in all types of accident claims, including automobile, motorcycle, bicycle, Uber/Lyft, or trucking accidents, slip and falls, dog bites, construction accidents and other wrongful conduct, the attorneys at Jacoby & Meyers have recovered over a billion dollars for their clients' personal injury and wrongful death claims caused by the negligence of a third party. The position will require traveling and driving to locations and may require being available outside of business hours and on some weekends, depending on investigation and as needed to meet and speak with clients.
Senior Investigator Pharmacy - Los Angeles County, CA UnitedHealth Group Inc.Senior Investigator Pharmacy - Los Angeles County, CALos Angeles, CA$60,200–$107,400 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.
Major Case Investigator The Travelers CompaniesMajor Case InvestigatorDiamond Bar, CA$85,600–$141,200 / yearApplies the techniques of critical thinking to prioritize and develop investigations that have complex allegations and/or significantly financial impact to multiple claims spanning across multiple lines of business and potentially across several states. Proactively analyzes highly technical information from multiple sources including leveraging the analytics team, explores new approaches and sources of information, and makes key decisions to drive cases to resolution with minimum oversight.
Special Investigation Unit Investigator II (ATL) The Intersect GroupSpecial Investigation Unit Investigator II (ATL)Los Angeles, CARemote$43–$48 / hourThis position plays an important role in identifying risk patterns, supporting enforcement actions, and safeguarding healthcare program integrity through data driven insights and detailed case development. Our client operates one of the largest public health programs in the country, delivering essential services to millions while maintaining a strong focus on compliance, integrity, and accountability.
Special Investigation Unit Investigator III (PHX AND DALLAS) The Intersect GroupSpecial Investigation Unit Investigator III (PHX AND DALLAS)Los Angeles, CARemote$40–$50 / hourThis senior SIU role handles high?impact cases and serves as a subject matter expert, mentor, and audit lead. Join the nations largest publicly operated health plan to lead complex healthcare fraud, waste, and abuse investigations across Medi?