SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorCharlotte, NC$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.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Charlotte, NCRemoteFull 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).
Surveillance Investigator Allied UniversalSurveillance InvestigatorRaleigh, NCQUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Minimum of one (1) year of verifiable work experience, preferably involving investigations or other protective service-related field Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment. 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.
NewInvestigator Ethos Risk Services LLCInvestigatorDurham, NCREQUIREMENTS: 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.
Investigator II - Special Investigations Unit ( Tennessee, North Carolina, Kentucky, Virginia ) West Bend Insurance CompanyInvestigator II - Special Investigations Unit ( Tennessee, North Carolina, Kentucky, Virginia )NCRemote$68,000–$90,000 / yearCollaborative 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.
SIU Investigator Centene Corporation GroupSIU InvestigatorNC$56,200–$101,000 / yearCollaborates 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. 2+ years Fraud, waste, and abuse investigations, healthcare investigations, claims audits, payment integrity, healthcare compliance, law enforcement investigations, or a related investigative field required.
Criminal Investigator (Deputy U.S. Marshal) U.S. Department of JusticeCriminal Investigator (Deputy U.S. Marshal)Charlotte, NC$54,485–$70,307 / yearThe mission of the USMS includes protection of the judiciary, court security, witness security, asset forfeiture, apprehending fugitives and violent offenders, apprehending and prosecuting unregistered sex offenders, prisoner transportation, management, and custody, and providing assistance in matters of Federal emergencies and other critical incidents. This specialized experience must be gained in a full time certified law enforcement officer position(s) which includes: Independently execute and enforce the civil and/or criminal process; Plan the execution of warrants of arrest; Plan and carry out investigations; Execute warrants of arrest; Lead security assignments for court proceedings in criminal and/or civil trials; or.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorCharlotte, NC$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.
Income Maintenance Investigator II Johnston County CouncilIncome Maintenance Investigator IISmithfield, NC$51,977.34–$88,361.50 / yearA background check may be required and may include criminal history, motor vehicle records, sex offender registry checks, pre-employment drug screening, SBI fingerprinting, and, if applicable, a National Practitioner Data Bank (NPDB) check. The Income Maintenance Investigator II is responsible for working independently in investigation fraud or alleged fraud cases in the income maintenance programs of Johnston County Department of Social Services.
Senior Fraud, Waste and Abuse (FWA) Investigator PacificSource Health PlansSenior Fraud, Waste and Abuse (FWA) InvestigatorNC$65,296.83–$111,004.62 / yearEssential Responsibilities: Independently plan, conduct, and manage prompt, thorough onsite and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to create comprehensive case files in accordance with established policies and procedures. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthNC$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.
Part-Time Surveillance Investigator The Robison GroupPart-Time Surveillance InvestigatorGreensboro, North CarolinaThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Security Officer Armed Patrol Investigator Allied UniversalSecurity Officer Armed Patrol InvestigatorCharlotte, North CarolinaJoin Allied Universal as an Armed Patrol Officer in a dynamic healthcare location, where you will conduct routine patrols, maintain a visible presence to help deter security-related incidents, and support access awareness throughout assigned areas. Respond to incidents, disturbances, and/or critical situations in a calm, problem-solving manner, documenting observations and communicating with site contacts and/or public emergency responders as needed.
Senior Fraud, Waste and Abuse (FWA) Investigator PacificSourceSenior Fraud, Waste and Abuse (FWA) InvestigatorNorth CarolinaIndependently plan, conduct, and manage prompt, thorough onsite and desk-top investigations of health care claims, Thoroughly document investigative findings and actions to create comprehensive case files in accordance with established policies and procedures. Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer .
Sub-Contract Surveillance Investigator GII-PII LLCSub-Contract Surveillance InvestigatorCharlotte, NCBasic computer knowledge, knowledge of the internet, strong organization, and good communication skills. Testify to the collected facts obtained in any hearing or court of law as needed.
Surveillance Investigator Lemieux & Associates LLCSurveillance InvestigatorAsheville, NCPart timeBilingual skills (preferred).Degree in Criminal Justice or related field (preferred).Skilled in taking written and recorded statements (preferred).Ability to photograph evidence accurately (e.g., accident scenes, vehicle damage).Strong organizational and time-management skills. Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment.
Field Auto Adjuster - Hickory, NC Allstate Insurance CompanyField Auto Adjuster - Hickory, NCHickory, NC$60,000–$97,125 / yearAs a Field Auto Adjuster, you will play a crucial role in our Auto claims handling process by writing estimates directly at customer homes, repair shops, or tow yards. 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.
Inside Property Adjuster - Charlotte, NC (Hybrid) Allstate Insurance CompanyInside Property Adjuster - Charlotte, NC (Hybrid)Charlotte, NC$22.84–$41.53 / hourYou'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 Property claim. Active Listening, Communication, Critical Thinking, Customer Service, Empathy, Multitasking, Organizing, Teamwork, Time Management, Working Independently.
NewTax Law Specialist Tax Exempt Bond Specialist Department of the Treasury, USTax Law Specialist Tax Exempt Bond SpecialistCharlotte, NC$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.
NewSpecial Agent State of North CarolinaSpecial AgentMecklenburg County, NC$48,920–$63,176 / yearPrimary Purpose of the Unit: The Criminal Investigations Section of the North Carolina Industrial Commission operates as a law enforcement agency and is responsible for conducting criminal investigations into cases of suspected workers' compensation fraud, employee misclassication, and violations related to workers' compensation claims involving employees, employers, insurers, health care providers, attorneys, and vocational rehabilitation providers. The Criminal Investigations Section collaborates with the Industrial Commission's Employee Classication Section to proactively identify and investigate employee misclassication, thus helping ensure compliance with the North Carolina Employee Fair Classication Act and North Carolina Workers' Compensation Act.