Desk Investigator - SIU (Hybrid) Donegal Group, Inc.Desk Investigator - SIU (Hybrid)Remote Special Investigation Unit Manager Remote, PARemote$70,000–$80,000 / yearDonegal Insurance Group provides commercial and personal insurance products through a network of independent agents in 21 states and across several regions of the U.S. In Texas, Colorado, Utah, New Mexico and Arizona, business is conducted under the Mountain States Insurance Group name; and in Michigan, business is conducted under the Michigan Insurance name. Check out our Glassdoor profile where our rating speaks for itself: By joining Donegal, you would be joining a team of dedicated, hard-working employees, all with a common goal of providing peace of mind to our policyholders and being There when it matters most.
Lead Investigator Highmark IncLead InvestigatorPittsburgh, PAThe incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. This job is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse.
Investigator Highmark IncInvestigatorPAThe incumbent is responsible for conducting investigations of organizational or functional activities related to alleged fraud, waste and abuse perpetrated by providers, members, facilities, pharmacies, groups and/or employees of the organizations and Subsidiaries. The incumbent is also responsible for the field investigative work necessary to complete a review of a special project, potential fraud, waste and abuse case, conducting the initial investigations and coordinating the recovery/savings of money related to fraud, waste and abuse.
Senior Financial Analyst/Investigator CONTACT GOVERNMENT SERVICESSenior Financial Analyst/InvestigatorHarrisburg, PA$80,000–$140,000 / yearFor the past nine years we've been growing our government-contracting portfolio, and along the way we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.
Senior Financial Analyst/Investigator Contact Government Services LLCSenior Financial Analyst/InvestigatorHarrisburg, PA$80,000–$140,000 / yearFor the past nine years we've been growing our government-contracting portfolio, and along the way we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.
NewSIU Investigator Allied UniversalSIU InvestigatorPittsburgh, PAAcquire 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.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorPhiladelphia, PA$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.
Senior Civil Health Care Fraud Investigator CONTACT GOVERNMENT SERVICESSenior Civil Health Care Fraud InvestigatorHarrisburg, PA$100,000–$200,000 / yearFor the past nine years we've been growing our government-contracting portfolio, and along the way we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.
Senior Civil Health Care Fraud Investigator Contact Government Services LLCSenior Civil Health Care Fraud InvestigatorHarrisburg, PA$100,000–$200,000 / yearFor the past nine years we've been growing our government-contracting portfolio, and along the way we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.
Desk Investigator - SIU (Hybrid) Donegal Insurance GroupDesk Investigator - SIU (Hybrid)PA$70,000–$80,000 / yearDonegal Insurance Group provides commercial and personal insurance products through a network of independent agents in 21 states and across several regions of the U.S. In Texas, Colorado, Utah, New Mexico and Arizona, business is conducted under the Mountain States Insurance Group name; and in Michigan, business is conducted under the Michigan Insurance name. Check out our Glassdoor profile where our rating speaks for itself: By joining Donegal, you would be joining a team of dedicated, hard-working employees, all with a common goal of providing peace of mind to our policyholders and being There when it matters most.
Investigator Ethos Risk ServicesInvestigatorHarrisburg, PAPart 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 InvestigatorPA$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.
Entry-Level Investigator Ethos Risk Services LLCEntry-Level InvestigatorPhiladelphia, PAOur 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.
Surveillance Investigator Allied UniversalSurveillance InvestigatorLancaster, PennsylvaniaThe 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 .
Part Time SIU Investigator The Robison GroupPart Time SIU InvestigatorPhiladelphia, PennsylvaniaThrough 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. Qualified candidates are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire damages, auto accidents, commercial claims, finding missing persons, courthouse searches, and other investigative tasks.
Surveillance Investigator The Robison GroupSurveillance InvestigatorPhiladelphia, PennsylvaniaThrough 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 Patrol Investigator Allied UniversalSecurity Officer Patrol InvestigatorBorough of Bristol, PennsylvaniaJoin Allied Universal as an unarmed patrol professional at a dynamic manufacturing and industrial location, where you will conduct routine patrols, maintain a visible presence to help deter security-related incidents, and deliver outstanding customer service and communication. Conduct regular and random patrols throughout production areas, warehouse spaces, parking areas, and the exterior perimeter to help to deter unauthorized activity and/or identify potential concerns.
Special Investigation Unit Manager Donegal Insurance GroupSpecial Investigation Unit ManagerMarietta, PA$90,000–$115,000 / yearDonegal Insurance Group provides commercial and personal insurance products through a network of independent agents in 21 states and across several regions of the U.S. In Texas, Colorado, Utah, New Mexico and Arizona, business is conducted under the Mountain States Insurance Group name; and in Michigan, business is conducted under the Michigan Insurance name. Check out our Glassdoor profile where our rating speaks for itself: By joining Donegal, you would be joining a team of dedicated, hard-working employees, all with a common goal of providing peace of mind to our policyholders and being There when it matters most.
Inside Property Adjuster - King of Prussia, PA (Hybrid) Allstate Insurance CompanyInside Property Adjuster - King of Prussia, PA (Hybrid)King of Prussia, PA$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.
Regional Medical Scientific Director-Thoracic Malignancies (Los Angeles) Merck & Co IncRegional Medical Scientific Director-Thoracic Malignancies (Los Angeles)North Wales, PA$210,400–$331,100 / yearMust possess a thorough understanding of the United States Federal Drug Administration (FDA), Office of Inspector General (OIG), Health Insurance Portability and Accountability Act (HIPAA) and other ethical guidelines, laws, and regulations relevant to the pharmaceutical industry and its customers. The Oncology Regional Medical Scientific Director, RMSD, is a credentialed (i.e., MD, PhD, or PharmD) therapeutic and disease expert who engages in scientific exchange with leaders in the external medical and scientific community.