PERMANENT

FULL_TIME

ADAPTED_NOW

YEAR

Examines, analyzes, presents, and secures evidence such as documents, emails, policies, text messages, payrolls, financial statements, billing statements, invoices, correspondence, computer data, and other records pertaining to the transactions, events, or allegations under investigation. - Assists Assistant United States Attorneys (AUSAs) in the investigation of matters in conjunction with federal agents, to determine whether there have been violations of Federal Statutes, e.g., False Claims Act, Stark Law, and Anti-Kickback Act.

The USAO regularly investigates and litigates matters involving fraud committed on public health care benefits programs including Medicare, Medicaid, TRICARE, and the Federal Employees Health Benefits Program. These investigations and cases often require additional investigative support, working in conjunction with the assigned federal agents, to investigate the facts and circumstances underlying the fraud, as well as litigate the cases. A Senior Civil Health Care Fraud Investigator is necessary for the USAO to pursue these types of cases. The Contractor shall provide one Senior Civil Health Care Fraud Investigator. Specific duties shall include the following: - Supports the planning and conduction of investigations - Assists Assistant United States Attorneys (AUSAs) in the investigation of matters in conjunction with federal agents, to determine whether there have been violations of Federal Statutes, e.g., False Claims Act, Stark Law, and Anti-Kickback Act. - Works and regularly communicates with AUSAs to identify possible violations or causes of action, determines proof required to assist in affixing legal responsibility, and devises methods for obtaining, preserving, and presenting such evidence. - Decides upon the most effective methods for planning, scheduling, and conducting investigations, and identifies required resources. Recommends methods for conducting investigations, including interviews, subpoenas, and depositions. Secures participation of appropriate law enforcement agents in execution of these investigative methods. - Identifies and presents AUSAs with potential investigations through review of the news, databases, and regular communications with representatives of Government agencies and private industry. - Contacts ffederal, state, and local officials, as well as business representatives, to gather information, documents, and statements on current or potential investigations, as well as coordinate investigative activities. - Assists AUSAs with the identification, locating, and interviewing of witnesses. Conducts surveillance of suspects with appropriate law enforcement agencies. Communicates with counsel of subjects and witnesses. - Prepares appropriate memos and reports on contacts, interviews, and surveillance. - Examines, analyzes, presents, and secures evidence such as documents, emails, policies, text messages, payrolls, financial statements, billing statements, invoices, correspondence, computer data, and other records pertaining to the transactions, events, or allegations under investigation. - Research and reviews laws, rules, regulations, and policies to determine whether health care billings were improper. Identifies and interviews any relevant Governmental or business representative pertaining to the propriety of the billings. - Traces funds derived from fraud and identifies assets of subjects. - Confirms authenticity of documents, corroborates witness statements, and otherwise builds proof necessary for successful litigation. - Arranges for the integrity of evidence through secure storage, preservation, organization, and indexing of voluminous physical and electronic evidence. - Regularly updates AUSAs on status of case. Prepares interim and final reports on progress of investigations for use by AUSAs and supervisory attorneys. Includes significant findings and conclusions, recommendations for additional investigative actions, and candid assessments of strengths and weaknesses of witnesses, documentary evidence, and other aspects of case. Assists AUSAs with preparation for litigation and trial. - Provides analytical advice and assistance with compiling documents and physical evidence, and creating charts, graphs, videotapes, and other audio-visual materials for use by AUSAs in motions and at trial. - Provides advice to AUSA on selection of witnesses and ensures their attendance through subpoena or otherwise. - Other related duties as assigned and within scope

Cameo Consulting Group

Senior Civil Health Care Fraud Investigator

Analysis Skills

Audiovisual

Calendar Management

Compensation and Benefits

Computer Forensics

Create Graphs

Documentaries

Federal Laws and Regulations

Fraud Investigation

Government

Health Plan

Healthcare

Law Enforcement

Legal

Legal Research

Litigation

Medicaid

Medical Billing

Medicare

Progress Reports

Regulations

Surveillance

monster

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

Willing to Travel

Talent Acquisition

Additionally, the system provides a wide range of healthcare services, such as Reading Hospital Rehabilitation at Wyomissing, home healthcare via Tower Health at Home, TowerDirect ambulance and emergency response, Tower Health Medical Group, Tower Health Providers (a clinically integrated network), and Tower Health Urgent Care facilities across its service area. Committed to academic medicine and training, Tower Health offers various programs, including residency and fellowship programs, the Drexel University College of Medicine at Tower Health, and the Reading Hospital School of Health Sciences.

Responsibilities:
Work Schedule: Monday -Friday The Regional Security Investigator is responsible for overseeing and conducting investigations into security incidents across facilities in the Tower Health system. This role involves investigating potential criminal activity and other security events, coordinating security efforts, developing and implementing security protocols, and collaborating with law enforcement and other agencies to ensure a safe and secure environment across all facilities.  BENEFITS <ul style="margin-bottom:0in;margin-top:0px"><li style="color:black;line-height:normal;margin-top:0in;margin-right:0in;margin-bottom:8pt;font-size:11pt;font-family:'aptos' , sans-serif">Generous time off, tuition assistance, and comprehensive benefits</li><li style="color:black;line-height:normal;margin-top:0in;margin-right:0in;margin-bottom:8pt;font-size:11pt;font-family:'aptos' , sans-serif">Instant access throughout the pay period with Tower Advance Pay, ensuring financial flexibility and convenience</li><li style="color:black;line-height:normal;margin-top:0in;margin-right:0in;margin-bottom:8pt;font-size:11pt;font-family:'aptos' , sans-serif">Employee Assistance Program, Retirement Savings Program, Life Insurance, and more!</li></ul>    #READ

Qualifications:
Education Requirements<ul><li>2 year/Associate Degree - OR - combination of relevant education & experience may be considered in lieu of Associate Degree</li><li>Completes and maintains all competencies and trainings as required for role.</li></ul>Experience<ul><li>Relevant Experience</li></ul>Certification and Licensure<ul><li>IAHSS Advanced Level Certification (CAHSO) - Must be obtained within 12 months of hire/placement</li><li>IAHSS Supervisor Level Certification (CHSS) - Must be obtained within 18 months of hire/placement</li><li>IAHSS Basic Level Certification (CHSO) - Must be obtained within 6 months of hire/placement</li></ul>Required Skills<ul><li>Accountable for maintaining workplace safety</li><li>Collaborative Skills</li><li>Customer Service Skills</li><li>Detail Oriented</li><li>Excellent Communications Skills</li><li>Excellent Interpersonal Skills</li><li>Good Reasoning Skills</li><li>Leadership Skills</li><li>Listening Skills</li><li>Microsoft Office Applications</li><li>Multitasking</li><li>Organizational Skills</li><li>Prepare & Give Presentations</li><li>Problem Solving Skills</li><li>Project Management Skills</li><li>Strategic Thinking</li><li>Strong Team Player</li></ul>

Overview:
Tower Health, a regional healthcare system, serves communities across multiple counties in Pennsylvania. Its network includes Reading Hospital, Phoenixville Hospital, Pottstown Hospital, and St. Christopher's Hospital for Children (in partnership with Drexel University). Committed to academic medicine and training, Tower Health offers various programs, including residency and fellowship programs, the Drexel University College of Medicine at Tower Health, and the Reading Hospital School of Health Sciences. Additionally, the system provides a wide range of healthcare services, such as Reading Hospital Rehabilitation at Wyomissing, home healthcare via Tower Health at Home, TowerDirect ambulance and emergency response, Tower Health Medical Group, Tower Health Providers (a clinically integrated network), and Tower Health Urgent Care facilities across its service area.

Tower Health

Regional Security Investigator

Ambulance Services

Communication Skills

Computer Security

Customer Support/Service

Detail Oriented

Emergency Response

Fellowship

Health Science

Healthcare Providers

Home Care

Hospital

Interpersonal Skills

Leadership

Medicine

Microsoft Office

Network Integration

Presentation/Verbal Skills

Problem Solving Skills

Project/Program Management

Safety/Work Safety

Security Attacks

Security Protocols

Team Player

Urgent Care

[AW]-iCims

Overview:
Company Overview: Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you’re ready to grow with the best, explore a career with us and make a difference.

Job Description:
Allied Universal® is hiring a Surveillance Investigator. The 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. <ul style="margin: 0px; padding: 0px; font-family: verdana;"><li style="margin: 0px 0px 0px 22px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_MSFontService, sans-serif;" aria-setsize="-1" data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="1" data-aria-level="1">Job flexibility offering field work!<span style="margin: 0px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_EmbeddedFont, Verdana_MSFontService, sans-serif; color: #242424;" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":700,"335559737":0,"335559738":0,"335559739":0,"335559740":279,"335559991":360}"> </li></ul><ul style="margin: 0px; padding: 0px; font-family: verdana;"><li style="margin: 0px 0px 0px 22px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_MSFontService, sans-serif;" aria-setsize="-1" data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="2" data-aria-level="1">Auto and travel allowances!<span style="margin: 0px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_EmbeddedFont, Verdana_MSFontService, sans-serif; color: #000000;" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":700,"335559737":0,"335559738":0,"335559739":0,"335559740":279,"335559991":360}"> </li></ul><ul style="margin: 0px; padding: 0px; font-family: verdana;"><li style="margin: 0px 0px 0px 22px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_MSFontService, sans-serif;" aria-setsize="-1" data-leveltext="" data-font="Symbol" data-listid="15" data-list-defn-props="{"335552541":1,"335559685":1440,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"hybridMultilevel"}" data-aria-posinset="3" data-aria-level="1">Must possess a valid driver's license with at least one year of driving experience<span style="margin: 0px; padding: 0px; font-size: 10pt; font-family: Verdana, Verdana_EmbeddedFont, Verdana_MSFontService, sans-serif; color: #333333;" data-ccp-props="{"134233117":false,"134233118":false,"201341983":0,"335551550":1,"335551620":1,"335559685":700,"335559737":0,"335559738":0,"335559739":0,"335559740":279,"335559991":360}"> </li></ul> RESPONSIBILITIES:<ul><li>Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability</li><li>Utilize various surveillance techniques and equipment to monitor subjects covertly</li><li>Document and report observations, activities, and any relevant information in a clear and concise manner</li><li>Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts</li><li>Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations</li></ul>QUALIFICATIONS (MUST HAVE):<ul><li>High school diploma or equivalent</li><li>Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course</li><li>Minimum of one (1) year of verifiable work experience, preferably involving investigations or other protective service-related field</li><li>Flexibility to work varied and irregular hours/days including weekends and holidays</li><li>Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors</li><li>Proficient in utilizing laptop computers, video cameras and cell phones</li><li>Capable of maintaining focus and multitasking effectively in a dynamic environment</li><li>Demonstrated ability to manage stressful situations with composure and professionalism</li><li>Ability to work in a very independent environment</li></ul>PREFERRED QUALIFICATIONS (NICE TO HAVE):<ul><li>Associate’s Degree or higher, preferably in Criminal Justice</li><li>Security/Loss Prevention experience</li><li>Military experience</li><li>Law enforcement experience</li><li>Prior insurance investigations experience</li><li>Prior educational or professional incident reporting and/or investigations experience</li></ul>BENEFITS:<ul><li>Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance</li><li>Seven paid holidays annually, sick days available where required by law</li><li>Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law</li></ul>

Closing:
Allied Universal® is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.

Requisition ID:
2026-1601154

Allied Universal provides unparalleled service, systems and solutions to the people and business of our communities, and is North America's leading security services provider. With over 140,000 employees, Allied Universal delivers high-quality, tailored solutions, which allows clients to focus on their core business. For more information: 866.825.5433 or <a href="http://www.aus.com/" target="_blank">www.AUS.com</a>

Investigator Jobs in Silver Spring, PA

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Investigator Jobs in Silver Spring, PA

Senior Civil Health Care Fraud Investigator Cameo Consulting Group

Investigator Ethos Risk Services

Regional Security Investigator Tower Health

Surveillance Investigator Allied Universal

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