Confidential Investigator The Special Commissioner of Investigation for the NYC School DistrictConfidential InvestigatorNew York, NY$82,500 / yearFull timeThe successful candidate will work on highly confidential and sensitive investigations concerning corruption, criminal activity, unethical conduct, and other misconduct within the New York City School System. The Confidential Investigator will be required to question subjects and witnesses, including child victims of sexual misconduct, as well as examine/analyze records and documents.
Confidential Investigator Auditor The Special Commissioner of Investigation for the NYC School DistrictConfidential Investigator AuditorNew York, NY$82,500–$91,450 / yearFull timeThe Office of the Special Commissioner of Investigation for the New York City School District (“SCI”) is seeking an experienced, self-motivated candidate to serve as a Confidential Investigative Auditor to both lead and support complex financial audits and investigations. The Investigative Auditor will be required to examine/analyze records and documents including procurement contracts, banking and financial records, records of capital commitments and agreements, and other city-wide policies and financial documents.
NewSurveillance Investigator Frasco IncSurveillance Investigatornew york, NY$20–$28 / hourCheck out our YouTube channel to learn more about what a day-in-the-life of a surveillance investigator at Frasco looks like: Frasco, Inc | YouTube Channel. Minimum Auto Insurance Coverage: $100,000 per person, $300,000 per accident bodily injury, and $50,000 property damage.
NewRegistered Nurse - Nursing Home Surveyor/Complaint Investigator Greenlife Healthcare StaffingRegistered Nurse - Nursing Home Surveyor/Complaint InvestigatorNew York, NYWe are seeking a dedicated and experienced Registered Nurse - Nursing Home Surveyor/Complaint Investigator to join our team in New York City, NY (Bronx, Kings, Richmond, Manhattan, and Queens). This role is a temporary-to-permanent position that involves conducting surveys, complaint investigations, and surveillance activities at nursing homes to ensure compliance with Federal and State regulations.
Surveillance Investigator VRC InvestigationsSurveillance InvestigatorNewark, New JerseyVRC 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.
NYSIF Surveillance & SIU Investigator Lemieux & Associates LLCNYSIF Surveillance & SIU InvestigatorNew York, NY$25–$35 / hourFull timeA full-time investigator familiar with New York State Insurance Fund surveillance & SIU/Claims investigations is needed to cover the five boroughs of NYC and any areas right outside the boroughs. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel.
Private Investigator - Domain Specialist MercorPrivate Investigator - Domain SpecialistNew York, New YorkRemote$1,500–$1,700 / hourFor details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome. $1,500 payment conditioned on successful approval of the first task during the work trial period.
Investigator Ethos Risk ServicesInvestigatorJersey City, NJPart timePrevious 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 InvestigatorJersey City, NJFull timeOur 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 file by submitting case reports and uploading video footage via personal laptop at the end of the day.
Investigator - Network Services - Full Time CoventBridge GroupInvestigator - Network Services - Full TimeBrooklyn, NY$26–$30 / hourCoventBridge Integrity Systems delivers investigative services, technology, and expertise that help healthcare and government organizations protect critical programs, strengthen oversight, and address fraud, waste, abuse, and operational risk. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; 888-932-7364; humanresources@coventbridge.com.
Registered Nurse - Nursing Home Surveyor/Complaint Investigator GreenLife Healthcare StaffingRegistered Nurse - Nursing Home Surveyor/Complaint InvestigatorNew York, NYWe are seeking a dedicated and experienced Registered Nurse - Nursing Home Surveyor/Complaint Investigator to join our team in New York City, NY (Bronx, Kings, Richmond, Manhattan, and Queens). This role is a temporary-to-permanent position that involves conducting surveys, complaint investigations, and surveillance activities at nursing homes to ensure compliance with Federal and State regulations.
Senior Principal Investigator Colliers Engineering & DesignSenior Principal InvestigatorNew Jersey$95,545–$139,725 / yearFull timeWe have also created an internal culture that provides the resources and technology needed to encourage personal and professional growth opportunities through reimbursement for education; a free in-house resource for hundreds of educational and self-enrichment courses; mentorship program; wellness program; Women’s Organization and ongoing philanthropic opportunities. Overview: Colliers Engineering & Design (CED) is a leading engineering and environmental consulting firm with a rapidly growing archaeological practice dedicated to preserving and interpreting cultural heritage.
Senior Financial Investigator Contact Government Services LLCSenior Financial InvestigatorNY$74,156.16–$107,114.45 / 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 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.
Financial Investigator Contact Government Services LLCFinancial InvestigatorNY$57,677.01–$78,275.94 / 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 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.
NewSIU Investigator - NY Labor Law Allied UniversalSIU Investigator - NY Labor LawBrooklyn, New York$32–$40 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
NewSIU Investigator Allied UniversalSIU InvestigatorEdison, NJ$27–$32 / hourAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance. High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud.
EEO Investigator Integrated Resources, IncEEO InvestigatorNew York, NY$60–$65 / hourStrong people skills with the ability to effectively navigate within a large organizational structure. Ability to work in a fast-paced healthcare/hospital setting.
NewEEO Investigator HirePower Personnel Inc.EEO InvestigatorNew York, NY$61–$72 / hourOur client provides top-ranked care, dozens of inpatient and outpatient specialties, and mental health services with a team of highly trained and caring medical professionals who are compassionate, culturally competent and patient centered. Many of their roles are temp-to-hire, giving our client and our candidates the opportunity to ensure they are the right fit for a full-time position, as this comes with career advancement opportunities and excellent benefits.
Anti-Money Laundering(AML) / Financial Crime Investigator ApolisAnti-Money Laundering(AML) / Financial Crime InvestigatorWhippany, NJ$30–$34 / hourInvestigations & Analysis Conduct thorough investigations of transaction monitoring alerts related to correspondent banking, wire transfers, and high-risk customer activity. Collaboration & Continuous Improvement Partner with Compliance, Legal, Operations, and Business teams to resolve complex cases and mitigate financial crime risk.
Asset Protection Investigator Saks Global Enterprises LLCAsset Protection InvestigatorNew York, NY$24.76–$30.94 / hourYOU WILL BE: The Asset Protection Investigator is responsible for protecting company assets by preventing and investigating internal and external theft, conducting apprehensions in accordance with policy and law, and supporting inventory integrity initiatives. Reporting to the Asset Protection Manager, the API plays a critical role in maintaining a safe selling environment through active floor presence, investigations, audits, and associate awareness.
Deviation Investigator - Quality Systems & Laboratory Operations Zp Group LlcDeviation Investigator - Quality Systems & Laboratory OperationsRaritan, NJ$30–$35 / hourThis position will be responsible for conducting quality and laboratory investigations, identifying root causes, documenting findings, and driving corrective and preventive actions (CAPAs) within a regulated GMP environment. This is an excellent opportunity for candidates with laboratory, quality systems, microbiology, analytical testing, or pharmaceutical manufacturing experience who are looking to grow their careers within a global life sciences organization.
Senior Investigator EmblemHealth IncSenior InvestigatorNew York, NY$68,040–$118,800 / yearEstablish and maintain relationships with law enforcement (HHS-OIG, FBI), regulatory agencies (i.e DFS, MEDIC, OMIG, MFCU, NYS OAG), and with industry peers. Develop and maintain relationships with law enforcement (HHS-OIG, FBI, DOJ), regulatory agencies (DFS, MEDIC, OMIG, MFCU) and with industry peers.
Certified Investigator/ODP RHA Health ServicesCertified Investigator/ODPLevittown, PennsylvaniaThe Certified Investigator is responsible for conducting thorough, timely, and objective investigations of reportable incidents in accordance with the Office of Developmental Programs (ODP) Incident Management Bulletin and RHA Health Services policies. Regular If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!
CPC Investigator Horizon Healthcare ServicesCPC InvestigatorNewark, New JerseyThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. $70,500 - $94,395 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorNYPerforms 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.
NewInvestigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)NY$46,988–$122,400 / yearDemonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Child Care Investigator City of New YorkChild Care InvestigatorNYA four-year high school diploma or its educational equivalent and five years of satisfactory, full-time experience as an investigator evaluating credit worthiness, searching for assets, verifying information concerning education, experience, and other personal qualifications bearing upon character and fitness for employment, or performing investigations involving the research, compilation and/or location of evidence or information in order to build a case or uncover activities of a criminal, corrupt, unlawful or unethical nature; or. The Bureau routinely monitors childcare programs to protect the health and safety of children while in the childcare environment and actively works to improve and expand access to high quality programs which supports early childhood development and learning.
Digital Forensics Investigator - Vice President Morgan StanleyDigital Forensics Investigator - Vice PresidentEdison, New JerseyOur values - putting clients first, doing the right thing, leading with exceptional ideas, committing to diversity and inclusion, and giving back - aren’t just beliefs, they guide the decisions we make every day to do what's best for our clients, communities and more than 80,000 employees in 1,200 offices across 42 countries. The successful candidate will engage with senior stakeholders across Legal, Corporate Security, Human Resources, Compliance, Cyber Security, Engineering teams, and Business Units, communicating complex technical matters clearly and effectively.
Security Investigator United Parks & Resorts IncSecurity InvestigatorPhiladelphia, PAMust be able to successfully complete all legal, company and department training requirements to include but not limited to passing required tests and certifications within established timelines. Consistently practices safe work habits including but not limited to use of personal protective equipment, lifting, driving, and reporting of unsafe situations.
(DOE-013-26) Investigator Trainee (Three positions) New Jersey Department of Education(DOE-013-26) Investigator Trainee (Three positions)Trenton, New JerseyUnder the close supervision of the Chief of Investigations, as a trainee and productive worker, learns to perform routine office and/or field duties to investigate alleged non-compliance with State statutes and regulatory requirements; and performs other related work as required. Note: "Professional experience" refers to work that is analytical, evaluative, and interpretive; requires a range of basic knowledge of the profession's concepts and practices; and is performed with the authority to act and make accurate and informed decisions.
Loss Prevention-Asset Protection Investigator Uncle Giuseppe's, IncLoss Prevention-Asset Protection InvestigatorNJResponsibilities: • Conducts surveillance of the store as well as utilizing CCTV system to identify, observe and deter individuals from committing theft of our property • Partner with store management to meet strategic asset protection goals and awareness • Provide clear and consistent training to all store personnel on safety compliance, new hire training, and measures through operational audits • Conduct investigations and interviews for inventory, cash loss, company policy violations, etc. Our Loss Prevention - Asset Protection Investigators are responsible for executing key initiatives relating to theft, operational accountability, shrink and safety for Uncle Giuseppe's store locations.
Sub Investigator - Clinical Trials - Staten Island, NY Hawthorne HealthSub Investigator - Clinical Trials - Staten Island, NYStaten Island, New YorkAbout Us Hawthorne Health is a leading community site network and home research visit solution provider, with 20+ sites and more than 2,000 research experienced healthcare professionals across the U.S. Hawthorne leverages convenient, trusted, healthcare locations, identified patient data, and intelligent technology to accelerate patient access, improve retention, and reduce study costs. About the Role Hawthorne Health is seeking a Nurse Practitioner (NP) or Certified Physicians Assistant (PA-C) with experience supporting sponsor initiated trials as a Principal or Sub-Investigator to oversee clinical trials at our site in Staten Island, NY.
NewAML Investigator and SAR Writer -FinTrust Connect Talent Community FinTrust ConnectAML Investigator and SAR Writer -FinTrust Connect Talent CommunityNew York, NY$45–$95 / hourRequirements 3 to 6 years in AML investigations within banking or fintechHands on with TM platforms Actimize or Mantas or FCRM or Pega or NICEStrong narrative writing red flags and fact patterns and disposition supportKnowledge of BSA and AML and KYC and CTR and sanctions basicsSQL basics and open source media research a plusResponsibilities Triage alerts and investigate and document sources and analysis and conclusionsDraft SARs with clear synopsis and activity details and subject informationManage queues to aging targets and quality thresholdsPartner with QA and tuning teams to improve precision and reduce repeatsOutcomes we track SAR timeliness 100% within 30 days of decisionDocumentation completeness 100%Compensation and terms Consultant pay $45 to $95 per hour based on platform depth and segment complexityKeywords AML, BSA, Investigations, Alerts, Cases, SAR, Narrative, Transaction Monitoring, Actimize, Mantas, FCRM, Pega, NICE, QA, Red Flags, Backlog, Aging, Evidence, Remote#J-18808-Ljbffr. As an AML Investigator and SAR Writer you will investigate alerts and cases end to end and prepare timely SARs with high quality narratives.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)NY$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.
NewInvestigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)NY$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.
Healthcare Fraud Investigator Contact Government Services LLCHealthcare Fraud InvestigatorNew York, NY$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.
Asset Protection Investigator (GME + eBay) Collectors Holdings, Inc.Asset Protection Investigator (GME + eBay)Jersey City, NJ$61,396–$99,678 / yearWork with the Head of Global Asset Protection to proactively identify gaps/areas of improvement with respect to digital security systems (access control, video surveillance, video storage) or physical processes that create exposure to theft. Excellent analytical skills and broad experience documenting investigations with the ability to think outside the box, handle multiple projects simultaneously, and build relationships with internal and external stakeholders.
NewBackground Investigator (FT Employee) - Lawrenceville, NJ PeratonBackground Investigator (FT Employee) - Lawrenceville, NJLawrenceville, New JerseyFull 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.
Asset Protection Investigator Saks OFF 5THAsset Protection InvestigatorNew York City, New YorkThe pay range for this position at commencement of employment is expected to be between $18 and $21 /hour; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. Achieve targets of investigative performance by identifying and addressing internal and external theft exposures; complete accident investigations and general liability claims reports.
Integrity Monitor Investigator CohnReznick LLPIntegrity Monitor InvestigatorNY$110,000–$140,000 / yearResponsibilities include but not limited to: Conduct daily construction project site visits to monitor for compliance with contractual and legal requirements including but not limited to: labor and prevailing wage compliance; time and materials billing compliance; Sign in/Sign out compliance; and. CohnReznick does not accept unsolicited resumes from third-party recruiters unless such recruiters are currently engaged by CohnReznick Talent Acquisition Team by way of a written agreement to provide candidates for a specified opening.
Senior Equal Opportunity Investigator Metropolitan Transportation AuthoritySenior Equal Opportunity InvestigatorNY$108,150–$119,617 / yearProvide oversight and guidance to complaint and conflict resolution work by EO Investigators that includes assisting with complex issues, facilitating difficult conversations, designing and implementing interventions, providing strategies for formal conflict resolution, as well as conducting formal investigations and issuing written findings and determinations. Opening: The Metropolitan Transportation Authority is North America's largest transportation network, serving a population of 15.3 million people across a 5,000-square-mile travel area surrounding New York City, Long Island, southeastern New York State, and Connecticut.
Senior Research Investigator, Clinical Pharmacology Bristol-Myers Squibb CoSenior Research Investigator, Clinical PharmacologyPrinceton, NJ$146,420–$177,428 / yearThe CP&P team interacts with discovery and translational scientists, project leadership, early development, late development and commercial colleagues to optimize dosing, formulation, delivery and combination strategies to enable faster and more effective drug development informed by core scientific principals and data. Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
Lead Corporate Investigator Lumen Technologies IncLead Corporate InvestigatorNYRemote$84,629–$112,838 / yearThis role will report to the Manager of Corporate Investigations and sits at the center of difficult, often ambiguous situations-requiring the ability to assess risk, navigate competing perspectives, and deliver fact-based outcomes that stand up to scrutiny. You'll partner closely with Human Resources, Legal, and senior stakeholders, working through sensitive issues with discretion while maintaining independence and objectivity.
Senior Research Investigator, Clinical Pharmacology & Pharmacometrics Bristol-Myers Squibb CoSenior Research Investigator, Clinical Pharmacology & PharmacometricsPrinceton, NJ$146,420–$177,428 / yearThe CP&P team interacts with discovery and translational scientists, project leadership, early development, late development and commercial colleagues to optimize dosing, formulation, delivery and combination strategies to enable faster and more effective drug development informed by core scientific principals and data. Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
Associate Director, Investigator Initiated Trials BeOne Medicines AGAssociate Director, Investigator Initiated TrialsNY$160,100–$210,100 / yearThis role is responsible for centralized project management of all IIT projects and initiatives, serving as a floating Study Manager across regions as needed, and leading research‑focused collaborations with external investigators and academic partners. General Description: The Associate Director, IIT Operations will play a supportive leadership role within the BeOne IIT Team, providing strategic and operational oversight across the global Investigator‑Initiated Trials (IIT) program.
Associate Investigator The ChemoursAssociate InvestigatorNewark, New JerseyIn key sectors such as clean energy, advanced electronics, high-performance computing and AI, climate friendly cooling, and high-quality paints and coatings for homes and industrial infrastructure---sustainable solutions and more modern living depend on Chemours chemistry. Pay Range (in local currency): $73,947.00 - $115,542.00 Chemours Level: 23 Annual Bonus Target: 6% The pay range and incentives listed above is a general guideline based on the primary location of this job only and not a guarantee of total compensation.
Asset Protection Investigator- Long Island Victoria's Secret & CoAsset Protection Investigator- Long IslandLong Island, NYThis role focuses on external investigations, building partnerships across stores, and supporting awareness programs that protect our people, product, and brand. Here, you'll be empowered to perform, grow, and engage through unmatched opportunities to develop your skills, gain real-world experience, and learn from the best in the business.
Entry Level Background Investigator- Northeast Region CACI International IncEntry Level Background Investigator- Northeast RegionNYRecognizes or uses correct English grammar, punctuation, and spelling; communicates information (for example, facts, ideas, or messages) in a succinct and organized manner; produces written information, which may include technical material that is appropriate for the intended audience. 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.
Global Financial Crimes Senior Investigator (Brokerage) Bank of America CorpGlobal Financial Crimes Senior Investigator (Brokerage)Jersey City, NJ$90,000–$115,000 / yearBack to search results Global Financial Crimes Senior Investigator (Brokerage) Charlotte, North Carolina; Jersey City, New Jersey; Pennington, New Jersey; Plano, Texas; Phoenix, Arizona; Dallas, Texas Additional locations Apply × To proceed with your application, you must be at least 18 years of age. This includes our commitment to being an inclusive workplace, attracting and developing exceptional talent, supporting our teammates' physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve.
CPC Investigator Blue Cross and Blue Shield AssociationCPC InvestigatorNewark, NJ$70,500–$94,395 / yearThe Certified Professional Coder (CPC) is responsible for performing reviews, audits and coding oversight of medical records to ensure the appropriate CPT codes, diagnosis codes and modifiers according to Generally Accepted Medical Coding Guidelines, CPT-4; HCPCS; ICD-10 Guidelines; and, CMS Correct Coding. The incumbent will also be responsible for handling low level investigative activities (external) related to claims, enrollment, accounting, receive and review suspected fraud and to complete cases with all information and analysis for resolution, as the manager and prior approved guidelines may direct.