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Investigator jobs in Alabama - 42 jobs

  • Alabama, Mobile SIU Investigator PT (28320)

    Isg 4.7company rating

    Investigator job in Alabama

    About Us: Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related services. We are dedicated to maintaining the highest standards of integrity and transparency within our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating risks associated with fraud and misconduct. Job Description: We are seeking a meticulous and experienced SIU Investigator to join our team. The ideal candidate will be responsible for conducting comprehensive investigations into potential fraud and misconduct. This role involves a variety of investigative tasks aimed at gathering evidence and supporting our commitment to ethical practices. Key Responsibilities: Analytical Skills: Ability to analyze data, reports, and evidence. Attention to Detail: Precision in examining documents and facts. Communication Skills: Strong written and verbal skills for reporting findings and testifying in court. Technical Proficiency: Familiarity with investigative tools and software. Problem-Solving Skills: Ability to think critically and develop strategies for investigations. Scene Recreation: Conduct scene recreations to analyze incidents thoroughly. Light Sequence Assessment: Assess and document intersection light sequences relevant to investigations. Statement Collection: Obtain both recorded and written statements from witnesses, claimants, and involved parties. Document Retrieval: Retrieve necessary documents and materials to support investigations. Affidavit Procurement: Procure notarized affidavits to enhance the credibility of evidence. Wellness Checks: Perform wellness checks to ensure the safety and well-being of individuals involved. Unannounced Visits: Conduct unannounced visits as part of investigative protocols. Canvassing: Engage in neighborhood and witness canvassing to gather additional information. Report Compilation: Compile detailed reports that include time-stamped photos and/or videos to support findings. Qualifications Candidates must have the following qualifications: Insurance Experience: Background in insurance, including workers' compensation, auto, liability, or similar SIU experience. Reliable Equipment: Access to a reliable vehicle, computer, and cell phone for investigative purposes. Digital Video Capability: Proficiency in using a digital video camera with date and time stamp capability for documentation. Web-Based Systems: Familiarity with web-based systems and the ability to write detailed reports. Travel Flexibility: Ability and willingness to travel as necessary for investigations. Independent Work: Ability to work independently and complete cases successfully with little supervision. We are hiring employees not subcontractors. ***Current Alabama Private Investigator License Required*** Agency Principal: 470
    $65k-113k yearly est. 2d ago
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  • SIU Investigator P&C (Mid-level) - Desk

    USAA 4.7company rating

    Investigator job in Littleville, AL

    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. This role is remote eligible. However, you must live in one of the following States: Oklahoma, Mississippi, Arkansas, Alabama or Louisiana. There may be occasional business travel involved. What you'll do: Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims. Participates in the development of fraud prevention strategies. Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy contracts, coverages and internal claims handling process and procedures. Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. Makes recommendations within defined authority guidelines. Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome. Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention. May serve as a resource team member on specific matters through demonstrated skill or training. Assists with the delivery of fraud awareness training initiatives in a defined environment. Handles CAT duty responsibilities as business requires. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: High School Diploma or General Equivalency Diploma (GED). 2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience. Proven investigatory skills. Experience obtaining statements from various parties to incidents, witnesses, and suspects. Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud. Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems. Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems. Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology. What sets you apart: SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military Investigative experience. Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other. US military experience through military service or a military spouse/domestic partner Compensation range: The annualized range for this position is: $77,120 - $147,390. However, it is an hourly position. Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $77.1k-147.4k yearly Auto-Apply 9d ago
  • Investigator

    Ethos Risk Services

    Investigator job in Bessemer, AL

    Job Description 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: Case Preparation: Prepare for surveillance assignment by reviewing Ethos' preliminary reports and case information. Field Surveillance: Perform covert surveillance from your vehicle by tracking and capturing high-quality video evidence of surveillance targets. Report Writing: Draft detailed and court-ready investigative reports summarizing activity and key findings. Documentation: Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day. Communication: Work closely with the field supervisor and operations teams, receiving regular guidance and mentorship. REQUIREMENTS: Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. Driver's License: Valid driver's license and proof of automobile insurance. Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows). Surveillance Equipment: A handheld camcorder with high-quality zoom and a covert camera device. Use of stabilization equipment (gimbals, tripods, etc.) is strongly encouraged. Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks. Private Investigator License: Active Private Investigator license or willingness to obtain one (where required by state). WORKING CONDITIONS: 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 Most surveillance cases start at 6:00AM. End time can vary depending on activity and a typical workday can vary from 3-12 hours. Weekends/holidays are common workdays as claimants are more likely to be active. This is an independent role often requiring long hours alone in your vehicle, regardless of weather conditions. Must remain alert with no external distractions, ready to use videography equipment to document subjects. 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
    $53k-95k yearly est. 31d ago
  • Contract Investigator - Phenix City, AL

    Omniplex World Services Corporation, A Constellis Company

    Investigator job in Phenix City, AL

    OMNIPLEX World Services Corporation is seeking talented individuals committed to excellence, honesty, and integrity to join our team. 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. OMNIPLEX is seeking to fill immediate and upcoming openings for Contract Investigators. A Contract Investigator works for us on an as needed basis and no hours are guaranteed. We prefer Contractors to be available to work a minimum of ten hours per week where work is available. Candidate must be willing to travel within a 35-50 mile radius from city location. Candidate must be local to Phenix City, AL QUALIFICATIONS: U.S. Citizenship; H.S. Diploma or equivalent; Minimum of 1 year of specialized Federal Background investigative experience within the last 5 years; Must have some FIS Experience; Reliable personal vehicle, valid driver's license, and satisfactory driving record; Willing to travel on temporary duty assignments as needed (by car or plane); Successfully pass background checks and all required training; Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists; Ability to interpret a variety of instructions furnished in oral, written, diagram, or schedule form; Ability to read, analyze, and interpret professional journals, technical procedures, or governmental regulations; Ability to write reports and business correspondence; Ability to work in a MS Window based operating environment, including proficiency with Microsoft Office (Word, Excel, PowerPoint), Internet and E-mail; Current (within the last 2 years) Single Scope Background Investigation (SSBI) or active Secret level security clearance based on an SSBI and able to obtain the required security clearance. Job Duties and Responsibilities: Conduct in-person, one-on-one subject interviews to obtain factual information about the individual's background and character, in accordance with agency guidelines and instructions. Obtain factual information from a variety of personal and record sources to produce a report of investigation that contains all pertinent facts of an individual's background and character in accordance with agency guidelines and instructions. Travel throughout the geographic area of responsibility to conduct investigations at various places of employment, residence, and education institutions as cases are assigned. Must be willing to travel in and around assigned location within 30-50 miles (or more) as needed Engage in dialogue on a regular basis with managers and representatives at contractor facilities, various U. S. Government organizations, and law enforcement agencies to develop and maintain effective and cooperative working relationships. Adapt to changing situations and environments as they occur and be able to interact with people from all walks of life and socioeconomic levels. Demonstrate strong verbal and written communications skills and exhibit professional demeanor in all situations. Work load based on availability of cases in geographic area. Some voluntary, temporary duty assignments in other areas of the country (typically 2-4 weeks at a time) are possible. Other duties as required. Desired Experience and Education: Background Investigator Training that meets the National Training Standards (NTS) Prior background investigations experience supporting government contracts. Associate or Bachelor degree in Criminal Justice or a related field. Current Top Secret clearance WORKING CONDITIONS: Work is typically based in the investigator's home office as well as in the investigator's personal vehicle traveling to various field locations to conduct interviews. Coverage area varies and could include some extended drives. Work 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. PHYSICAL REQUIREMENTS: Requires intermittent standing, writing/typing, walking, sitting, and driving throughout the workday, and may include for multiple hours.
    $52k-93k yearly est. 60d+ ago
  • Senior Investigator, Special Investigations Unit (Aetna SIU)

    CVS Health 4.6company rating

    Investigator job in Alabama

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary- Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. - Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the prosecution of specific healthcare fraudcases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates the recovery of company and customer money lost as a result of fraud matters. - Provides input regarding controls for monitoring fraud related issues within the business units. - Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses to the company- Maintains open communication with constituents within and external to the company. - Uses available resources and technology in developing evidence, supporting allegations of fraud and abuse. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case activity in tracking system. - Makes referrals and deconflictions, both internal and external, in the required timeframe. - Cost effectively manages use of outside resources and vendors to perform activities necessary for investigations. - Exhibits behaviors outlined in Employee Competencies- Attending and presenting at quarterly state meetings. Required Qualifications- 1+ years' experience working with Medicaid. - 3+ years' in healthcare field working in fraud, waste and abuse investigations and audits. - Proficient in researching information and identifying information resources. - Experience working in Microsoft Word, Excel, Outlook products. - Experience working with database search tools and use in the Intranet/Internet to research information. - Ability to utilize company systems to obtain relevant electronic documentation. - Ability to travel and participate in legal proceedings, arbitrations, depositions, etc. Preferred Qualifications- Knowledge of New Jersey Medicaid- Credentials such as a certification from the Association of Certified Fraud Examiners (CFE)- An accreditation from the National Health Care Anti-Fraud Association (AHFI). - Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA)- Knowledge of Aetna's policies and procedures- Ability to interact with different groups of people at different levels and provide assistance on a timely basis. Education- Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988. 00 - $122,400. 00This 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. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. 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. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 02/07/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $47k-122.4k yearly 5d ago
  • SIU Investigator - Underwriting & Premium Fraud

    CNA Financial Corp 4.6company rating

    Investigator job in Birmingham, AL

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. Under minimal direction, initiates and manages suspected fraudulent underwriting and insurance premium investigations involving the highest complexity matters. Provides advice, direction, and support to underwriters, auditors, business unit leadership, corporate investigations and other stakeholders across the organization on the detection, investigation, and litigation of suspected underwriting matters. JOB DESCRIPTION: Essential Duties & Responsibilities Performs a combination of duties in accordance with departmental guidelines: * Leads the detailed analysis and completion of thorough and timely investigations of suspected underwriting fraud by following Best Practice Guidelines and collaborating with business stakeholders. * Develops and executes investigation strategy either independently or in collaboration with underwriting professionals, counsel, experts, insureds, and other stakeholders. * Manages investigation activities independently and/or coordinates/oversees vendor service partner activities in the field. * Maintains detailed, accurate and timely case records by following established Best Practices for file documentation and by creating comprehensive reports of investigative findings, and conclusions. * Makes recommendations for resolution by presenting evidence-based findings and proposing solutions of moderate to complex scope. * Identifies opportunities and participates in the design and implementation of process or procedural improvements. * Leads or directs efforts to build and enhance and oversees organizational capabilities by developing and delivering fraud awareness or regulatory compliance training and mentoring SIU staff. * Leads or directs the preparation of cases for appropriate reporting to outside agencies; leads or directs pursuit of criminal or civil actions through gathering and documenting relevant data, organizing and summarizing facts and testifying on behalf of the company in civil or criminal matters. * Continuously develops knowledge and expertise related to insurance fraud by keeping current on related law, regulations, trends, and emerging issues and participating in insurance fraud or related professional associations. May perform additional duties as assigned. Reporting Relationship Typically Manager or Director Skills, Knowledge and Abilities * Solid knowledge of property and casualty claim handling practices * Strong technical knowledge of practices and techniques related to investigations and fact finding. For roles focused in an area of specialty (medical provider investigations), strong technical knowledge of respective specialty practices is required. * Strong interpersonal, oral, and written communication skills; ability to clearly communicate complex issues * Ability to interact and collaborate with internal and external business partners, including outside agencies * Ability to work independently, exercise good judgment, and make sound business decisions * Detail oriented with strong organization and time management skills * Strong ability to analyze complex, ambiguous matters and develop effective solutions * Proficiency with Microsoft Office applications and similar business software, and understanding of relational databases information querying techniques * Ability to adapt to change and value diverse opinions and ideas * Developing ability to implement change * Ability to travel occasionally (less than 10%) Education and Experience * Bachelor's degree or equivalent professional experience. * Minimum of three to five years of experience conducting investigations in the area of a) insurance fraud, b) law enforcement, c) civil or criminal litigation, or d) similar field. * Professional certification or designation related to fraud investigations strongly preferred (e.g., CFE, CIFI, FCLS, FCLA, or similar). #LI-AR1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
    $54k-103k yearly Auto-Apply 25d ago
  • Fraud Investigator Specialist

    Alfa Insurance 4.5company rating

    Investigator job in Montgomery, AL

    Company Overview Alfa Insurance is an A-rated insurance carrier that offers an excellent array of auto, home, life, farm and business insurance products. Alfa is known for its superior customer service and boasts 94% claims satisfaction. Since its humble beginnings in 1946, Alfa and its affiliates now serve more than 1 million customers across 14 states. Job Summary Are you a detail-oriented professional with a passion for uncovering the truth and protecting organizations from financial harm? As a Fraud Investigator Specialist, you will play a critical role in identifying, investigating, and resolving fraudulent activities across various channels. You will conduct thorough investigations into suspected internal fraudulent activity related to employees & third-party vendors/service providers, in accordance with lawful fraud examination techniques, utilizing the ACFE Fraud Examiners Manual for guidance. RESPONSIBILITIES Clearly and concisely prepare comprehensive investigative reports & present findings to management & legal teams. Collaborate with law enforcement, regulatory bodies & other insurers to share information and coordinate anti-fraud efforts, as needed. Ensure reporting meets management's expectations and department standards. Ensure individual compliance with accepted fraud investigation standards, Global Auditing Standards and Audit Services' Charter. Complete all tasks with ethics and professionalism, maintaining integrity, objectivity, independence, honesty, and professional courage, in accordance with the Global Auditing Standards. When not engaged in investigative activity, expected to assist with Audit projects commensurate with the duties of a Staff Auditor. Review & analyze financial documents, insurance policies, and claims to identify irregularities & patterns indicative of fraud, and consulting/advisory activities on behalf of management to improve controls and efficiency of operations. QUALIFICATIONS Bachelor's degree in Criminal Justice, Finance, Accounting, Business Administration, or a related field. In lieu of bachelor's degree, must have 7 years of investigative experience; financial or insurance related experience a plus 3 years of investigative experience is required; financial or insurance related experience is a plus. Strong knowledge of insurance processes, fraud schemes, and investigative techniques is preferred. Relevant certifications (e.g., Certified Fraud Examiner, CFE/ Certified in Financial Forensics, CFF) are preferred, and one will be required within first two years of employment. Insurance Agent License is preferred and will be required within first year of employment. Excellent analytical, problem-solving, and critical thinking skills. Ability to work independently and manage multiple cases simultaneously. Benefits/Perks Opportunity for annual performance bonus Discounts on your auto insurance (underwriting approval required) Benefits include: Health, dental, supplemental cancer, vision insurance and 401(k) plan Paid Time Off Bank to include 3 days PTO available after first 80 hours worked for New Hires Short-term and long-term disability Flexible Healthcare and Childcare spending accounts for tax savings Opportunities for advancement Continuous training and support throughout your career with Alfa College tuition discounts at various colleges in Alabama Fitness center Onsite cafeteria Alfa Insurance is an A-rated insurance carrier that offers an excellent array of auto, home, life, farm and business insurance products. Alfa is known for its superior customer service and boasts 94% claims satisfaction. Since its humble beginnings in 1946, Alfa and its affiliates now serve more than 1 million customers across 14 states. Working for Alfa Insurance is more than just servicing customers and selling insurance. It's becoming part of a well-respected company that is based on our core 4 values of faith, family, community and integrity.
    $29k-45k yearly est. Auto-Apply 60d+ ago
  • Surveillance Investigator

    Security Director In San Diego, California

    Investigator job in Selma, AL

    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. Private Investigator's license required prior to applying Must possess a valid driver's license with at least one year of driving experience Pay Rate: $22 - $25/hr RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law 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: *********** 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: ***********/offices. Requisition ID 2025-1504498
    $22-25 hourly Auto-Apply 11d ago
  • Licensed Covert Surveillance Investigator - Part Time - Montgomery, AL

    Meridian Bank 4.6company rating

    Investigator job in Montgomery, AL

    JOB PURPOSE Conduct covert field surveillance with an emphasis on worker's compensation fraud and insurance fraud. DUTIES AND RESPONSIBILITIES Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Conduct covert field surveillance via both stationary and mobile surveillance. Obtain professional quality video and photographic documentation of subjects. Prepare and file comprehensive investigative reports using the information that was collected from surveillance investigations. Upload video, photographs, audio files, and documents into the case management system. Conduct scene investigations, interviews, recorded statements, etc. Prepare written and recorded Statements from in-person interviews. Provide legal testimony. Other duties as assigned Requirements SKILLS AND QUALIFICATIONS Minimum two years experience working as an investigator. Ability to conduct covert field surveillance assignments. Ability to communicate effectively, both orally and in writing. Ability to gather data, compile information, and prepare reports. Ability to provide legal depositions and testimony. Ability to gather and organize evidence. Ability to investigate and analyze information. Knowledge of legal documentation procedures and requirements. LICENSES /CERTIFICATIONS REQUIREMENTS Valid state-issued driver's license. Current auto insurance. MUST possess a Private Investigator license in the state where work is performed. REQUIRED EQUIPMENT A reliable vehicle. Smartphone with access to the app store. Android OS7 or higher, Apple iOS 11 or higher. Laptop computer with Microsoft Word, Windows, and wireless Internet connection. Digital video camera with upload capability and accurate time and date stamp. Covert camera. WORKING CONDITIONS As an hourly, non-exempt status employee, your job may require extended work hours and significant work travel. This includes occasional overnight travel, weekend and/or evening work, and working on holidays. The worker is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes. The worker is subject to outside environmental conditions: No effective protection from weather. The worker is subject to both environmental conditions: Activities occur inside and outside. PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk and hear. The employee is frequently required to stand, walk, stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds and frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Work involves individuals to stay seated/sedentary for long periods of time. Work involves moderate exposure to unusual elements, such as extreme temperatures, exposure to the sun, and various days and hours of scheduled work. Salary Description Up to $30.00 per hour based on experience
    $30 hourly 60d+ ago
  • Experienced Field Investigator - SIU Claims

    Auto-Owners Insurance Co 4.3company rating

    Investigator job in Birmingham, AL

    We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking an experienced and motivated Claims Investigator professional to join our Special Investigation unit. The position requires the following, but is not limited to: * Become familiar with the specialized investigation of claims * Meet with people involved with claims. This may be outside our office environment. * Increased role as a trainer/resource for branch associates in the Claims Department. * Develop and present educational materials to claim associates that focus on fraud awareness/investigation. Desired Skills & Experience * Bachelor's degree or equivalent experience. * Ability to handle conflict comfortably. * Field Claim Rep with Auto and Field experience preferred. * Ability to read, interpret and react to documents such as insurance policies, procedures manuals, and legal documents. * Able to assemble information, develop opinions and clearly express decisions using sound reasoning and judgment. * Ability to write reports and compose correspondence. * Ability to communicate, both verbally and in writing, and possess good problem resolution skills and good interpersonal skills. * Able to accurately deal with mathematics and financial areas and develop an understanding of personal and business finance documents. * Can tactfully and effectively deal with all types of people. * Able to drive an automobile, possess a valid driver license, and maintain a driving record consistent with the Company's underwriting guidelines for coverage. * Ability to organize assigned work. * Ability to maintain a professional image. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-AT1 #LI-Hybrid
    $22k-31k yearly est. Auto-Apply 40d ago
  • Surveillance Investigator - Experienced- Part Time

    Coventbridge Group 3.8company rating

    Investigator job in Montgomery, AL

    Surveillance Investigator - Experienced- Part Time Montgomery, AL Area *AL private investigator license required to be eligible* Now Hiring: Private Field Surveillance Investigator CoventBridge Group is growing-and we're looking for experienced, licensed investigators to join our elite surveillance team. In this role, you'll conduct discreet, vehicle-based field investigations to help uncover insurance fraud and deliver trusted results to our clients. As a leader in the fraud investigation industry, CoventBridge Group offers the opportunity to work remotely utilizing advanced tools, and the support of a nationwide team. Ready to make an impact? Join the best in the business and apply today. At this time, CoventBridge is not considering candidates who require visa sponsorship, currently or in the future, including but not limited to H-1B, H-2B, E-3, TN, O-1, F-1 (OPT/CPT, or J-1 Visa Statuses.) Responsibilities/ Requirements Key Responsibilities: Case Prep: Use social media and database tools to conduct initial research and gather intel on subjects. Surveillance in the Field: Carry out discreet, mobile and stationary surveillance-track movements and capture high-quality video evidence. Reporting: Write thorough, court-ready reports that clearly document key activities and findings. Evidence Submission: Wrap up each day by uploading reports and video footage from your personal laptop. Team Collaboration: Stay connected with your field supervisor for ongoing support, guidance, and mentorship. Essentials for this Role: PI License: Must currently hold-or be eligible to obtain-Private Investigator licenses in multiple states, including Alabama and surrounding jurisdictions. Driver's License: Active driver's license that is not currently suspended or revoked. Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows). Proof of auto insurance coverage is required. Travel Expectations: While we aim to keep assignments within a reasonable drive of your residence, occasional further travel and overnight stays (covered by the company) may be required. Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks. Required Skills: Strong computer & internet proficiency. Excellent communication, verbal & writing skills. Possess or is willing to purchase covert camera, digital video camera with uploading capabilities, and laptop computer with Windows Operating System with access to Microsoft Word Key Responsibilities: Duties and responsibilities include essential functions of positions assigned to this classification. Depending on assignment, the employee may perform a combination of some or all the following duties: Conduct Fixed and Mobile Video Surveillance: Capture high-quality video footage of subjects to assist in case investigations. Gather Evidence: Obtain videotaped documentation, photos, and audio recordings as part of thorough surveillance. Background and Activity Checks: Perform courthouse research, background checks, and monitor subject activities to build robust case reports. Investigative Reporting: Draft clear, concise, and detailed investigative reports summarizing findings and evidence. Evidence Management: Upload all video, photographic, and audio evidence into the case management system in a timely and organized manner. Drive Safely and Responsibly: Remain alert and practice safe driving while traveling to and from investigation sites. Working Conditions: Most surveillance cases start at 6:00AM. End time can vary depending on activity. Weekends/holidays are common workdays as claimants are more likely to be active. This is an independent role often requiring long hours alone in your vehicle, regardless of weather conditions. Must remain alert with no external distractions, ready to use videography equipment to document subjects. Benefits Compensation & Perks That Work For You: We believe great work deserves great rewards. Here's what you can expect when you join our team: Competitive Pay On-the-Road Support: Monthly vehicle allowance Company fuel card Company-issued cell phone Monthly internet stipend Travel & report writing compensation Fast, hassle-free expense reimbursements (minimal out-of-pocket costs) Future-Focused Perks: Company-matching 401(k) to help you build for the future Company-paid investigator licensing fees Career Growth: Ongoing paid training and advancement opportunities to help you grow your skills and your career About Us: CoventBridge Group is the global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients' needs and delivers worldwide coverage via its 1000 employees and affiliates worldwide. CoventBridge Group is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace. CoventBridge Group is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge will ensure that persons with disabilities are provided reasonable accommodations. 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; ************; *******************************. IND123
    $37k-53k yearly est. Auto-Apply 6d ago
  • As Needed Field Investigator- Birmingham, AL

    J T Becker & Co Inc.

    Investigator job in Birmingham, AL

    Job DescriptionDescription: Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect for a licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results. We are seeking a detail-oriented and proactive investigator to join our team. The ideal candidate will conduct a variety of investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within an assigned geographical area. Surveillance assignments require the investigator to obtain videotape documentation of the subject and for SIU assignments the investigator must complete the assignment as per the instructions given by the case manager. Key Responsibilities: Adhere to specific requirements of an assignment based upon the case manager's instructions Review all case materials prior to conducting investigative activity Complete video surveillance on identified individuals for the allotted amount of time and utilizes established investigative techniques to secure covert video footage Conduct investigations such as securing recorded statements, scene inspections, activity checks and securing documents as assigned Complete written notes on each case assignment in a timely manner Submit all videotaped results, photographs, and digital recordings via e-mail by the next business day Meet established deadlines set by the client Communicate effectively with the assigning case manager with regularity regarding the progress of assignments Ensure confidentiality of all information obtained Requirements: Possess a valid state issued driver's license Possess a current private investigator license (if applicable) Must be dependable and able to meet deadlines Must be a self-starter capable of working with limited supervision Possess investigative tools (Laptop, Video Cameras, Digital Recorder, etc.) Possess strong writing and verbal communication skills Experience conducting surveillance as a field investigator Experience completing SIU claim investigations Possess a reliable vehicle
    $21k-30k yearly est. 17d ago
  • SIU Investigator P&C (Mid-level) - Desk

    USAA 4.7company rating

    Investigator job in Huntsville, AL

    **Why USAA?** At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. **The Opportunity** We are looking for a SIU Investigator (mid-level). **This is a Desk position.** Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. **This role is remote eligible. However,** **you must live in one of the following States: Oklahoma, Mississippi, Arkansas, Alabama or Louisiana.** There may be occasional business travel involved. **What you'll do:** + Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims. + Participates in the development of fraud prevention strategies. + Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy contracts, coverages and internal claims handling process and procedures. + Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. + Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. + Makes recommendations within defined authority guidelines. + Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome. + Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention. + May serve as a resource team member on specific matters through demonstrated skill or training. + Assists with the delivery of fraud awareness training initiatives in a defined environment. + Handles CAT duty responsibilities as business requires. + Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. **What you have:** + High School Diploma or General Equivalency Diploma (GED). + 2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience. + Proven investigatory skills. + Experience obtaining statements from various parties to incidents, witnesses, and suspects. + Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud. + Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems. + Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems. + Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology. **What sets you apart:** + SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military Investigative experience. + Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other. + US military experience through military service or a military spouse/domestic partner **Compensation range:** The annualized range for this position is: $77,120 - $147,390. However, it is an hourly position. **Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. **Benefits:** At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com _Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting._ _USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran._ **If you are an existing USAA employee, please use the internal career site in OneSource to apply.** **Please do not type your first and last name in all caps.** **_Find your purpose. Join our mission._** USAA is unlike any other financial services organization. The mission of the association is to facilitate the financial security of its members, associates and their families through provision of a full range of highly competitive financial products and services; in so doing, USAA seeks to be the provider of choice for the military community. We do this by upholding the highest standards and ensuring that our corporate business activities and individual employee conduct reflect good judgment and common sense, and are consistent with our core values of service, loyalty, honesty and integrity. USAA attributes its long-standing success to its most valuable resource: our 35,000 employees. They are the heart and soul of our member-service culture. When you join us, you'll become part of a thriving community committed to going above for those who have gone beyond: the men and women of the U.S. military, their associates and their families. In order to play a role on our team, you don't have to be connected to the military yourself - you just need to share our passion for serving our more than 13 million members. USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law. California applicants, please review our HR CCPA - Notice at Collection (********************************************************************************************************** here. USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.
    $77.1k-147.4k yearly 10d ago
  • Investigator

    Ethos Risk Services

    Investigator job in Pike Road, AL

    Job Description 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: Case Preparation: Prepare for surveillance assignment by reviewing Ethos' preliminary reports and case information. Field Surveillance: Perform covert surveillance from your vehicle by tracking and capturing high-quality video evidence of surveillance targets. Report Writing: Draft detailed and court-ready investigative reports summarizing activity and key findings. Documentation: Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day. Communication: Work closely with the field supervisor and operations teams, receiving regular guidance and mentorship. REQUIREMENTS: Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports. Driver's License: Valid driver's license and proof of automobile insurance. Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows). Surveillance Equipment: A handheld camcorder with high-quality zoom and a covert camera device. Use of stabilization equipment (gimbals, tripods, etc.) is strongly encouraged. Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks. Private Investigator License: Active Private Investigator license or willingness to obtain one (where required by state). WORKING CONDITIONS: 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 Most surveillance cases start at 6:00AM. End time can vary depending on activity and a typical workday can vary from 3-12 hours. Weekends/holidays are common workdays as claimants are more likely to be active. This is an independent role often requiring long hours alone in your vehicle, regardless of weather conditions. Must remain alert with no external distractions, ready to use videography equipment to document subjects. 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
    $52k-93k yearly est. 17d ago
  • Contract Investigator - Tuscaloosa, AL

    Omniplex World Services Corporation, A Constellis Company

    Investigator job in Tuscaloosa, AL

    OMNIPLEX World Services Corporation is seeking talented individuals committed to excellence, honesty, and integrity to join our team. 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. OMNIPLEX is seeking to fill immediate and upcoming openings for Contract Investigators. A Contract Investigator works for us on an as needed basis and no hours are guaranteed. We prefer Contractors to be available to work a minimum of ten hours per week where work is available. Candidate must be willing to travel within a 35-50 mile radius from city location. Candidate must be local to Tuscaloosa, AL QUALIFICATIONS: U.S. Citizenship; H.S. Diploma or equivalent; Minimum of 1 year of specialized Federal Background investigative experience within the last 5 years; Must have some FIS Experience; Reliable personal vehicle, valid driver's license, and satisfactory driving record; Willing to travel on temporary duty assignments as needed (by car or plane); Successfully pass background checks and all required training; Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists; Ability to interpret a variety of instructions furnished in oral, written, diagram, or schedule form; Ability to read, analyze, and interpret professional journals, technical procedures, or governmental regulations; Ability to write reports and business correspondence; Ability to work in a MS Window based operating environment, including proficiency with Microsoft Office (Word, Excel, PowerPoint), Internet and E-mail; Current (within the last 2 years) Single Scope Background Investigation (SSBI) or active Secret level security clearance based on an SSBI and able to obtain the required security clearance. Job Duties and Responsibilities: Conduct in-person, one-on-one subject interviews to obtain factual information about the individual's background and character, in accordance with agency guidelines and instructions. Obtain factual information from a variety of personal and record sources to produce a report of investigation that contains all pertinent facts of an individual's background and character in accordance with agency guidelines and instructions. Travel throughout the geographic area of responsibility to conduct investigations at various places of employment, residence, and education institutions as cases are assigned. Must be willing to travel in and around assigned location within 30-50 miles (or more) as needed Engage in dialogue on a regular basis with managers and representatives at contractor facilities, various U. S. Government organizations, and law enforcement agencies to develop and maintain effective and cooperative working relationships. Adapt to changing situations and environments as they occur and be able to interact with people from all walks of life and socioeconomic levels. Demonstrate strong verbal and written communications skills and exhibit professional demeanor in all situations. Work load based on availability of cases in geographic area. Some voluntary, temporary duty assignments in other areas of the country (typically 2-4 weeks at a time) are possible. Other duties as required. Desired Experience and Education: Background Investigator Training that meets the National Training Standards (NTS) Prior background investigations experience supporting government contracts. Associate or Bachelor degree in Criminal Justice or a related field. Current Top Secret clearance WORKING CONDITIONS: Work is typically based in the investigator's home office as well as in the investigator's personal vehicle traveling to various field locations to conduct interviews. Coverage area varies and could include some extended drives. Work 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. PHYSICAL REQUIREMENTS: Requires intermittent standing, writing/typing, walking, sitting, and driving throughout the workday, and may include for multiple hours.
    $53k-95k yearly est. 60d+ ago
  • Senior Investigator, Special Investigations Unit (Aetna SIU)

    CVS Health 4.6company rating

    Investigator job in Alabama

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary- Conducts investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices. - Conducts investigations of known or suspected acts of healthcare fraud and abuse. - Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the prosecution of specific healthcare fraudcases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates the recovery of company and customer money lost as a result of fraud matters. - Provides input regarding controls for monitoring fraud related issues within the business units. - Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses to the company- Maintains open communication with constituents within and external to the company. - Uses available resources and technology in developing evidence, supporting allegations of fraud and abuse. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case activity in tracking system. - Makes referrals and deconflictions, both internal and external, in the required timeframe. - Cost effectively manages use of outside resources and vendors to perform activities necessary for investigations. - Exhibits behaviors outlined in Employee Competencies- Attending and presenting at quarterly state meetings. Required Qualifications- 1+ years' experience working with Medicaid. - 3+ years' in healthcare field working in fraud, waste and abuse investigations and audits. - Proficient in researching information and identifying information resources. - Experience working in Microsoft Word, Excel, Outlook products. - Experience working with database search tools and use in the Intranet/Internet to research information. - Ability to utilize company systems to obtain relevant electronic documentation. - Ability to travel and participate in legal proceedings, arbitrations, depositions, etc. Preferred Qualifications- Knowledge of New Jersey Medicaid- Credentials such as a certification from the Association of Certified Fraud Examiners (CFE)- An accreditation from the National Health Care Anti-Fraud Association (AHFI). - Billing and Coding certifications such as CPC (AAPC) and/or CCS (AHIMA)- Knowledge of Aetna's policies and procedures- Ability to interact with different groups of people at different levels and provide assistance on a timely basis. Education- Bachelor's degree and/or an Associate's degree with three additional years working in health care fraud, waste, and abuse investigations and audits. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$46,988. 00 - $122,400. 00This 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. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. 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. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 02/07/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $47k-122.4k yearly 5d ago
  • Licensed Covert Surveillance Investigator - Part Time - Birmingham, AL

    Meridian Bank 4.6company rating

    Investigator job in Birmingham, AL

    JOB PURPOSE Conduct covert field surveillance with an emphasis on worker's compensation fraud and insurance fraud. DUTIES AND RESPONSIBILITIES Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Conduct covert field surveillance via both stationary and mobile surveillance. Obtain professional quality video and photographic documentation of subjects. Prepare and file comprehensive investigative reports using the information that was collected from surveillance investigations. Upload video, photographs, audio files, and documents into the case management system. Conduct scene investigations, interviews, recorded statements, etc. Prepare written and recorded Statements from in-person interviews. Provide legal testimony. Other duties as assigned Requirements SKILLS AND QUALIFICATIONS Minimum two years experience working as an investigator. Ability to conduct covert field surveillance assignments. Ability to communicate effectively, both orally and in writing. Ability to gather data, compile information, and prepare reports. Ability to provide legal depositions and testimony. Ability to gather and organize evidence. Ability to investigate and analyze information. Knowledge of legal documentation procedures and requirements. LICENSES /CERTIFICATIONS REQUIREMENTS Valid state-issued driver's license. Current auto insurance. MUST possess a Private Investigator license in the state where work is performed. REQUIRED EQUIPMENT A reliable vehicle. Smartphone with access to the app store. Android OS7 or higher, Apple iOS 11 or higher. Laptop computer with Microsoft Word, Windows, and wireless Internet connection. Digital video camera with upload capability and accurate time and date stamp. Covert camera. WORKING CONDITIONS As an hourly, non-exempt status employee, your job may require extended work hours and significant work travel. This includes occasional overnight travel, weekend and/or evening work, and working on holidays. The worker is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes. The worker is subject to outside environmental conditions: No effective protection from weather. The worker is subject to both environmental conditions: Activities occur inside and outside. PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk and hear. The employee is frequently required to stand, walk, stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds and frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Work involves individuals to stay seated/sedentary for long periods of time. Work involves moderate exposure to unusual elements, such as extreme temperatures, exposure to the sun, and various days and hours of scheduled work. Salary Description Up to $30.00 per hour based on experience
    $30 hourly 60d+ ago
  • Surveillance Investigator

    Security Director In San Diego, California

    Investigator job in Birmingham, AL

    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. Private Investigator's license required prior to applying Must possess a valid driver's license with at least one year of driving experience Pay Rate: $22 - $25/hr RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law 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: *********** 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: ***********/offices. Requisition ID 2025-1504492
    $22-25 hourly Auto-Apply 11d ago
  • As Needed Field Investigator- Birmingham, AL

    J T Becker & Co

    Investigator job in Birmingham, AL

    Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect for a licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results. We are seeking a detail-oriented and proactive investigator to join our team. The ideal candidate will conduct a variety of investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within an assigned geographical area. Surveillance assignments require the investigator to obtain videotape documentation of the subject and for SIU assignments the investigator must complete the assignment as per the instructions given by the case manager. Key Responsibilities: Adhere to specific requirements of an assignment based upon the case manager's instructions Review all case materials prior to conducting investigative activity Complete video surveillance on identified individuals for the allotted amount of time and utilizes established investigative techniques to secure covert video footage Conduct investigations such as securing recorded statements, scene inspections, activity checks and securing documents as assigned Complete written notes on each case assignment in a timely manner Submit all videotaped results, photographs, and digital recordings via e-mail by the next business day Meet established deadlines set by the client Communicate effectively with the assigning case manager with regularity regarding the progress of assignments Ensure confidentiality of all information obtained Requirements Possess a valid state issued driver's license Possess a current private investigator license (if applicable) Must be dependable and able to meet deadlines Must be a self-starter capable of working with limited supervision Possess investigative tools (Laptop, Video Cameras, Digital Recorder, etc.) Possess strong writing and verbal communication skills Experience conducting surveillance as a field investigator Experience completing SIU claim investigations Possess a reliable vehicle
    $21k-30k yearly est. 60d+ ago
  • SIU Investigator P&C (Mid-level) - Desk

    United Services Automobile Association (USAA 4.7company rating

    Investigator job in Huntsville, AL

    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. This role is remote eligible. However, you must live in one of the following States: Oklahoma, Mississippi, Arkansas, Alabama or Louisiana. There may be occasional business travel involved. What you'll do: * Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims. * Participates in the development of fraud prevention strategies. * Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy contracts, coverages and internal claims handling process and procedures. * Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. * Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. * Makes recommendations within defined authority guidelines. * Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome. * Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention. * May serve as a resource team member on specific matters through demonstrated skill or training. * Assists with the delivery of fraud awareness training initiatives in a defined environment. * Handles CAT duty responsibilities as business requires. * Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: * High School Diploma or General Equivalency Diploma (GED). * 2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience. * Proven investigatory skills. * Experience obtaining statements from various parties to incidents, witnesses, and suspects. * Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud. * Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems. * Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems. * Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology. What sets you apart: * SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military Investigative experience. * Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other. * US military experience through military service or a military spouse/domestic partner Compensation range: The annualized range for this position is: $77,120 - $147,390. However, it is an hourly position. Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $77.1k-147.4k yearly 9d ago

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