$19.22/HR Claims Adjusters, Examiners & Investigators Moore Healthcare group$19.22/HR Claims Adjusters, Examiners & InvestigatorsFort Lauderdale, FLEutis Staffing is seeking detail-oriented and motivated Claims Adjusters, Examiners, and Investigators to join a dynamic team in Fort Lauderdale, Florida. This position offers hands-on experience reviewing claims, conducting investigations, analyzing documentation, and ensuring compliance with established policies and procedures.
Manager, Claims & Fraud Operations Banco Santander (Brasil) SAManager, Claims & Fraud OperationsFLThe Manager ensures investigative quality, regulatory timeliness, and effective collaboration with law enforcement, internal stakeholders, and peer institutions while continuously strengthening fraud detection and prevention controls. This role provides strategic direction, operational oversight, and subject matter leadership across fraud investigations, SAR referral governance, regulatory adherence, and loss recovery efforts.
Investigator Ethos Risk ServicesInvestigatorMiami, FLPart timePrevious Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
Entry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorMiami, FLFull 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 files by submitting case reports and uploading video footage via personal laptop at the end of the day.
Private Investigator - Surveillance Full or Part-time Selective Investigations Inc.Private Investigator - Surveillance Full or Part-timeFort Lauderdale, FLPrivate Investigative Agency specializing in insurance claims investigations has full & part-time positions (Employee / Subcontractors) available for experienced Investigators to conduct Surveillance assignments in Dade and Broward Counties. Ability to work independently, handle multiple tasks and meet established deadlines.
Surveillance Investigator Allied UniversalSurveillance InvestigatorMiami, FLThe 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. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.
SIU Investigator Part time Bilingual Spanish a PLUS Kelley AllianceSIU Investigator Part time Bilingual Spanish a PLUSFt. Lauderdale, FLRemote$25–$50 / hourThis role requires a strong understanding of insurance coverage principles, compensability analysis, fraud indicators, and investigative documentation. Assignments may involve property losses, auto claims, liability investigations, and other insurance-related matters.
SIU Expert Investigator Kemper CorpSIU Expert InvestigatorMiami, FL$70,000–$117,000 / yearExcellent written and verbal communication skills, thorough working knowledge of computers, ability to type proficiently, and operate efficiently in a modern "paperless" environment are essential. Fraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred.
Surveillance Investigator Lemieux & Associates LLCSurveillance InvestigatorMiami, FLPart timeOur 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.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)FL$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
Investigator, Special Investigative Unit Coding Molina Healthcare IncInvestigator, Special Investigative Unit CodingFLWorking 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).
SIU Investigator Centene Corporation GroupSIU InvestigatorFL$56,200–$101,000 / yearAssist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Education/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorMiami, FLPerforms 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. • Performs analysis to clarify the target suspects or organizations 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.
Investigator, Special Investigative Unit Molina Healthcare IncInvestigator, Special Investigative UnitFLCoordinates with various internal customers (e.g., provider services, contracting and credentialing, healthcare services, member services, claims, etc.), to gather documentation pertinent to investigations. Responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care, and recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence.
Criminal Investigator (Deputy U.S. Marshal) U.S. Department of JusticeCriminal Investigator (Deputy U.S. Marshal)Miami, FL$54,485–$70,307 / yearThe mission of the USMS includes protection of the judiciary, court security, witness security, asset forfeiture, apprehending fugitives and violent offenders, apprehending and prosecuting unregistered sex offenders, prisoner transportation, management, and custody, and providing assistance in matters of Federal emergencies and other critical incidents. This specialized experience must be gained in a full time certified law enforcement officer position(s) which includes: Independently execute and enforce the civil and/or criminal process; Plan the execution of warrants of arrest; Plan and carry out investigations; Execute warrants of arrest; Lead security assignments for court proceedings in criminal and/or civil trials; or.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthRemote-FL, FLRemote$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.
CHILD PROTECTIVE INVESTIGATOR - 60074924 Government of FloridaCHILD PROTECTIVE INVESTIGATOR - 60074924Fort Lauderdale, FLMust be physically able and have the ability to perform the following physical agility tasks: a.) ambulate in varied terrains to enter residences/locations as well as up and down stairs/stairwells, b.)assist with evacuation of persons served during an emergency situation, c.) have normal vision and hearing, including use of corrective devices, d.) do repetitive movements with arms, hands, neck and head, e.) bend, twist, turn, kneel, stoop, squat, push, pull, lift and walk extended distances, f.) lift and carry up to 30 pounds, g.) assist clients in and out of properties, vehicles and safety equipment/devices, h.) sit and/or stand for periods of time without a break, i.) work 16 hour shifts on occasion, j.) remain alert while on duty, k.) drive a vehicle (car or passenger van) to transport clients, during both daytime hours and nighttime hours. What you will do: Conduct investigations of abuse, neglect, abandonment and/or special conditions for children; Collect information through observation and interviews with the children, parents, relatives, and neighbors; Assess danger threats, child vulnerabilities and caregiver protective capacities in order to determine whether a child is safe; Arrange emergency placement for any child that cannot safely remain in their home; Notify state attorney, law enforcement and child protection teams; Provide families with service linkages to agency and community resources; Conduct initial/ongoing child present and impending danger assessments; Report indication of abuse, neglect and/or abandonment to the Florida Abuse Hotline.
NewFINANCIAL INVESTIGATOR-CONSUMER PROTECT - 41000562 1 1 Government of FloridaFINANCIAL INVESTIGATOR-CONSUMER PROTECT - 41000562 1 1MIAMI, FLPreference may be given to applicants with the following: Certified Fraud Examiner (CFE) certification through the Association of Certified Fraud Examiners (ACFE); Certified Financial Crimes Investigator (CFCI) through the International Association of Financial Crimes Investigators (IAFCI), or Certified Financial Crime Specialist (CFCS) certification through the Association of Certified Financial Crime Specialist (ACFCS). In conjunction with its authority under FDUTPA, the Division also has authority to enforce several related statutes including the civil provisions of the Racketeer Influenced and Corrupt Organization (RICO) Act, through which the Division, where appropriate, pursues the conduct of "enterprises" engaged in continuing patterns of statutorily enumerated illegal activities, such as fraud, theft, and misleading advertising.
LAW ENFORCEMENT INVESTIGATOR II - 43001191 Government of FloridaLAW ENFORCEMENT INVESTIGATOR II - 43001191MIAMI, FL$60,000–$63,000 / yearMale applicants born on or after October 1, 1962, will not be eligible for hire or promotion in the Other Personal Services (OPS) or Career Service, or appointment in the Selected Exempt Service (SES) or Senior Management Service (SMS) unless they are registered with the Selective Service System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.
NewFINANCIAL INVESTIGATOR-ECONOMIC CRIMES - 43005194 Government of FloridaFINANCIAL INVESTIGATOR-ECONOMIC CRIMES - 43005194MIAMI, FLPreferences: A degree from an accredited college or university in one or more than the following areas: Accounting, Finance, Statistics, Economics, Business Administration (Finance, Management, Organizational Behavior), Criminal Justice, Forensic Accounting, or Financial Fraud. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.
Private Investigator - Miami Area Dana BlakleyPrivate Investigator - Miami AreaMiami, FLRemoteLicensed and Experienced - To conduct surveillance in the Miami Area - P/T . Surveillance experience required.
NewFINANCIAL INVESTIGATOR-CRIMINAL ENFORCE - 43005149 Government of FloridaFINANCIAL INVESTIGATOR-CRIMINAL ENFORCE - 43005149MIAMI, FLAbility to review, analyze, and evaluate financial data, examine and audit financial records, prepare financial audit reports, understand and apply laws, rules, regulations, policies, and procedures, conduct research and prepare reports, probe and obtain critical facts, utilize problem-solving techniques, plan, organize, and coordinate work assignments, communicate effectively, establish and maintain effective working relationships with others. Preferences: A degree from an accredited college or university in one or more than the following areas: Accounting, Finance, Statistics, Economics, Business Administration (Finance, Management, Organizational Behavior), Criminal Justice, Forensic Accounting, or Financial Fraud.
Site Supervisor Allied UniversalSite SupervisorPompano Beach, FLAllied Universal SkillBridge Program Allied Universal partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services' fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administration's (TSA) Third-Party Canine (3PK9) Program.
Janitor Allied UniversalJanitorMiami, FLAllied Universal SkillBridge Program Allied Universal® partners with the U.S. Department of Defense (DoD) SkillBridge Program to support transitioning service members with up to 180 days of on-the-job training during their final months of active duty, while they continue to receive full DoD pay and benefits. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administrations (TSA) Third-Party Canine (3PK9) Program.
NewSIU Major Case Manager (Medical Provider) USAASIU Major Case Manager (Medical Provider)Miami, FL$119–$310Performs leadership and management tasks, i.e., providing coaching, evaluating performance, review of time sheets, managing time off, conducting quarterly check-ins/ride-alongs, etc. As a dedicated SIU Major Case Manager (Medical Provider), you will be responsible for operational management of Claims fraud investigative teams.
Represented Bodily Injury Adjuster - Florida Allstate Insurance CompanyRepresented Bodily Injury Adjuster - FloridaFLRemote$53,500–$84,625 / yearA day in the life of a Florida Represented Bodily Injury Adjuster, and what it takes to do the job: As a Florida Represented 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'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.
Manager, SIU Prepay Investigations Centene Corporation GroupManager, SIU Prepay InvestigationsFL$87,700–$157,800 / yearPrevious experience as a lead or supervisor in a pre-payment process managing cross functional teams or supervisory experience including hiring, training, assigning work and managing the performance of staff preferred. Position Purpose: Develop, implement and manage strategic fraud, waste and abuse activities by maintaining state and federal requirements and monitoring trends and schemes.
Florida Litigation Adjuster Allstate Insurance CompanyFlorida Litigation AdjusterFLRemote$65,600–$110,075 / yearYou'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. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.