Surveillance Investigator VRC InvestigationsSurveillance InvestigatorBoston, MassachusettsVRC 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.
Undercover Investigator DATA QUEST INVESTIGATIONS LTDUndercover InvestigatorBEVERLY, MACorporate private investigations agency seeks contract Private Investigator to work undercover at a North Shore assignment in warehouse & distribution. Ideal opportunity for Criminal Justice students/graduates and/or individuals seeking investigative experience in pursuit of a career in law enforcement.
Investigator - Network Services - Full Time CoventBridge GroupInvestigator - Network Services - Full TimeBoston, MA$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.
Investigator Ethos Risk ServicesInvestigatorBoston, MAFull 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 InvestigatorBoston, MAFull 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 files by submitting case reports and uploading video footage via personal laptop at the end of the day.
Principal Investigator, Quantum Error Correction RiverlanePrincipal Investigator, Quantum Error CorrectionBoston, MARemote$180,000–$245,000 / yearIn this senior role, you will blend hands-on research with technical leadership, setting scientific direction, representing Riverlane to external partners at the highest technical level, and – when opportunities arise – building and mentoring a small research team. Having raised more than $125M in funding to date to accelerate our cutting-edge R&D in quantum error correction (QEC), Riverlane partners with many of the world's leading quantum hardware providers and government agencies to make fault-tolerant quantum computing a reality.
Surveillane Investigator Lemieux & Associates LLCSurveillane InvestigatorBoston, MAPart timeOur 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.
Surveillance Investigator Lemieux & Associates LLCSurveillance InvestigatorManchester, NHPart timeOur 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.
Undercover Investigator Data Quest InvestigationsUndercover InvestigatorBeverly, MassachusettsEstablished in 1981, Data Quest, Ltd. is a licensed, insured and bonded, full-service corporate private investigations agency, which provides elite information gathering, and loss prevention & detection expertise to companies, attorneys, and individuals throughout the United States. Headquartered in Massachusetts, Data Quest's clients consist of more than 1,000 companies in a wide range of industries, including Fortune 500 corporations as well as smaller companies on a local and regional level.
Senior Financial Investigator Contact Government Services LLCSenior Financial InvestigatorBoston, MA$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 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 InvestigatorBoston, MAEstablishes 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.
Public Safety Investigator Boston Medical CenterPublic Safety InvestigatorBoston, MA$30.05–$43.75 / hourWillingness to participate in professional associations involving hospital and school security and safety, including the American Society for Industrial Security (ASIS), the International Association for Healthcare Security and Safety (IAHSS) and International Association of College Law Enforcement Administrators (IACLEA). POSITION SUMMARY: Under direction of the Sergeant, the Detective will perform comprehensive criminal investigations, non-criminal investigations, law enforcement and crime prevention work, conduct interview and interrogations and prepare cases for prosecution, human resources or other purposes.
Cybersecurity Threat Investigator BAE SystemsCybersecurity Threat InvestigatorMerrimack, NH$132,962–$226,035 / yearDemonstrated experience in investigations, including investigation life cycle + Demonstrated ability to work across multiple organizations, agencies internally and externally + Experience working with U.S. Government agencies with oversight of Cleared Defense Contractors + Experience with database management of investigative files, employee investigative history, and chain of custody + Interpersonal, organizational, written and verbal communication skills + Familiarity with security management software, such as SIMS and government databases such as DISS (Defense Information Security System). + Minumum of a High School Diploma **Preferred Education, Experience, & Skills** + Bachelors Degree or above with a study inherent in a forensics relevant discipline + Previous counterintelligence background and/or law enforcement experience + Experience with forensic tools, multi-faceted investigations using unique tools + Extensive experience conducting interviews + Experienced knowledge of system functions, security policies, technical security safeguards, and operational security measures.
Postdoctoral Investigator – Relativistic Quantum Chemistry and Nonadiabatic Dynamics Woods Hole Oceanographic InstitutionPostdoctoral Investigator – Relativistic Quantum Chemistry and Nonadiabatic DynamicsMassachusettsResearch objectives include extending Exact Two-Component relativistic hyperfine coupling methods in OpenMolcas to multiple excited states and spin multiplicities, developing matrix elements of the total hyperfine coupling operator, and incorporating hyperfine coupling into nonadiabatic molecular dynamics. The developed methods will be applied to magnetic isotope effects in photochemical reactions of small orgnomercury molecules, with broader relevance to spin-forbidden reactions, environmental chemistry, computational photochemistry, and magnetic-field effects in chemical and biological systems.
Postdoctoral Investigator in Plankton Ecology and Trophic Dynamics Woods Hole Oceanographic InstitutionPostdoctoral Investigator in Plankton Ecology and Trophic DynamicsMassachusettsD. in biological oceanography, marine ecology, oceanography, ecology, environmental science, or a related field; Experience working on plankton ecology and pelagic ecosystem dynamics (preferred); Strong quantitative and analytical skills, with preference for experience in coupled physical-biological modeling, statistical analyses, and/or machine-learning approaches; Experience working with ecological or oceanographic datasets is preferred; Proficiency in scientific programming and data analysis (e.g., R, Python, MATLAB); A demonstrated record of peer-reviewed scientific publication; and. Responsibilities may include: Analysis and synthesis of long-term plankton and oceanographic datasets from observational programs and model outputs; Development of statistical and machine-learning approaches (e.g., GAMs, Random Forests, synchrony analyses); Investigation of plankton population dynamics and trophic transfer; Participation in coupled physical-biological modeling and connectivity analyses; Preparation of peer-reviewed publications and conference presentations; Contributing to proposal development and collaborative research initiatives involving federal agencies, regional research programs, and academic partners.
Physician: Academic Clinical Investigator, Gastrointestinal (GI) Oncology Boston Medical CenterPhysician: Academic Clinical Investigator, Gastrointestinal (GI) OncologyBoston, MABostonians enjoy surrounding parks, beaches, and forest preserves by day, and local breweries, eclectic restaurants, historic theaters, and world-class music and arts by night, including the Boston Symphony Orchestra, the Museum of Fine Arts, and the Boston Ballet. About Us: Boston Medical Center proudly serves a diverse population in Boston and boasts a world-class academic medical center in Boston University School of Medicine, with a commitment to caring for all patients, including the underserved.
Physician: Clinical Investigator, Head and Neck Oncology Program Boston Medical CenterPhysician: Clinical Investigator, Head and Neck Oncology ProgramBoston, MABostonians enjoy surrounding parks, beaches, and forest preserves by day, and local breweries, eclectic restaurants, historic theaters, and world-class music and arts by night, including the Boston Symphony Orchestra, the Museum of Fine Arts, and the Boston Ballet. About Us: Boston Medical Center proudly serves a diverse population in Boston and boasts a world-class academic medical center in Boston University School of Medicine, with a commitment to caring for all patients, including the underserved.
Physician: Academic Clinical Investigator- Genitourinary Oncology Boston Medical CenterPhysician: Academic Clinical Investigator- Genitourinary OncologyBoston, MABostonians enjoy surrounding parks, beaches, and forest preserves by day, and local breweries, eclectic restaurants, historic theaters, and world-class music and arts by night, including the Boston Symphony Orchestra, the Museum of Fine Arts, and the Boston Ballet. Opportunities within the program include participation and leadership in clinical trials and collaborations with both internal and external laboratory-based investigators pursuing a range of basic and translational research projects.
Physician: Academic Clinical Investigator- Breast Oncology Boston Medical CenterPhysician: Academic Clinical Investigator- Breast OncologyBoston, MABostonians enjoy surrounding parks, beaches, and forest preserves by day, and local breweries, eclectic restaurants, historic theaters, and world-class music and arts by night, including the Boston Symphony Orchestra, the Museum of Fine Arts, and the Boston Ballet. About Us: Boston Medical Center proudly serves a diverse population in Boston, and boasts a world-class academic medical center in Boston University School of Medicine, with a commitment to caring for all patients, including the underserved.
Clinical Investigator-Breast Oncology Or hematologist America At WorkClinical Investigator-Breast Oncology Or hematologistBoston, MassachusettsThis is an outstanding opportunity for a physician-scientist or clinically focused academic oncologist who is passionate about advancing breast cancer treatment through clinical excellence, innovative research, and medical education. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information.
Clinical Investigator, Breast Oncology The Employee ConnectClinical Investigator, Breast OncologyBoston, Massachusetts$255,670–$534,220 / yearThis role places the investigator at the center of that transformation, with access to cutting-edge laboratory resources, robust biobanking infrastructure, and a deeply engaged patient population eager to participate in clinical research. Boston's life sciences ecosystem provides unparalleled opportunities for collaboration, funding, and innovation, making this an ideal location to build and sustain a high-impact research program.
Contract Investigator - Watertown, NY OMNIPLEX World Services Corporation, A Constellis CompanyContract Investigator - Watertown, NYWatertown, MassachusettsWork hours vary depending on availability of leads and do not always fall within normal business hours, to include potential weekend hours or third-shift appointments. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States.
Investigator, Special Investigations Unit (Meritain Health) CVS Health CorpInvestigator, Special Investigations Unit (Meritain Health)MA$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.
Associate Investigator Tufts UniversityAssociate InvestigatorMedford, MAWorking with other experienced internal investigators for Title IX, Title VII and Title VI matters and reporting to the Deputy Director and the Deputy Title IX Coordinator, the Associate Investigator will work within a very dynamic and supportive team collaborating and supporting other members of the OEO to investigate and resolve formal and informal Title IX, Title VII and Title VI complaints with trauma-informed interviews and equitable due process approaches as set forth in various university policies and federal and state regulations for the Tufts community. Basic Requirements: Knowledge and experience typically acquired by: Advanced degree plus 2 years of investigative experience or other transferable experience, including writing fact finding reports in MA 151B, Title VI and Title IX matters OR a bachelor's degree and 5 years of investigative experience may be substituted for the advanced degree requirement.
NewSpecial Investigator AmeriHealth CaritasSpecial InvestigatorManchester, NHRemoteWe offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. The Investigator is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving the full range of products at the AmeriHealth Caritas Family of Companies (ACFC).
Investigator Commonwealth of MassachusettsInvestigatorMAManagement Assistant'',''Management Assistant'',''United States-Massachusetts-Boston - 200 Nashua Street'',''United States-Massachusetts-Boston - 200 Nashua Street'',''Skilled Trades'',''Skilled Trades'',''Sheriff''s Department Suffolk'',''Sheriff''s Department Suffolk'',''Full-time'',''Full-time'',''Day'',''Day'',''Jun 25, 2026, 9:38:01 AM'',''Jun 25, 2026, 9:38:01 AM'',''1'',''1'',''75,000.00'',''70,000.00'',''75,000.00'',''Yearly'',''Rachelle Two years of experience working in an investigative capacity, specialized training in investigations, law enforcement training, or a combination of education, experience and training, which provides the knowledge, skills and abilities indicated above.
CIVIL RIGHTS INVESTIGATOR OGC Equal Opportunity Boston UniversityCIVIL RIGHTS INVESTIGATOR OGC Equal OpportunityBOSTON, MACategory: Charles River Campus --> Professional Job Location: BOSTON MA United States Tracking Code: 26500619710206 Posted Date: 22/50/26 Salary Grade: Grade 49 Expected Hiring Range Minimum: $86,000.00 Expected Hiring Range Maximum: $114,750.00. In support of this mission, we are seeking a candidate driven to collaborate, committed to building engaging with and sustaining a welcoming campus community over the long-term, and ambition to develop subject matter expertise.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)MA$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.
Affirmative Civil Enforcement ACE Investigator Contact Government Services LLCAffirmative Civil Enforcement ACE InvestigatorBoston, MAPerforms 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.
Special Investigations Unit Senior Investigator CVS Health CorpSpecial Investigations Unit Senior InvestigatorMA$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpInvestigator, Special Investigations Unit (Aetna SIU)MA$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 InvestigatorBoston, MA$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.
CIVIL RIGHTS INVESTIGATOR, OGC Equal Opportunity Boston UniversityCIVIL RIGHTS INVESTIGATOR, OGC Equal OpportunityBOSTON, MA$86,050–$114,750Full timeIn support of this mission, we're seeking a candidate driven to collaborate, committed to building, engaging with and sustaining a welcoming campus community over the long-term, and ambition to develop subject matter expertise. The Investigator will also support the development and delivery of education and prevention programs and work collaboratively with campus partners to promote the EOO mission and build trust with campus constituents.
Employment Investigator Commonwealth of MassachusettsEmployment InvestigatorBoston, MAA. Jimenez'',''Shirani A. Jimenez'',''6179946029'',''06-NAGE - Professional Admin.'',''06-NAGE - Professional Admin.'',''No'',''No'',''Yes'',''Yes'',''false'',''1088385'',''1088385'',''true'',''1088385'',''false'',''Submission for the position: Employment Investigator - (Job Number: 260004PO)'',''false'',''1088385'',''false'',''true''. The incumbent investigates complaints; obtains evidence and gathers facts concerning complaints and cases of alleged noncompliance with laws, rules, and regulations; performs related work as required and prepares dispositions recommending a finding.
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 behavioral health 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.
Clinical Investigator, Gastrointestinal Oncology UpLevel SourcingClinical Investigator, Gastrointestinal OncologyBoston, MassachusettsThe role offers significant opportunities for leadership in clinical trials and research collaborations, with the potential for meaningful contributions to advancements in the treatment and understanding of gastrointestinal malignancies. The successful candidate will be part of a rapidly expanding multi-disciplinary program focused on providing outstanding clinical care and conducting high-impact research in gastrointestinal malignancies.
Assistant Director & Civil Rights Investigator - Curry College Curry CollegeAssistant Director & Civil Rights Investigator - Curry CollegeMilton, MALocation: Milton, MA Category: Staff Job Type: Exempt Posted On: Tue May 12 2026 Job Description: The Assistant Director & Civil Rights Investigator supports the College"s Office of Title IX and Equity Compliance by conducting investigations, assisting with case management, and serving as a key point of contact for reports of sex- and gender[AF1] -based misconduct as well as race, disability, and other identities protected by institutional policies, federal and state law while fostering a campus environment grounded in equity, respect, and accountability. This role reports directly to the Director of Title IX & Institutional Equity to ensure prompt, equitable, and thorough resol.
Part-time Surveillance Investigator The Robison GroupPart-time Surveillance InvestigatorBoston, MassachusettsThrough our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
Civil Rights and Labor Relations Investigator (SY25-26) (Re-Post) Boston Public SchoolsCivil Rights and Labor Relations Investigator (SY25-26) (Re-Post)MAIn addition, at the direction of the Senior Legal Director, the Investigator will partner with attorneys in the Office of Labor Relations and the leadership of the Office of Human Resources (OHR) and other responsibility center leaders to investigate allegations of employee misconduct and allegations of contract violations brought by our union partners. Works closely with the Division of Schools and the Office of Civil Rights Director of Training and School Support developing and delivering education programs and training designed to proactively address workplace issues and increase compliance with BPS policies.
Surveillance Investigator Allied UniversalSurveillance InvestigatorNashua, NH$20–$23 / hourThe Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an insurance claim. RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability.
Travel Sub-Investigator Care AccessTravel Sub-InvestigatorBoston, MARemote$130,000–$165,000 / yearWith programs like Future of Medicine , which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers , which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Perform trial procedures as per delegation which can include the following but not limited to: Prescreen study candidates by telephone and review exclusionary conditions or medications prior to scheduling screening appointment.
SIU Fraud Investigator Mass General BrighamSIU Fraud InvestigatorSomerville, MassachusettsPerforms case research to include the review, interpretation, and application of payment policies, medical policies, provider manuals, benefits documents, national or local coverage determinations, and other applicable clinical practice parameters, regulations, or guidance pertaining to the submission of claims to health insurance plans. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
Cybersecurity Threat Investigator BAE Systems PlcCybersecurity Threat InvestigatorMerrimack, NH$132,962–$226,035 / yearAbout BAE Systems Electronic Systems BAE Systems, Inc. is the U.S. subsidiary of BAE Systems plc, an international defense, aerospace and security company which delivers a full range of products and services for air, land and naval forces, as well as advanced electronics, security, information technology solutions and customer support services. If you are looking to learn and aid in safeguarding our top cyber technologies, applications, and processes that protect and service our customers and ultimately our warfighters wherever they may be; air, land, and sea, then come join our award-winning security team at Electronic Systems (ES)!
Clinician Investigator, Instructor Brigham and Women's Physicians OrganizationClinician Investigator, InstructorBrookline, MassachusettsThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level.
Senior Investigator Digital Forensics, Incident Response (DFIR) Accenture PlcSenior Investigator Digital Forensics, Incident Response (DFIR)Boston, MAWe deliver around-the-clock incident response services to our expanding portfolio of enterprise customers across the globe, providing expertise to multinational clients and shaping thought leadership inside and outside the firm. We Are: Accenture Security is one of the fastest growing areas of our business, and our global Cyber Investigation and Forensic Response (CIFR) practice is at the heart of how we help clients prepare for, respond to, and recover from the most consequential cyber incidents.
Revenue 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.
Diversion Control Investigator Cencora IncDiversion Control InvestigatorMA$43,300–$79,310 / yearExperience and Educational Requirements: Requires broad training in fields such as criminal justice, business administration, accountancy, sales, marketing, computer sciences or similar vocations generally obtained through completion of a four year degree program or equivalent combination of experience and education. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave.
Auditor/Investigator II Qlarant Quality Solutions IncAuditor/Investigator IIMACollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Essential Functions: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Fraud Investigator Berkshire BankFraud InvestigatorBoston, MA$52,000–$90,498 / yearPurpose/Objective: As a member of the Financial Intelligence Unit's Fraud Investigations Team, the incumbent is responsible for handling all aspects of the fraud investigation process - including incident intake, advising on best practices for remediation, case management, and completion of regulatory reports. Key Accountabilities: Investigate fraud referrals/incidents and perform necessary research; efficiently arriving at sound risk-based conclusions in order to minimize fraud losses.
NewInvestigator II Point32HealthInvestigator IICanton, MassachusettsKey Responsibilities/Duties – what you will be doing (top five): Lead moderately complex to complex behavioral health 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.