OTHER

FEED

UNKNOWN

Previous 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.

ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for our clients. JOB SUMMARY:Our dynamic Ethos team is seeking an Experienced Field Investigator to conduct surveillance and investigative activities to identify potential fraudulent insurance claims. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients. KEY RESPONSIBILITIES:<ul><li>Case Preparation: Prepare for surveillance assignment by reviewing Ethos' preliminary reports and case information.</li><li>Field Surveillance: Perform covert surveillance from your vehicle by tracking and capturing high-quality video evidence of surveillance targets.</li><li>Report Writing: Draft detailed and court-ready investigative reports summarizing activity and key findings.</li><li>Documentation: Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day.</li><li>Communication: Work closely with the field supervisor and operations teams, receiving regular guidance and mentorship.</li></ul> REQUIREMENTS:<ul><li>Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.</li><li>Driver's License: Valid driver's license and proof of automobile insurance.</li><li>Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows).</li><li>Surveillance Equipment: A handheld camcorder with high-quality zoom and a covert camera device. Use of stabilization equipment (gimbals, tripods, etc.) is strongly encouraged.</li><li>Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks.</li><li>Private Investigator License: Active Private Investigator license or willingness to obtain one (where required by state).</li></ul> WORKING CONDITIONS:<ul><li>While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be required</li><li>Most surveillance cases start at 6:00AM. End time can vary depending on activity and a typical workday can vary from 3-12 hours.</li><li>Weekends/holidays are common workdays as claimants are more likely to be active.</li><li>This is an independent role often requiring long hours alone in your vehicle, regardless of weather conditions.</li><li>Must remain alert with no external distractions, ready to use videography equipment to document subjects.</li></ul> Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic. A background check will be conducted, in accordance to the local state law and regulations. Job Posted by ApplicantPro

Ethos Risk Services

Investigator

Administrative Skills

Auto Insurance

Cellular Telephone

Driver's License

Insurance Claims

Internet/Online Service

Investigative Reports

Laptop PC

Mentoring

Mobile Devices

Operations Management

Organizational Skills

Reporting Skills

Risk

Surveillance

Willing to Travel

Talent Acquisition

ADAPTED_NOW

Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

YEAR

Investigator Senior Supports the Payment Integrity line of business Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The Investigator Senior is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. How will you make an impact: + Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims. + Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one company health plan, line of business and/or state. + May interface internally with Senior level management and legal department throughout investigative process. + May assist in training of internal and external entities. + Assists in the development of policy and/or procedures to prevent loss of company assets. + May be called upon to represent the Company in court proceedings regarding research findings. + Develops and maintains a high degree of rapport and cooperation with the Federal, State and local law enforcement and regulatory agencies which can assist in investigative efforts. Minimum Requirements + Requires a BA/BS and minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience, which would provide an equivalent background. Preferred Qualifications, Skills & Capabilities + Professional certification of CFE, AHFI, CPC, Paralegal, RN, JD or other job related designation preferred. + Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $78,400 to $141,120. Locations: California, Colorado, District of Columbia (Washington, DC), Maryland, Minnesota, New York, Washington State In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. 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. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Elevance Health

Investigator Senior

Gap Inc.

Personal Work Relationships: Incumbent works with departmental staff, attorneys, employers, educational institutions, complainants, and witnesses in attempting to negotiate terms of settlement of cases involving alleged violations of the Indiana Civil Rights Law. - Prepare a concise written articulation of violations or non-violations in a case analysis, including relevant facts, interviews, observations, and conclusions gathered, using appropriate formatting as determined by supervisor.

Purpose of Position/Summary:




Position works within the Indiana Civil Rights Commission (ICRC). Incumbent
investigates allegations of discriminatory practices pertaining to the Civil
Rights Act, gather and analyzes documents relevant to the charge via interview
and onsite investigations, prepares a written summary of the investigation, and
makes a recommendation as to whether or not there is probable cause to believe a
discriminatory act occurred.




Essential Duties/Responsibilities:

- Conduct interviews of complainants, respondents, witnesses via phone, office
interview, or onsite interview, using generally accepted investigative
interviewing principles.

- Analyze gathered information including interviews, comparative information and
statistical information.

- Prepare a concise written articulation of violations or non-violations in a
case analysis, including relevant facts, interviews, observations, and
conclusions gathered, using appropriate formatting as determined by supervisor.

- Carry a caseload where at no time the number of "aged" cases (180+ days)
exceeds 9% of an investigator's case load. Employment investigators must submit
a minimum of eight (8) cases per month.

- Maintain an update appropriate case file records, including paper files, and
online case management systems.

- Establish effective working relationships with coworkers, clients, and/or the
public by serving as a resource to educate and train others regarding Civil
Rights Laws and the work of the ICRC.

- Performs legal administrative support duties as required.

- Performs related duties as required.




Job Requirements:

- Must possess bachelor's degree

- Thorough knowledge of and ability to interpret and apply the Indiana Civil
Rights Law, Commission rules and regulations, and court decisions falling within
the area of Civil Rights.

- Specialized knowledge of the principles, practices, and the past and current
trends of the Civil Rights field on a state and national level.

- Ability to secure and analyze data and testimony relevant to all areas covered
by the Indiana Civil Rights Law, especially employment.

- Ability to conduct difficult and involved investigations and make
recommendations to the director regarding disposition.

- Ability to understand legal concepts and to relate prior decisions to specific
cases.

- Ability to maintain confidentiality.

-Working knowledge of computers and Microsoft Office 365.




Difficulty of Work:

Incumbent considers a wide variety of factors and variables in analyzing
conflicting aspects of civil rights complaints. Judgment is utilize din the
selection of appropriate laws, regulations, and court decisions in recommending
appropriate disposition of the charge. Work involves gathering and analyzing
data relating to charges alleging violation of the Indiana Civil Rights Law.




Responsibility:

Incumbent reviews each case assigned, applying standardized regulations and
procedures. Any deviation from these guidelines is referred to the supervisor
for a decision. Instructions are general in nature and anticipated, unusual
problems are discussed. Incumbent may make timely judgments as needed. Work is
reviewed for technical accuracy and adherence to instructions before findings
are sent to parties in a case.




Personal Work Relationships:

Incumbent works with departmental staff, attorneys, employers, educational
institutions, complainants, and witnesses in attempting to negotiate terms of
settlement of cases involving alleged violations of the Indiana Civil Rights
Law.

American Technology Consulting

Civil Rights Investigator

Analysis Skills

Case Management

Customer Relations

Data Analysis

Data Collection

Legal

Legal Support Skills

Microsoft Office

Negotiation Skills

Regulations

Time Management

Auzmor

The role requires a discerning approach, being able to recognize which cases are suitable for mediation, and managing a substantial caseload efficiently within a fast-paced work environment. •Establish effective working relationships with coworkers, clients and/or the public by serving as a resource to educate and train others regarding Civil Rights Laws and the work of ICRC.

About the Indiana Civil Rights Commission (ICRC):

The Indiana Civil Rights Commission enforces the Indiana civil rights laws and
provides education and services to the public in an effort to ensure equal
opportunity for all Hoosiers and visitors to the State of Indiana. The Indiana
Civil Rights Commission will be an important societal influence working to
eliminate illegal discrimination in Indiana.

Role Overview:As a Civil Rights Specialist, you will review each case assigned,
applying standardized regulations and procedures. Any deviation from these
guidelines is referred to the supervisor for a decision. You will receive
instructions that are general in nature and anticipated, unusual problems will
be discussed. You may, in the absence of the supervisor, make timely judgments
as needed. Your work will be reviewed for technical accuracy and adherence to
instructions.

A Day in the Life:The essential responsibilities of the job are:-

•Draft consent agreements, prepare a written summary of the investigation, and
make recommendations as to whether there is probable cause.

•May occasionally testify at evidentiary and appeal hearings.

•Conduct and analyze interviews of complainants, respondents, and witnesses.

•Prepare concise written record of violations (or non-violations) in a case
analysis that includes relevant facts, interviews, observations, and conclusions
gathered.

•Conduct mandatory conciliation attempt after finding the probable cause and try
to resolve via mediation.

•Conduct conciliation conferences and draft consent agreements.

•Monitor compliance of all consent agreements via onsite assessment and/or
reviewing compliance reports.

•Negotiate settlements of all civil rights disputes with the public interest in
mind.

•Maintain monthly statistics on all mediation, conciliation, and compliance
activities.

•Maintain and update appropriate case file records.

•Establish effective working relationships with coworkers, clients and/or the
public by serving as a resource to educate and train others regarding Civil
Rights Laws and the work of ICRC.

•Participate in ICRC affiliated public outreach/education events per year.

The job description is not designed to cover or contain a comprehensive listing
of activities, duties or responsibilities that are required of the employee.
Other duties, responsibilities and activities may change or be assigned at any
time with or without notice.

What You'll Need for Success:You must meet the following requirement to be
considered for employment:

•Four years (4) full time professional experience in affirmative action;
business administration; civil rights; labor relations; law; public
administration; public relations; social services; workforce development; or
related experience.

•Substitution: Accredited college training in any one of or a combination of the
following subject areas may substitute for the required experience on a year for
year basis; Law, Sociology, Psychology, Labor Relations, Public Administration,
Human Resources and Business Administration.

•Thorough knowledge of and ability to interpret and apply the Indiana Civil
Rights Law, Commission rules and regulations, U.S. Department of Housing and
Urban Development (HUD and EEOC rules and regulations), and court decisions
falling within the area of Civil Rights.

•Specialized knowledge of the principles, practices, and the past and current
trends of Civil Rights Field on a state and national level.

•Ability to secure and analyze data and testimony relevant to all areas covered
by the Indiana Civil Rights law including employment, housing, credit, public
accommodation, and education.

•Ability to conduct difficult and involved investigations and make
recommendations to the director regarding disposition.

•Ability to facilitate negotiations in good faith with difficult individuals in
order to reach an agreement in the best interest of the involved parties and
public good.

•Ability to understand legal concepts and to relate prior decisions to specific
cases.

•Ability to counsel persons who make an inquiry at the Commission office
regarding civil rights complaints and to assist them in filing a complaint.

•Ability to maintain confidentiality.

•Able to perform essential functions with or without reasonable accommodation.

• Supervisory Responsibilities/Direct Reports:This role may be utilized in a
supervisory capacity based on agency needs.

The primary responsibility of this role is to conduct thorough analysis of civil
rights complaints, extracting and evaluating key information to make informed
recommendations regarding probable cause. The role requires a discerning
approach, being able to recognize which cases are suitable for mediation, and
managing a substantial caseload efficiently within a fast-paced work
environment. Success in this position depends on a strong understanding of civil
rights laws at both state and federal levels, as well as relevant court
decisions in the field of civil rights.

Key Responsibilities:

1) Conduct an in-depth analysis of civil rights complaints to identify critical
information, spot legal issues, and use the information to make determinations
as to cause.

2) Evaluate cases to determine suitability for mediation.

3) Apply knowledge of state and federal civil rights laws and court rulings to
inform case assessments.

4) Operate effectively in a dynamic, fast-paced work environment.

Desired Skills:

1) Background in law and/or legal course of study

2) Strong analytical and writing ability to assess complex information and
communicate findings clearly.

3) Ability to maintain confidentiality and neutrality throughout case
evaluations and interactions with parties and the public.

4) Exceptional organizational skills to manage a heavy caseload and prioritize
tasks effectively.

Position-Specific Details:The ideal candidate will operate within a defined
framework but must be a self-starter who takes initiative, remains focused, and
adapts quickly to meet the evolving operational needs of the organization.
Agility and the ability to stay on task independently are critical to success in
this role.

Case Investigator

Affirmative Action

Business Administration

Communication Skills

Community and Social Services

Conferences

Establish Priorities

Federal Laws and Regulations

Human Resources

Industrial Relations

Interviewing Skills

Maintain Compliance

People Management

Problem Solving Skills

Psychology

Public Administration

Public/Media/Press/Analyst Relations

Social Work

Sociology

State Laws and Regulations

Statistics

Training/Teaching

Writing Skills

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