NewRegistered Nurse - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingRegistered Nurse - Nursing Home Surveyor/Complaint InvestigatorNew York, NYWe are seeking a dedicated and experienced Registered Nurse - Nursing Home Surveyor/Complaint Investigator to join our team in New York City, NY (Bronx, Kings, Richmond, Manhattan, and Queens). This role is a temporary-to-permanent position that involves conducting surveys, complaint investigations, and surveillance activities at nursing homes to ensure compliance with Federal and State regulations.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorBuffalo, NY$25–$35 / hourPart timeWe are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel. Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the Buffalo or surrounding area.
Claims Intake Specilist Nesco Resource, LLCClaims Intake SpecilistNew York City, NY$33–$40 / hourNesco Resource has partnered with a well-established, nationally recognized company with a long-standing presence in critical infrastructure and public service to identify a Claims Intake Specialist. - Prolonged sitting while answering phones at a computer terminal for the majority of the workday required.
NewCommercial Auto & General Liability Claims Examiner II TEEMA GroupCommercial Auto & General Liability Claims Examiner IINew York, NYRemote$85,000–$95,000Comprehensive Claims Management: Independently investigate and evaluate Commercial Auto, PIP, and General Liability claims to ensure high-quality outcomes. This position is perfect for a strategic thinker who excels at evaluating exposure, guiding investigative strategy, and collaborating with legal counsel to achieve fair and efficient resolutions.
SIU Investigator Allied UniversalSIU InvestigatorGeneva, NY$27–$32 / hourAllied 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.
NewSIU Claims Director Plymouth Rock Management Company of New JerseySIU Claims DirectorUniondale, NY$137,000–$200,000 / yearReporting to the Vice President of Claims, the Director of Special Investigative Unit (SIU) provides strategic leadership for Plymouth Rock's enterprise fraud program across the Personal Lines Property & Casualty Claims organization. Provide oversight of fraud investigations involving Auto Physical Damage, Homeowners, Casualty, PIP, Appraisal, provider fraud, organized fraud rings, staged accidents, and Major Case initiatives.
Health Plan Claims Analyst I- Environmental Medicine Mount Sinai Health SystemHealth Plan Claims Analyst I- Environmental MedicineNY$64,526.72–$81,675 / yearMount Sinai advances health for all people, everywhere, by taking on the most complex health care challenges of our time - discovering and applying new scientific learning and knowledge; developing safer, more effective treatments; educating the next generation of medical leaders and innovators; and supporting local communities by delivering high-quality care to all who need it. We are consistently ranked by U.S. News & World Report's Best Hospitals, receiving high "Honor Roll" status, and are highly ranked: No. 1 in Geriatrics, top 5 in Cardiology/Heart Surgery, and top 20 in Diabetes/Endocrinology, Gastroenterology/GI Surgery, Neurology/Neurosurgery, Orthopedics, Pulmonology/Lung Surgery, Rehabilitation, and Urology.
Sr. Workers'' Compensation Claims Adjuster Complex/Litigation (NJ) Berkshire Hathaway GUARD Insurance CompaniesSr. Workers'' Compensation Claims Adjuster Complex/Litigation (NJ)NY$50,000–$100,000 / yearThis role may be based out of any of our office locations, including: New York, NY; Parsippany, NJ; Conshohocken, PA; Wilkes‑Barre, PA; Alpharetta, GA; Rosemont, IL; Plano, TX; Scottsdale, AZ; and Rancho Cordova, CA. Good things are happening at Berkshire Hathaway GUARD Insurance Companies-an A+ (Superior) rated, nationwide Property & Casualty insurer backed by Berkshire Hathaway.
NewSIU Investigator - NY Labor Law Allied UniversalSIU Investigator - NY Labor LawMelville, New YorkAcquire 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.
NewSIU Investigator - Part Time Allied UniversalSIU Investigator - Part TimeAlbany, New York$27–$32 / hourAcquire 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 .
Private Investigator - Retired/Former Law Enforcement Lemieux & Associates LLCPrivate Investigator - Retired/Former Law EnforcementBuffalo, NYPart timeWe're actively seeking retired and former law enforcement professionals to join our Special Investigations Unit (SIU) as Investigators. Join a team where your background is respected, your voice is heard, and your work continues to make a difference.
NYSIF Surveillance & SIU Investigator Lemieux & Associates LLCNYSIF Surveillance & SIU InvestigatorRochester, NY$25–$32 / hourPart timeWe are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel. Note: If an applicant is currently on another agencies NYSIF Personnel Spreadsheet, they must be removed prior to employment with Lemieux & Associates as a NYSIF investigator.
Senior Claims Specialist, Commercial E&O AXA SASenior Claims Specialist, Commercial E&ONY$105,300–$184,400 / yearBy combining a comprehensive and efficient capital platform, data-driven insights, leading technology, and the best talent in an agile and inclusive workspace, empowered to deliver top client service across all our lines of business property, casualty, professional, financial lines and specialty. This includes, building and refining effective working relationships with insured, brokers, claim handlers, underwriters, co-insurers, excess and reinsurers as well as external vendors including investigators and legal counsel.
CLAIMS ADJUSTER Niagara Frontier Transportation AuthorityCLAIMS ADJUSTERBuffalo, NY$53,407–$80,110 / yearInvestigates liability claims, no-fault claims, and other claims involving personal injury or property loss/damage; investigates scene of the accident, takes detailed statements from involved parties, photographs evidence to document investigation files, peruses video evidence, performs other research as necessary. • Inspects damage to structure, motor vehicles, and heavy equipment; reviews repair estimates; reviews medical records and determines value of claim and coverage applicable; prepares a cost benefit analysis for settling claims.
Investigator Ethos Risk ServicesInvestigatorBuffalo, NYPart 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.
Entry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorRochester, NYFull 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.
Investigator - Network Services - Full Time CoventBridge GroupInvestigator - Network Services - Full TimeBrooklyn, NY$26–$30 / hourCoventBridge Group is the global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients’ needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide.
Claims Manager Contractor Garuda Labs IncClaims Manager ContractorNY$45–$50 / hourWhat You''ll Do: Report, oversee, monitor, and investigate insurance claims across all jurisdictions; Support Instawork with workers' compensation and occupational accident claims by running loss control surveys and training for teams involved in the claims reporting process as well as monthly data reporting requirements to carriers; Partner with insurance carriers to mitigate loss by evaluating and implementing tools, including but not limited to investigators and nurse case managers; Communicate frequently with internal stakeholders and third parties, including claims adjusters, brokers and other insurance personnel, injured Professionals, business Partners, doctors, and attorneys; Participate in monthly claim reviews to steer claims towards resolution; Maintain organized, accurate records of all claims and supporting documentation; Provide regular updates to senior management on claims activity; Analyze claims data to identify trends and areas for improvement; Develop, implement, and improve scalable processes and training to build a best-in-class claims function. Who You Are: 5+ years in insurance claims adjusting or management, including workers' compensation, occupational accident, and other injury and property damage claims; Impeccably organized; Detailed and process-oriented; Thorough knowledge of insurance lines and insurance laws across the United States; Composed handling high-priority escalations; Excellent verbal and written communication; Ability to analyze, classify, and rate risks, exposures, and loss expectancies; Marketplace risk experience preferred.
Senior SIU Investigator Core Specialty Insurance ServicesSenior SIU InvestigatorNew YorkRemoteThe SIU Senior Investigator reviews and investigates referrals to the SIU to identify suspicious indicators of potential fraud committed by claimants, insureds, agents, brokers, providers and attorneys and conducts investigations of varying complexity. The investigator must understand and exhibit appropriate investigative behaviors and methods while conducting investigations, including development of the facts, due diligence with evidence collection, and conducting interviews both recorded and non-recorded.
NYSIF SIU Investigator Lemieux & Associates LLCNYSIF SIU InvestigatorNY$25–$35 / hourPart timeA part-time investigator familiar with New York State Insurance Fund SIU/Claims investigations is needed to cover the five boroughs of NYC and any areas right outside the boroughs. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel.
Senior Support Investigator (NYHELP Program) Vacancy (Family and Community Services) Oneida County New YorkSenior Support Investigator (NYHELP Program) Vacancy (Family and Community Services)Utica, NYB) Successful completion of thirty (30) credit hours at a regionally accredited or New York State registered college or university, of which at least fifteen (15) credit hours were completed in social work, sociology, psychology, business management or criminal justice, AND three (3) years of experience in social service-type programs examining, investigating, or evaluating claims and/or complaints for assistance, veterans, or unemployment benefits or a similar social service-type program operating under established criteria for eligibility. Either: (A) Successful completion of sixty (60) semester credit hours at a regionally accredited or NYS registered college or university, of which at least thirty (30) credit hours were completed in social work, sociology, psychology, business management or criminal j ustice, AND two (2) years of experience in social service-type programs examining, investigating, or evaluating claims and/or complaints for assistance, veterans, or unemployment benefits or a similar social service-type program operating under established criteria for eligibility; OR.
Senior Investigator EmblemHealth IncSenior InvestigatorNew York, NY$68,040–$118,800 / yearEstablish and maintain relationships with law enforcement (HHS-OIG, FBI), regulatory agencies (i.e DFS, MEDIC, OMIG, MFCU, NYS OAG), and with industry peers. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry peers.
Registered Nurse - Nursing Home Surveyor/Complaint Investigator GreenLife Healthcare StaffingRegistered Nurse - Nursing Home Surveyor/Complaint InvestigatorAlbany, NYParticipate in surveys or complaint investigations, including allegations of abuse and neglect, and perform surveillance activities/tasks at nursing homes (long-term care) to determine compliance with Federal and State regulations. Impactful Work: Contribute to a mission-driven organization dedicated to protecting resident health and safety in nursing homes through thorough surveys, complaint investigations, and enforcement of federal and state regulations.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NY$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.
Investigator Lemieux & Associates LLCInvestigatorSyracuse, NYPart timeWe're looking for motivated graduates with: Associate or bachelor's degree (Criminal Justice or related fields preferred). We're hiring entry-level Special Investigations Unit (SIU) Investigators to help detect and prevent insurance fraud.
NewInvestigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)NY$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
EEO Investigator Integrated Resources, IncEEO InvestigatorNew York, NY$60–$65 / hourStrong people skills with the ability to effectively navigate within a large organizational structure. Ability to work in a fast-paced healthcare/hospital setting.
SIU Investigator Centene Corporation GroupSIU InvestigatorNYRemote$56,200–$101,000 / yearMinimum of five (5) years in healthcare field working in fraud, waste and abuse investigations and audits, (or) five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) seven years of professional investigation experience involving economic or insurance related matters. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse.
NewEEO Investigator HirePower Personnel Inc.EEO InvestigatorNew York, NY$61–$72 / hourOur client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health services with a team of highly trained and caring medical professionals who are compassionate, culturally competent and patient centered. Many of their roles are temp-to-hire, giving our client and our candidates the opportunity to ensure they are the right fit for a full-time position, as this comes with career advancement opportunities and excellent benefits.
NewSurveillance Investigator Allied UniversalSurveillance InvestigatorTown of Poughkeepsie, New York$21–$24 / hourThe 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 .
NewSurveillance Investigator - Brooklyn Allied UniversalSurveillance Investigator - BrooklynBrooklyn, New York$25–$28 / hourThe 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 .
NewSurveillance Investigator - Bronx Allied UniversalSurveillance Investigator - BronxThe Bronx, New York$25–$28 / hourThe 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 and Title IX Investigator University of RochesterCivil Rights and Title IX InvestigatorNY$86,482–$129,723 / yearUnder the direction of and in cooperation with the Director, Associate Director of Civil Rights Investigations and Title IX Coordinator, as well as through the exercise of some independent judgment and initiatives informed by knowledge of relevant University policies, laws and regulations, the Investigator shall: Civil Rights & Title IX Investigations. Experience composing clear, concise, timely, and professionally written investigative reports, managing confidential information, and independently and efficiently managing a significant caseload required.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorNYPerforms 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.
Support Investigator (NYHELP Program) Vacancy (Family and Community Services) Oneida County New YorkSupport Investigator (NYHELP Program) Vacancy (Family and Community Services)Utica, NYEither: (A) Successful completion of sixty (60) credit hours, of which at least thirty (30) credit hours were completed in social work, sociology, psychology, business management or criminal justice; OR (B) Successful completion of thirty (30) credit hours, of which at least fifteen (15) credit hours were completed in social work, sociology, psychology, business management or criminal justice AND one (1) year of experience examining, investigating, interviewing, or evaluating claims and/or complaints; or in customer service* ; OR. DISTINGUISHING FEATURES OF THE CLASS: Responsible for, but not limited to verifying the absence of a responsible person, establishing current location, verifying employment or other source of income, filing all necessary papers to establish or enforce a court order for child support.
Asset Protection Investigator Saks OFF 5THAsset Protection InvestigatorNew York City, New YorkThe pay range for this position at commencement of employment is expected to be between $18 and $21 /hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. Achieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports.
Investigator, Asset Protection Saks OFF 5THInvestigator, Asset ProtectionDeer Park, New YorkAchieve 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.
NewField Investigator GallagherField InvestigatorPleasantville, New York$80,000–$120,000 / yearFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Along the way, you’ll stay on top of your time and expenses, complete required training, and continue building your knowledge as part of a team that values learning and development.
Investigator, Fraud Community Financial System, Inc.Investigator, FraudSyracuse, New YorkFull timeResponsibilities: The Fraud Investigator is responsible for conducting complex fraud investigations involving suspicious account activity, transactional anomalies, payment-related fraud events, customer fraud claims, scamrelated losses, account takeover activity, check fraud, digital banking abuse, and other elevated fraud matters. Essential Duties: Conduct complex fraud investigations involving suspicious activity, payment anomalies, customer fraud events, scam-related losses, account takeover, check fraud, ACH and wire concerns, card-related activity, digital banking misuse, and other elevated fraud matters.
Insurance Investigator - Cooperstown, NY UnitedHealth Group IncInsurance Investigator - Cooperstown, NYCooperstown, NY$18–$32 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. Individuals in this role serve as a liaison between medical staff, patient financial services, insurance payers, patients, family members and other team members to ensure excellent patient care.
NewRegistered Nurse – Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingRegistered Nurse – Nursing Home Surveyor/Complaint InvestigatorNew York, New York$60Minimum 2 years of experience in utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR 3 years of clinical or administrative experience; OR a Bachelor's degree in Nursing and 2 years of clinical or administrative experience. About Greenlife Healthcare Staffing: We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming.
EEO Investigator Atria ConsultingEEO InvestigatorNew York, NY$55–$60 / hourWhen determining a team member's base salary and/or hourly rate, various factors may be taken into account as applicable (such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). Candidates must be comfortable working in a fast-paced healthcare environment and traveling to various facilities throughout New York City as needed.
Investigator, Fraud Community Bank, N.A.Investigator, FraudBuffalo, NYThe Fraud Investigator is responsible for conducting complex fraud investigations involving suspicious account activity, transactional anomalies, payment-related fraud events, customer fraud claims, scamrelated losses, account takeover activity, check fraud, digital banking abuse, and other elevated fraud matters. Essential Duties: Conduct complex fraud investigations involving suspicious activity, payment anomalies, customer fraud events, scam-related losses, account takeover, check fraud, ACH and wire concerns, card-related activity, digital banking misuse, and other elevated fraud matters.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorNew York City, New YorkVRC 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.
Surveillance Investigator (Part-Time) VRC InvestigationsSurveillance Investigator (Part-Time)Syracuse, New YorkVRC 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 Part-Time SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
Security Officer - Unarmed Patrol Investigator Allied UniversalSecurity Officer - Unarmed Patrol InvestigatorNew York, NYAs an unarmed Patrol Officer at a financial services location, you will monitor and patrol assigned areas, conduct routine rounds, and maintain a visible presence that helps to deter security-related incidents. Conduct regular and random unarmed patrols of interior areas, exterior grounds, parking areas, and perimeter points to help to deter unwanted activity and/or identify conditions that may require attention.
Private Investigator - Domain Specialist MercorPrivate Investigator - Domain SpecialistNew York, New YorkRemote$1,500–$1,700 / hourFor details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome. $1,500 payment conditioned on successful approval of the first task during the work trial period.
Complex Claim Specialist Coalition IncComplex Claim SpecialistNYAs we continue to expand, we are seeking an experienced cyber claims adjuster to join our cyber claims team and to lend a hand in handling complex primary Cyber, Tech, and Media policies. Founded in 2017, Coalition combines comprehensive insurance coverage and innovative cybersecurity tools to help businesses manage and mitigate potential cyberattacks.
NewClaim Specialist Coalition IncClaim SpecialistNYAs we continue to expand, we are seeking an experienced cyber claims adjuster to join our cyber claims team and to lend a hand in handling complex primary Cyber, Tech, and Media policies. Founded in 2017, Coalition combines comprehensive insurance coverage and innovative cybersecurity tools to help businesses manage and mitigate potential cyberattacks.
Sales Executive Allied UniversalSales ExecutiveNY$70,000–$85,000 / yearAllied 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.