NewSIU Investigator Allied UniversalSIU InvestigatorMarlborough, Massachusetts$28–$34 / hourFull timeAcquire 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 .
Investigator Ethos Risk ServicesInvestigatorPlymouth, MAFull 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.
Entry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorBoston, MAFull 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.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)MA$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
SIU Fraud Investigator Mass General BrighamSIU Fraud InvestigatorSomerville, MassachusettsPerforms case research to include the review, interpretation, and application of payment policies, medical policies, provider manuals, benefits documents, national or local coverage determinations, and other applicable clinical practice parameters, regulations, or guidance pertaining to the submission of claims to health insurance plans. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
SIU Investigator Centene Corporation GroupSIU InvestigatorMA$56,200–$101,000 / yearCollaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
Fraud Investigator II University of Massachusetts Medical SchoolFraud Investigator IIWestborough, Massachusetts5-7 years of related experience in fraud examination, healthcare, business, finance or related field; with at least 2 years of experience conducting data mining in the healthcare insurance industry and claims related experience. The Investigator II collaborates with the Associate Director on more complex case reviews as needed, in addition to performing activities related to data mining, data analysis and recoveries.
Fraud Investigator II UMass Chan Medical SchoolFraud Investigator IIWestborough, MAGENERAL SUMMARY OF POSITION: Under the general direction of the Associate Director, or designee, the Fraud Investigator II serves a crucial role in combating fraud, waste and abuse ("FWA") within the Medicaid program. 5-7 years of related experience in fraud examination, healthcare, business, finance or related field; with at least 2 years of experience conducting data mining in the healthcare insurance industry and claims related experience.
Employment Investigator Commonwealth of MassachusettsEmployment InvestigatorBoston, MAA. Jimenez'',''Shirani A. Jimenez'',''6179946029'',''06-NAGE - Professional Admin.'',''06-NAGE - Professional Admin.'',''No'',''No'',''Yes'',''Yes'',''false'',''1088385'',''1088385'',''true'',''1088385'',''false'',''Submission for the position: Employment Investigator - (Job Number: 260004PO)'',''false'',''1088385'',''false'',''true''. The incumbent investigates complaints; obtains evidence and gathers facts concerning complaints and cases of alleged noncompliance with laws, rules, and regulations; performs related work as required and prepares dispositions recommending a finding.
SIU Fraud Investigator Brigham and Women's HospitalSIU Fraud InvestigatorSomerville, MA$79,560–$115,720.80 / yearPerforms case research to include the review, interpretation, and application of payment policies, medical policies, provider manuals, benefits documents, national or local coverage determinations, and other applicable clinical practice parameters, regulations, or guidance pertaining to the submission of claims to health insurance plans. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorBoston, MA$51,435.30–$66,131.10 / yearPerforms 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. 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.
Surveillance Investigator Allied UniversalSurveillance InvestigatorLowell, MassachusettsThe 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 .
Asset Protection Investigator Saks OFF 5THAsset Protection InvestigatorBoston, MassachusettsAchieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports. Drive Asset Protection excellence by facilitating selling process through consistent adherence to policies and procedures that safeguard customers, associates and company assets.
Part-time Surveillance Investigator The Robison GroupPart-time Surveillance InvestigatorBoston, MassachusettsThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorBoston, MassachusettsVRC 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.
Private Investigator Trainee - Prior Military Lemieux & Associates LLCPrivate Investigator Trainee - Prior MilitaryFramingham, MA$23–$25 / hourFull timeYour MissionIn this role, you will:Conduct surveillance from your vehicleObserve and document subject activityCapture video evidence using provided equipmentWrite clear, fact-based reportsOperate independently while staying connected to your team What Veterans Like About This Role Independence (no micromanagement) Structured assignments and clear objectives Real-world investigative work Flexible scheduling options Opportunity to build a long-term career No prior investigation experience required Basic Requirements Valid driver's license Reliable personal vehicle Comfortable sitting for extended periods Willingness to work some evenings/weekends Authorized to work in the U.S. Military Backgrounds That Excel HereMilitary Police / Security ForcesIntelligence / ReconnaissanceField Operations / Patrol UnitsAny role requiring observation, reporting, and discipline️ What to Expect (Real Talk)This role involves:Long periods of observationQuiet, low-activity assignmentsIndependent work Success comes from patience, consistency, and attention to detail-not constant action. Not the Right Fit If YouPrefer fast-paced or high-adrenaline work dailyDislike working alone for extended periodsStruggle with detailed documentation Pay & BenefitsCompetitive hourly payPaid WeeklyPaid training programAdvancement opportunities into investigations / SIUOngoing support from experienced team membersPay Rate: $23-$25 an hour Apply Now - Takes 2 MinutesWe're actively hiring and reviewing candidates quickly.
Undercover Investigator DATA QUEST INVESTIGATIONS LTDUndercover InvestigatorBEVERLY, MAFull timeCorporate private investigations agency seeks contract Private Investigator to work undercover at a North Shore assignment in warehouse & distribution. Ideal opportunity for Criminal Justice students/graduates and/or individuals seeking investigative experience in pursuit of a career in law enforcement.
Surveillance Investigator Lemieux & Associates LLCSurveillance InvestigatorFramingham, MA$25–$32 / hourFull timeBilingual skills (preferred).Degree in Criminal Justice or related field (preferred).Skilled in taking written and recorded statements (preferred).Ability to photograph evidence accurately (e.g., accident scenes, vehicle damage).Strong organizational and time-management skills. Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment.
Surveillane Investigator Lemieux & Associates LLCSurveillane InvestigatorBoston, MAPart timeBilingual skills (preferred).Degree in Criminal Justice or related field (preferred).Skilled in taking written and recorded statements (preferred).Ability to photograph evidence accurately (e.g., accident scenes, vehicle damage).Strong organizational and time-management skills. Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment.
Undercover Investigator Data Quest InvestigationsUndercover InvestigatorBeverly, MassachusettsEstablished in 1981, Data Quest, Ltd. is a licensed, insured and bonded, full-service corporate private investigations agency, which provides elite information gathering, and loss prevention & detection expertise to companies, attorneys, and individuals throughout the United States. Headquartered in Massachusetts, Data Quest's clients consist of more than 1,000 companies in a wide range of industries, including Fortune 500 corporations as well as smaller companies on a local and regional level.