Surveillance Investigator Frasco IncSurveillance InvestigatorFt. Lauderdale, FL$20–$26 / hourCheck out our YouTube channel to learn more about what a day-in-the-life of a surveillance investigator at Frasco looks like: Frasco, Inc | YouTube Channel . Minimum Auto Insurance Coverage: $100,000 per person, $300,000 per accident bodily injury, and $50,000 property damage.
Personal Injury Claims Examiner GEICOPersonal Injury Claims ExaminerLakeland, FL$23.41–$29.41Customer Interaction: Consult with involved parties (customers, other carriers, attorneys, medical providers), secure medical information, and review insurance contracts, associated reports, and billing documentation. . You will investigate medical necessity, determine casualty, evaluate the validity of personal injury insurance claims, and monitor case files over the course of treatment. . .
NewAI Engineer Vaco LLCAI EngineerJacksonville, FL$145,000–$165,000 / yearStrong C# / ASP.NET Core engineer (4+ years) with experience building AI-enabled features inside a service-oriented architecture using modern design patterns (Dependency Injection, Repository pattern, DTOs, typed HTTP clients). Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs.
Contracts & Legal Operations Specialist Proficient Auto LogisticsContracts & Legal Operations SpecialistJacksonville, FL$70,000–$90,000 / yearWe offer a broad range of auto transportation and logistics services, primarily focused on transporting finished vehicles from automotive production facilities, marine ports of entry, or regional rail yards to auto dealerships around the country. Working closely with Legal (internal and external), Procurement, Finance, Risk, and Operations, this role helps ensure contracts are properly executed, organized, compliant, and easily accessible while supporting litigation, insurance, and regulatory matters as needed.
NewAVP, Property Claims Operations USAAAVP, Property Claims OperationsTampa, FL$195,230–$351,410 / yearExecutive-level business and technical acumen in the areas of effective claims handling processes, claims risk and compliance, integrated change management and front-line communications leading to operational excellence. Responsible for member service, paying what we owe, controlling expenses, employee engagement, quality, operational risk and compliance across multiple operational areas.
NewMedical Billing Specialist (On-Site) PedIM HealthcareMedical Billing Specialist (On-Site)Crystal River, FL$16–$18 / hourWe are dedicated to fostering a diverse, inclusive environment where every employee feels valued, supported, and empowered to contribute to our mission of delivering exceptional, compassionate care to our community. Our dedicated, community-focused team is committed to excellence, pride in service, and making a real difference for patients and families across Citrus County.
NewClinical Fraud Investigator II Elevance Health IncClinical Fraud Investigator IILake Mary, FLMinimum Requirements: Requires an Associate Degree in Nursing and/or current certification as a Certified Professional Coder (AAPC or AHIMA) and minimum of 4 years related experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or any combination of education and experience, which would provide an equivalent background. Locations: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Field SIU Investigator - Tampa KemperField SIU Investigator - TampaTampa, FloridaFraud 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.
SIU Investigator - Tampa Bay Area Allied UniversalSIU Investigator - Tampa Bay AreaTampa, FLAcquire 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. Florida applicants must either hold a C Private Investigators' License or independently complete the 40-hour course necessary to successfully apply for a CC Private Investigator's license (apprenticeship) before applying.
Entry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorOrlando, FLFull 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, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)FL$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.
Investigator Ethos Risk ServicesInvestigatorTallahassee, FLPart 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.
NewSIU Investigator (Remote U.S.) Crum & Forster Holdings Corp.SIU Investigator (Remote U.S.)FLRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community.
Senior Field Security Investigator GEICO GENERAL INSURANCE COMPANYSenior Field Security InvestigatorOrlando, FL$32.05–$49.86 / hourAs a Senior Field Security Investigator, you will conduct investigations of suspected cases of fraud or other illegal activities against the Company, including interviewing, database inquiries, taking statements, and locating sources of information and witnesses. Experience handling in-person or phone statements from various parties in an investigation in a way that builds GEICO's customer base and promotes customer satisfaction through efficient, accurate, and courteous interactions.
SIU Expert Investigator KemperSIU Expert InvestigatorMiami, FloridaExcellent written and verbal communication skills, thorough working knowledge of computers, ability to type proficiently, and operate efficiently in a modern “paperless” environment are essential. Fraud 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.
SIU Investigator Part time Bilingual Spanish a PLUS Kelley AllianceSIU Investigator Part time Bilingual Spanish a PLUSFt. Lauderdale, FLRemote$25–$50 / hourThis role requires a strong understanding of insurance coverage principles, compensability analysis, fraud indicators, and investigative documentation. Assignments may involve property losses, auto claims, liability investigations, and other insurance-related matters.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorTampa, FLPerforms 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.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthRemote-FL, FLRemote$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. 2+ years clinical experience with independent license required; 2 years of fraud, waste, and abuse experience required; experience in provider education and managed care organization preferred; coding certification preferred.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorFloridaVRC 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.
MEDICAID FRAUD ANALYST II - 41001204 Government of FloridaMEDICAID FRAUD ANALYST II - 41001204TAMPA, FLObtains and analyzes large amounts of data to: interpret and summarize health care fraud activity, calculate damages sustained to the Florida Medicaid program, determine significance, completeness and usefulness of data, recognize and identify patterns and trends, and brief investigators and attorneys. Additional roles and duties to design and write new EDW ad hoc reports and queries, serve as a MFCU analyst providing EDW support throughout the MFCU, and serve as an instructor on the new EDW to the various MFCU regional offices, in support of Operations & Management Consultant I and Operations & Management Consultant II.
Investigator, Special Investigative Unit Coding Molina Healthcare IncInvestigator, Special Investigative Unit CodingFLWorking knowledge of local, state and federal laws and regulations pertaining to health insurance, investigations and legal processes (commercial insurance, Medicare, Medicare Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy, etc.). In some states, 5 years of experience working in a fraud, waste and abuse (FWA)/special investigations unit (SIU)/fraud investigations role may be required (dependent on state/contractual requirements).
NewAsset Protection Investigator Saks Global Enterprises LLCAsset Protection InvestigatorBoca Raton, FL$21.53–$26.91 / hourBy leveraging the most comprehensive luxury customer data platform in North America, cutting-edge technology, and strong partnerships with the world's most esteemed brands, Saks Global is shaping the future of luxury retail. Saks Global is the largest multi-brand luxury retailer in the world, comprising Saks Fifth Avenue, Neiman Marcus, Bergdorf Goodman, and Saks OFF 5TH.
Financial Investigator Contact Government Services LLCFinancial InvestigatorMiami, FLEstablishes 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.
SIU Desk Investigator - Tampa TWAY Trustway ServicesSIU Desk Investigator - TampaTampa, FloridaA commitment to continuous learning, whether through professional development courses, industry certifications, or networking opportunities, is essential for career growth and staying ahead of industry trends. A Special Investigations Unit (SIU) Desk Investigator within an insurance company plays a crucial role in assisting the SIU and claims departments with fraudulent activities related to insurance claims.
Senior Financial Investigator Contact Government Services LLCSenior Financial InvestigatorMiami, FL$107,114.45–$141,560.16 / 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 for 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.
SIU Investigator Centene Corporation GroupSIU InvestigatorFL$56,200–$101,000 / yearAssist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse. Education/Experience: Bachelor's Degree Business, Criminal Justice, Healthcare, or related field, or equivalent experience required.
Investigator II Elevance Health IncInvestigator IITampa, FLWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Location: Hybrid1: This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance.
Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorFL$70,100–$126,200 / yearLeads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions. Education/Experience: A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
FINANCIAL INVESTIGATOR-ECONOMIC CRIMES - 43005194 Government of FloridaFINANCIAL INVESTIGATOR-ECONOMIC CRIMES - 43005194MIAMI, FLPreferences: A degree from an accredited college or university in one or more than the following areas: Accounting, Finance, Statistics, Economics, Business Administration (Finance, Management, Organizational Behavior), Criminal Justice, Forensic Accounting, or Financial Fraud. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.
FINANCIAL CRIME INVESTIGATOR I (PENDING RECLASSIFICATION) - 43061961 Government of FloridaFINANCIAL CRIME INVESTIGATOR I (PENDING RECLASSIFICATION) - 43061961FT MYERS, FLCandidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Requisition No: 870403 Agency: Financial Services Working Title: FINANCIAL CRIME INVESTIGATOR I (PENDING RECLASSIFICATION) - 43061961 Pay Plan: Career Service Position Number: 43061961 Salary: $41,000.00 Posting Closing Date: 03/11/2026.
NewFINANCIAL CRIME INVESTIGATOR I (PENDING RECLASS) - 43061877 Government of FloridaFINANCIAL CRIME INVESTIGATOR I (PENDING RECLASS) - 43061877ORLANDO, FLThe State's total compensation package for employees features a highly competitive employee benefits including: State Group Health Insurance Coverage; $25,000 Life Insurance Policy (100% paid by employer); Dental, vision, and other supplemental insurance options available; Annual and Sick Leave benefits; 10 paid holidays each year; Retirement plan options, including employer contributions (For more information, please click www.myfrs.com); Flexible Spending Accounts; and. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code.
FINANCIAL INVESTIGATOR-CONSUMER PROTECT - 41000562 1 1 Government of FloridaFINANCIAL INVESTIGATOR-CONSUMER PROTECT - 41000562 1 1MIAMI, FLPreference may be given to applicants with the following: Certified Fraud Examiner (CFE) certification through the Association of Certified Fraud Examiners (ACFE); Certified Financial Crimes Investigator (CFCI) through the International Association of Financial Crimes Investigators (IAFCI), or Certified Financial Crime Specialist (CFCS) certification through the Association of Certified Financial Crime Specialist (ACFCS). In conjunction with its authority under FDUTPA, the Division also has authority to enforce several related statutes including the civil provisions of the Racketeer Influenced and Corrupt Organization (RICO) Act, through which the Division, where appropriate, pursues the conduct of "enterprises" engaged in continuing patterns of statutorily enumerated illegal activities, such as fraud, theft, and misleading advertising.
FINANCIAL INVESTIGATOR-CRIMINAL ENFORCE - 43005149 Government of FloridaFINANCIAL INVESTIGATOR-CRIMINAL ENFORCE - 43005149MIAMI, FLAbility to review, analyze, and evaluate financial data, examine and audit financial records, prepare financial audit reports, understand and apply laws, rules, regulations, policies, and procedures, conduct research and prepare reports, probe and obtain critical facts, utilize problem-solving techniques, plan, organize, and coordinate work assignments, communicate effectively, establish and maintain effective working relationships with others. Preferences: A degree from an accredited college or university in one or more than the following areas: Accounting, Finance, Statistics, Economics, Business Administration (Finance, Management, Organizational Behavior), Criminal Justice, Forensic Accounting, or Financial Fraud.
Health Insurance Claims Adjuster Integrity Marketing GroupHealth Insurance Claims AdjusterClearwater, FloridaAdjusters who handle the potential fraud or waste claims will investigate, track via clear and complete system notes and accurately report on each file/case in a timely manner. Insurance Administrative Solutions, L.L.C. (“IAS”), an Integrity company headquartered in Clearwater, Florida, is a third-party administrator providing business process outsourcing for insurance carriers.
Property & Casualty Insurance Claims Operations Consultant, Manager PricewaterhouseCoopers LLPProperty & Casualty Insurance Claims Operations Consultant, ManagerFL$99,000–$232,000 / yearPwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy . You will analyze client needs, implement solutions, and provide training and support to validate seamless integration and utilization of business applications, enabling clients to achieve their strategic objectives.
Restoration Estimator & Insurance Claims Specialist Paul Davis RestorationRestoration Estimator & Insurance Claims SpecialistHialeah, FL$75,000–$95,000 / yearIf you have worked inside a carrier as an Inside Technician or field adjuster within a TPA network or as a senior restoration professional who truly understands carrier QA systems and approval workflows. This is a player-coach role you will inspect losses, write carrier-compliant estimates, manage the full claims lifecycle, and build the internal discipline that drives our scorecard performance and lead volume.
Senior Director, Insurance Claims Advisory NTT DATA Group CorpSenior Director, Insurance Claims AdvisoryFL$160,000–$296,000 / yearEcosystem & Partnership Leadership: Develop joint GTM motions with key alliance partners and Independent Software Vendors (ISVs) in the insurance space (e.g., Guidewire, Duck Creek, Majesco, Verisk). to amplify market reach and deliver integrated client solutions. A critical component of this role is serving as the primary pre-sales Claims domain expert for the North American P&C and L&A sales team, translating complex IT capabilities into tangible business outcomes (e.g., improved claims efficiency, lower loss ratio).
Complex Claims Consultant - Life Insurance Agent / Broker Dealer CNA Financial CorpComplex Claims Consultant - Life Insurance Agent / Broker DealerFL$72,000–$141,000 / yearResolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority. Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of high complexity and exposure Financial Lines claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Insurance Claims Representative Blackstone Medical ServicesInsurance Claims RepresentativeTampa, FloridaBlackstone Medical Services is a rapidly growing diagnostic technology company looking for team members who enjoy working in a productive environment while helping patients improve the quality of their health. Blackstone Medical provides a new sleep medicine technology (In-Home Diagnostic Sleep Testing) which is growing in demand as awareness increases among healthcare providers and patients.
Surveillance Investigator Allied UniversalSurveillance InvestigatorMiami, FloridaThe 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 .
Surveillance Investigator - Eastern Florida Panhandle Allied UniversalSurveillance Investigator - Eastern Florida PanhandleTallahassee, FLThe 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. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.
Surveillance Investigator - Eastern Panhandle Allied UniversalSurveillance Investigator - Eastern PanhandleTallahassee, FloridaThe 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 .
Health Insurance Claims Specialist - Largo Prosper InfusionHealth Insurance Claims Specialist - LargoLargo, FLFull timeInsurance companies frequently deny or underpay claims—your role is to dig into the details, challenge discrepancies, and drive appropriate payment. Partner with internal teams to support patient care and resolve billing issues efficiently.
Life Insurance Position - State Farm Agent Team Member Mark Kinkade - State Farm AgentLife Insurance Position - State Farm Agent Team MemberPanama City Beach, FLWe are highly engaged in the community through local charities, Chambers of Commerce, and nonprofit board involvement, and we take pride in building strong relationships both inside and outside the office. Strong communication skills, a personable approach, and a positive attitude are key, along with a desire to build relationships and make an impact in both the office and the community.
Life Insurance Position - State Farm Agent Team Member Mara Geraghty - State Farm AgentLife Insurance Position - State Farm Agent Team MemberDavenport, FLMara Geraghty - State Farm Agent is seeking a qualified and empathetic professional for the role of Life Insurance Position - State Farm Agent Team Member. Your sales experience equips you to continually grow your income as you provide the needed security for times of distress and vulnerability.
Insurance Account Position - State Farm Agent Team Member Rob Semans - State Farm AgentInsurance Account Position - State Farm Agent Team MemberWinter Haven, FLAs our Insurance Account Position - State Farm Agent Team Member, your knowledge of insurance products and industry trends equips you to communicate directly with clients, identify their needs, and market products or services that maximize value. ROLE DESCRIPTION: Rob Semans - State Farm Agent is searching for a competitive Producer who can recognize opportunities and strategically turn leads into long-lasting customer relationships.
Insurance Account Position - State Farm Agent Team Member Robert LaPeter - State Farm AgentInsurance Account Position - State Farm Agent Team MemberWellington, FLAs our Insurance Account Position - State Farm Agent Team Member, your knowledge of insurance products and industry trends equips you to communicate directly with customers, identify their needs, and market products or services that maximize value. ROLE DESCRIPTION: Robert LaPeter - State Farm Agent is searching for a competitive Producer who can recognize opportunities and strategically turn leads into long-lasting customer relationships.
NewLicensed Health Insurance Agents - Medicare SagilityLicensed Health Insurance Agents - MedicareFloridaRemoteSagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics.
Insurance Agent - Auto Dealership Team Insurance NationInsurance Agent - Auto Dealership TeamCoral Springs, FLFull timeProvide customer service, including but not limited to helping customers with payment issues, providing necessary insurance information to customers, helping customers file insurance claims, and contacting customers for insurance renewals. We have built a successful team of over 100 professionals who serve over 25,000 active policies throughout Florida and we want YOU to join our team in Coral Springs !
Insurance Agent - Auto Dealership Palm Beach Insurance NationInsurance Agent - Auto Dealership Palm BeachWest Palm Beach, FLFull timeProvide customer service, including but not limited to helping customers with payment issues, providing necessary insurance information to customers, helping customers file insurance claims, and contacting customers for insurance renewals. We have built a successful team of over 100 professionals who serve over 25,000 active policies throughout Florida, and we want YOU to join our team in West Palm Beach !