NewInsurance Investigator - Cooperstown, NY UnitedHealth GroupInsurance Investigator - Cooperstown, NYSyracuse, NY$18–$32 / hourSee United Healthcare Privacy Policy at https://www.unitedhealthgroup.com/privacy.html and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. Individuals in this role serve as a liaison between medical staff, patient financial services, insurance payers, patients, family members and other team members to ensure excellent patient care.
NewSurveillance Investigator Frasco IncSurveillance Investigatornew york, NY$20–$28 / 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.
NewRegistered 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.
NewLicensed Master Social Worker - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingLicensed Master Social Worker - Nursing Home Surveyor/Complaint InvestigatorSyracuse, NYIn this role you will participate as a member of an interdisciplinary survey/investigation team to review allegations of abuse and neglect, perform surveillance activities/tasks at nursing homes (long term care)/Transitional Care Units (TCUs), and Adult Day Health Care Programs (ADHCP) to determine compliance with the requirements of participation; prepare written reports of investigative findings and prepare Statement of Deficiencies (SOD) within required time frame, using Principles of Documentation; participate in emergency surveys at Skilled Nursing Facilities (SNF's); participate in State monitoring during Immediate Jeopardy situations; as well as other duties. Soft Skills: Strong interpersonal skills; ability to facilitate positive outcomes in adverse situations; excellent written and verbal communication; superior investigative and analytical skills; ability to conduct interviews effectively; ability to work independently and collaboratively.
NewRegistered Dietitian - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingRegistered Dietitian - Nursing Home Surveyor/Complaint InvestigatorSyracuse, NYExcellent communication (written and verbal) skills with the ability to relate effectively to providers, physicians, senior medical and administrative personnel, and residents/patients. Impactful Work: Contribute directly to improving the quality of nutritional care and resident outcomes in long-term care facilities.
SIU Investigator Allied UniversalSIU InvestigatorGeneva, NY$27–$32 / hourAllied Universal SkillBridge Program 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. Dog Detection Spotlight - Kyle and Maverick As part of Allied Universal Enhanced Protection Services' fleet of detection canine teams, Kyle and Maverick are trained and certified to screen cargo under the U.S. Transportation Security Administration's (TSA) Third-Party Canine (3PK9) Program.
Senior Investigator EmblemHealth IncSenior InvestigatorNew York, NY$68,040–$118,800 / yearEstablish and maintain relationships with law enforcement (HHS-OIG, FBI), regulatory agencies (i.e DFS, MEDIC, OMIG, MFCU, NYS OAG), and with industry peers. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry peers.
Senior SIU Investigator Core Specialty Insurance ServicesSenior SIU InvestigatorNew YorkRemoteThe SIU Senior Investigator reviews and investigates referrals to the SIU to identify suspicious indicators of potential fraud committed by claimants, insureds, agents, brokers, providers and attorneys and conducts investigations of varying complexity. The investigator must understand and exhibit appropriate investigative behaviors and methods while conducting investigations, including development of the facts, due diligence with evidence collection, and conducting interviews both recorded and non-recorded.
NewInvestigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)NY$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.
NewSIU Investigator - NY Labor Law Allied UniversalSIU Investigator - NY Labor LawMelville, New YorkAcquire 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.
NewSIU Investigator - Part Time Allied UniversalSIU Investigator - Part TimeAlbany, New York$27–$32 / 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 .
Surveillance Investigator (Part-Time) VRC InvestigationsSurveillance Investigator (Part-Time)Buffalo, New YorkVRC 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 Part-Time SURVEILLANCE INVESTIGATORS that would like to join our team of professionals in our efforts to deter and combat insurance fraud.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorNew York City, New YorkVRC 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.
Investigator - Network Services - Full Time CoventBridge GroupInvestigator - Network Services - Full TimeStaten Island, New York$26–$30 / hourFull timeCoventBridge Group is the global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients’ needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide.
Entry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorRochester, NYFull 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.
NYSIF Surveillance & SIU Investigator Lemieux & Associates LLCNYSIF Surveillance & SIU InvestigatorBuffalo, NY$25–$32 / hourPart timeWe are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel. Note: If an applicant is currently on another agencies NYSIF Personnel Spreadsheet, they must be removed prior to employment with Lemieux & Associates as a NYSIF investigator.
NYSIF SIU Investigator Lemieux & Associates LLCNYSIF SIU InvestigatorNY$25–$35 / hourPart timeA part-time investigator familiar with New York State Insurance Fund SIU/Claims investigations is needed to cover the five boroughs of NYC and any areas right outside the boroughs. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel.
Investigator Lemieux & Associates LLCInvestigatorSyracuse, NYPart timeWe're looking for motivated graduates with: Associate or bachelor's degree (Criminal Justice or related fields preferred). We're hiring entry-level Special Investigations Unit (SIU) Investigators to help detect and prevent insurance fraud.
Private Investigator - Retired/Former Law Enforcement Lemieux & Associates LLCPrivate Investigator - Retired/Former Law EnforcementSyracuse, NYPart timeWe're actively seeking retired and former law enforcement professionals to join our Special Investigations Unit (SIU) as Investigators. Join a team where your background is respected, your voice is heard, and your work continues to make a difference.
Investigator, Fraud Community Financial System, Inc.Investigator, FraudSyracuse, New YorkFull timeResponsibilities: The Fraud Investigator is responsible for conducting complex fraud investigations involving suspicious account activity, transactional anomalies, payment-related fraud events, customer fraud claims, scamrelated losses, account takeover activity, check fraud, digital banking abuse, and other elevated fraud matters. Essential Duties: Conduct complex fraud investigations involving suspicious activity, payment anomalies, customer fraud events, scam-related losses, account takeover, check fraud, ACH and wire concerns, card-related activity, digital banking misuse, and other elevated fraud matters.
NewRegistered 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.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorNYPerforms 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.
Investigator Ethos Risk ServicesInvestigatorBinghamton, NYPart 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.
SIU Investigator Centene Corporation GroupSIU InvestigatorNYRemote$56,200–$101,000 / yearMinimum of five (5) years in healthcare field working in fraud, waste and abuse investigations and audits, (or) five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies, (or) seven 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.
Senior Financial Investigator Contact Government Services LLCSenior Financial InvestigatorAlbany, 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 InvestigatorNY$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.
Investigator, Fraud Community Bank, N.A.Investigator, FraudRochester, NYThe Fraud Investigator is responsible for conducting complex fraud investigations involving suspicious account activity, transactional anomalies, payment-related fraud events, customer fraud claims, scamrelated losses, account takeover activity, check fraud, digital banking abuse, and other elevated fraud matters. Essential Duties: Conduct complex fraud investigations involving suspicious activity, payment anomalies, customer fraud events, scam-related losses, account takeover, check fraud, ACH and wire concerns, card-related activity, digital banking misuse, and other elevated fraud matters.
Asset Protection Investigator Saks Global Enterprises LLCAsset Protection InvestigatorNew York, NY$24.76–$30.94 / hourYOU WILL BE: The Asset Protection Investigator is responsible for protecting company assets by preventing and investigating internal and external theft, conducting apprehensions in accordance with policy and law, and supporting inventory integrity initiatives. Reporting to the Asset Protection Manager, the API plays a critical role in maintaining a safe selling environment through active floor presence, investigations, audits, and associate awareness.
Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorNY$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.
NewRegistered Nurse – Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingRegistered Nurse – Nursing Home Surveyor/Complaint InvestigatorNew York, New York$60Minimum 2 years of experience in utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities; OR 3 years of clinical or administrative experience; OR a Bachelor's degree in Nursing and 2 years of clinical or administrative experience. About Greenlife Healthcare Staffing: We are committed to our core values: integrity, honesty, and transparencyFinding a new position as a physician or allied health professional or filling a critical vacancy in your practice, clinic, hospital, or skilled care facility can be stressful and time-consuming.
Investigative Staff - Special Financial Crimes Investigator Nassau County District AttorneyInvestigative Staff - Special Financial Crimes InvestigatorMineola, New Yorkb) Bachelor’s Degree from an accredited college or university, AND possess ten (10) years of substantial, documented experience in dealing with financial matters and investigating financial crimes. Twelve years' experience in criminal investigation work as a sworn police officer in the State of New York as defined by Section 1.20(34) Criminal Procedure Law.
Medical Investigator Jefferson County Human ResourcesMedical InvestigatorWatertown, New York$29.26–$36.64Graduation from a regionally accredited or New York State registered college or university with a an associate's degree in police forensics, mortuary science, criminal justice, or a health related field and three years of experience in mortuary science caring for the deceased and providing support for the grieving, or investigative work in such areas as criminal, medical, clinical laboratory, or insurance investigation in death cases including evidence gathering and/or analysis; or. Graduation from a regionally accredited college or university with a bachelor's degree in police forensics, mortuary science, criminal justice, or a health-related field and one year of experience in mortuary science caring for the deceased and providing support for the grieving, or investigative work in such areas as criminal, medical, clinical laboratory, or insurance investigation in death cases including evidence gathering and/or analysis; or.
NewExperienced Background Investigator Jamestown, NY Peraton IncExperienced Background Investigator Jamestown, NYJamestown, NYWhat you'll do: The Investigator will be responsible for the following but not limited to: Travel daily when conducting in person background investigations for the purpose of determining employment suitability of persons who require access to sensitive or classified U.S. Government information. As the world's leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies.
Healthcare Fraud Investigator Contact Government Services LLCHealthcare Fraud InvestigatorNew York, NY$85,000–$105,000 / yearCommunication skills: Ability to interact professionally and effectively with all levels of staff, including AUSAs, support staff, client agencies, debtors, debtor attorneys, and their staff, court personnel, business executives, witnesses, and the public. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently accurately and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client.
Licensed Master Social Worker - Nursing Home Surveyor/Complaint Investigator GreenLife Healthcare StaffingLicensed Master Social Worker - Nursing Home Surveyor/Complaint InvestigatorSyracuse, NYIn this role you will participate as a member of an interdisciplinary survey/investigation team to review allegations of abuse and neglect, perform surveillance activities/tasks at nursing homes (long term care)/Transitional Care Units (TCUs), and Adult Day Health Care Programs (ADHCP) to determine compliance with the requirements of participation; prepare written reports of investigative findings and prepare Statement of Deficiencies (SOD) within required time frame, using Principles of Documentation; participate in emergency surveys at Skilled Nursing Facilities (SNF's); participate in State monitoring during Immediate Jeopardy situations; as well as other duties. Soft Skills: Strong interpersonal skills; ability to facilitate positive outcomes in adverse situations; excellent written and verbal communication; superior investigative and analytical skills; ability to conduct interviews effectively; ability to work independently and collaboratively.
NewRegistered Dietitian - Nursing Home Surveyor/Complaint Investigator GreenLife Healthcare StaffingRegistered Dietitian - Nursing Home Surveyor/Complaint InvestigatorSyracuse, NYWe partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Excellent communication (written and verbal) skills with the ability to relate effectively to providers, physicians, senior medical and administrative personnel, and residents/patients.
Sub-Investigator/PA System OneSub-Investigator/PAKenmore, New York$45–$65 / hourThe Sub-Investigator, under the supervision of the Principal Investigator, is responsible for both clinical and educational aspects of clinical trial studies while focused on interpreting clinical protocols and conducting study visits with subjects. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.
Compliance Billing Auditor/Investigator Aspire of WNYCompliance Billing Auditor/InvestigatorCheektowaga, NY$23.95–$28.31 / hourRequirements: * Bachelors Degree * 3 years experience in OPWDD/Medicaid Audits, medical reviews, quality assurance/improvement or regulatory compliance This position includes our excellent benefit package! At Aspire, we are driven by the core belief that children and adults with developmental disabilities have the right to realize their full potential and live as independently as possible.
Senior Principal Investigator Colliers Engineering & DesignSenior Principal InvestigatorNew York$95,545–$139,725 / yearFull timeWe have also created an internal culture that provides the resources and technology needed to encourage personal and professional growth opportunities through reimbursement for education; a free in-house resource for hundreds of educational and self-enrichment courses; mentorship program; wellness program; Women’s Organization and ongoing philanthropic opportunities. Overview: Colliers Engineering & Design (CED) is a leading engineering and environmental consulting firm with a rapidly growing archaeological practice dedicated to preserving and interpreting cultural heritage.
Experienced Background Investigator - Jamestown, NY PeratonExperienced Background Investigator - Jamestown, NYJamestown, New YorkFull timeThe Investigator will be responsible for the following but not limited to: Travel daily when conducting in person background investigations for the purpose of determining employment suitability of persons who require access to sensitive or classified U.S. Government information. As the world’s leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies.
Sub-Investigator/PA JouléSub-Investigator/PAKenmore, NY$45–$65 / hourThis is an exciting opportunity to combine direct patient care with cutting-edge clinical trials, playing a key role in advancing new treatments while working alongside experienced research professionals. We're seeking an experienced Nurse Practitioner or Physician Assistant to join a collaborative clinical research team as a Sub-Investigator in Buffalo, NY.
Quality Improvement Investigator Special Citizens Futures UnlimitedQuality Improvement InvestigatorYonkers, NY$60,000–$65,000 / yearParticipates in internal audits of each agency program, including visits, writing deficiency notes, conferencing with managers to review deficiencies, reviewing corrective actions and providing support for needed follow up. In this impactful position, you will lead incident investigations, collaborate with agency leadership, support regulatory compliance efforts, and contribute to initiatives that enhance services and outcomes for the individuals we support.
Senior BSA/AML Investigator xAISenior BSA/AML InvestigatorNew York City, NY$125,000–$150,000 / yearTo conform to U.S. Government export regulations, applicant must be a (i) U.S. citizen or national, (ii) U.S. lawful, permanent resident (aka green card holder), (iii) Refugee under 8 U.S.C. § 1157, or (iv) Asylee under 8 U.S.C. § 1158, or be eligible to obtain the required authorizations from the U.S. Department of State. Conduct Enhanced Due Diligence (EDD) on high-risk users and transactions; perform periodic reviews of customer risk profiles and recommend adjustments to risk ratings.
Associate Director, Investigator Initiated Trials BeOne Medicines AGAssociate Director, Investigator Initiated TrialsNY$160,100–$210,100 / yearThis role is responsible for centralized project management of all IIT projects and initiatives, serving as a floating Study Manager across regions as needed, and leading research‑focused collaborations with external investigators and academic partners. General Description: The Associate Director, IIT Operations will play a supportive leadership role within the BeOne IIT Team, providing strategic and operational oversight across the global Investigator‑Initiated Trials (IIT) program.
Financial Fraud Investigator - Corporate Security - Vice-President Morgan StanleyFinancial Fraud Investigator - Corporate Security - Vice-PresidentPurchase, NYWhat you'll do in the role: Ensure appropriate actions are taken to mitigate potential losses to clients and Morgan Stanley (e.g., restricting accounts to prevent further fraudulent activity, coordinating the reissue of credit/debit cards, closing accounts, advising account officers and their clients, and investigating cryptocurrency fraud). We are seeking a Corporate Security, Financial Fraud Investigator to conduct time-sensitive, professional, and comprehensive investigations into allegations and business-unit escalations involving wire transfers, debit/credit cards, checks, ACH, Cryptocurrency, and other suspected fraud that may adversely affect the financial integrity of Morgan Stanley and its clients.
Associate Wire Investigator Corpay IncAssociate Wire InvestigatorNY$56,000–$66,400 / yearIn this role, you will be responsible for researching, analyzing, and resolving inquiries related to international wire transfers, ensuring timely and accurate investigation of payment discrepancies, compliance-related issues, and client escalations. Where a position or applicant may fall in a particular wage range depends on a number of factors including but not limited to skill sets, experience training licenses and certifications (if applicable), and other business and organization needs.
Senior Fraud Investigator - Financial Products Snapcommerce Holdings Inc.Senior Fraud Investigator - Financial ProductsNYThis includes supporting risks such as identity fraud, first-party abuse, payment fraud, dispute abuse, account misuse, and negative balance exposure, while improving operational processes, strengthening controls, and helping build a secure, seamless, and scalable financial products platform that drives long-term growth and customer trust. We focus on improving the quality of transactions, reducing fraud and financial losses, ensuring regulatory compliance, and building scalable systems that support a seamless and trustworthy customer experience across travel, financial products, earnings and emerging product lines.
NewSurveillance Investigator Allied UniversalSurveillance InvestigatorTown of Poughkeepsie, New York$21–$24 / hourThe 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 .
NewSurveillance Investigator - Bronx Allied UniversalSurveillance Investigator - BronxThe Bronx, New York$25–$28 / hourThe 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 .
NewSurveillance Investigator - Brooklyn Allied UniversalSurveillance Investigator - BrooklynBrooklyn, New York$25–$28 / hourThe 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 .