NewCivil Engineer - Construction Management Forensic Investigator Robson ForensicCivil Engineer - Construction Management Forensic InvestigatorMiami Lakes, FLRobson Forensic is a national leader in expert witness consulting, providing technical expertise across many fields within engineering, architecture, science, and a broad range of specialty disciplines. Experience: 15+ years of hands-on experience in construction management, including commercial, and experience with quality control and safety issues on construction sites.
Investigator Ethos Risk ServicesInvestigatorMiami, FLPrevious 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 InvestigatorMiami, FLOur 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.
Private Investigator - Surveillance Full or Part-time Selective Investigations Inc.Private Investigator - Surveillance Full or Part-timeFort Lauderdale, FLPrivate Investigative Agency specializing in insurance claims investigations has full & part-time positions (Employee / Subcontractors) available for experienced Investigators to conduct Surveillance assignments in Dade and Broward Counties. Ability to work independently, handle multiple tasks and meet established deadlines.
Surveillance Investigator Lemieux & Associates LLCSurveillance InvestigatorMiami, FLOur leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment. Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your surveillance expertise.
Criminal Investigator, GS-1811-12/13 (MP) U.S. Department of EducationCriminal Investigator, GS-1811-12/13 (MP)Plantation, FL$89,508–$138,370 / yearSpecialized Experience for the GS-12 level: One year of specialized experience equivalent to the GS-11 grade level or equivalent public or private sector experience that has equipped you with the particular knowledge, skills, and abilities to perform successfully the following duties or work assignments below: Conducting the full range of criminal investigations of greater than average complexity and importance using accepted methodology and problem-solving techniques. If you are claiming eligibility under the Veterans Employment Opportunities Act (VEOA), you must submit: A copy of your DD-214 that shows active service and character of discharge (member copy 4, Separated Members only) OR a certification of expected discharge or release from active duty under honorable conditions within 120 days from the date of application (Current Active Duty Members only).
Criminal Investigator (Open Continuous) U.S. Department of EducationCriminal Investigator (Open Continuous)Plantation, FL$57,188–$97,087 / yearGrade-point average (G.P.A) -- Applicants must have a grade-point average of 3.0 or higher out of a possible 4.0 (B or better) as recorded on their official transcript or as computed based on 4 years of education or as computed based on courses completed during the final 2 years of the curriculum; OR 3.5 or higher out of a possible 4.0 (B or better) based on the average of the required courses completed in the major field or the required courses in the major field completed during the final 2 years of the curriculum. #### Specialized Experience for the GS-11 level One year of specialized experience equivalent to the GL/GS-9 grade level or equivalent public or private sector experience that has equipped you with the particular knowledge, skills, and abilities to perform successfully the following three (3) duties or work assignments below: Experience conducting the full range of criminal investigations of average complexity and importance using accepted methodology and problem-solving techniques.
Private Investigator - Miami Area Dana BlakleyPrivate Investigator - Miami AreaMiami, FLRemoteLicensed and Experienced - To conduct surveillance in the Miami Area - P/T . Surveillance experience required.
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.
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 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.
Experienced DHS Background Investigator Miami, FL Peraton IncExperienced DHS Background Investigator Miami, FLMiami, FL$25.82–$45.81 / hourWhat youll 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 worlds leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies.
Physician Sub-Investigator Consultant ClinChoice IncPhysician Sub-Investigator ConsultantFlorida, FLDelegates study responsibilities as appropriate to trained study staff • Possesses a working knowledge of GCP/ICH guidelines, Clinic SOPs, QA/QC procedures, and Investigator 1572 Form • Reviews Investigator's Brochure prior to performing any study procedures • Performs all study responsibilities in compliance with the IRB approved protocol • Reviews screening documentation and approves subject for admission to study • Reviews admission documentation and approves subject for randomization • Interprets ECGs within agreed Sponsor timeline • Documents all findings in subject specific source documents • Provides ongoing assessment of the study subject/patient to identify Adverse Events • Ensures proper documentation and reporting of all Adverse Events and Serious Adverse Events • Reviews and evaluates all study data and comments to the clinical significance of any out-of-range results • Performs physical examinations as part of screening evaluation and active study conduct • Provides medical management of adverse events as appropriate • Completes all study documentation in accordance with the study specific requirements • Communicated with Sponsors and auditors as requested • Participates in on-call activities as required to ensure adequate medical coverage • Monitors safety and well-being of study participants at all times • Provides coverage for the Clinic Principal Investigator. The hours will be variable depending on projects at the clinic, and may include days for what would typically be screening assessments or admission assessments, or evenings/weekends for study-related procedures such as dosings, ECG review and interpretation, lab review and interpretation.
CHILD PROTECTIVE INVESTIGATOR - 60056018 Government of FloridaCHILD PROTECTIVE INVESTIGATOR - 60056018Homestead, FLMust be physically able and have the ability to perform the following physical agility tasks: a.) ambulate in varied terrains to enter residences/locations as well as up and down stairs/stairwells, b.)assist with evacuation of persons served during an emergency situation, c.) have normal vision and hearing, including use of corrective devices, d.) do repetitive movements with arms, hands, neck and head, e.) bend, twist, turn, kneel, stoop, squat, push, pull, lift and walk extended distances, f.) lift and carry up to 30 pounds, g.) assist clients in and out of properties, vehicles and safety equipment/devices, h.) sit and/or stand for periods of time without a break, i.) work 16 hour shifts on occasion, j.) remain alert while on duty, k.) drive a vehicle (car or passenger van) to transport clients, during both daytime hours and nighttime hours. An associate degree or 60+ credit hours from an accredited college or university and two years of professional work experience (see examples below) or two years of law enforcement experience or active military service (honorably discharged or status that current service reflects serving honorably); Examples of professional work experience could be, although not limited to: • Guardian Ad Litem or similar child advocate role • Family Support Worker • Group Home Worker • Teacher/Teachers Assistant/Aide • Daycare Provider/Worker • Therapeutic Assistant • Behavioral Health Technician • Family Intervention Specialist • Home Health Aide/CNA • Healthcare Practitioner (LPN, RN) • or similar profession.
Fraud Investigator (Temporary) Seacoast National BankFraud Investigator (Temporary)Miami, FLEnsure flawless documentation to support fraud case findings, outcomes, and resolutions in accordance with department procedures and applicable regulatory requirements; Respond proportionately to matters escalated by junior staff (complaints, inquiries, etc.) and escalate complex or emerging fraud cases to senior staff as appropriate; Provide subject matter expertise to fraud-related inquiries from internal and external partners; Maintain familiarity with the Bank's products and services, customer base, operating environment, financial performance, business objectives, and strategic roadmap; Proactively identify, propose, and implement enhancements to department and Bank training, practices, and systems to promote fraud reduction in alignment with corporate strategic and business objectives; and. EDUCATION and/or EXPERIENCE: 3 to 5 years fraud department experience in a retail banking organization, ideally in a mid-size bank; Competency in Microsoft Excel, Word, and PowerPoint; Strong investigative skills, supported by well-developed analytics, writing, and decision-making abilities; Well organized with the ability to manage multiple tasks and priorities; and.
Principal Investigator- Internal Medicine Research Centers of AmericaPrincipal Investigator- Internal MedicineHollywood, FLPart timeMedical knowledge and ability to provide clinical information to study teams; Knowledge of medications and general medical conditions; Knowledge and Understanding of GCP/ICH guidelines. Evaluate participants for clinical research trials based on their past medical history in comparison to the protocol specific inclusion and exclusion criteria.
DHS Credentialed/Experienced Background Investigator CACIDHS Credentialed/Experienced Background InvestigatorMiami, FloridaConduct comprehensive interviews with subjects, employers, associates, references, and other knowledgeable individuals and review appropriate records to obtain facts to resolve all material issues in a case or to establish the background, reputation, character, suitability, or qualifications of the subject under investigation. 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..
CHILD PROTECTIVE INVESTIGATOR SUPV-SES - 60003028 Government of FloridaCHILD PROTECTIVE INVESTIGATOR SUPV-SES - 60003028MIAMI, FLMust be physically able and have the ability to perform the following physical agility tasks: a.) ambulate in varied terrains to enter residences/locations as well as up and down stairs/stairwells, b.)assist with evacuation of persons served during an emergency situation, c.) have normal vision and hearing, including use of corrective devices, d.) do repetitive movements with arms, hands, neck and head, e.) bend, twist, turn, kneel, stoop, squat, push, pull, lift and walk extended distances, f.) lift and carry up to 30 pounds, g.) assist clients in and out of properties, vehicles and safety equipment/devices, h.) sit and/or stand for periods of time without a break, i.) work 16 hour shifts on occasion, j.) remain alert while on duty, k.) drive a vehicle (car or passenger van) to transport clients, during both daytime hours and nighttime hours. How you will make an impact: Supervise, plan and direct workloads, work flows, deadlines, work objectives and time utilization of subordinate staff in the delivery of protecting children, working with families and conducting investigations of alleged abused, abandoned, neglected or exploited children.
Criminal Investigator (Deputy U.S. Marshal) U.S. Department of JusticeCriminal Investigator (Deputy U.S. Marshal)Miami, FL$54,485–$70,307 / yearThe mission of the USMS includes protection of the judiciary, court security, witness security, asset forfeiture, apprehending fugitives and violent offenders, apprehending and prosecuting unregistered sex offenders, prisoner transportation, management, and custody, and providing assistance in matters of Federal emergencies and other critical incidents. This specialized experience must be gained in a full time certified law enforcement officer position(s) which includes: Independently execute and enforce the civil and/or criminal process; Plan the execution of warrants of arrest; Plan and carry out investigations; Execute warrants of arrest; Lead security assignments for court proceedings in criminal and/or civil trials; or.
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.
Clinical Investigator I (Special Investigation Unit) Centene Corporation GroupClinical Investigator I (Special Investigation Unit)FLRemote$56,200–$101,000 / yearLicenses/Certifications: Coding certification from an accredited organization (American Academy of Professional Coders or American Health Information Management Association), RN, LPC, LPN, LCSW, LMHC, PT, OT, or ST or related license. Ideal background includes reviewing medical records for fraud investigations, as well as experience from a specialist physician's office focused on record review and documentation quality.
Principal Compliance Investigator Centene Corporation GroupPrincipal Compliance InvestigatorFL$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.
Clinical Investigator - Behavioral Health Centene Corporation GroupClinical Investigator - Behavioral HealthFLRemote$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.
Financial Crime Risk Investigator II - OneTouch (US) The Toronto-Dominion BankFinancial Crime Risk Investigator II - OneTouch (US)Fort Lauderdale, FL$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.
Investigator, Asset Protection Saks OFF 5THInvestigator, Asset ProtectionAventura, FLAchieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports. Drive Asset Protection excellence by facilitating selling process through consistent adherence to policies and procedures that safeguard customers, associates and company assets.
MS&T - Deviations Investigator. Aequor Technologies LLCMS&T - Deviations Investigator.davie, FLThe Investigator I authors and coordinates high-quality investigations for events occurring in Production, Engineering, Quality Control (QC) Laboratory, and related support areas, ensuring timely root cause identification, appropriate product impact assessments, and implementation of effective Corrective and Preventive Actions (CAPAs) to maintain compliant supply. The role applies scientific and technical judgment to evaluate manufacturing and laboratory data, interviews and observation, equipment/utilities performance, and process parameters to support robust root cause analysis and sustainable remediation for OSD unit operations (e.g., blending, granulation, compression, coating, encapsulation, etc.) and associated systems.
$19.22/HR Claims Adjusters, Examiners & Investigators Moore Healthcare group$19.22/HR Claims Adjusters, Examiners & InvestigatorsFort Lauderdale, FLEutis Staffing is seeking detail-oriented and motivated Claims Adjusters, Examiners, and Investigators to join a dynamic team in Fort Lauderdale, Florida. This position offers hands-on experience reviewing claims, conducting investigations, analyzing documentation, and ensuring compliance with established policies and procedures.
Principal Investigator- Internal Medicine CenExelPrincipal Investigator- Internal MedicineHollywood, FloridaMedical knowledge and ability to provide clinical information to study teams; Knowledge of medications and general medical conditions; Knowledge and Understanding of GCP/ICH guidelines. Evaluate participants for clinical research trials based on their past medical history in comparison to the protocol specific inclusion and exclusion criteria.
Medical Legal Investigator Broward County GovernmentMedical Legal InvestigatorFort Lauderdale, FL$56,594.10–$90,324.62 / yearEnters the cause and manner of death, researches/locates next of kin of deceased; relays information to the assigned funeral home once the office received body released from next of kin; assists family members with identifying and releasing bodies; oversees the cremation program for the Office of the Medical Examiner. All Broward County employees must establish and maintain effective working relationships with the general public, co-workers, elected and appointed officials and members of diverse cultural and linguistic backgrounds, regardless of race, color, religion, sex, national origin, age, disability, marital status, political affiliation, familial status, sexual orientation, pregnancy, or gender identity and expression.
ADULT PROTECTIVE INVESTIGATOR - 60072293 Government of FloridaADULT PROTECTIVE INVESTIGATOR - 60072293FT LAUDERDALE, FLExperience in emergency, tactical, or customer/public complaint interactions utilizing communication technology, including basic computer and typing skills; Knowledge of interviewing and observation techniques; Knowledge of family dynamics and functioning; Skill in researching and utilizing internet sites to gather information; Ability to assess service needs and facilitate appropriate service delivery; Ability to write professional, accurate investigative reports; Ability to conduct fact-finding interviews; Ability to understand and apply relevant laws, rules, regulations, policies, and procedures; Ability to collect and synthesize evidentiary materials; Ability to plan, organize, and coordinate work assignments; Ability to actively listen, communicate effectively, and establish and maintain effective working relationships with others; Ability to utilize computer systems and work in a paperless environment. Must be physically able and have the ability to perform the following physical agility tasks: a) ambulate in varied terrains to enter residences/locations as well as up and down stairs/stairwells; b) assist with evacuation of persons served during an emergency situation; c) hear and see accurately and clearly (with the assistance of corrective devices, if needed); d) do repetitive movements with arms, hands, neck, and head; e) drive a vehicle to transport clients including assisting clients in and out of properties and vehicles; f) sit and/or stand for periods of time (up to 2 hours) without a break; g) remain alert while on duty (awake, ready to perform job tasks, and responsive to clients and Department personnel, etc.); and h) drive a vehicle to perform job duties.
ADULT PROTECTIVE INVESTIGATOR - 60024693 Government of FloridaADULT PROTECTIVE INVESTIGATOR - 60024693MIAMI, FLKnowledge, Skills, and Abilities: Experience in emergency, tactical or customer/public complaint interactions utilizing communication technology, including basic computer and typing skills; Knowledge of interviewing and observation techniques; Knowledge of family dynamics and functioning; Skill in researching and utilization of internet sites to gather information; Ability to assess service needs and facilitate appropriate service delivery; Ability to write professional, accurate investigative reports; Ability to conduct fact-finding interviews; Ability to understand and apply relevant laws, rules, regulations, policies and procedures; Ability to collect and synthesize evidentiary materials; Ability to plan, organize and coordinate work assignments; Ability to actively listen, communicate effectively and establish and maintain effective working relationships with others; Ability to utilize computer systems and work in a paperless environment This work requires a high degree of tact, patience, and courtesy dealing with vulnerable adults. Must be physically able and have the ability to perform the following physical agility tasks: a) ambulate in varied terrains to enter residences/locations as well as up and down stairs/stairwells; b) assist with evacuation of persons served during an emergency situaiton: c) hear and see accurately and clearly (with the assistance of corrective devices, if needed); d) do repetitive movements with arms, hands, neck, and head; e) drive a vehicle to transport clients including assisting clients in and out of properties and vehicles; f) sit and/or stand for periods of time (up to 2 hours) without a break; g) remain alert while on duty (awake, ready to perform job tasks, and responsive to clients and Department personnel, etc.); and h) drive a vehicle to perform job duties.
LEAD INVESTIGATOR: W2 Kentech Consulting IncLEAD INVESTIGATOR: W2Miami, FLRemoteTo achieve our mission, our team is guided by the following core values: Customer Focused: We are results-driven and committed to delivering quality outcomes for our clients. We are the creators of innovative platforms such as eKnowID.com, the first consumer background checking system of its kind, and ClarityIQ, a high-tech, high-touch investigative case management system.
Experienced DHS Background Investigator - Miami, FL PeratonExperienced DHS Background Investigator - Miami, FLMiami, Florida$25.82–$45.81 / hourThe 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.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorMiami, 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.
Equal Opportunity Investigator US Department of Health and Human ServicesEqual Opportunity InvestigatorMiami, FL$90,968–$158,322 / yearOpen to Federal career or career conditional employees in the competitive service; displaced Federal employees with CTAP or ICTAP eligibility; Military Spouses; individuals eligible for VEOA; 30% disabled veterans; foreign service employees; national service (Peace Corps/VISTA); USPHS officers and officer candidates; certain former overseas employees; former employees with reinstatement eligibility; and individuals with disabilities. Spouse of a service member who incurred a 100% disability because of the service members active duty service, you are required to submit a copy of your spouses DD-214 and a copy of documentation from the Department of Veterans Affairs or the Department of Defense indicating the service member has a disability rating of 100% due to a service connected disability.
Asset Protection Investigator Saks Fifth Avenue - New YorkAsset Protection InvestigatorBal Harbour, FL$22.61–$28.26 / 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.
DHS Credentialed/Experienced Background Investigator CACI International IncDHS Credentialed/Experienced Background InvestigatorMiami, FLConduct comprehensive interviews with subjects, employers, associates, references, and other knowledgeable individuals and review appropriate records to obtain facts to resolve all material issues in a case or to establish the background, reputation, character, suitability, or qualifications of the subject under investigation. 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.
Healthcare Fraud Investigator Contact Government Services LLCHealthcare Fraud InvestigatorMiami, FL$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 Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)FL$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.
Investigator, Special Investigative Unit Molina Healthcare IncInvestigator, Special Investigative UnitFlorida, FLCoordinates with various internal customers (e.g., provider services, contracting and credentialing, healthcare services, member services, claims, etc.), to gather documentation pertinent to investigations. Responsible for reviewing and analyzing information to draw conclusions on allegations of FWA and/or may determine appropriateness of care, and recognizing and adhering to national and local coding and billing guidelines in order to maintain coding accuracy and excellence.
Investigator, Special Investigative Unit Coding Molina Healthcare IncInvestigator, Special Investigative Unit CodingFL, FLWorking 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).
Clinical Fraud Investigator II Elevance Health IncClinical Fraud Investigator IIMiami, 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. We 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.
Investigator II Elevance Health IncInvestigator IIMiami, FL$71,200–$106,800 / yearWe 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. Hybrid 1: 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.
Financial Crime Risk Senior Investigator - Subpoenas (US) The Toronto-Dominion BankFinancial Crime Risk Senior Investigator - Subpoenas (US)Fort Lauderdale, FL$72,280–$117,520 / yearThe Senior AML Financial Crime Risk Investigator conducts holistic reviews of client relationships; assesses risks related to Sanctions, Anti-Bribery and Anti-Corruption, analyzes complex data sets to proactively identify leads; prepares suspicious activity reports (SARs); recommends demarketing clients, as appropriate; and creates supporting documentation in compliance with policies, procedures, and regulatory requirements. Total Rewards at TD includes base salary and variable compensation/incentive awards (e.g., eligibility for cash and/or equity incentive awards, generally through participation in an incentive plan) and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off (including Vacation PTO, Flex PTO, and Holiday PTO), banking benefits and discounts, career development, and reward and recognition.
Financial Crime Risk Senior Investigator (US) The Toronto-Dominion BankFinancial Crime Risk Senior Investigator (US)Fort Lauderdale, FL$72,280–$117,520 / yearThe Senior AML Financial Crime Risk Investigator conducts holistic reviews of client relationships; assesses risks related to Sanctions, Anti-Bribery and Anti-Corruption, analyzes complex data sets to proactively identify leads; prepares suspicious activity reports (SARs); recommends demarketing clients, as appropriate; and creates supporting documentation in compliance with policies, procedures, and regulatory requirements. Total Rewards at TD includes base salary and variable compensation/incentive awards (e.g., eligibility for cash and/or equity incentive awards, generally through participation in an incentive plan) and several other key plans such as health and well-being benefits, savings and retirement programs, paid time off (including Vacation PTO, Flex PTO, and Holiday PTO), banking benefits and discounts, career development, and reward and recognition.
SRC Ground Investigator Atlas Air, Inc.SRC Ground InvestigatorMiami, FL$62,500–$84,000 / yearCompetitive compensation will be offered based on a variety of factors, including a candidate's experience, skills, education, geographic location, internal equity and other factors. With over 30 years of history, a modern all-Boeing fleet, and nearly 5,000 teammates collaborating across operations, technical, and corporate functions, we're driven by purpose.
MS Analyst III (Fraud Investigator) - 76004504 Government of FloridaMS Analyst III (Fraud Investigator) - 76004504SUNRISE, FLWith a workforce of approximately 4,500 employees throughout the state, the Department is leading the way to A Safer Florida through the efficient and professional execution of its core mission: the issuance of driver licenses, vehicle tags and titles, and operation of the Florida Highway Patrol. 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.
SIU Investigator Senior (Major Case Unit) USAASIU Investigator Senior (Major Case Unit)Miami, FL$93,770–$179,240 / yearWhat sets you apart: At least 5 years of SIU/investigative experience in P&C 3+ years of experience conducting multi-claim major case investigations in multiple jurisdictions Experience with Major Case investigations in more than one line of business (for example, auto/property/casualty) Experience handling Major Case Investigation from start to finish with advanced report writing to submit for affirmative litigation Comprehensive experience applying various causes of action for potential affirmative fraud litigation Experience working on projects within SIU Leading or mentoring other SIU investigators Subject Matter Expertise (SME) in at least one personal line of business (auto/property/casualty) Industry recognized major designations (for example, CPCU, CFI, CFE) Meet all USAA safe driving requirements including verification of driving record through MVR & possession of valid driver's license. • Leads high exposure, high profile and critical work assignments, and special investigations involving sophisticated niche fraud referrals, (examples: organized provider rings, staged accidents, large losses of significant exposure and broad scale PIP/Casualty Schemes) across multiple entities or functions.