Private Investigator - Retired/Former Law Enforcement Lemieux & Associates LLCPrivate Investigator - Retired/Former Law EnforcementBuffalo, NYp style="line-height:15pt">We're actively seeking retired and former law enforcement professionals to join our Special Investigations Unit (SIU) as Investigators. As part of our SIU team, you will: Conduct in-depth investigations into suspicious insurance claims.
NYSIF Surveillance & SIU Investigator Lemieux & Associates LLCNYSIF Surveillance & SIU InvestigatorBuffalo, NY$25–$32 / hourWe are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel. Note: If an applicant is currently on another agencies NYSIF Personnel Spreadsheet, they must be removed prior to employment with Lemieux & Associates as a NYSIF investigator.
Investigator Ethos Risk ServicesInvestigatorBuffalo, NYul>Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. Our dynamic Ethos team is seeking an Experienced Field Investigator to conduct surveillance and investigative activities to identify potential fraudulent insurance claims.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorBuffalo, NY$25–$35 / hourli style="color:#222222;text-align:justify;line-height:normal;background:#ffffff">Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection. Ability to accurately photograph evidence i.e., accident scenes, vehicle damage, etc.
Investigator Lemieux & Associates LLCInvestigatorBuffalo, NYp style="line-height:15pt">We're looking for motivated graduates with: Associate or bachelor's degree (Criminal Justice or related fields preferred). We're hiring entry-level Special Investigations Unit (SIU) Investigators to help detect and prevent insurance fraud.
Sub-Investigator/PA JouléSub-Investigator/PAKenmore, NY$45–$65 / hourem>The Sub-Investigator, under the supervision of the Principal Investigator, is responsible for both clinical and educational aspects of clinical trial studies while focused on interpreting clinical protocols and conducting study visits with subjects.. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.
Medical Investigator I/II (RN Required) Univera HealthcareMedical Investigator I/II (RN Required)Buffalo, New Yorkul>Must meet the NYS DFS’s and the NYS OMIG’s minimum investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or experience, which shall include: A minimum of five years in the healthcare field working in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies; or seven years of professional investigation experience involving economic or insurance related matters; or an associate’s or bachelor’s degree in criminal justice or related field; or employment as an investigator in the SIU on or before December 28, 2022. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action plans, developing correspondence to impacted parties, managing disputes, and collaborating with law enforcement and regulatory agencies.
Medical Investigator I/II (RN Required) Excellus BCBSMedical Investigator I/II (RN Required)Buffalo, New Yorkul>Must meet the NYS DFS’s and the NYS OMIG’s minimum investigator requirements as follows: Persons employed by the SIU as investigators shall be qualified by education or experience, which shall include: A minimum of five years in the healthcare field working in FWA investigations and audits; or five years of insurance claims investigation experience or professional investigation experience with law enforcement agencies; or seven years of professional investigation experience involving economic or insurance related matters; or an associate’s or bachelor’s degree in criminal justice or related field; or employment as an investigator in the SIU on or before December 28, 2022. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action plans, developing correspondence to impacted parties, managing disputes, and collaborating with law enforcement and regulatory agencies.
Fraud, Waste & Abuse (FWA) Investigator - No Surprises Act (NSA) CVS Health CorpFraud, Waste & Abuse (FWA) Investigator - No Surprises Act (NSA)Amherst, NY$66,330–$145,860 / yearThe position plays a key role in identifying fraud risks, supporting program integrity efforts, and helping to prevent financial losses related to fraud, waste, and abuse. Directs complex investigations, including data analysis, interviews, and document review, to identify potential fraud, waste, and abuse, including NSA-related activity.
Sub-Investigator/PA System OneSub-Investigator/PAKenmore, New York$45–$65 / hourThe Sub-Investigator, under the supervision of the Principal Investigator, is responsible for both clinical and educational aspects of clinical trial studies while focused on interpreting clinical protocols and conducting study visits with subjects. System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America.
NewCompliance Billing Auditor/Investigator Aspire of WNYCompliance Billing Auditor/InvestigatorCheektowaga, NY$23.95–$28.31 / hourRequirements: * Bachelors Degree * 3 years experience in OPWDD/Medicaid Audits, medical reviews, quality assurance/improvement or regulatory compliance This position includes our excellent benefit package! At Aspire, we are driven by the core belief that children and adults with developmental disabilities have the right to realize their full potential and live as independently as possible.
CRIMINAL INVESTIGATOR FOR DISTRICT ATTORNEY (FULL TIME) Niagara County, NYCRIMINAL INVESTIGATOR FOR DISTRICT ATTORNEY (FULL TIME)Niagara County, NYVisit PDF for full description: https://niagara-portal.mycivilservice.com/default/show_accountment/47306
NewInvestigator, Fraud Community Bank, N.A.Investigator, FraudBuffalo, NYp>The Fraud Investigator is responsible for conducting complex fraud investigations involving suspicious account activity, transactional anomalies, payment-related fraud events, customer fraud claims, scamrelated losses, account takeover activity, check fraud, digital banking abuse, and other elevated fraud matters. Essential Duties: Conduct complex fraud investigations involving suspicious activity, payment anomalies, customer fraud events, scam-related losses, account takeover, check fraud, ACH and wire concerns, card-related activity, digital banking misuse, and other elevated fraud matters.