NewInsurance Claims Investigator Data Surveys IncInsurance Claims InvestigatorHowell, MIhas 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.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorLansing, MI$25–$32 / hourPart timeNotary license strongly (preferred).Bilingual ability and/or degree in Criminal Justice or related field (preferred).Willingness to travel; flexible schedule (varied/irregular hours).Strong computer and internet skills. Accurately photograph evidence (accident scenes, vehicle damage, etc.).Skills & ExperienceExperience handling complex SIU/Claims cases.
Investigator Ethos Risk ServicesInvestigatorGrand Rapids, MIPart 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.
NewSurveillance Investigator Data Surveys IncSurveillance InvestigatorHowell, MIThis is a hybrid position, meaning you will report to our home office located in Howell, Michigan weekly but be able to depart from your residence to travel to surveillance sites. 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.
Senior Investigator - Special Investigations Unit( Illinois, Indiana, and Michigan ) West Bend Insurance CompanySenior Investigator - Special Investigations Unit( Illinois, Indiana, and Michigan )MIRemote$77,000–$97,000 / yearWork independently and collaboratively with internal stakeholders and external partners to evaluate and investigate suspicious insurance transactions (claims, underwriting, policy, etc.), collect evidence, support fraud detection programs, and communicate investigative findings to internal and external partners, regulators, and law enforcement. West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorDetroit, MI$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.
SIU Investigator Centene Corporation GroupSIU InvestigatorMIRemote$56,200–$101,000 / yearEducation/Experience: Bachelor's degree, or an Associate's degree with an additional 2 years working on health care fraud, waste, and abuse investigations and audits in lieu of a Bachelors is required. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
Surveillance Investigator Allied UniversalSurveillance InvestigatorDetroit, MichiganThe 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 .
Civil Rights Investigator MSU Careers DetailsCivil Rights InvestigatorEast Lansing, Michigandemonstrated ability to work independently and meet established timelines; willingness to collaborate and contribute as a member of a team; ability to successfully multi-task and work on multiple projects at one time; demonstrated ability to make sound decisions in urgent situations; demonstrated ability to work with a diverse range of people; Understanding or willingness to learn about how reporting or response of misconduct may be impacted based on identities such as race, gender, sexual identity, religion, disability, color, ethnicity, national origin, etc., and a dedication to improving response for all identities. Experience working in a university environment; prior case management experience; prior experience conducting workplace investigations and drafting investigation reports; Juris Doctor degree or advanced degree with equivalent translatable skills.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthMI$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. 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals.
Special Investigations Unit Investigator Delta Dental Plan of MichiganSpecial Investigations Unit InvestigatorOkemos, MichiganRemotePosition requires advanced knowledge of dental terminology and dental procedure codes; knowledge of common data mining tools, such as Audit Command Language (ACL), SQL Developer and IBM’s Fraud and Abuse Management System (FAMS); strong verbal and written communication skills; strong organizational and analytical skills; ability to manage multiple assignments with competing deadlines; and the ability to resolve complex problems using independent judgment. Position requires a bachelor's degree in accounting, business administration, finance, healthcare administration, information technology, or a related field and three years of experience auditing, utilizing analytical tools and software, dental claims billing or review, or as a dental hygienist.
Civil Rights Investigator Michigan State UniversityCivil Rights InvestigatorEast Lansing, MIdemonstrated ability to work independently and meet established timelines; willingness to collaborate and contribute as a member of a team; ability to successfully multi-task and work on multiple projects at one time; demonstrated ability to make sound decisions in urgent situations; demonstrated ability to work with a diverse range of people; Understanding or willingness to learn about how reporting or response of misconduct may be impacted based on identities such as race, gender, sexual identity, religion, disability, color, ethnicity, national origin, etc., and a dedication to improving response for all identities. Experience working in a university environment; prior case management experience; prior experience conducting workplace investigations and drafting investigation reports; Juris Doctor degree or advanced degree with equivalent translatable skills.
Private Investigator - Corporate Investigations Lauth Investigations International IncPrivate Investigator - Corporate InvestigationsDetroit, MIAs a Private Investigator for Lauth Investigations International, Inc. in the Indianapolis area, you will be responsible for conducting thorough surveillance and investigative work to gather intelligence across a range of corporate and private-sector cases. You will work both independently and as part of a team to deliver comprehensive findings and reports that support our corporate clients' needs, from workplace misconduct to due diligence and fraud investigations.
Private Investigator - Retired/Former Law Enforcement Lemieux & Associates LLCPrivate Investigator - Retired/Former Law EnforcementLansing, MIPart timeIdentify inconsistencies and detect fraud patternsPerform field investigations and scene inspectionsDocument findings and prepare professional reportsCollaborate with legal teams and law enforcement when needed Why This Role is Ideal for You Put your investigative training and instincts to work immediately No patrol shifts, no emergency response, no rotating hours Enjoy flexibility and independence in your daily work Stay engaged in meaningful, purpose-driven investigations Transition your skills into a stable, growing industry Who We're Looking ForWe value experience. Ideal candidates have:Prior law enforcement or investigative backgroundStrong interviewing, observation, and report writing skillsAbility to think critically and recognize fraud indicatorsSelf-motivation and comfort working independentlyValid driver's license; reliable vehicle, digital camera, and Windows based computer with internet.
NewTax Law Specialist Tax Exempt Bond Specialist Department of the Treasury, USTax Law Specialist Tax Exempt Bond SpecialistPontiac, MI$125,776–$192,694 / yearPerforming analytical services related to the structuring of municipal financings including tax advantaged bonds and other financial products beyond traditional tax advantaged bonds including: Short-Term Debt and Cash Flow Management which include Tax Anticipation Notes, Revenue Anticipation Notes, Bond Anticipation Notes, and Commercial Paper. When assigned to the TEB Voluntary Closing Agreement Program, the incumbent confers with customers and representatives to explain financial, legal and other significant issues involved and the applicability of pertinent tax laws, regulations, and related filing requirements and explains corrective actions required or adjustments to promote future compliance.
Tax Law Specialist Reviewer Bilingual-Spanish Department of the Treasury, USTax Law Specialist Reviewer Bilingual-SpanishDetroit, MI$125,776–$187,093 / yearYou must also meet the following requirement(s): TIME AFTER COMPETITIVE APPOINTMENT (TACA): Current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment. If applying for a higher grade and you met time-in-grade (TIG) at another agency, it is recommended that you provide an SF-50(s) (Notification of Personnel Action) (or equivalent) which demonstrates you meet the 52-week TIG requirement (e.g., Promotion with an effective date more than one (1) year old, Within-Grade-Increase at the highest grade held).
Large Loss Property Adjuster - Field Estimating Grand Rapids, MI Allstate Insurance CompanyLarge Loss Property Adjuster - Field Estimating Grand Rapids, MIGrand Rapids, MI$72,000–$115,245 / yearYou'll wear a few hats that will 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 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.
Property Adjuster - Field Estimating - Detroit, MI Allstate Insurance CompanyProperty Adjuster - Field Estimating - Detroit, MIDetroit, MI$70,000–$115,000 / yearYou'll wear a few hats that will 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 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.