OTHER

FEED

UNKNOWN

Overview:
Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.

Job Description:
Allied Universal® is hiring a Surveillance Investigator. The 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. <ul style="margin: 0px; padding: 0px; font-family: verdana;"><li style="margin: 0px 0px 0px 22px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_MSFontService, sans-serif;" aria-setsize="-1" data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="110" data-aria-level="1">Private Investigator’s license required prior to applying.<span style="margin: 0px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_EmbeddedFont, Verdana_MSFontService, sans-serif; color: #2d2d2d;" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335559685":700,"335559737":-20,"335559738":0,"335559739":0,"335559740":279}"> </li></ul><ul style="margin: 0px; padding: 0px; font-family: verdana;"><li style="margin: 0px 0px 0px 22px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_MSFontService, sans-serif;" aria-setsize="-1" data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="111" data-aria-level="1">Must possess a valid driver's license with at least one year of driving experience<span style="margin: 0px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_EmbeddedFont, Verdana_MSFontService, sans-serif; color: #333333;" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335559685":700,"335559737":-20,"335559738":0,"335559739":0,"335559740":279}"> </li></ul> RESPONSIBILITIES:<ul><li>Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability</li><li>Utilize various surveillance techniques and equipment to monitor subjects covertly</li><li>Document and report observations, activities, and any relevant information in a clear and concise manner</li><li>Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts</li><li>Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations</li></ul>QUALIFICATIONS (MUST HAVE):<ul><li>High school diploma or equivalent</li><li>Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course</li><li>Minimum of one (1) year of verifiable work experience, preferably involving investigations or other protective service-related field</li><li>Flexibility to work varied and irregular hours/days including weekends and holidays</li><li>Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors</li><li>Proficient in utilizing laptop computers, video cameras and cell phones</li><li>Capable of maintaining focus and multitasking effectively in a dynamic environment</li><li>Demonstrated ability to manage stressful situations with composure and professionalism</li><li>Ability to work in a very independent environment</li></ul>PREFERRED QUALIFICATIONS (NICE TO HAVE):<ul><li>Associate’s Degree or higher, preferably in Criminal Justice</li><li>Security/Loss Prevention experience</li><li>Military experience</li><li>Law enforcement experience</li><li>Prior insurance investigations experience</li><li>Prior educational or professional incident reporting and/or investigations experience</li></ul>BENEFITS:<ul><li>Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance</li><li>Seven paid holidays annually, sick days available where required by law</li><li>Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law</li></ul>

Closing:
Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.

Requisition ID:
2026-1589125

Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. With over 140,000 employees, Allied Universal delivers high-quality, tailored solutions, which allows clients to focus on their core business. For more information: 866.825.5433 or <a href="http://www.aus.com/" target="_blank">www.AUS.com</a>

Allied Universal

Surveillance Investigator

Accidental Death and Dismemberment (AD&D)

Cellular Telephone

Computer Skills

Criminal Justice

Data Collection

Disability Insurance

Driver's License

High School Diploma

Insurance

Insurance Claims

Laptop PC

Law Enforcement

Legal

Legal Standards

Loss Prevention

Microsoft Word

Military

Multitasking

Protective Services

Surveillance

[AW]-iCims

ADAPTED_NOW

The requirements listed below are representative of the knowledge, skills, and/or abilities required: Bachelor's degree (BA/BS) Criminal Justice, Criminology, Business, or related field preferred, plus one (1) year retail loss prevention experience in a retail store environment. The associate is responsible for the functions below, in addition to other duties as assigned: Investigate and resolve external theft (Shoplifting, Organized Retail Crime, etc.).

<div tabindex="0"><div><h3>Overview</h3></div><div>Looking for a company that treats associates with respect, understanding, and appreciation? Looking for a company that is passionate about teamwork and the growth of it's associates and communities? That's WEIS!<div><div><div><div><div><div><div><div>Location Address:</div></div></div></div></div></div></div></div>1002 Weis Remote RoadJob Description:ESSENTIAL DUTIES AND RESPONSIBILITIES The associate is responsible for the functions below, in addition to other duties as assigned:<ul><li>Investigate and resolve external theft (Shoplifting, Organized Retail Crime, etc.).</li><li>Gathers, analyzes, and evaluates intelligence on individuals and groups involved in organizational retail crime.</li><li>Thoroughly documents information gathered to aid in successful prosecution.</li><li>Provides guidance to store Asset Protection teams on investigative plans.</li><li>Operate the store CCTV system.</li><li>Conduct undercover surveillances.</li><li>Act as a liaison between Weis Markets and local, state, and federal law enforcement agencies. Refers cases to law enforcement for prosecution.</li><li>Professionally represent Weis Markets in court hearings and mediations.</li><li>Effectively manage time and scheduling to best suit the company’s needs including evenings, weekends, and occasional overnights.</li><li>Travel to multiple locations within an assigned area and provide investigative support.</li><li>Partners with Store Management and associates to best protect the company assets.</li><li>Supports stores in cases of significant business disruptions (robbery, protests, natural disasters, etc.).</li></ul>SUPERVISORY RESPONSIBILITIES This position does not directly supervise associates. QUALIFICATION REQUIREMENTS To perform this job successfully, the associate must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required: Bachelor's degree (BA/BS) Criminal Justice, Criminology, Business, or related field preferred, plus one (1) year retail loss prevention experience in a retail store environment.RATE OF PAY AND BENEFITS             The hourly pay for this position starts at $16.00 and is up to $24.00. Weis Markets offers a competitive salary and comprehensive benefits package such as health plan, dental, vision, flexible spending accounts, short term disability, basic life and AD&D, group whole life with long term care rider, and voluntary insurance such as hospital indemnity, accident and critical illness, 401(k) retirement savings plans, scholarship program and associate discount programs, auto and home insurance, employee assistance program, pet insurance, purchasing power, ID theft protection, legal services, paid time off, sick pay and quarterly incentive based on eligibility and criteria specific to theWeis Markets is an Equal Opportunity Employer:  Weis Markets is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of actual or perceived age, sex, sexual orientation, race, color, creed, religion, familial status, ethnicity, national origin, citizenship, disability, marital status, military or veteran status, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. Applicants with a disability may be entitled to a reasonable accommodation under terms of the Americans with Disabilities Act and certain state or local laws. A reasonable accommodation is a change in the ways things are normally done which will ensure an equal employment opportunity without imposing undue hardship on Weis Markets.</div></div>

Weis Markets is a large regional grocery chain headquartered in Sunbury, PA. The more than 200 stores are located in 7 states - PA, MD, VA, DE, NJ, NY and WV. The company maintains a 1.5 million square foot warehouse facility in Milton, PA. Our 23,000+ employees come from across the world and diverse backgrounds, ready to serve the millions of customers who annually frequent our stores.

Weis Markets

Retail Crime Investigator

Business Case

CCTV

Criminology

Equal Employment Opportunity (EEO)

Federal Government

Federal Laws and Regulations

Intelligence Analysis

Organizational Skills

People Management

Regulations

Retail

Retail Management

Schedule Development

State Laws and Regulations

Team Player

Willing to Travel

This leader will operate in a fast-paced, data-rich environment and will serve as a key escalation point for executive communications, subpoenas, RFIs, and other high-sensitivity matters where precision, clarity, and attention to detail are critical. This role is a hands-on people manager who brings prior experience as an individual contributor fraud investigator, combined with proven success building, managing, and developing teams.

YEAR

<div class="content-intro"><h2>Company Overview</h2>ID.me is the next-generation digital identity wallet that simplifies how individuals securely prove their identity online. Consumers can verify their identity with ID.me once and seamlessly login across websites without having to create a new login and verify their identity again. Over 152 million users experience streamlined login and identity verification with ID.me at 20 federal agencies, 45 state government agencies, and 70+ healthcare organizations. More than 600+ consumer brands use ID.me to verify communities and user segments to honor service and build more authentic relationships. ID.me's technology meets the federal standards for consumer authentication set by the Commerce Department and is approved as a NIST 800-63-3 IAL2 / AAL2 credential service provider by the Kantara Initiative. ID.me is committed to "No Identity Left Behind" to enable all people to have a secure digital identity. To learn more, visit <a href="https://network.id.me/" rel="nofollow noopener noreferrer" target="_blank">https://network.id.me/</a>.</div><h2>Role Overview</h2>ID.me is seeking a Fraud Investigations Manager to lead a high-performing fraud investigations team responsible for complex, high-volume digital investigations. This role is a hands-on people manager who brings prior experience as an individual contributor fraud investigator, combined with proven success building, managing, and developing teams.The Fraud Investigations Manager will oversee sophisticated investigations involving identity fraud, account takeover, synthetic identity, and coordinated fraud activity. This leader will operate in a fast-paced, data-rich environment and will serve as a key escalation point for executive communications, subpoenas, RFIs, and other high-sensitivity matters where precision, clarity, and attention to detail are critical.This role is based out of our McLean, VA office and requires full-time in-office attendance.<h2>Key Responsibilities</h2><h4>Fraud Investigations Oversight</h4><ul><li>Oversee investigations into sophisticated fraud schemes, including account takeover (ATO), identity theft, synthetic identity, and organized fraud networks.</li><li>Act as an escalation point for the most complex, high-risk, or sensitive cases.</li><li>Ensure investigations are thoroughly documented, well-reasoned, and aligned to internal policy, regulatory standards, and evidentiary requirements.</li><li>Work efficiently to balance speed and accuracy in a high-volume investigations environment.</li></ul><h4>Executive Communication & External Requests</h4><ul><li>Draft and deliver clear, precise written communications for executive escalations, subpoenas, regulatory inquiries, and RFIs.</li><li>Present investigation findings, trends, and risk assessments to senior leadership.</li><li>Partner closely with Legal, Compliance, Security, and Trust teams on sensitive fraud matters.</li><li>Ensure consistency, accuracy, and defensibility in all external-facing investigation outputs.</li></ul><h4>Data & Analytical Partnership</h4><ul><li>Use data to inform investigation strategy, prioritization, and quality improvements.</li><li>Maintain a working understanding of fraud detection signals, risk models, and investigation tooling.</li><li>Read, interpret, and question data outputs to guide investigative decisions.</li><li>Leverage SQL and data exploration to support investigations and trend analysis.</li><li>Collaborate with Product, Engineering, and Data teams to surface gaps and improve fraud detection and investigation workflows.</li></ul><h4>People Leadership & Team Development</h4><ul><li>Build, manage, and develop a team of Fraud Investigators supporting urgent, hhighly visible-volume, and complex digital investigations.</li><li>Set clear expectations for quality, productivity, and investigative rigor; coach team members through regular feedback and performance management.</li><li>Own hiring, onboarding, training, and career development for investigators.</li><li>Foster a culture of accuracy, accountability, and continuous improvement.</li></ul><h2>Basic Qualifications</h2><ul><li>7+ years of experience in fraud investigations, trust & safety, or risk operations.</li><li>Prior experience as an individual contributor fraud investigator handling complex digital investigations.</li><li>3+ years of people management experience, including hiring, coaching, and performance management.</li><li>Experience leading teams in high-volume, highly sophisticated digital investigations environments.</li><li>Strong written and verbal communication skills, with demonstrated experience handling executive escalations, subpoenas, or RFIs.</li><li>Bachelor's degree required (any field); quantitative or analytical fields strongly preferred.</li></ul><h2>Preferred Qualifications</h2><ul><li>Experience in digital identity, fintech, payments, or other regulated environments.</li><li>Baseline understanding of machine learning models used in fraud detection (inputs, outputs, limitations).</li><li>Working knowledge of SQL and comfort reading and interpreting data.</li><li>Experience partnering with Legal, Compliance, or law enforcement.</li><li>Proven track record of improving investigation quality, consistency, or operational efficiency.</li><li>Exceptional attention to detail and documentation discipline.</li></ul><h2>Why ID.me</h2><ul><li>Lead a mission-critical function protecting millions of users from identity fraud.</li><li>Manage and grow a team operating at scale with real-world impact.</li><li>Work cross-functionally at the intersection of fraud, data, product, and trust.</li></ul><div class="content-pay-transparency"><div class="description" style="padding-top:0px">The annual base salary listed does not include a company bonus, incentive for sales roles, equity and benefits which will be determined based on experience, skills, education, relevant training, geographic location and role. ID.me offers comprehensive medical, dental, vision, health savings account, flexible spending accounts (medical, limited purpose, dependent care, commuter benefit accounts), basic and voluntary life and AD&D insurance, 401(k) with company match, parental leave, ability to participate in unlimited paid time off subject to the terms and conditions of the PTO policy, including 8 company wide holidays, short and long-term disability insurance, accident and critical illness insurance, referral bonus policy, employee assistance program, pet insurance, travel assistant program, wellbeing and childcare discounts, benefit advocates, and a learning and development benefit.The above represents the anticipated total rewards package for this job requisition. Final offers may vary from the amount listed based on qualifications, professional experiences, skills, education, relevant training, geographic location, and other job related factors.</div><div class="title" style="font-weight:600;padding-top:8px">Pay Range</div><div class="pay-range">$104,000—$152,500 USD</div></div><div class="content-conclusion">ID.me is a full-time, in-office culture. Unless a specific job description explicitly states otherwise, all roles are on-site five days per week at one of our offices in McLean, VA; Mountain View, CA; New York City, NY; or Tampa, FL. Certain roles — such as field-based sales or other remote-by-design positions — may have different work arrangements as noted in their individual postings.ID.me maintains a work environment free from discrimination, where employees are treated with dignity and respect. All ID.me employees share in the responsibility for fulfilling our commitment to equal employment opportunity. ID.me does not discriminate against any employee or applicant on the basis of age, ancestry, color, family or medical care leave, gender identity or expression, genetic information, marital status, medical condition, national origin, physical or mental disability, political affiliation, protected veteran status, race, religion, sex (including pregnancy), sexual orientation, or any other characteristic protected by applicable laws, regulations and ordinances. ID.me adheres to these principles in all aspects of employment, including recruitment, hiring, training, compensation, promotion, benefits, social and recreational programs, and discipline. In addition, ID.me's policy is to provide reasonable accommodation to qualified employees who have protected disabilities to the extent required by applicable laws, regulations and ordinances where a particular employee works. Upon request we will provide you with more information about such accommodations.Please review our Privacy Policy, including our CCPA policy, at<a href="https://insider.id.me/privacy/" rel="nofollow">id.me/privacy</a>. If you provide ID.me with any personally identifiable information you confirm that you have read and agree to be bound by the terms and conditions set out in our Privacy Policy.ID.me participates in E-Verify.</div>

ID.me

Fraud Investigations Manager

Career Development

Childcare

Coaching

Communication Skills

Consumer Branding

Continuous Improvement

Cross-Functional

Data Analysis

Detail Oriented

Documentation

Employee Assistance Plan

Establish Priorities

Flexible Spending Accounts

Fraud Investigation

Genetics

Healthcare

Leadership

Machine Learning

Machine Tool

Onboarding

Patient Care

Performance Management

Presentation/Verbal Skills

Product Engineering

Quality Management

Quantitative Analysis

Regulatory Compliance

Risk

Risk Analysis

Risk Modeling

SQL (Structured Query Language)

Staff Policies

State Government

Team Building

Team Lead/Manager

Trend Analysis

User Interface/Experience (UI/UX)

Writing Skills

GreenHouseAPI

This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers.

Job Title:Clinical Nurse Auditor – Payment IntegrityJob Summary We are seeking an experienced Clinical Nurse Auditor to join our Payment Integrity team. In this role, you will leverage your clinical expertise, medical coding proficiency, and auditing skills to identify, monitor, and analyze unusual utilization patterns and potential fraud by healthcare providers. You will conduct prepayment claims reviews, post-payment audits, and comprehensive provider record reviews to ensure accurate billing, compliance with payer regulations, and integrity in reimbursement practices. This position requires a Registered Nurse (RN) with coding certifications such as CPC (Certified Professional Coder), CIC (Certified Inpatient Coder), CDI (Clinical Documentation Improvement), or a similar credential, through AAPC or AHIMA. Knowledge of commercial insurance plans, Medicare, and Medicaid programs is essential.How You Will Make an Impact <ul><li>Investigations and Audits: Conduct in-depth medical reviews through prepayment claims review and post-payment auditing to identify potential over-utilization or fraudulent activities.</li><li>Tool and Policy Development: Assist in the creation of audit tools, policies, procedures, and educational materials to enhance audit effectiveness and maintain high standards in payment integrity.</li><li>Cross-Departmental Collaboration: Serve as a liaison with service operations and other departments to provide status updates on claims reviews and coordinate actions as needed.</li><li>Data Analysis and Trending: Analyze performance data to identify patterns and trends, collaborate with service operations to address process improvements, and recommend modifications to medical policy.</li><li>Fraud Detection Support: Support fraud investigators with medical review expertise to detect and address fraudulent activities.</li><li>Mentorship: Act as a resource and mentor to other nurse auditors, supporting their professional growth and development in audit practices.</li></ul>RequirementsQualifications<ul><li>Education:</li><li><ul><li>Minimum Associate’s Degree in Nursing required; </li></ul></li><li>Licensure & Certification:</li><li><ul><li>Current, unrestricted Registered Nurse (RN) license in applicable state(s).</li><li>Certification in medical coding from AAPC or AHIMA (e.g., CPC, CIC, CDI, or equivalent) is highly preferred.</li></ul></li><li>Experience:</li><li><ul><li>Minimum 5 years of clinical nursing experience, preferably with exposure to hospital bill auditing or defense auditing.</li><li>Strong knowledge of provider manuals, reimbursement policies, and medical policy guidelines.</li><li>Prior experience with healthcare fraud investigation and auditing is highly preferred.</li></ul></li><li>Skills:</li><li><ul><li>Proficiency in CPT/HCPCS and ICD-10 coding, with a strong foundation in auditing, accounting, and control principles.</li><li>Analytical and problem-solving skills with a keen attention to detail.</li><li>Exceptional written and verbal communication skills for clear and effective reporting and provider engagement.</li><li>Strong proficiency in Microsoft Office and familiarity with audit tracking systems.</li></ul></li></ul>Preferred Traits<ul><li>Meticulous, organized, and objective in analyzing claims and documentation.</li><li>Ethical and responsible, with a commitment to supporting the integrity of healthcare billing and reimbursement.</li><li>Able to work independently, stay current with rapidly changing healthcare regulations, and thrive in a fast-paced environment.</li></ul>

Investigator Jobs in Gainesville, VA

Resume Resources

Get noticed by top employers!

Investigator Jobs in Gainesville, VA

Surveillance Investigator Allied Universal

Retail Crime Investigator Weis Markets

Fraud Investigations Manager ID.me

Clinical Nurse Coding Auditor (Full-time, Remote) Integrity Management Services, Inc.

Resume Resources