Surveillance Investigator VRC InvestigationsSurveillance InvestigatorColumbia, South CarolinaVRC 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.
Part-Time Surveillance Investigator VRC InvestigationsPart-Time Surveillance InvestigatorColumbia, South CarolinaVRC 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.
Part-Time SIU Investigator The Robison GroupPart-Time SIU InvestigatorColumbia, SCThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Qualified candidates are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire damages, auto accidents, commercial claims, finding missing persons, courthouse searches, and other investigative tasks.
NewBackground Investigator (FT Employee) Columbia, SC Peraton IncBackground Investigator (FT Employee) Columbia, SCColumbia, SCAs 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. Must be able to speak for extended periods of time and hear sufficiently to communicate in person and over the phone; record, read and transcribe words and numbers with a high degree of accuracy.
Criminal Investigator (Deputy U.S. Marshal) U.S. Department of JusticeCriminal Investigator (Deputy U.S. Marshal)Columbia, SC$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.
Microbiology Quality Investigator Nephron Pharmaceuticals CorpMicrobiology Quality InvestigatorWest Columbia, SCCommunicates all Microbiology-related observations, issues, problems, discrepancies, and any violations of company policies or procedures to the Microbiology Investigations Manager, Assistant Director and Director of Microbiology, and VP of Microbiology. Coordinates with all areas of Microbiology and other departments to ensure training related to Microbiology excursions and investigations are completed based on findings and associated root cause(s).
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)SC$43,888–$93,574 / yearExperience with Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research. Bachelor's Degree in Criminal Justice, Healthcare Management, Public Health, Biological Sciences, Data Analytics, or other related field preferred or equivalent experience.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)SC$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.
NewProcess Quality Investigator: Root Cause & CAPA Nephron PharmaceuticalsProcess Quality Investigator: Root Cause & CAPAColumbia, SCKey responsibilities include conducting root cause analysis, preparing reports, and collaborating with cross-functional teams to implement corrective actions.#J-18808-Ljbffr. Candidates should possess a bachelor's degree in a relevant field and have over 3 years of experience in quality assurance or similar roles.
Background Investigator (FT Employee) - Columbia, SC PeratonBackground Investigator (FT Employee) - Columbia, SCColumbia, South CarolinaFull timeAs 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. Must be able to speak for extended periods of time and hear sufficiently to communicate in person and over the phone; record, read and transcribe words and numbers with a high degree of accuracy.
NewSenior Investigator, Special Investigative Unit Molina Healthcare IncSenior Investigator, Special Investigative UnitColumbia, SCEstablishes and maintains strong relationships with external agencies including the Department of Health and Human Services (DHHS), Office of Inspector General (OIG), Drug Enforcement Administration (DEA), state professional licensing boards, US Attorney''s office and state/local law enforcement agencies. Maintains the integrity of documentation for FWA cases; updates the case management system to ensure documentation of all calls, evidence, referrals, inquiries and case events are accurate for record keeping purposes and for "discovery" in court related cases.
Part-Time Surveillance Investigator The Robison GroupPart-Time Surveillance InvestigatorColumbia, SCThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Fraud Investigator Synovus Financial CorpFraud InvestigatorColumbia, SCPrepares and submits case narratives for Suspicious Activity Reports (SAR) to the AML/BSA department for review and FinCEN filing, ensuring narrative and SAR form are completed accurately and within procedural and regulatory deadlines while maintaining detailed records of narratives to provide supporting documentation for audits and regulatory reviews. Required Knowledge, Skills, & Abilities: Knowledge of applicable federal and state laws related to financial crimes including the Uniform Commercial Code (UCC), Regulation E, Regulation CC, and the Law Enforcement Criminal Code.
Deviations Owner Investigator Mentor Technical GroupDeviations Owner InvestigatorSouth Carolina, US, SCFull timeMentor Technical Group es un empleador que ofrece igualdad de oportunidades y todos los solicitantes calificados recibirán consideración para el empleo sin importar raza, color, religión, sexo, orientación sexual, identidad de género, información genética, origen nacional, estado de veterano protegido, estado de discapacidad o cualquier otro grupo protegido por ley. Mentor Technical Group (MTG) provides a comprehensive portfolio of technical support and solutions for the FDA-regulated industry.
Surveillance Investigator Allied UniversalSurveillance InvestigatorColumbia, South CarolinaThe 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 .
Diversion Control Investigator Cencora IncDiversion Control InvestigatorSC$43,300–$79,310 / yearExperience and Educational Requirements: Requires broad training in fields such as criminal justice, business administration, accountancy, sales, marketing, computer sciences or similar vocations generally obtained through completion of a four year degree program or equivalent combination of experience and education. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IISCCollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Registered Nurse, Non-Institutional (Nurse Investigator) / 60018429, 61096625 State of South CarolinaRegistered Nurse, Non-Institutional (Nurse Investigator) / 60018429, 61096625Richland County, SCRemote$70,455–$73,000 / yearDevelop case reviews to include as determined 1) conduct unannounced onsite visit and obtain medical records, 2) Request medical records 3) send provider/recipient survey letters 4) send provider self-audit letter, 5) request additional information or documentation or 6) make telephone calls to recipients to verify services 7) Coordinate and correspond case actions with Managed Care Organizations (referring providers timely), 8) Coordinate and correspond cases and complaints with the Investigator 9) Coordinate, correspond and assist in Agency's special projects (TPL, HYDE, etc.) and contractor reviews such as UPIC, RAC, etc. Evaluate paid claims history data and determine the following: 1) patterns of practice and adherence to Medicaid program policy and procedures; 2) research information and make decisions utilizing nursing knowledge and expertise in evaluating health delivery patterns of individual providers and specialties; 3) use appropriate methodology to conduct comparison studies, focus reviews, and random sampling, review universe of claims, self-audit, line by line sample or random sampling.