SIU Claims Investigator - Retired Law Enforcement Lemieux & Associates LLCSIU Claims Investigator - Retired Law EnforcementLas Vegas, NVFull timeResponsibilitiesProvide detailed accurate reportsObtain written and recorded statementsPerform scene investigationsAbility to accurately photograph evidence i.e., accident scenes, vehicle damage, etc. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel.
Investigator Ethos Risk ServicesInvestigatorReno, NVPart 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.
SIU Investigator Centene Corporation GroupSIU InvestigatorNV$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates 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.
Preliminary Investigator Wynn Resorts LtdPreliminary InvestigatorLas Vegas, NVIncident reports will include Guest/Patron Missing Property reports, Guest/Patron Injury reports, Guest /Patron Property Damage reports, VIP/Private Access reports, Hotel Property Damage reports, Employee Injury reports, Guest/Employee Assist reports, Outside Agency Assist reports, Recovered Property reports, Criminal Acts reports, Safe Recovery reports, Vehicle Damage reports, Suspicious Incident reports, Guest/Employee Misconduct reports, and any other incident requiring documented evidence of occurrence. These procedures will include obtaining photos from accidents, notifying hotel management on incidents involving hotel guests, notifying Safety Department management on incidents involving guest/employee transports, notifying Corporate Investigations on Incidents involving VIP/Private Access Guests, providing correct forms for guest /employee injuries, securing accident scenes and securing and logging evidence.
Surveillance Investigator Allied UniversalSurveillance InvestigatorLas Vegas, NevadaFull timeThe 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 .
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthNV$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.
Program Integrity Investigator TriWest Healthcare AllianceProgram Integrity InvestigatorLas Vegas, NVRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Las Vegas, NVRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Asset Protection Investigator Saks OFF 5THAsset Protection InvestigatorLas Vegas, NVAchieve 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.
Security Officer - Day Community Center Allied UniversalSecurity Officer - Day Community CenterReno, NevadaJoin Allied Universal at a dynamic government location where you will monitor and patrol assigned areas, maintain a visible presence to help discourage security-related incidents, and deliver outstanding customer service and communication. Provide customer service to visitors, employees, and/or members of the public while carrying out security-related procedures, site-specific policies, and when appropriate, emergency response activities at a government location.
Security Officer - Transportation Facility Patrol Allied UniversalSecurity Officer - Transportation Facility PatrolReno, NVJoin Allied Universal as an unarmed patrol officer at a government location, where you will monitor and patrol assigned areas, complete routine rounds, remain visible to help reduce security-related incidents, and deliver outstanding customer service and communication. Support daily operations by preparing incident and activity reports, communicating with local authorities and/or emergency personnel when needed, and assisting with crowd management during public-facing events or busy periods.
Bodily Injury Adjuster - Represented, Moderate (NV, WA) Remote Allstate Insurance CompanyBodily Injury Adjuster - Represented, Moderate (NV, WA) RemoteNVRemote$53,500–$84,625 / yearYou'll wear a few hats to fill a few roles throughout your day that all 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 casualty claim. Bodily Injury Claims, Business Communications, Claims Evaluation, Critical Thinking, Fraud Investigations, Information Collection, Legal Negotiations, Liability Analysis, Problem Solving, Time Management.