30 Results for

Claims Investigator Jobs in Michigan

Jobs

New!

Howell, MI5 days ago

has been leading the private insurance investigative industry for over 50 years, servicing the self-insured, defense attorneys and all major insurance carriers defending against fraudulent claims. Insurance Claims Investigators at Data Surveys, Inc. are required to utilize their own personal vehicles for any necessary road travel throughout the week.

East Lansing, MI30+ days ago

Full-time

SET SEG is looking for an Auto Claims Representative that will be responsible for the end-to-end handling of assigned auto physical damage claims, with additional exposure to small property damage claims based on business needs. SET, which began in 1971, served as an employee benefits association focused on offering comprehensive and affordable employee benefit solutions to Michigan public schools and their employees.

Detroit, Michigan27 days ago

Lansing, Michigan27 days ago

East Lansing, Michigan30+ days ago

East Lansing, MI30+ days ago

Full-time

The Multi-Line Property and Casualty Claims Representative is responsible for the prompt, fair, and efficient handling of a diverse caseload of Property and Casualty claims across multiple lines including general liability, auto liability, auto physical damage, personal injury protection (PIP), property, medical payments and select specialty coverages. This position requires independent judgment, strong documentation practices, and a customer-focused approach with the ability to balance efficiency with accuracy and compliance with applicable laws, regulations, and internal claims handling guidelines.

Flint, MI30+ days ago

Previous 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.

East Lansing, Michigan30+ days ago

Michigan, MI12 days ago

$83,000–$132,800 Per Year

Act as the Program Integrity liaison and ensure collaboration with state and federal agencies and facilitate accurate deployment and ongoing monitoring of state-specific regulations and ongoing partnership with state regulators in managing Medicaid and Medicare programs. This role is also responsible for the identification and monitoring of emerging FWA trends and conducting research and interactions on claims, industry and other sources (internal and external) of data and information to identify potential FWA and support ongoing fraud investigations.

Ann Arbor, MI30+ days ago

$89,508–$138,370 Per Year

Specialized Experience for the GS-12 level: One year of specialized experience equivalent to the GS-11 grade level or equivalent public or private sector experience that has equipped you with the particular knowledge, skills, and abilities to perform successfully the following duties or work assignments below: Conducting the full range of criminal investigations of greater than average complexity and importance using accepted methodology and problem-solving techniques. If you are claiming eligibility under the Veterans Employment Opportunities Act (VEOA), you must submit: A copy of your DD-214 that shows active service and character of discharge (member copy 4, Separated Members only) OR a certification of expected discharge or release from active duty under honorable conditions within 120 days from the date of application (Current Active Duty Members only).

Ann Arbor, MI30+ days ago

$57,188–$97,087 Per Year

Grade-point average (G.P.A) -- Applicants must have a grade-point average of 3.0 or higher out of a possible 4.0 (B or better) as recorded on their official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of the curriculum; OR 3.5 or higher out of a possible 4.0 (B or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum. #### Specialized Experience for the GS-11 level One year of specialized experience equivalent to the GL/GS-9 grade level or equivalent public or private sector experience that has equipped you with the particular knowledge, skills, and abilities to perform successfully the following three (3) duties or work assignments below: Experience conducting the full range of criminal investigations of average complexity and importance using accepted methodology and problem-solving techniques.

MI30+ days ago

$46,988–$122,400 Per Year

Anticipated 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.

Lansing, Michigan26 days ago

New!

Livonia, Michigan6 days ago

Results Orientation / Strategic Execution: Leads complex investigations with urgency and extremely high effectiveness, prioritizing high-risk matters, driving outcomes, and delivering high-quality results in a fast-paced, high-exposure environment. Professional certification(s) strongly preferred (e.g., Certified Fraud Examiner (CFE), Fraud Claim Law Specialist (FCLS), Associate, Life and Health Claims Designation (ALHC), or CFCI (Certified Financial Crimes Investigator – IAFCI).

Work At Home, MI27 days ago

$66,330–$145,860 Per Year

The position plays a key role in identifying fraud risks, supporting program integrity efforts, and helping to prevent financial losses related to fraud, waste, and abuse. Directs complex investigations, including data analysis, interviews, and document review, to identify potential fraud, waste, and abuse, including NSA-related activity.

Work At Home-Michigan, MI25 days ago

$46,988–$102,000 Per Year

This position will routinely handle high profile or highly sensitive matters involving cases for Michigan Medicaid and Medicare, 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.

Detroit, MI30+ days ago

Performs 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.

Ann Arbor, MI27 days ago

The University of Michigan, seeks a creative, innovative, and thoughtful person to join its Equity, Civil Rights, and Title IX Office (ECRT). Conduct investigations, including interviews, gathering evidence, reviewing and analyzing information, and drafting clear and concise investigation reports.

Lathrup Village, Michigan30+ days ago

Accountable for Debit/ATM card controls including but not limited to replacement of lost and stolen cards, restricting card usage, revoking card or other services, issuing additional cards, and processing claims related to inappropriate card usage by members. Work card fraud cases through the lifecycle of the case to maximize outcome for the Credit Union and cardholder, including and not limited to positive and professional communication with other team members, cardholders, law enforcement agencies, industry professionals, and merchants.

MI8 days ago

$15–$20 Per Hour

By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. This position also provides support to CR1 staff during periods of high volume, which includes compiling claim packets and referring eligible claims with supporting documentation to collection vendors, excluding claims involving total losses.

Michigan11 days ago

By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance. This position also provides support to CR1 staff during periods of high volume, which includes compiling claim packets and referring eligible claims with supporting documentation to collection vendors, excluding claims involving total losses.

Okemos, MI30+ days ago

As an Janitorial Lead for Allied Universal Janitorial Services, you will be responsible for supervising, training, and working alongside crew performing daily cleaning of mall common areas, including restrooms, food court, and other public areas. 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.

Sterling Heights, MI30+ days ago

Allied 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.

Livonia, MI30+ days ago

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. 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.

Grand Rapids, MI30+ days ago

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. The primary function of the Security Intervention Specialist is to monitor surveillance of all security and CCTV monitors on the facility and surrounding grounds, respond to event-driven alarms in a timely and effective manner, and document any activity and contact support systems in the event of an emergency.

Lansing, MI30+ days ago

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. - Sept. 3, 2025 - Allied Universal®, the world's leading security and facility services company, has been named to Forbes' list of America's Best Employers by State (2024), ranking in the top 100 for Arizona, Georgia, New Jersey and North Carolina.

Grand Rapids, MI30+ days ago

$82,459–$180,078 Per Year

If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office by providing a copy of your applicable SF-50, along with a statement that provides the following information regarding your most recent political appointment: Position title; Type of appointment (Schedule A, Schedule C, Non-career SES, or Presidential Appointee); Agency; and. Applicants should note that SF 15 requires supporting documentation associated with service-connected disabilities or receipt of nonservice-connected disability pensions to be dated 1991 or later except in the case of service members submitting official statements or retirement orders from a branch of the Armed Forces showing that retirement was due to a permanent service-connected disability or that they were transferred to the permanent disability retired list (the statement or retirement orders must indicate that the disability is 10% or more).

Lansing, MI30+ days ago

Conducts defense of case, including delivery of opening statement, examination and cross-examination of witnesses, makes and argues motions, confers with judges and attorneys, delivers closing argument; prepares trial brief which includes insured's defense, applicable law, and jury instructions, when appropriate. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.

Lansing, Michigan30+ days ago

Conducts defense of case, including delivery of opening statement, examination and cross-examination of witnesses, makes and argues motions, confers with judges and attorneys, delivers closing argument; prepares trial brief which includes insured’s defense, applicable law, and jury instructions, when appropriate. By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life’s journey through insurance, travel, financial services, and roadside assistance.

Oakland, MI30+ days ago

ACG belongs to the national AAA federation and is the second largest AAA club in North America.\n \nBy continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance.\n \nAnd when you join our team, one of the first things you'll notice is that same, whole-hearted, enthusiastic advocacy for each other.\n Mentors less experienced attorneys on legal matters within areas of his/her expertise.\n \nSupervisory Responsibilities:\n \nNone\n \nHow you will benefit:\n\n Our Senior Attorney will earn a competitive annual salary of $110,000 - $150,000 with annual bonus potential, based on performance.\n \n\n Excellent and comprehensive benefits packages are just another reason to work for the Auto Club Group.

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Claims Investigator Jobs in Michigan

Insurance Claims Investigator Data Surveys Inc

Claims Representative - Auto SET SEG

SIU Investigator Allied Universal

SIU Investigator - Full Time Allied Universal

Claims Representative - Auto Set Seg

Claims Representative - Multi-Line SET SEG

Investigator Ethos Risk Services

Claims Representative - Multi-Line Set Seg

SIU Investigator Lead (Must live in OH or surrounding states) CareSource

Criminal Investigator, GS-1811-12/13 (MP) U.S. Department of Education

Criminal Investigator (Open Continuous) U.S. Department of Education

Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health Corp

Surveillance Investigator Allied Universal

Senior (Special Investigation Unit (SIU) Investigator AAA Life Insurance Company

Fraud, Waste & Abuse (FWA) Investigator - No Surprises Act (NSA) CVS Health Corp

Special Investigations Unit Senior Investigator CVS Health Corp

Affirmative Civil Enforcement ACE Investigator Contact Government Services LLC

Civil Rights Investigator Intermediate University of Michigan

Card Fraud Investigator Michigan First Credit Union

Temporary Subrogation Claim Support Processor AAA Southern New England

Temporary Subrogation Claim Support Processor Auto Club Group

Janitorial Lead Allied Universal

Security Fire Supervisor Plant Allied Universal

Site Supervisor Allied Universal

Monitoring and Response Agent Allied Universal

Area Manager Allied Universal

Assistant United States Attorney (White Collar Crime/Health Care Fraud) U.S. Department of Justice

Associate Attorney AAA Southern New England

Associate Attorney Auto Club Group

Senior Attorney AAA Southern New England

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