Investigator JobotInvestigatorChesapeake, VA$50,000–$60,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. 2. Proven experience working in the legal industry, specifically in areas such as Personal Injury, Litigation, Plaintiff Law, Injury Law, Motor Vehicle Accidents, Insurance Claims, Liability, Negligence, Bodily Injury, Workers Compensation, and Wrongful Death.
PT Home Health Insurance Verification Specialist/Investigator StratAcuity Staffing Partners IncPT Home Health Insurance Verification Specialist/InvestigatorStone Ridge, VARemote$20–$23 / hourIn terms of professional development, Everforth Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. This individual will play a critical role in ensuring accurate reimbursement, timely admissions, regulatory compliance, and uninterrupted patient care by validating insurance coverage and payer requirements across a variety of government and commercial health plans.
Senior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI Sentara HospitalsSenior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFIVirginiaRemoteExperience utilizing data analytics to identify high-risk providers and claims for pre-payment review within a healthcare payer, SIU, Program Integrity, or Payment Integrity environment is strongly preferred . Experience conducting pre-pay investigations, provider risk assessments, data mining, fraud, waste and abuse (FWA) analysis, and proactive identification of billing anomalies and emerging provider trends.
SIU / Claims Investigator - Central / South VA Allied UniversalSIU / Claims Investigator - Central / South VACharlottesville, Virginia$25–$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 .
Western VA SIU / Claims Investigator - Part Time Allied UniversalWestern VA SIU / Claims Investigator - Part TimeLynchburg, Virginia$27–$36 / 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 / Claims Investigator - Northern VA / DC Area Allied UniversalSIU / Claims Investigator - Northern VA / DC AreaFredericksburg, Virginia$25–$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 .
SIU Investigator - Part Time Allied UniversalSIU Investigator - Part TimeLynchburg, Virginia$27–$36 / hourFull timeAcquire 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 - Northern VA and MD Allied UniversalSIU Investigator - Northern VA and MDFredericksburg, Virginia$25–$32 / hourFull timeAcquire 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 - Central / South VA Allied UniversalSIU Investigator - Central / South VACharlottesville, Virginia$25–$32 / hourFull timeAcquire 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 .
Senior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - Remote Sentara Healthcare IncSenior Fraud and Abuse Investigator/CPC/CFI/CFS/CHC/CFE/AHFI - RemoteVARemote$25.60–$42.67 / hourExperience utilizing data analytics to identify high-risk providers and claims for pre-payment review within a healthcare payer, SIU, Program Integrity, or Payment Integrity environment is strongly preferred. Experience conducting pre-pay investigations, provider risk assessments, data mining, fraud, waste and abuse (FWA) analysis, and proactive identification of billing anomalies and emerging provider trends.
NewFraud Investigator - Federal Healthcare Deloitte Touche Tohmatsu LtdFraud Investigator - Federal HealthcareVA$76,600–$127,600 / yearAs a Project - Consultant, Forensics and Investigations on the project, you will address the threats that perpetuate fraud, waste, and abuse, our clients look to our team to provide the guidance and solutions required to help them stay ahead of emerging issues and protect the integrity of their programs. This compensation range is specific to Arlington, Virginia and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorRichmond, VirginiaVRC 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 Internal Security Investigator GEICO GENERAL INSURANCE COMPANYSenior Internal Security InvestigatorFredericksburg, VAThis role is responsible for conducting complex investigations involving suspected insurance fraud, gathering and analyzing evidence, interviewing involved parties, and collaborating with internal and external partners to support fraud detection and prevention efforts. GEICO is seeking a highly motivated and detail-oriented Senior Internal Security Investigator (SIU) to join our Special Investigations Unit.
Title IX Investigator Liberty UniversityTitle IX InvestigatorLynchburg, VA$60,000–$70,000 / yearIndividual must not be convicted of, or pled nolo contendere or guilty to, a crimeinvolving the acquisition, use, or expenditure of federal, state, or local government funds, -or- be administratively or judicially determined to have committed fraud or any other material violation of law involving federal, state, or local government funds (CFR 668.14(b)(18)(i)). Individual must not be convicted of, or pled nolo contendere or guilty to, a crime involving the acquisition, use, or expenditure of federal, state, or local government funds, -or- be administratively or judicially determined to have committed fraud or any other material violation of law involving federal, state, or local government funds (CFR 668.14(b)(18)(i)).
Financial Investigator CONTACT GOVERNMENT SERVICESFinancial InvestigatorChantilly, VA$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 InvestigatorArlington, VA$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 InvestigatorArlington, VAEstablishes 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.
Affirmative Civil Enforcement (Ace) Investigator CONTACT GOVERNMENT SERVICESAffirmative Civil Enforcement (Ace) InvestigatorArlington, VA$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.
Corporate Investigator Ethics and Compliance ManTech International CorpCorporate Investigator Ethics and ComplianceHerndon, VA$68,600–$114,100 / yearCollaborating with the investigations team, including providing support to the Senior Corporate Investigator, the Executive Director of Investigations, and the Chief Ethics and Compliance Officer to ensure cases are processed completely, accurately, and efficiently and coordinating with other Company departments including Human Resources, Security, Insider Threat, and Legal. Preparing initial reports detailing the factual outcome of the investigation, root cause of any validated non-compliance, and tracking any corrective or remedial measures taken and a summary of investigative findings to be presented to MANTECH leadership detailing any disclosures to be made to the government and other necessary corrective actions or remedial measures.
Investigator Assistant Elevance Health IncInvestigator AssistantNorfolk, VAWe 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. The Investigator Assistant is responsible for providing administrative support to the investigative unit and performing research on data to assist in identifying cases of potential overpayment or abuse.