Insurance 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.
Claims Representative - Auto SET SEGClaims Representative - AutoEast Lansing, MIFull timeSET 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.
SIU Investigator Allied UniversalSIU InvestigatorDetroit, MIAcquire 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.
Claims Representative - Auto Set SegClaims Representative - AutoEast Lansing, MichiganSET 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.
Claims Representative - Multi-Line SET SEGClaims Representative - Multi-LineEast Lansing, MIFull timeThe 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.
Investigator Ethos Risk ServicesInvestigatorFlint, MIPart 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.
Claims Representative - Multi-Line Set SegClaims Representative - Multi-LineEast Lansing, MichiganThe 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.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)MI$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.
Surveillance Investigator Allied UniversalSurveillance InvestigatorGrand Rapids, MIThe 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.
Health Plan Special Investigative Unit Investigator - Health Alliance Plan Henry Ford HospitalHealth Plan Special Investigative Unit Investigator - Health Alliance PlanTroy, MICollaborative Skills: Demonstrates strong teamwork and collaboration abilities, effectively working with other investigators to achieve common goals and take responsibility for team outcomes while contributing to the overall success of the team. Proficiency using excel including ability to analyze large data sets to identify trends, anomalies, and opportunities for improvement, using data visualization techniques to present findings effectively.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorDetroit, MIPerforms 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.
Senior (Special Investigation Unit (SIU) Investigator AAA Life Insurance CompanySenior (Special Investigation Unit (SIU) InvestigatorLivonia, MIResults 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).
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.
Card Fraud Investigator Michigan First Credit UnionCard Fraud InvestigatorLathrup Village, MichiganAccountable 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.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IIMICollects 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.
Staff Investigator Branch CountyStaff InvestigatorColdwater, MichiganComputer skills necessary to effectively utilize word processing, databases, spreadsheet and presentation software applications for the creation and compilation of various documents, communications and reports. If not licensed, then must have proper documentation submitted to LARA (Licensing and Regulation Affairs) no later than 90 days into their 6-month probationary period of employment.
Area Manager Allied UniversalArea ManagerLansing, MIAllied 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.
Site Supervisor Allied UniversalSite SupervisorLivonia, MIAllied 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.
Janitorial Lead Allied UniversalJanitorial LeadOkemos, MIAs 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.
Monitoring and Response Agent Allied UniversalMonitoring and Response AgentGrand Rapids, MIAllied 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.
Assistant United States Attorney (White Collar Crime/Health Care Fraud) U.S. Department of JusticeAssistant United States Attorney (White Collar Crime/Health Care Fraud)Grand Rapids, MI$82,459–$180,078 / yearIf 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).
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.
Statistician Senior Intermediate Underfill University of MichiganStatistician Senior Intermediate UnderfillAnn Arbor, MIUnder general direction, the statistician will construct analytic cohorts in large health insurance claims databases; operate claims-based measures; analyze and interpret a wide variety of data according to established statistical methods; and prepare reports and tables summarizing results of analyses. Working closely with the M-SUPER team to develop grant proposals, including contributing to the framework of the study aims, designing and authoring the methodological approach, and performing power and sample size calculations (15%).
NewAssociate Attorney The Auto Club GroupAssociate AttorneyLansing, MIRemoteConducts 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. This position is currently able to work remotely from a home office location for day-to-day operations unless occasional travel for meetings, collaborative activities, or team building activities is specified by leadership.
NewAssociate Attorney AAA Southern New EnglandAssociate AttorneyTroy, MIRemoteConducts 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.
NewSenior Attorney AAA Southern New EnglandSenior AttorneyTroy, MIRemoteBy 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. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.
Manager, Employee Relations Investigations Ford Motor CoManager, Employee Relations InvestigationsDearborn, MI$115,500–$218,100 / yearWe are seeking an investigations manager with a passion for employee relations and conducting robust investigations in a dynamic environment who appreciates the important role employee relations professionals play in supporting our values and culture and will carry out duties with the highest integrity. Successful candidates should be able to demonstrate leadership behaviors and integrity combined with outstanding interpersonal, teambuilding, and oral /written communication skills.