NewSIU Investigator Allied UniversalSIU InvestigatorBrooklyn, NY$32–$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.
SIU Investigator - NY Labor Law Allied UniversalSIU Investigator - NY Labor LawManhattan, New York$32–$40 / 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 .
Registered 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.
Investigator Ethos Risk ServicesInvestigatorLong Island, NYPart 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.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorNew York, NY$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.
Assistant Chief Investigator - Intelligence Operations, NS New York State Thruway AuthorityAssistant Chief Investigator - Intelligence Operations, NSNew York, NY$106,898–$131,665 / yearThe duties of this position include, but or not limited to, the following: Supervises a team of investigative staff and overseeing all day-to-day activities, including planning and assigning work; Directs the financial and insurance fraud referral intake process under the general supervision of the Chief Investigator including reviewing referral assessment summaries, handling public complaints, and identifying emerging fraud patterns and trends; Liaises with the Field Operations team leaders to assign intelligence support and analysis tasks to enhance field operation investigations; Monitors staff performance to ensure that incoming fraud referrals are being addressed efficiently, effectively, and in accordance with Bureau policy and New York law; Provides direction and support to staff on complex matters and research and investigative techniques and strategies; Reviews staff work product to provide positive and constructive feedback to help staff achieve their investigative objectives while advancing their professional development; Raises critical investigation findings and conclusions to Bureau management and recommends solutions to achieve successful outcomes; Ensures sensitive matters and confidential information are protected and only shared with individuals that need to act upon the information; Manages staff training to ensure their continued professional development; Expertly presents case material to senior-level government and law enforcement authorities; Competently represents the Bureau at official meetings and maintains meaningful partnerships with federal, state, and local law enforcement entities; Manages administrative matters including task assignments, time sheet verifications, and overtime approvals; Conducts staff annual performance evaluations; Assists in the Bureau's special projects and other assignments as needed; and. Through engagement, data-driven regulation and policy, and operational excellence, the Department and its employees are responsible for empowering consumers and protecting them from financial harm; ensuring the health of the entities we regulate; driving economic growth in New York through responsible innovation; and preserving the stability of the global financial system.
Fire Investigator EFI Global IncFire InvestigatorLong Island, NY$70,000–$85,000 / 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. Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
NewSenior Investigator UnitedHealth Group Inc.Senior InvestigatorEast Brunswick, NJ$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.
Assistant Chief Investigator - Field Operations, NS New York State Thruway AuthorityAssistant Chief Investigator - Field Operations, NSNew York, NY$106,898–$131,665 / yearThe primary duties of this position include, but are not limited to, the following: Supervises a team of investigators and oversees all day-to-day activities, including planning and assigning work; Directs field assignments, including undercover operations, arrests, search warrants and enforcement activity when required and as needed; Liaises with the Intelligence Operations team lead to assign intelligence support and analysis tasks to enhance field operation investigations; Establishes goals and priorities for investigations involving diverse fraud schemes and other emerging criminal activity affecting insurance, financial and healthcare companies; Monitors investigator performance to ensure that matters are being resolved efficiently, effectively, and in accordance with Bureau policy and New York law; Provides direction and support to investigators on complex cases and investigative techniques and strategies; Reviews investigators' reports and provides positive and constructive feedback to help investigators achieve their investigative objectives while advancing their professional development; Raises critical investigation findings and conclusions to Bureau management and recommends solutions to achieve successful outcomes; Ensures sensitive matters and confidential information are protected and only shared with individuals that need to act upon the information; Manages investigators' training to ensure their continued professional development; Expertly presents case material to senior-level government and law enforcement authorities; Competently represents the Bureau at official meetings and maintains meaningful partnerships with federal, state, and local law enforcement entities; Manages administrative matters including case assignments, time sheet verifications, official vehicle usage monitoring, and overtime approvals; Conducts investigators' annual performance evaluations; Assists in the Bureau's special projects and other assignments as needed; and. Through engagement, data-driven regulation and policy, and operational excellence, the Department and its employees are responsible for empowering consumers and protecting them from financial harm; ensuring the health of the entities we regulate; driving economic growth in New York through responsible innovation; and preserving the stability of the global financial system.
Fire Investigator EFI GlobalFire InvestigatorLong Island, NY$70,000–$85,000 / 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. Mental: Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
SIU Investigator Centene Corporation GroupSIU InvestigatorNY$56,200–$101,000 / year5+ years in healthcare field working in fraud, waste and abuse investigations and audits, (or) 5+ years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) 7+ 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.
NewAML Investigator Robinhood Markets IncAML InvestigatorNew York, NY$74,000–$87,000 / yearConduct investigations into potentially suspicious activity across cryptocurrency products, brokerage accounts, and fiat transactions generated from transaction monitoring systems, referrals, or external inquiries. The Financial Crimes Investigations team protects Robinhood and its customers by detecting, investigating, and reporting potentially suspicious activity across our brokerage and crypto products.
Financial Investigator CONTACT GOVERNMENT SERVICESFinancial InvestigatorNew York, NY$57,677.01–$78,275.94 / yearEstablishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
Senior Financial Investigator CONTACT GOVERNMENT SERVICESSenior Financial InvestigatorNew York, NY$74,156.16–$107,114.45 / yearEstablishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
Financial Investigator Contact Government Services LLCFinancial InvestigatorNew York, NY$57,677.01–$78,275.94 / yearEstablishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
Senior Financial Investigator Contact Government Services LLCSenior Financial InvestigatorNew York, NY$74,156.16–$107,114.45 / yearEstablishes and verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary to successful case resolution. Establishes and/or verifies relationships among all facts and evidence obtained or presented to confirm the authenticity of documents, corroborate witness statements, and otherwise build proof necessary for successful litigation.
Investigator - Network Services - Full Time CoventBridge GroupInvestigator - Network Services - Full TimeManhattan, New York$26–$30 / hourFull timeCoventBridge Integrity Systems delivers investigative services, technology, and expertise that help healthcare and government organizations protect critical programs, strengthen oversight, and address fraud, waste, abuse, and operational risk. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; 888-932-7364; humanresources@coventbridge.com.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorNewark, New JerseyVRC 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.
Senior Ethics and Compliance Investigator Novo Nordisk ASSenior Ethics and Compliance InvestigatorPlainsboro, NJ$120,300–$222,600 / yearCollaborates with colleagues across the E&C Department (e.g., Business Partners, Monitoring & Auditing, Policies and Training) to share investigations trends, insights and lessons learned to support risk management efforts, including training and the annual E&C Risk Assessment. Experience using data driven tools (AI/ML), Microsoft Excel tools (e.g., Pivot Tables, VLOOKUP, etc.), social media sources, or other investigative tools (e.g., Relativity) to support information gathering and analysis.
CPC Investigator Blue Cross and Blue Shield AssociationCPC InvestigatorNewark, NJ$70,500–$94,395 / yearThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. The incumbent will also be responsible for handling low level investigative activities (external) related to claims, enrollment, accounting, receive and review suspected fraud and to complete cases with all information and analysis for resolution, as the manager and prior approved guidelines may direct.