NewSurveillance Investigator Frasco IncSurveillance InvestigatorMilwaukee, WI$22–$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.
Investigator Ethos Risk ServicesInvestigatorMilwaukee, WIPart timeCONDITIONS: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 requiredMost surveillance cases start at 6:00AM. REQUIREMENTS:Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
SIU Claims Investigator Lemieux & Associates LLCSIU Claims InvestigatorMilwaukee, WI$25–$32 / hourPart timeNotary license strongly (preferred).Bilingual ability and/or degree in Criminal Justice or related field (preferred).Willingness to travel; flexible schedule (varied/irregular hours).Strong computer and internet skills. Accurately photograph evidence (accident scenes, vehicle damage, etc.).Skills & ExperienceExperience handling complex SIU/Claims cases.
Entry-Level Investigator Ethos Risk Services LLCEntry-Level InvestigatorMilwaukee, WIOur 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.
Quality Investigator Jr AA2ITQuality Investigator JrSturtevant, WI$22–$25 / hourExecute corrective/preventive actions and product non-conformance including capturing data and investigations associated with product deviations, product non-conformances, CAPAs, scrap and rework, and analyzing the data for the reasons of Quality Improvement and reporting. Quality initiatives - Identify new quality improvement initiatives / projects in accordance with cGMP expectations to improve compliance, quality levels (reducing defects), and improve operational efficiencies.
Special Investigations Unit Investigator CareOregon IncSpecial Investigations Unit InvestigatorWI$74,250–$90,750 / yearStrong research, investigative and problem-solving skills Strong communication skills, including written, verbal and listening skills Effective computer skills, including MS Office Suite Strong interpersonal and motivational skills Ability to think logically and creatively without undue influence from personal biases Ability to operate with a high degree of professionalism and confidentially Ability to plan, organize, manage, and monitor work projects Ability to facilitate learning opportunities in a variety of informal and formal settings Ability to make presentations to small and large groups. Ability to bend and speak clearly for at least 3 hours/day Ability to learn, focus, understand, and evaluate information and determine appropriate actions Ability to accept direction and feedback, as well as tolerate and manage stress Ability to see, read and hear and for at least 6 hours/day Ability to perform repetitive finger and wrist movement for at least 3-6 hours/day Ability to work effectively with diverse individuals and groups.
Loss Prevention Investigator Fleet Farm E-Commerce Enterprises, LLCLoss Prevention InvestigatorGermantown, WIAs a Loss Prevention Investigator, you work closely with store and loss prevention leadership utilizing one of the industry's most advanced camera systems, exception based reporting tools, and other investigate techniques to reduce shrink. The ability to work a flexible schedule to meet the needs of the business including early mornings, nights, weekends and holidays is preferred.
Operations Center Investigator - 2nd Shift Kohl's CorpOperations Center Investigator - 2nd ShiftMenomonee Falls, WIYou support field loss prevention associates, develop cases with local law enforcement to resolve organized retail crime, answer incoming associate calls to assist with shoplifting apprehensions or significant events, research fraudulent activity, advise partners on fraud patterns and behaviors, analyze data and summarize results. Work with the Organized Retail Crime (ORC) team to supplement case building of internal and external theft cases.
Operations Center Investigator - 3rd Shift Kohl's CorpOperations Center Investigator - 3rd ShiftMenomonee Falls, WIYou support field loss prevention associates, develop cases with local law enforcement to resolve organized retail crime, answer incoming associate calls to assist with shoplifting apprehensions or significant events, research fraudulent activity, advise partners on fraud patterns and behaviors, analyze data and summarize results. Work with the Organized Retail Crime (ORC) team to supplement case building of internal and external theft cases.
Quality Investigator JR Info Way Solutions LLCQuality Investigator JRSturtevant, WIComplete investigations which may include execution of product returns and subsequent evaluations, reviews of manufacturing records, and assuring proper approvals are obtained as part of closures. Work with minimal supervision and requires a high degree of interaction with customers, health care professionals and Global Merz at all levels within the organization.
SIU Investigator Centene Corporation GroupSIU InvestigatorWI$56,200–$101,000 / yearLicenses/Certifications: Accredited Healthcare Fraud Investigator (AHFI), Certified Fraud Examiner (CFE), Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), or other related investigative, auditing, or compliance certification preferred. Collaborates with internal business partners, compliance, legal, provider and payment integrity teams, and external agencies to coordinate investigative activities, support corrective actions, recoveries, and case resolution efforts.
Field Investigator Burlington Stores IncField InvestigatorWauwatosa, WI$65,000–$80,000 / yearThe role collaborates closely with store and field asset protection teams and operational business partners to identify, analyze, and mitigate shortage risk through investigations as well as proactive measures to minimize opportunity for dishonest behaviors. Work cross-functionally with Asset Protection, Shortage Control, Safety, Store Operations, HR, Legal, and the Training and Development team in coordinating investigations, training efforts, and shortage and safety program compliance.
Surveillance Investigator - Part Time Allied UniversalSurveillance Investigator - Part TimeMilwaukee, WisconsinThe 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. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
Surveillance Investigator Allied UniversalSurveillance InvestigatorRacine, WisconsinThe 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. Conduct independent investigations of insurance claims across a range of coverage types, including workers’ compensation, general liability, property and casualty, and disability .
APS Investigator Racine, County OfAPS InvestigatorRacine, WI$27.06–$37.88 / hourWork with Racine County's Mobile Response team to provide crisis intervention, crisis counseling, assessment, and referrals elderly and disabled Racine County residents. Complete and coordinate appropriate and timely medical record documentation, which may include assessments, follow-up contacts, crisis plans, administrative, demographic, insurance, and financial information.
Loss Prevention Investigator Fleet Wholesale Supply Co. LLCLoss Prevention InvestigatorGermantown, WIPart timeAs a Loss Prevention Investigator, you work closely with store and loss prevention leadership utilizing one of the industry’s most advanced camera systems, exception based reporting tools, and other investigate techniques to reduce shrink. The ability to work a flexible schedule to meet the needs of the business including early mornings, nights, weekends and holidays is preferred.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Milwaukee, WIRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Senior Compliance Investigator Centene Corporation GroupSenior Compliance InvestigatorWI$70,100–$126,200 / yearLeads and conducts compliance and ethics investigations across all business units and health plans, including but not limited to assessment of allegations, review of relevant documents, witness interviews, analysis of facts, root cause analysis, and preparation of investigation reports with recommended remedial or disciplinary actions. Education/Experience: A Bachelor's Degree in Related Field or Associates with 5 years of applicable experience, or a High School/GED with 6 years of applicable experience may substitute for the Bachelor's Degree, required.
Clinical Investigator Behavioral Health Centene Corporation GroupClinical Investigator Behavioral HealthWI$56,200–$101,000 / yearPosition requires the associate to verify authorization for services and written documentation of services provided against claim information, ensure the appropriateness and accuracy of diagnosis and procedure codes supporting such claims, coordinate medical necessity and appropriate level of care determinations with Medical Directors, and validate services against CMS and State-specific coverage, limitations and exclusion guidelines. 3+ years of providing direct Psychotherapy or Inpatient group therapy within inpatient psychiatric hospitals or units, residential treatment centers, substance abuse rehabilitation facilities, military or veteran hospitals.
NewSubrogation Investigator Sanford HealthSubrogation InvestigatorWIRemote$15.50–$23.50 / hourSanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org.