Confidential Investigator Auditor The Special Commissioner of Investigation for the NYC School DistrictConfidential Investigator AuditorNew York, NY$82,500–$91,450 / yearFull timeThe Office of the Special Commissioner of Investigation for the New York City School District (“SCI”) is seeking an experienced, self-motivated candidate to serve as a Confidential Investigative Auditor to both lead and support complex financial audits and investigations. The Investigative Auditor will be required to examine/analyze records and documents including procurement contracts, banking and financial records, records of capital commitments and agreements, and other city-wide policies and financial documents.
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.
Licensed Master Social Worker - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingLicensed Master Social Worker - Nursing Home Surveyor/Complaint InvestigatorBronx, 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 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.
NewSurveillance 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.
NewPrivate Investigator - Domain Specialist MercorPrivate Investigator - Domain SpecialistNew York, New YorkRemote$1,500–$1,700 / hourFor details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome. $1,500 payment conditioned on successful approval of the first task during the work trial period.
NYSIF Surveillance & SIU Investigator Lemieux & Associates LLCNYSIF Surveillance & SIU InvestigatorNew York, NY$25–$35 / hourFull timeA full-time investigator familiar with New York State Insurance Fund surveillance & 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 - 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.
Investigator Ethos Risk ServicesInvestigatorLong Island, 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.
Entry-Level Investigator Ethos Risk ServicesEntry-Level InvestigatorJersey City, NJFull 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 file by submitting case reports and uploading video footage via personal laptop at the end of the day.
Registered Nurse - Nursing Home Surveyor/Complaint Investigator GreenLife Healthcare StaffingRegistered Nurse - Nursing Home Surveyor/Complaint InvestigatorNew Rochelle, NYParticipate in surveys or complaint investigations to include allegations of abuse and neglect, and perform surveillance activities/tasks at nursing homes (long-term care) to determine compliance with Federal and State regulations. Greenlife Healthcare Staffing is a nationwide recruitment agency, matching both new grads and advanced practitioners to hospitals, clinics, nursing homes, multi-specialty groups, and private practices.
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.
Senior Financial Investigator Contact Government Services LLCSenior Financial InvestigatorNY$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.
SIU Investigator - NY Labor Law Allied UniversalSIU Investigator - NY Labor LawBrooklyn, New York$32–$40 / 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 Allied UniversalSIU InvestigatorEdison, New Jersey$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.
EEO Investigator Integrated Resources, IncEEO InvestigatorNew York, NY$60–$65 / hourStrong people skills with the ability to effectively navigate within a large organizational structure. Ability to work in a fast-paced healthcare/hospital setting.
EEO Investigator HirePower Personnel Inc.EEO InvestigatorNew York, NY$61–$72 / hourOur client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health services with a team of highly trained and caring medical professionals who are compassionate, culturally competent and patient centered. Many of their roles are temp-to-hire, giving our client and our candidates the opportunity to ensure they are the right fit for a full-time position, as this comes with career advancement opportunities and excellent benefits.
Anti-Money Laundering(AML) / Financial Crime Investigator ApolisAnti-Money Laundering(AML) / Financial Crime InvestigatorMorristown, NJ$30–$34 / hourInvestigations & AnalysisConduct thorough investigations of transaction monitoring alerts related to correspondent banking, wire transfers, and high-risk customer activity. Collaboration & Continuous ImprovementPartner with Compliance, Legal, Operations, and Business teams to resolve complex cases and mitigate financial crime risk.
Senior Anti-Money Laundering(AML) / Financial Crime Investigator ApolisSenior Anti-Money Laundering(AML) / Financial Crime InvestigatorMorristown, NJ$32–$37 / hourLead complex, high-risk investigations involving correspondent banking networks, trade finance, and cross-border transactions. 5+ years of progressive experience in financial crime compliance and investigations, with demonstrated expertise in: AML/BSA compliance and regulatory oversight in a banking environment.
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.
Deviation Investigator - Quality Systems & Laboratory Operations Zp Group LlcDeviation Investigator - Quality Systems & Laboratory OperationsRaritan, NJ$30–$35 / hourThis position will be responsible for conducting quality and laboratory investigations, identifying root causes, documenting findings, and driving corrective and preventive actions (CAPAs) within a regulated GMP environment. This is an excellent opportunity for candidates with laboratory, quality systems, microbiology, analytical testing, or pharmaceutical manufacturing experience who are looking to grow their careers within a global life sciences organization.
Financial Fraud Investigator - Corporate Security - Vice-President Morgan StanleyFinancial Fraud Investigator - Corporate Security - Vice-PresidentPurchase, New YorkEnsure 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.
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.
CPC Investigator Horizon Healthcare ServicesCPC InvestigatorNewark, New JerseyThe 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. $70,500 - $94,395This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
NewSenior 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.
NewEquity Investigator Morgan State UniversityEquity InvestigatorNY$60,000–$90,000 / yearWith guidance from the Assistant Vice President of the Office, the incumbent is independently responsible for a complaint case load, collaborating with key university designees throughout the investigative process, conducting legally sufficient investigations, making findings under University policies, meeting established timelines and treating all constituents engaged in the complaint process with sensitivity and neutrality. The Equity Investigator may also assist members of the campus community with addressing issues and resolving conflict through formal and informal conflict management and resolution processes.
Child Care Investigator City of New YorkChild Care InvestigatorNYA four-year high school diploma or its educational equivalent and five years of satisfactory, full-time experience as an investigator evaluating credit worthiness, searching for assets, verifying information concerning education, experience, and other personal qualifications bearing upon character and fitness for employment, or performing investigations involving the research, compilation and/or location of evidence or information in order to build a case or uncover activities of a criminal, corrupt, unlawful or unethical nature; or. The Bureau routinely monitors childcare programs to protect the health and safety of children while in the childcare environment and actively works to improve and expand access to high quality programs which supports early childhood development and learning.
Lead Investigator: Complex Investigations, Bureau of Tuberculosis Control City of New YorkLead Investigator: Complex Investigations, Bureau of Tuberculosis ControlQueens, NYThe BTBC Office of Epidemiology reviews and assesses TB exposures in residential and non-residential congregate settings; conducts investigations in these settings to identify, notify and evaluate contacts and assess transmission; analyzes genomic and epidemiologic information to detect, investigate and respond to TB outbreaks; and conducts data analysis and research to describe the epidemiology of TB in NYC and to inform TB prevention and control policy. This person will be part of the decision-making process that leads to such investigations, will coordinate closely with external partners across City and State agencies, religious institutions, worksites, schools and other entities to investigate and respond to TB exposures in complex settings, and will be responsible for compiling and analyzing related data.
Loss Prevention-Asset Protection Investigator Uncle Giuseppe's, IncLoss Prevention-Asset Protection InvestigatorNJResponsibilities: • Conducts surveillance of the store as well as utilizing CCTV system to identify, observe and deter individuals from committing theft of our property • Partner with store management to meet strategic asset protection goals and awareness • Provide clear and consistent training to all store personnel on safety compliance, new hire training, and measures through operational audits • Conduct investigations and interviews for inventory, cash loss, company policy violations, etc. Our Loss Prevention - Asset Protection Investigators are responsible for executing key initiatives relating to theft, operational accountability, shrink and safety for Uncle Giuseppe's store locations.
NewGeriatrician - Principal Investigator Pinnacle Clinical ResearchGeriatrician - Principal InvestigatorRidgewood, New JerseyDuties and Responsibilities: •Review and hold expert knowledge of study-related activities and protocols.•Assume all responsibilities and obligations as an Investigator, per Title 21 part 312 and FDA Form 1572.•Adhere to study protocols, FDA regulations, and Good Clinical Practice (GCP) at all times.•Maintain study sponsor and clinical trial confidentiality.•Perform study-related procedures such as physical examinations, informed consent, subject history, adverse events, test article handling, appointment scheduling, records review, treatment coordination, collecting vital signs, and subject health assessments. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.•Work may be performed in an office/laboratory and/or a clinical environment.•Occasional travel may be required, domestic and/or international 10%.•Ability to work in an upright and/or stationary position for 6-10 hours per day.•Frequent mobility is required.•Occasionally squatting, kneeling, or bending.•Light to moderate lifting and carrying (or otherwise moving) objects, including medical equipment, with a maximum lift of 20-50 lbs.
Senior Equal Opportunity Investigator Metropolitan Transportation AuthoritySenior Equal Opportunity InvestigatorNY$108,150–$119,617 / yearProvide oversight and guidance to complaint and conflict resolution work by EO Investigators that includes assisting with complex issues, facilitating difficult conversations, designing and implementing interventions, providing strategies for formal conflict resolution, as well as conducting formal investigations and issuing written findings and determinations. Opening: The Metropolitan Transportation Authority is North America's largest transportation network, serving a population of 15.3 million people across a 5,000-square-mile travel area surrounding New York City, Long Island, southeastern New York State, and Connecticut.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NY$46,988–$122,400 / yearAnticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $46,988.00 - $122,400.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. Exercises independent judgement and uses available resources and technology in developing evidence, supporting allegations of fraud and abuse Required Qualifications 3 years working on health care fraud, waste, and abuse investigatory and audits required.
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.
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.
NewDigital Forensics Investigator - Vice President Morgan StanleyDigital Forensics Investigator - Vice PresidentEdison, New JerseyOur values - putting clients first, doing the right thing, leading with exceptional ideas, committing to diversity and inclusion, and giving back - aren’t just beliefs, they guide the decisions we make every day to do what's best for our clients, communities and more than 80,000 employees in 1,200 offices across 42 countries. The successful candidate will engage with senior stakeholders across Legal, Corporate Security, Human Resources, Compliance, Cyber Security, Engineering teams, and Business Units, communicating complex technical matters clearly and effectively.
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.
Entry Level Background Investigator- Northeast Region CACI International IncEntry Level Background Investigator- Northeast RegionNYRecognizes or uses correct English grammar, punctuation, and spelling; communicates information (for example, facts, ideas, or messages) in a succinct and organized manner; produces written information, which may include technical material that is appropriate for the intended audience. The pay and benefits provided for this position will meet or exceed the minimum required amounts detailed in the wage determination issued by the Department of Labor and made applicable to this position, as incorporated into CACI's government contract for the work location.
Optical Investigator CACI International IncOptical InvestigatorFlorham Park, NJ$86,600–$181,800 / yearJob Title: Optical Investigator Job Category: Engineering Time Type: Full time Minimum Clearance Required to Start: None Employee Type: Regular Percentage of Travel Required: Up to 10% Type of Travel: Continental US The Opportunity: CACI is looking for an Optical Investigator to join our Photonics team-- we are expanding! Responsibilities: Develop innovative optical solutions related to optical communications, optical remote sensing, photonic integrated circuits, lasers, optical amplifiers, and optical transmitters and receivers.
FIELD INVESTIGATOR PREMIER INVESTIGATIONS INCFIELD INVESTIGATORWhite Plains, NYWestchester County, New York Investigative Firm seeks a full-time or part-time field investigator with 2-3 years' experience preferably. Spanish-speaking a plus.
Accident Investigator Metropolitan Transportation AuthorityAccident InvestigatorNY$94,665–$121,791.32 / yearProvide timely notifications to the Federal Railroad Administration (FRA), Public Transportation Safety Board (PTSB), National Transportation Safety Board (NTSB), Occupational Safety and Health Administration (OSHA) and other required agencies and ensure accurate recordkeeping and reporting in collaboration with other Office of System Safety (OSS) teams to maintain compliance with all regulatory and MTA/MNR requirements. Minimum 5 years of experience in the transportation industry related to the responsibilities of the position, at least two (2) years of which entail experience in one or more of the following: Transportation (train operations), Maintenance of Equipment, Maintenance of Way (Track, Structures, Communications & Signals, Power) and/or conducting safety-related investigations.
Sub Investigator - Clinical Trials - Staten Island, NY Hawthorne HealthSub Investigator - Clinical Trials - Staten Island, NYStaten Island, New York$100,000–$150,000 / yearAbout Us Hawthorne Health is a leading community site network and home research visit solution provider, with 20+ sites and more than 2,000 research experienced healthcare professionals across the U.S. Hawthorne leverages convenient, trusted, healthcare locations, identified patient data, and intelligent technology to accelerate patient access, improve retention, and reduce study costs. About the RoleHawthorne Health is seeking a Nurse Practitioner (NP) or Certified Physicians Assistant (PA-C) with experience supporting sponsor initiated trials as a Principal or Sub-Investigator to oversee clinical trials at our site in Staten Island, NY.
Compliance Investigator Actalent IncCompliance InvestigatorNJWe are proud to be an Engineering News-Record (ENR) Top 500 Design Firm for our engineering design services and a ClearlyRated Best of Staffing winner for both client and talent service. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Asset Protection Investigator (GME + eBay) Collectors Holdings, Inc.Asset Protection Investigator (GME + eBay)Jersey City, NJ$61,396–$99,678 / yearWork with the Head of Global Asset Protection to proactively identify gaps/areas of improvement with respect to digital security systems (access control, video surveillance, video storage) or physical processes that create exposure to theft. Excellent analytical skills and broad experience documenting investigations with the ability to think outside the box, handle multiple projects simultaneously, and build relationships with internal and external stakeholders.
NewLead Corporate Investigator Lumen Technologies IncLead Corporate InvestigatorNYRemote$84,629–$112,838 / yearThis role will report to the Manager of Corporate Investigations and sits at the center of difficult, often ambiguous situations-requiring the ability to assess risk, navigate competing perspectives, and deliver fact-based outcomes that stand up to scrutiny. You'll partner closely with Human Resources, Legal, and senior stakeholders, working through sensitive issues with discretion while maintaining independence and objectivity.
Asset Protection Investigator Saks OFF 5THAsset Protection InvestigatorNew York City, New YorkThe pay range for this position at commencement of employment is expected to be between $18 and $21/hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. Achieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports.
Integrity Monitor Investigator CohnReznick LLPIntegrity Monitor InvestigatorNY$110,000–$140,000 / yearResponsibilities include but not limited to: Conduct daily construction project site visits to monitor for compliance with contractual and legal requirements including but not limited to: labor and prevailing wage compliance; time and materials billing compliance; Sign in/Sign out compliance; and. CohnReznick does not accept unsolicited resumes from third-party recruiters unless such recruiters are currently engaged by CohnReznick Talent Acquisition Team by way of a written agreement to provide candidates for a specified opening.
NewGlobal Financial Crimes Senior Investigator (Brokerage) Bank of America CorpGlobal Financial Crimes Senior Investigator (Brokerage)Jersey City, NJ$90,000–$115,000 / yearBack to search results Global Financial Crimes Senior Investigator (Brokerage) Charlotte, North Carolina; Jersey City, New Jersey; Pennington, New Jersey; Plano, Texas; Phoenix, Arizona; Dallas, Texas Additional locations Apply × To proceed with your application, you must be at least 18 years of age. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates' physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve.
Financial Crime Risk Investigator II - OneTouch (US) The Toronto-Dominion BankFinancial Crime Risk Investigator II - OneTouch (US)NY$29.75–$47.75 / hourEmployee/Team Accountabilities: Participates fully as a member of the team, supports a positive work environment that promotes service to the business, quality, innovation and teamwork and ensures timely communication of issues/points of interest Supports the team by continuously enhancing knowledge/expertise in own area and participates in knowledge transfer within the team and business unit Keeps current on emerging trends/developments and grows knowledge of the business, related tools and techniques Participates in personal performance management and development activities, including cross training within own team Keeps others informed and up to date about the status/progress of projects and/or all relevant or useful information related to day-to-day activities Contributes to the success of the team by willingly assisting others in the completion and performance of work activities; provides training, coaching and/or guidance as appropriate Contributes to a fair, positive and equitable environment that supports a diverse workforce Acts as a brand champion for your business area/function and the bank, both internally and/or externally. Customer Accountabilities: Conducts investigative analysis by collecting, assessing, and collating case file information for AML, Sanctions/ABAC & Financial Crime investigations Conducts data analysis, manipulation and interpretation looking for patterns and anomalies Initiates investigations and/or responds to emerging AML and Sanctions/ABAC risks Assists with reviewing and investigating court orders (subpoenas) related to criminal actions Assists and coordinates investigations with various law enforcement agencies as delegated Prepares and delivers AML, Sanctions/ABAC & Financial Crime and/or fraud detection/loss prevention training or updates to Bank Employees or other agencies as assigned.
Principal Compliance Investigator Centene Corporation GroupPrincipal Compliance InvestigatorNY$107,700–$199,300 / yearThoroughly documents, organizes, and reviews case files, electronic and hardcopy, relative to each investigation in accordance with Company policy and ensures remediation activities are tracked and implemented. This includes defining investigation strategy, preserving evidence, conducting interviews, analyzing records, conducting root cause analysis, and recommended corrective and disciplinary actions.
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.