Lemieux & Associates LLCSIU Claims Investigator - Spanish Speaker Lemieux & Associates LLCSIU Claims Investigator - Spanish SpeakerTaunton, MA$25–$32 / hourOur 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.
Ethos Risk ServicesInvestigator Ethos Risk ServicesInvestigatorWest Greenwich, RIPrevious 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.
Lemieux & Associates LLCSurveillance Investigator Lemieux & Associates LLCSurveillance InvestigatorFall River, MAOur 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.
Committee for Public CounselInvestigator - PDD Framingham Committee for Public CounselInvestigator - PDD FraminghamFramingham, MALocating and interviewing cooperative and, at times, uncooperative witnesses, alleged victims, and clients; Investigating crime scenes, commonly located in neighborhoods that have been designated as ‘high crime areas’ by local law enforcement agencies; Preparing and presenting oral and/or written reports based upon interviews and/or information obtained during the course of the investigation; Conducting surveillance; Measuring, diagramming, and photographing locations where crimes may have taken place and/or any location appropriate to the defense strategy; Utilizing computers for on-line access to the Registry of Motor Vehicles, public records, databases, social networking sites, and various online searches; Keeping accurate records of all phases of the investigation, and being accountable for all aspects of the investigation; Testifying in court as needed; Networking and maintaining personal contact with individuals in various agencies, including, but not limited to, police departments, courts, state agencies, private sector agencies, and others to facilitate access to information necessary to the defense of a case; Reviewing and analyzing police reports and witness statements; Maintaining open lines of communication with attorneys as to investigative updates and case strategy and meeting all deadlines associated with cases; Maintaining professional and productive relationships with attorneys; Evaluating individuals and factual situations to aid the attorney in preparing and presenting a defense to the criminal charges; Advising attorneys regarding changes and developments in investigative tools and techniques; Developing familiarity with Massachusetts criminal laws and rules of criminal procedure; Serving summonses on witnesses and document record keepers; Arranging timely appearance of witnesses at court by keeping them “on call” and when necessary providing transportation for clients and/or witnesses to court or other facilities; Preparing exhibits for trials and hearings; Ability to work independently and outside of normal business hours as needed; Participating in training programs for attorneys, as well as investigators; and, Other duties as assigned. Experience with Microsoft Office, internet databases, online searches and databases, and camera and video equipment; Strong interpersonal skills and ability to communicate effectively, orally and in writing; Good analytical and time-management skills; Bilingual abilities preferred; and, Adjusting scheduled hours to work outside of regular business hours, e.g., on nights and weekends, is required with some regularity.
Committee for Public CounselInvestigator - PDD Fall River & New Bedford Committee for Public CounselInvestigator - PDD Fall River & New BedfordFall River, MALocating and interviewing cooperative and, at times, uncooperative witnesses, alleged victims, and clients; Investigating crime scenes, commonly located in neighborhoods that have been designated as ‘high crime areas’ by local law enforcement agencies; Preparing and presenting oral and/or written reports based upon interviews and/or information obtained during the course of the investigation; Conducting surveillance; Measuring, diagramming, and photographing locations where crimes may have taken place and/or any location appropriate to the defense strategy; Utilizing computers for on-line access to the Registry of Motor Vehicles, public records, databases, social networking sites, and various online searches; Keeping accurate records of all phases of the investigation, and being accountable for all aspects of the investigation; Testifying in court as needed; Networking and maintaining personal contact with individuals in various agencies, including, but not limited to, police departments, courts, state agencies, private sector agencies, and others to facilitate access to information necessary to the defense of a case; Reviewing and analyzing police reports and witness statements; Maintaining open lines of communication with attorneys as to investigative updates and case strategy and meeting all deadlines associated with cases; Maintaining professional and productive relationships with attorneys; Evaluating individuals and factual situations to aid the attorney in preparing and presenting a defense to the criminal charges; Advising attorneys regarding changes and developments in investigative tools and techniques; Developing familiarity with Massachusetts criminal laws and rules of criminal procedure; Serving summonses on witnesses and document record keepers; Arranging timely appearance of witnesses at court by keeping them “on call” and when necessary providing transportation for clients and/or witnesses to court or other facilities; Preparing exhibits for trials and hearings; Ability to work independently and outside of normal business hours as needed; Participating in training programs for attorneys, as well as investigators; and, Other duties as assigned. Experience with Microsoft Office, internet databases, online searches and databases, and camera and video equipment; Strong interpersonal skills and ability to communicate effectively, orally and in writing; Good analytical and time-management skills; Bilingual abilities preferred; and, Adjusting scheduled hours to work outside of regular business hours, e.g., on nights and weekends, is required with some regularity.
Point32Health, Inc.NewInvestigator II Point32Health, Inc.Investigator IICanton, MA$80,741.22–$121,111.82 / yearKey Responsibilities/Duties - what you will be doing (top five): Lead moderately complex to complex investigations in established and emerging areas of Fraud Waste and Abuse (FWA) involving internal and external research, detailed data analyses, review of medical records, and interviews of members, providers, and other third parties. The Investigator II is an essential team member of the Special Investigation Unit (SIU) responsible for leading complex provider investigations related to fraud, waste, and abuse, and developing action plans to address the investigative findings and prevent future loss.
RimkusForensics Fire Investigator - Boston area RimkusForensics Fire Investigator - Boston areaProvidence, RISearches for, identifies, collects, and labels any potential evidence/items from the fire scene, including devices used to set, start, or further the progress of fire; protects the chain of custody of potential evidence/items. Investigates, assesses, and determines the origin and cause of fires and explosions in residences, commercial/industrial buildings, vehicles, heavy equipment, marine equipment, and other property.
EversourceRevenue Assurance Investigator (Hybrid) EversourceRevenue Assurance Investigator (Hybrid)Dorchester, MA$96,690–$107,430 / yearConducts all phases of revenue recovery investigations including the attainment of depositions and supporting data for both judicial and administrative processing as well as fact-finding from Company and Public records related to theft of service cases. Current guidelines require employees to work at least three days in the office, including Tuesdays and Wednesdays, with the third day set by the employee and supervisor based on department needs.
Committee for Public CounselSupervising Investigator - PDD Central Region Committee for Public CounselSupervising Investigator - PDD Central RegionUNAVAILABLE, MAThe supervisory duties of the Supervising Investigator include: Monitoring investigator caseloads to ensure that each investigator’s caseload is appropriate; Maintaining statistics relative to investigator caseloads; In-the-field supervision, including accompanying supervisees on witness interviews, examining and photographing crime scenes, jail visits, and court appearances; Reviewing report writing of Investigators; Attending regular one-on-one meetings with individual Investigators in the assigned region, as well as group meetings with Investigators and other defense team staff to ensure quality investigations are occurring; Working with the Attorneys-in-Charge to assign cases to investigators; Collaborating with Attorneys-in-Charge of trial offices in the region on annual performance evaluations of supervisees; Assisting the recruiting and hiring of staff Investigators to ensure quality and diversity of staff; Working with the Director of Investigations, PDD Leadership Team, and the Training Unit in the training of Investigators; Meeting regularly with the Director of Investigations and other Supervising Investigators as well as they Deputy Chief Counsel and Managing Directors to review compliance with responsibilities and to discuss regional and statewide issues; Making and maintaining personal contact with individuals in various agencies (e.g., police, hospitals, ambulance services, courts) and community organizations to facilitate Investigators’ access to witnesses and records; Developing familiarity with Massachusetts criminal laws and rules of criminal procedure; and, Other duties as assigned. The investigation duties of the Supervising Investigator include: Maintaining a reduced caseload of cases that the Supervising Investigator will directly work on and providing back-up coverage for Investigators; Locating and interviewing cooperative and, at times, uncooperative witnesses, alleged victims, and clients; Investigating crime scenes, including measuring, diagramming, and photographing scenes, commonly located in neighborhoods that have been designated as ‘high crime areas’ by local law enforcement agencies; Preparing and presenting oral and/or written reports based upon interviews and/or information obtained during the course of the investigation; Conducting surveillance; Measuring, diagramming, and photographing locations where crimes may have taken place and/or any location appropriate to the defense strategy; Utilizing computers for on-line access to the Registry of Motor Vehicles, public records, databases, social networking sites, and various online searches; Keeping accurate records of all phases of the investigation and being accountable for all aspects of the investigation; Testifying in court as needed, including preparing exhibits for trials and hearings; Serving summonses on witnesses and document record keepers; Arranging timely appearance of witnesses at court by keeping them “on call” and when necessary providing transportation for clients and/or witnesses to court or other facilities; Ability to work independently and outside of normal business hours as needed; and, All other duties currently carried out by CPCS staff Investigators.
Saks OFF 5THAsset Protection Investigator Saks OFF 5THAsset Protection InvestigatorShrewsbury, MAWhat This Position Is All About: Your Life and Career at Saks OFF 5TH: Be part of an empowered, innovative team; work with an adventurous spirit and a customer-centric mindset; play a critical role in making decisions that will position us to win. Exposure to rewarding career advancement opportunities across different functions within our corporate offices, retail stores, photo studios, and distribution centers.
Allied UniversalSurveillance Investigator Allied UniversalSurveillance InvestigatorWarwick, Rhode Island
Neighborhood Health Plan of Rhode IslandRN Clinical Auditor (43914) Neighborhood Health Plan of Rhode IslandRN Clinical Auditor (43914)Smithfield, RIQualifications: Required: • Registered Nurse with an active, current, unrestricted license in RI in good standing • Minimum of three (3) years experience in healthcare coding directly related to determining appropriate diagnosis, procedure and other codes used in billing for services, utilization management, medical record auditing, or health care quality improvement • Knowledge of clinical medical record documentation requirements • A high-level knowledge of medical terminology • Proficient with various technology software tools, including Microsoft Office • Excellent written and verbal communication skills, and strong attention to detail • Ability to maintain confidentiality • Ability to take direction and support a multitude of individuals • Ability to work independently and prioritize activities. Preferred: • Working knowledge of fraud, waste and abuse policies and practices • Evaluation and management coding and auditing expertise • Knowledge of Behavioral Health billing & coding guidelines and/or regulatory guidelines • Electronic medical record review experience • Electronic investigative case management and/or healthcare claims data mining tool experience.