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.
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.
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.
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.
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.
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..
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.
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.
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 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.
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 - 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.