Registered Nurse - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingRegistered Nurse - Nursing Home Surveyor/Complaint InvestigatorNew York, NYWe 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.
SIU Claims Investigator - Spanish Speaker Lemieux & Associates LLCSIU Claims Investigator - Spanish SpeakerStamford, CT$25–$32 / hourPart 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.
NewClaims Investigator GallagherClaims InvestigatorFairfield, New JerseyRemoteFull timeSocial Profiling Online Tracking) report provides a detailed snapshot including identification, address history, relatives, DMV (state dependent), litigation records, property ownership, felony criminal history, business affiliations, professional licenses and ever-changing social media. Conducts basic to moderately complex claim investigations to collect information and often compile a comprehensive profile of a claimant for use in defense strategy and further potential investigation.
SIU Claims Director Plymouth Rock Management Company of New JerseySIU Claims DirectorWoodbridge, NJ$137,000–$200,000 / yearReporting to the Vice President of Claims, the Director of Special Investigative Unit (SIU) provides strategic leadership for Plymouth Rock's enterprise fraud program across the Personal Lines Property & Casualty Claims organization. Provide oversight of fraud investigations involving Auto Physical Damage, Homeowners, Casualty, PIP, Appraisal, provider fraud, organized fraud rings, staged accidents, and Major Case initiatives.
SIU Investigator Allied UniversalSIU InvestigatorEdison, NJ$27–$32 / 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.
SIU Investigator - NY Labor Law Allied UniversalSIU Investigator - NY Labor LawEdison, NJ$32–$40 / 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.
Commercial Auto & General Liability Claims Examiner II TEEMA GroupCommercial Auto & General Liability Claims Examiner IINew York, NYRemote$85,000–$95,000Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions.
Health Plan Claims Analyst I- Environmental Medicine Mount Sinai Health SystemHealth Plan Claims Analyst I- Environmental MedicineNY$64,526.72–$81,675 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
NYSIF Surveillance & SIU Investigator Lemieux & Associates LLCNYSIF Surveillance & SIU InvestigatorNew York, NY$25–$35 / hourFull timeA full-time investigator familiar with New York State Insurance Fund surveillance & SIU/Claims investigations is needed to cover the five boroughs of NYC and any areas right outside the boroughs. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel.
Senior Claims Specialist, Commercial E&O AXA SASenior Claims Specialist, Commercial E&OStamford, CT$105,300–$184,400 / yearBy combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty. This includes, building and refining effective working relationships with insured, brokers, claim handlers, underwriters, co-insurers, excess and reinsurers as well as external vendors including investigators and legal counsel.
Investigator Ethos Risk ServicesInvestigatorJersey City, NJPart 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 InvestigatorJersey City, NJFull 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.
Complex Claims Specialist Coalition IncComplex Claims SpecialistNYAs we continue to expand, we are seeking an experienced cyber claims adjuster to join our cyber claims team and to lend a hand in handling complex primary Cyber, Tech, and Media policies. Founded in 2017, Coalition combines comprehensive insurance coverage and innovative cybersecurity tools to help businesses manage and mitigate potential cyberattacks.
Registered Nurse - Nursing Home Surveyor/Complaint Investigator GreenLife Healthcare StaffingRegistered Nurse - Nursing Home Surveyor/Complaint InvestigatorNew Rochelle, NYParticipate in surveys or complaint investigations to include allegations of abuse and neglect, and perform surveillance activities/tasks at nursing homes (long-term care) to determine compliance with Federal and State regulations. Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NY$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 Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)NJ$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Surveillance Investigator - Brooklyn Allied UniversalSurveillance Investigator - BrooklynBrooklyn, NY$25–$28 / 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. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.
Surveillance Investigator Allied UniversalSurveillance InvestigatorWhite Plains, NY$25–$28 / 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. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.
Surveillance Investigator - Bronx Allied UniversalSurveillance Investigator - BronxThe Bronx, New York$25–$28 / 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 .
EEO Investigator Integrated Resources, IncEEO InvestigatorNew York, NY$60–$65 / hourStrong people skills with the ability to effectively navigate within a large organizational structure. Ability to work in a fast-paced healthcare/hospital setting.
NewHospital Care Investigator | Medical Biller Integrated Resources, IncHospital Care Investigator | Medical BillerNew York, NYHigh School diploma (or equivalent) approved by the State Department of Education or a recognized accrediting organization, and four (4) years of full-time experience in interviewing, investigation, or a related field such as credit and collection follow-up or bookkeeping; or. Generate Patient Balance Aging reports and Insurance Aging reports and follow up with patients and insurance companies accordingly.
SIU Investigator Centene Corporation GroupSIU InvestigatorNY$56,200–$101,000 / year5+ years in healthcare field working in fraud, waste and abuse investigations and audits, (or) 5+ years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) 7+ years of professional investigation experience involving economic or insurance related matters. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
CPC Investigator Horizon Healthcare ServicesCPC InvestigatorNewark, New JerseyThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. $70,500 - $94,395 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorNYPerforms 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.
EEO Investigator HirePower Personnel Inc.EEO InvestigatorNew York, NY$61–$72 / hourOur client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health services with a team of highly trained and caring medical professionals who are compassionate, culturally competent and patient centered. Many of their roles are temp-to-hire, giving our client and our candidates the opportunity to ensure they are the right fit for a full-time position, as this comes with career advancement opportunities and excellent benefits.
CPC Investigator Blue Cross and Blue Shield AssociationCPC InvestigatorNewark, NJ$70,500–$94,395 / yearThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. The incumbent will also be responsible for handling low level investigative activities (external) related to claims, enrollment, accounting, receive and review suspected fraud and to complete cases with all information and analysis for resolution, as the manager and prior approved guidelines may direct.
NewHospital Care Investigator - New York, NY - JM26-09151 CVC - HealthcareHospital Care Investigator - New York, NY - JM26-09151Yonkers, NY$23–$25 / hourWe are seeking a Hospital Care Investigator to support Patient Financial Services by managing claims processing, billing operations, payment posting, and revenue cycle activities while ensuring accurate patient account management. Bachelor's degree from an accredited college or university; OR High School diploma (or equivalent) with four years of experience in interviewing, investigations, credit and collections, bookkeeping, or a related field; OR an equivalent combination of education and experience.
Asset Protection Investigator Saks OFF 5THAsset Protection InvestigatorNew York City, New YorkThe pay range for this position at commencement of employment is expected to be between $18 and $21 /hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. Achieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IINJCollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Asset Protection Investigator (GME + eBay) Collectors Holdings, Inc.Asset Protection Investigator (GME + eBay)Jersey City, NJ$61,396–$99,678 / yearWork with the Head of Global Asset Protection to proactively identify gaps/areas of improvement with respect to digital security systems (access control, video surveillance, video storage) or physical processes that create exposure to theft. Excellent analytical skills and broad experience documenting investigations with the ability to think outside the box, handle multiple projects simultaneously, and build relationships with internal and external stakeholders.
Registered Nurse – Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingRegistered Nurse – Nursing Home Surveyor/Complaint InvestigatorNew York, New York$60Minimum 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. About Greenlife Healthcare Staffing: We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming.
EEO Investigator Atria ConsultingEEO InvestigatorNew York, NY$55–$60 / hourWhen determining a team member's base salary and/or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). Candidates must be comfortable working in a fast-paced healthcare environment and traveling to various facilities throughout New York City as needed.
NewHospital Care Investigator (000494) MindlanceHospital Care Investigator (000494)New York, NY$27.34–$29.10 / hourEducation: Baccalaureate Degree from an accredited college or university; or, High School diploma or its educational equivalent approved by the State Department of Education or a recognized accrediting organization, and four (4) years of full-time experience in interviewing, investigation, or a related field, such as credit and collection follow-up or bookkeeping; or, Education and/or experience which is equivalent to “1” or “2” above. Pay range: $15.00 hrly -$21.00 hrly A member of the revenue cycle process, billers are responsible for reviewing accounts, correcting claim edits, preparing and completing claims for submission to payers, posting all types of payments, and updating patient accounting systems.
Security Officer - Unarmed Patrol Investigator Allied UniversalSecurity Officer - Unarmed Patrol InvestigatorNew York, NYAs an unarmed Patrol Officer at a financial services location, you will monitor and patrol assigned areas, conduct routine rounds, and maintain a visible presence that helps to deter security-related incidents. Conduct regular and random unarmed patrols of interior areas, exterior grounds, parking areas, and perimeter points to help to deter unwanted activity and/or identify conditions that may require attention.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorNew Rochelle, New YorkVRC provides their investigators with necessary equipment and comparable pay, to include drive time, above normal commute mileage reimbursement, company paid licensing fees in most states and allowance for non-reimbursed business expenses. We currently have career opportunities for experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
Senior Security Investigator Northwell Health IncSenior Security InvestigatorNew Hyde Park, NYWhen determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). Investigations may include, but are not limited to Medicare fraud, financial crimes, internal thefts, identity theft, drug diversions, prescription fraud, or crimes against employees or organization guests.
Private Investigator - Domain Specialist MercorPrivate Investigator - Domain SpecialistNew York, New YorkRemote$1,500–$1,700 / hourFor details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome. $1,500 payment conditioned on successful approval of the first task during the work trial period.
Investigator - Network Services - Full Time CoventBridge GroupInvestigator - Network Services - Full TimeStaten Island, NY$26–$30 / hourCoventBridge Integrity Systems delivers investigative services, technology, and expertise that help healthcare and government organizations protect critical programs, strengthen oversight, and address fraud, waste, abuse, and operational risk. 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.
Claim Specialist Coalition IncClaim SpecialistNYAs we continue to expand, we are seeking an experienced cyber claims adjuster to join our cyber claims team and to lend a hand in handling complex primary Cyber, Tech, and Media policies. Founded in 2017, Coalition combines comprehensive insurance coverage and innovative cybersecurity tools to help businesses manage and mitigate potential cyberattacks.
Fire Life Safety Director - Hotel Allied UniversalFire Life Safety Director - HotelJamaica, NY$34.02–$35.02 / hourAllied 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 UniversalJanitorWhite Plains, NYAllied 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.
Janitorial Supervisor Allied UniversalJanitorial SupervisorWhite Plains, NYAllied 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.
Security Project Manager Allied UniversalSecurity Project ManagerNYThis role requires strong project management skills combined with a working knowledge of access control systems, CCTV/video surveillance, and basic IP networking principles to effectively coordinate vendors, internal stakeholders, and technical teams. Allied 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.
Security Technical Business Analyst Allied UniversalSecurity Technical Business AnalystNYAllied 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.
Sales Executive Allied UniversalSales ExecutiveNY$70,000–$85,000 / yearAllied 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.
Fire Safety Director - Corporate Building - Purchase Allied UniversalFire Safety Director - Corporate Building - PurchasePurchase, NY$22–$23 / hourAllied 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.
Conserje Allied UniversalConserjeWhite Plains, NYRead More Career in Insurance Investigation Allied Universal roles for Insurance Investigators, Surveillance Investigators, SIU Investigators, Claims Investigators, Fraud Investigators Read More Meet Crystal Oberton Meet Crystal Oberton, an Allied Universal Security Officer dedicated to passenger safety at Philadelphia International Airport (PHL). Read More Allied 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.
Branch Office Receptionist Allied UniversalBranch Office ReceptionistWhite Plains, NY$20–$23 / hourAllied Universal Named to Forbes List of America's Best Employers by State IRVINE, Calif. Sept. 3, 2025 Allied Universal, the worlds leading security and facility services company, has been named to Forbes list of Americas Best Employers by State (2024), ranking in the top 100 for Arizona, Georgia, New Jersey and North Carolina. Allied 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.
Vice President, Government and Commercial Programs Allied UniversalVice President, Government and Commercial ProgramsNYRemote$130,000–$160,000 / yearThe Vice President, Government and Commercial Programs is responsible for all government and commercial healthcare operations in addition to managing interactions with government entities while concurrently developing and executing strategies to drive commercial growth and Profit & Loss (P&L) responsibility across both public and private sectors. Responsible for the day-to-day oversight of the operational efficiency and effectiveness of the clinical auditing, compliance and special investigations unit organization, to include special programs such as Physician, Managed Care, Pharmacy, PACE, and Special Needs.
US Senior Medical Director, Rare Hematology SanofiUS Senior Medical Director, Rare HematologyMorristown, NJ$206,250–$343,750 / yearThe mission of this team is to support the company by functioning as the internal expert in rare hematologic conditions - focusing on recent launch in Immune Thrombocytopenia (ITP), and potentially including warm Autoimmune Hemolytic Anemia (wAIHA), and Sickle Cell Disease (SCD) among other rare blood disorders - and helping Health Care Professionals and Payers optimize patient care and treatment outcomes through evidence-based decisions. The Senior Medical Director will establish and maintain collaborative medical and scientific relationships with key external physicians and internal constituencies from multiple functional groups - including, but not limited to, Medical Affairs, Clinical Research, Regulatory, Science, Marketing, Sales, Commercial Operations, and Patient and Product Services - while maintaining full compliance with all relevant company, industry, legal, and regulatory requirements.