Field Claims Investigator Ameritas Mutual Holding CompanyField Claims InvestigatorCARemoteAmeritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. This role is fully remote (within California) and requires heavy travel (75% to 100%) covering a region within the Western United States.
NewInvestigator II - Claims Los Angeles Police DepartmentInvestigator II - ClaimsLos Angeles, CA$86,004.72–$125,760.24 / yearThe responsibilities of this position include the following: Gathering evidence and information for general liability claims and lawsuits filed against the City of Los Angeles; Conducting complex interviews of witnesses and claimants, and preparing clear witness statements; Communicating with claimants and constituents in an effective and professional manner; Obtaining and evaluating court documents, department and police reports, traffic accident reports, and photos; Writing detailed investigation reports and findings; Evaluating the validity of claims to determine liability, and negotiating settlements; Evaluating bodily injury and medical records to quantify monetary damages; Evaluating damage to real and personal property to quantify monetary damages; Making small claims court appearances; Filing and maintaining orderly claim files, and updating the claims database in CityLaw; Handling a high volume of assignments from the Chief Investigator, attorneys and risk management staff; Conducting both moving and stationary surveillance using video equipment, taking photographs, measurements and drawing scale diagrams; Adjusting auto liability damage and bodily injury claims; Conducting follow-up investigations for attorneys involved in litigated matters; Obtaining public records, medical records or evidence for use by Liability Section attorneys; Testifying in depositions; Following Department Operating Procedures and meeting strict deadlines; and. With over 1,000 legal professionals, including 500 attorneys, the Office provides the City of Los Angeles ("City") with the highest caliber of legal services, ranging from prosecuting criminal misdemeanors and playing a leading role in criminal justice reform to advising on homelessness initiatives, defending civil lawsuits and claims, and bringing civil enforcement actions in the name of the People of the State of California.
SIU Investigator Allied UniversalSIU InvestigatorLos Angeles, CA$30–$38 / 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.
Special Investigations Unit (SIU) - Field Investigator Ethos Risk Services LLCSpecial Investigations Unit (SIU) - Field InvestigatorLos Angeles, CAJOB SUMMARY: Our dynamic Ethos team is seeking a Special Unit Investigations (SIU) Field Investigator to conduct field investigations, gather and analyze evidence, and produce detailed reports that support claims decisions. Case Documentation: Conduct in-person interviews and obtain accurate, detailed statements from all parties involved, and retrieve relevant documents to support investigative findings.
Investigator Ethos Risk ServicesInvestigatorLong Beach, CAFull 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.
NewSenior Fire Investigator, IAAI-CFI EFI Global IncSenior Fire Investigator, IAAI-CFICARemote$85,000–$95,000 / yearOver the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global leader in engineering failure analysis, origin-and-cause investigations, environmental consulting, laboratory testing and specialty consulting. PRIMARY PURPOSE: To independently conduct extensive and detailed investigations to determine origin & cause of fires and explosions, primarily involving structures and determining the cause of fires in commercial buildings or residences.
BACKGROUND INVESTIGATOR 1764 (Revised 07/01/26) City of Los AngelesBACKGROUND INVESTIGATOR 1764 (Revised 07/01/26)Los Angeles, CA$86,443–$143,090 / yearIn the interview, the following competencies may be evaluated: Judgment and Decision Making; Attention to Detail; Self-Management; Fact Finding; Interpersonal Skills; Job Knowledge, including knowledge of: objective symptoms of use of alcohol and commonly used controlled substances sufficient to recognize when a person may be under the influence; interviewing techniques sufficient to obtaining necessary background information; investigative techniques and concepts of background investigations to collect accurate and complete information; and other necessary knowledge, skills, and abilities. I UNDERSTAND that the City of Los Angeles Personnel Department is NOT RESPONSIBLE for any lost or redirected emails and that it is MY RESPONSIBILITY to add info@governmentjobs.com to my email contact list to avoid email notifications related to this examination from being classified as "spam" or "junk" mail.
Entry-Level Investigator Ethos Risk Services LLCEntry-Level InvestigatorLong Beach, CAOur 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 file by submitting case reports and uploading video footage via personal laptop at the end of the day.
NewSenior Fire Investigator, IAAI-CFI EFI GlobalSenior Fire Investigator, IAAI-CFILos Angeles, CaliforniaRemote$85,000–$95,000 / yearOver the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global leader in engineering failure analysis, origin-and-cause investigations, environmental consulting, laboratory testing and specialty consulting. PRIMARY PURPOSE : To independently conduct extensive and detailed investigations to determine origin & cause of fires and explosions, primarily involving structures and determining the cause of fires in commercial buildings or residences.
NewSenior Fire Investigator, Iaai-Cfi EFI GlobalSenior Fire Investigator, Iaai-CfiLos Angeles, CARemote$85,000–$95,000 / yearOver the last four decades, we have grown from a boutique firm specializing in handling insurance fraud and arson cases and providing expert witness testimony, into a recognized global leader in engineering failure analysis, origin-and-cause investigations, environmental consulting, laboratory testing and specialty consulting. PRIMARY PURPOSE: To independently conduct extensive and detailed investigations to determine origin & cause of fires and explosions, primarily involving structures and determining the cause of fires in commercial buildings or residences.
SIU Investigator Military, Veterans and Diverse Job SeekersSIU InvestigatorLos Angeles, CaliforniaFraud Claims Law Specialist (FCLS) or Fraud Claims Law Associate (FCLA) designations and Certified Insurance Fraud Investigator (CIFI) or Certified Fraud Examiner (CFE) designations are preferred. Investigates files by using appropriate field, computer and telephone investigative techniques and provides appropriate documentation of actions in a thorough timely manner.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)CA$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
SIU Investigator Centene Corporation GroupSIU InvestigatorCA$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.
SIU Clinical Healthcare Fraud Investigator III (ATL) The Intersect GroupSIU Clinical Healthcare Fraud Investigator III (ATL)Los Angeles, CARemote$45–$55 / hourThe SIU Clinical Healthcare Fraud Investigator III leads complex, high impact investigations into fraud, waste, and abuse across multiple healthcare service lines. The Intersect Group partners with mission focused healthcare organizations dedicated to improving access, quality, and equity of care for large and diverse member populations.
Senior Investigator Pharmacy - Los Angeles County, CA UnitedHealth Group Inc.Senior Investigator Pharmacy - Los Angeles County, CALos Angeles, CA$60,200–$107,400 / yearWe are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes.
INVESTIGATOR, DA Los Angeles CountyINVESTIGATOR, DALos Angeles, CA$82,080–$110,616 / yearPerforms law enforcement activities, including conducting investigations; serving court-ordered documents, such as subpoenas, search, bench, and/or arrest warrants, summons, motions, affidavits, compelling orders, orders to show cause; providing witness protection; surveillance of persons and property; making arrests by operating as an agent of the District Attorney or working in conjunction with other law enforcement agencies (e.g., federal, state, local, etc.) to support criminal prosecutions and appropriately enforce court orders. Veteran's Credit: Pursuant to the County Charter and County policy, in all open competitive examinations (i.e., examinations open to everyone), the County of Los Angeles will add a credit of 10 percent of the total credits specified for such examination to the final passing score of an honorably discharged veteran, as well as the spouse of a deceased or disabled veteran, who served in the Armed Forces of the United States under specific conditions.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IICACollects 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. Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs.
Special Investigations Investigator, Consultant Blue Cross and Blue Shield AssociationSpecial Investigations Investigator, ConsultantLong Beach, CABe responsible for coordinating and overseeing efforts to recover erroneous payments made because of a claims processing error, misrepresentative billing, fraud, abuse, or any other criminal act with no assistance. The Special Investigations Unit (SIU) team s responsible for preventing, detecting, investigating, and resolving health care fraud, waste, and abuse.
Fraud Investigator/Loss Mitigation Analyst Veros Credit, LLCFraud Investigator/Loss Mitigation AnalystSanta Ana, CA$24–$29 / hourThe Fraud Investigator / Loss Mitigation Analyst is responsible for identifying, investigating, and resolving fraudulent activities and losses related to auto loan originations and servicing across a nationwide portfolio. Analyze auto loan applications, funding packages, and account activity for indicators of fraud, including identity theft, straw purchases, income/occupancy misrepresentation, synthetic identities, and forged documents.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorLos Angeles, CA$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.