Working Title: INVESTIGATOR SUPERVISOR - SES - 64082217 1 Pay Plan: SES 64082217 Salary: $47,668.01 - $49,670.88 Total Compensation Estimator Tool Department of Health
Division of Medical Quality Assurance
Bureau of Enforcement
Investigative Services Unit - Ft. Lauderdale Field Office
State Personnel System Opportunity
Applicants accepted only from employees currently employed in a State Personnel System position. Applicants will not be accepted from those employed outside of the State Personnel System.
Note: Positions are typically filled at base salary
Your Specific Responsibilities:
Incumbent is responsible for supervising investigators. This is accomplished through planning, organizing, staffing, training, motivating, and supervising the personnel and operations of the office. Work is performed under supervision through conferences and review of accomplishments concerning the achievement of the unit and division goals and objectives.
* Responsible for all supervisory duties including, but not limited to, hiring and selection, developing performance plans, conducting performance appraisals, planning, and directing their work, approving leave, and taking disciplinary action as appropriate.
* Conducts comprehensive quality control of files which includes daily review of electronic document queues and uploading final investigative reports to improve efficiencies in line with our strategic priorities.
* Supervises the investigation of complaints lodged against Health Care Practitioners, regulated by Florida Statute 456.
* Meets with assigned personnel on a regular basis, at least weekly, to assess progress, provide guidance and solve problems. Applies discipline to assigned personnel in a fair and effective manner.
* Reviews and assigns cases to investigators.
* Advises subordinates of all policy and procedural changes.
* Delegates when appropriate, assignment, review and quality control of cases, evidence control and other related work.
* Conducts investigations and inspections to assist subordinate investigative staff.
* Evaluates evidence of investigations and prepares reports of findings.
* Receives and reviews all field area investigative reports to determine affected financial statutes and regulations and to make recommendations on courses of action.
* Assists Investigation Manager with assigned complex projects.
* Conducts or assures training is conducted on a regular basis and in accordance with policy and procedure for all assigned personnel.
* Assures Review and Performance Plans are performed on time and are done objectively and fairly to assure achievement of performance standards/expectations. When appropriate, assures performance improvement plans are made on employees falling below standards.
* Assures the office is adequately supplied and furnished with the necessary equipment, property, and forms to accomplish its mission and assures all property is maintained according to policy and procedure.
* Assures office is staffed by experienced personnel through recruiting, interviewing, and hiring in accordance with the Department's policies, procedures, and goals.
* This position has security access to Facebook for research purposes only when conducting investigations.
* Answers public inquiries, makes referrals, makes public speaking engagements, and makes professional contacts to further the goals and mission of the Department. Refers press inquiries to the Public Information Office.
* Performs other related duties as required.
Required Knowledge, Skills, and Abilities:
Proficient computer skills to include Word, Excel, PowerPoint and Outlook; knowledge of computer data bases; knowledge and use of the compliance management system and licensing system used by the Agency; knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar; understanding written sentences and paragraphs in work related documents; knowledge of laws, legal codes, court procedures and government rules & regulations; communicating effectively with others verbally and in writing; listening to what other people are saying and asking questions as appropriate; ability to establish and maintain effective working relationships with others; knowledge of healthcare industry and healthcare practice standards; knowledge of medical records; interview skills; knowledge of basic investigative techniques, court procedures and requirements; ability to evaluate evidence; knowing how to find information and identifying essential information; conduct fact-finding research; knowledge of the methods of data collection and analysis; organize data into logical format for presentation in reports, documents and other written materials; developing approaches for implementing an idea; basic management principles and practices; conflict resolution to include handling complaints, arbitrating disputes and resolving grievances; motivating, developing, and directing people as they work, identifying the best people for the job; time management skills; ability to prepare and conduct training.
Qualifications:
* Three (3) years of professional experience conducting regulatory inspections or law enforcement investigations
* One (1) year of supervisory or management experience
* Bachelor's degree from an accredited college or university in a related field of study can substitute on a year-for-year basis for the required professional experience.
* Must have a valid Florida State driver's license, satisfactorily complete a background investigation, fingerprinting, and participation in direct deposit are requirements for employment.
Florida Department of Health Mission, Vision, and Values:
Mission:
To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.
Vision:
To be the Healthiest State in the Nation.
Values:
I nnovation: We search for creative solutions and manage resources wisely.
C ollaboration: We use teamwork to achieve common goals & solve problems.
A ccountability: We perform with integrity & respect.
R esponsiveness: We achieve our mission by serving our customers & engaging our partners.
E xcellence: We promote quality outcomes through learning & continuous performance improvement.
Where You Will Work:
Office location - Fort Lauderdale, FL
Main counties covered by office - Broward
The Benefits of Working for the State of Florida:
Working for the State of Florida is more than a paycheck. The State's total compensation package for employees features a highly competitive set of employee benefits including:
* Annual and Sick Leave benefits;
* Nine paid holidays and one Personal Holiday each year;
* State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
* Retirement plan options, including employer contributions
(For more information, please click ***************
* Flexible Spending Accounts;
* Tuition waivers;
* And more!
For a more complete list of benefits, including monthly costs, visit *****************************
Please be advised:
Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.
This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.
Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: ******************
If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement.
The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.
Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.
All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace.
Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (***************. Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (***************. Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
Location:
$47.7k-49.7k yearly 5d ago
Looking for a job?
Let Zippia find it for you.
Private Investigator / SIU (Part-Time)
Photofax 2.7
Investigator job in Miami, FL
Private Investigator Part-Time / Experienced (Miami, FL)
PhotoFax, Inc., a nationwide private detective agency, is currently hiring experienced surveillance investigators with SIU (Special Investigations Unit) experience to join our team in the Miami, FL region.
This position is designed for investigators with a background in insurance fraud or liability investigations who want flexible, part-time work with a professional agency. Candidates must have prior SIU and insurance claims investigation experience to be considered.
What your day will look like:
Monitoring, pursuing, and documenting individuals in a covert manner using your own vehicle
Conducting pre- and post-surveillance briefings with your case manager to review objectives and strategy
Preparing detailed reports on daily observations and findings
Uploading video and written documentation to the company database
Traveling within the surrounding Miami area (up to two hours from home location)
View our recruiting video: https://vimeo.com/323***********b7a16e
What you will gain:
Continued professional development in insurance fraud and surveillance investigations
Opportunities for advancement within PhotoFax
Performance-based pay and bonuses
Paid travel time
Support from an established nationwide investigative agency
What you need to apply:
Documented SIU or insurance investigations experience required
High school diploma required; Associates or Bachelors degree in Criminal Justice, Criminology, or Law Enforcement preferred
Valid drivers license
Clean driving record with minimal infractions
Must currently reside in the greater Miami area
Flexibility to work any day of the week, including weekends and holidays
Ability to work cases within a two-hour radius no overnight travel required
Job Type: Part-time
$29k-48k yearly est. 15d ago
Investigator II - Medicare
Carebridge 3.8
Investigator job in Miami, FL
* CO-DENVER, 700 BROADWAY * FL-MIAMI, 11430 NW 20TH ST, STE 300 * TN-NASHVILLE, 22 CENTURY BLVD, STE 310 Hybrid: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Investigator II - Medicare is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims.
How you will make an impact:
* Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.
* Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health plan, line of business and/or state.
* Effectively establish rapport and on-going working relationship with law enforcement.
* May interface internally with Senior level management and legal department throughout investigative process.
* May assist in training of internal and external entities.
* Assists in the development of policy and/or procedures to prevent loss of company assets.
Minimum Requirements:
Requires a BA/BS and minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
* Fraud certification from CFE, AHFI, AAPC or coding certificates preferred.
* Medicare Part B experience.
* Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $76,384 to $114,576.
Locations: Denver, CO
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$32k-53k yearly est. Auto-Apply 60d+ ago
Sub-Investigator
Syneos Health, Inc.
Investigator job in Miami, FL
Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities. Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for.
Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives.
Discover what our 29,000 employees, across 110 countries already know:
WORK HERE MATTERS EVERYWHERE
Why Syneos Health
* We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
* We are committed to our Total Self culture - where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people.
* We are continuously building the company we all want to work for and our customers want to work with. Why? Because when we bring together diversity of thoughts, backgrounds, cultures, and perspectives - we're able to create a place where everyone feels like they belong.
Job Responsibilities
* We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
* We are committed to our Total Self culture - where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people.
* We are continuously building the company we all want to work for, and our customers want to work with. Why? Because when we bring together diversity of thoughts, backgrounds, cultures, and perspectives - we're able to create a place where everyone feels like they belong.
Job Summary:
The Sub-Investigator assists the Medical Director by managing the day-to-day responsibilities for clinical conduct and assessments of the clinical trial and provides treatment and care to all volunteers who meet study eligibility criteria and are enrolled in the clinical trial.
Job Responsibilities:
* Acquire and maintain an in-depth knowledge of the study protocol and study documents.
* Responsible for clinical conduct and assessment during the clinical trial.
* Maintain knowledge of clinical techniques and procedures and ability to effectively perform the duties and tasks outlined in the study protocol.
* Assist in recruitment of appropriate participant populations with adherence to the guidelines of Good Clinical Practices (GCP).
* Assist, as necessary, in explaining, reviewing and obtaining a signed and dated currently approved informed consent forms.
* Review Screening documents and Perform screening procedures according to study protocol.
* Evaluate/Determine volunteer eligibility based on inclusion / exclusion criteria as outlined in the protocol.
* Upon participant enrollment into the study, perform all clinical exams and evaluate all laboratory work, ECGs and other study data.
* Communicate with laboratory, Pl and sponsor, as needed - regarding laboratory findings.
* Responsible for close daily monitoring of study participant' status according to protocol guidelines.
* Document and review adverse event (AE) information and assist PI in making a determination regarding the relationship/severity of the study drug(s) to the AEs. Maintain follow-up of the AE to determine resolution specifics.
* In case of serious adverse events (SAE), responsible for contacting PI and managing emergency situations.
* Capture and record AE data and prepare AE reports for oversight agencies.
* Perform other duties as required.
* Supervise, coach, and mentor staff.
* Set priorities and schedule activities of departmental resources, implement company objectives, and create alternative solutions to address business and operational challenges.
Qualifications - External
What we're looking for
Qualifications Requirements:
* Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), Nurse Practitioner (NP), or Physician Assistant (PA) from an Accredited School.
* Must have and maintain appropriate Licensures/Permits.
* 2-5 years of applicable work experience in clinical research.
* Must demonstrate good computer skills especially in the utilization of Microsoft Word and Excel.
* Extensive knowledge of GCP/ICH or GLP/EMA guidelines and other applicable.
* Regulatory requirement.
* Excellent communication, presentation, interpersonal skills, both written and spoken, with an ability to inform, influence, convince, and persuade.
* Ability to travel as necessary (approximately 10%).
* Bilingual (English and Spanish).
At Syneos Health, we believe in providing an environment and culture in which Our People can thrive, develop and advance. We reward and recognize our people by providing valuable benefits and a quality-of-life balance. The benefits for this position may include a company car or car allowance, Health benefits to include Medical, Dental and Vision, Company match 401k, eligibility to participate in Employee Stock Purchase Plan, Eligibility to earn commissions/bonus based on company and individual performance, and flexible paid time off (PTO) and sick time. Because certain states and municipalities have regulated paid sick time requirements, eligibility for paid sick time may vary depending on where you work. Syneos complies with all applicable federal, state, and municipal paid sick time requirements.
Salary Range:
$67,700.00 - $115,100.00
The base salary range represents the anticipated low and high of the Syneos Health range for this position. Actual salary will vary based on various factors such as the candidate's qualifications, skills, competencies, and proficiency for the role.
Get to know Syneos Health
Over the past 5 years, we have worked with 94% of all Novel FDA Approved Drugs, 95% of EMA Authorized Products and over 200 Studies across 73,000 Sites and 675,000+ Trial patients.
No matter what your role is, you'll take the initiative and challenge the status quo with us in a highly competitive and ever-changing environment. Learn more about Syneos Health.
***************************
Additional Information
Tasks, duties, and responsibilities as listed in this are not exhaustive. The Company, at its sole discretion and with no prior notice, may assign other tasks, duties, and job responsibilities. Equivalent experience, skills, and/or education will also be considered so qualifications of incumbents may differ from those listed in the Job Description. The Company, at its sole discretion, will determine what constitutes as equivalent to the qualifications described above. Further, nothing contained herein should be construed to create an employment contract. Occasionally, required skills/experiences for jobs are expressed in brief terms. Any language contained herein is intended to fully comply with all obligations imposed by the legislation of each country in which it operates, including the implementation of the EU Equality Directive, in relation to the recruitment and employment of its employees. The Company is committed to compliance with the Americans with Disabilities Act, including the provision of reasonable accommodations, when appropriate, to assist employees or applicants to perform the essential functions of the job.
$32k-55k yearly est. 38d ago
SIU/FWA Investigator
Solis Health Plans, Inc.
Investigator job in Doral, FL
This position will investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse
ESSENTIAL DUTIES & RESPONSIBILITIES
Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party.
Perform data mining and analysis to detect aberrancies and outliers in claims.
Develop new queries and reports to detect potential waste, abuse, and fraud.
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions.
Assist with complex allegations of healthcare fraud.
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies.
Complete various special projects and audits
Interpret and analyze new HPMS memoranda, alerts, and regulatory guidance to assess the impact on Fraud, Waste, and Abuse (FWA) programs.
QUALIFICATIONS & EDUCATION
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Bachelor's degree in business, Criminal Justice, Healthcare, related field or equivalent experience.
1+ years of medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation experience.
Knowledge of medical coding and terminology.
Advanced Proficiency in Microsoft Excel, Data Analysis and Fraud Detection.
Advanced skills in SQL, SAS and business intelligence (BI) tools are preferred
WORK CONDITIONS
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Fast-paced office environment.
Highly regulated environment.
Time frames to handle issues are in accordance with CMS and NCQA as well as internal time frames.
Interacts with providers, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.
This work requires the following physical activities: climbing, bending, stooping, kneeling, twisting, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lift, and moves intermittently during working hours.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
PERFORMANCE MEASUREMENTS
3-5 Monthly evaluations
Compliance with Department Call Metrics/ Company Regulations
Attendance/Punctuality
Safety and Security
Quality of work
This Job Description may be modified at any time at the discretion of the employer as business operation may seem necessary. This does not constitute an employment agreement and may not include all duties. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.
Solis Health Plans provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
$32k-55k yearly est. Auto-Apply 11d ago
Surveillance Investigator
The Robison Group 4.2
Investigator job in Fort Lauderdale, FL
Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
The majority of cases worked in this position require stationary and mobile surveillance.
PRINCIPAL RESPONSIBILITIES FOR SURVEILLANCE:
Thoroughly complete assigned cases.
Testify to the collected facts obtained in any hearing or court of law as needed.
Assist other investigators on challenging cases.
Make sound judgments both during the investigation and with future handling recommendations.
Turn in updates, evidence, and report in timely manner.
Upload surveillance video upon completion of investigation.
The nature of this job requires early hours, long days, and travel into surrounding areas.
WHO SHOULD APPLY:
We are looking for people who are enthusiastic about investigations, those who thrive in a diverse work environment, and individuals who have a commitment to the very highest standards of honesty, integrity and respect.
Candidates with at least one year of PI experience are strongly encouraged to apply.
POSITION QUALIFICATIONS:
Candidates MUST hold a current and valid Florida Private Investigator license.
Self-motivated, determined, and intuitive.
Strong initiative and work ethic.
Ability to identify critical issues quickly and accurately
Demonstrated observational, organizational, and listening skills.
Excellent oral and written communication.
Ability to work independently, as well as in a team.
Flexible schedule working weekends, holidays, and possible evenings.
Candidate must own a reliable computer, preferably a laptop.
Access to high-speed internet and a scanner or fax machine.
Must have strong computer and internet skills.
Proficient with a digital camera.
Must own reliable transportation.
Possess a valid driving license.
Upon hire, candidate will be asked to submit a driving record provided by the state DMV or Secretary of State.
Applicants must pass an extensive background check.
Must be able to pass a drug test with negative results (except when undergoing documented medical treatment).
College Degree preferred.
TRAINING
The Robison Group provides remote and/or in-classroom training to ensure that individuals are set up for success before moving into their roles.
COMPENSATION & REIMBURSEMENTS:
Paid travel time and reimbursement for mileage, tolls, and other per diem items.
Hourly Rate is commensurate with education and experience.
OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE:
SIU work, Field Supervisor, Field Operations Manager, Case Management, etc.
$38k-58k yearly est. 60d+ ago
Miami, FL Private Investigator Trainee
Lemieux & Associates LLC
Investigator job in Miami, FL
Job Description
Job Opportunity: Private Investigator Trainee
Seeking Veterans Ready for a New Challenge
Join Our Team as a Private Investigator Trainee
Are you recently separated from the military and searching for your next mission? We are looking for dedicated individuals who are ready to transition into an exciting new career as a Private Investigator Trainee.
Lemieux & Associates, a national leader in the investigative industry, is seeking Military Veterans looking to be trained as a Private Investigator in the Miami, FL or surrounding area. This is a full-time position for the right individual.
No Experience Necessary - We Provide Comprehensive Training
Who We're Looking For: Motivated, disciplined individuals who have recently left military service.
Experience: None required. If you have the drive and a strong work ethic, we will train you!
Training: Full, hands-on instruction provided for the right candidate. Learn investigation techniques, surveillance, and more from industry experts.
Qualities: Integrity, attention to detail, and a desire to help others.
Position Summary
A majority of the work activity involves field surveillance requiring the investigator to obtain high quality videotape documentation of claimants who have filed workers compensation and liability/personal injury claims. Investigators are also responsible for submitting accurate and timely reports regarding the results of their investigations. In addition, investigators conduct background investigations, neighborhood canvasses, activity checks, and locates. The Field Investigator performs their duties using the highest legal and ethical investigative standards while efficiently utilizing time and resources to provide outstanding investigative services.
Qualifications
Bi-lingual is a plus
Ability and willingness to travel as necessary
Flexibility to work varied/irregular hours and days
Strong computer and Internet skills
Possess a valid state-issued driver's license
Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection
Benefits
Competitive pay
Career growth opportunities
Supportive team environment
We offer Medical, Dental, 401K, Paid Vacation and Paid Holidays
How to Apply
If you are ready to put your skills to work in a new way and want to learn from the best, we want to hear from you! Please submit your resume and a brief cover letter explaining why you are interested in becoming a Private Investigator.
Start Your Next Adventure Today!
$28k-48k yearly est. 13d ago
Private Investigator - Miami Area
Dana Blakley
Investigator job in Miami, FL
Job DescriptionLicensed and Experienced - To conduct surveillance in the Miami Area - P/T Surveillance experience required. Pay commensurate with experience. Please send resume.
.
$28k-48k yearly est. 29d ago
Healthcare Fraud Investigator
Contact Government Services, LLC
Investigator job in Miami, FL
Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client.
CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.
Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries.
Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity.
#CJ
$35k-58k yearly est. Auto-Apply 60d+ ago
Private Investigator / SIU Fraud Investigator
Selective Investigations Inc.
Investigator job in Miami, FL
Job DescriptionBenefits:
Cell phone reimbursement
Over time pay
401(k) matching
Competitive salary
Flexible schedule
Opportunity for advancement
Paid time off
Profit sharing
Training & development
Job Summary
Seeking a motivated person (experienced or entry level) to investigate the facts surrounding insurance claims. Full-time position. Combination of working from your home and local field work (Dade & Broward). Must be bilingual/Spanish.
For entry level position, applicant must have demonstrated an interest in the Private Investigative field (Criminal Justice Degree, Adjuster, Paralegal, Military, Journalism, or related field). We offer extensive training to include cost of Florida notary certification, PI course and Florida PI license.
Experienced investigators should have experience in conducting one or more of the following: research, criminal, civil & social media background investigations, recorded statements, scene investigations & locates.
Types of Investigations/Responsibilities:
Backgrounds (social media, asset, criminal & civil)
Desktop research (in-depth claims investigations)
Recorded statements (In-person & phone)
Locates
Accident scene investigations
Notarization of documents
Produce accurate, timely and detailed reports
Flexibility to work varied/irregular hours and some weekends
Approximately 60 percent of time is desktop investigations and 40 percent is local field work
Requirements:
Bilingual Spanish (Required)
Detail oriented
Diligent, persevering, tireless
Goal oriented
Self-motivated and self-disciplined, ability to work independently
Prioritize, handle multiple tasks
Effective communications both written and verbally
Strong work and personal ethics, team oriented
Computer literacy to include Microsoft Word and other related computer applications
Dependable vehicle, cell phone, laptop, and internet access
Benefits:
Pay commensurate with experience (22-32 hourly)
Direct deposit payroll
Advancement opportunities
Health insurance subsidy
Maternity benefits
Paid time off
Over time pay
Cell phone reimbursement
Licensing fees paid
401(K) company match
Profit sharing
Flexible schedule
$35k-58k yearly est. 6d ago
Surveillance Investigator
Frasco 4.1
Investigator job in Lake Worth, FL
Job Title: Surveillance Investigator
Job Type: Full-Time, Billable Hours, Non-exempt
Eager to start your career in a growing industry? Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully paid investigator training to help you launch your career!
Is surveillance right for you? Watch this: ****************************
Compensation:
Hourly Rate: $20 - $26 per hour (Weekly Pay) Commensurate with experience and performance
Travel Time: Travel commute time is compensated at 100% of regular hourly rate, after standard commute deduction
Mileage Reimbursement: $0.50 per mile for all portal-to-portal and mobile surveillance mileage
Paid Administrative Time: Paid at regular hourly rate (report writing, administrative time, etc.)
Paid Training: Paid at regular hourly rate
Full-Time Benefits:
Paid Time Off and Paid Holidays
Health, Dental, Vision, Employer Paid Life Insurance, Supplemental Health Benefits, Flexible Spending Accounts
401K with Company Match
About Us:
Frasco has been in business for 60 years as a family-owned full-service investigation company with hundreds of investigators and regional office nationwide. Our vibrant company culture, driven by core values of integrity, innovation, and excellence, fosters a supportive and collaborative environment where every individual is valued. We are committed to diversity and inclusion, encouraging applications from all backgrounds. Join us to make a meaningful impact and thrive in a positive, respectful workplace.
Responsibilities:
Review assignments to determine case objectives and develop or follow action plans
Utilize various surveillance equipment and technology
Perform surveillance and activity checks, documenting video footage and relevant information
Conduct surveillance indoors and outdoors, involving extended periods of walking, standing, or sitting
Drive safely and effectively in varied weather and traffic conditions
Move swiftly and discreetly to observe subjects
Maintain high standards of communication and confidentiality, adhering to ethical and legal guidelines
Prepare detailed reports with timestamps and supporting evidence for legal use
Adapt to changing circumstances and work flexible hours, including nights, weekends, and holidays
Attend and testify at hearings as required
Requirements
Job Requirements
Requirements:
Exceptional writing and communication skills
Strong attention to detail and commitment to accuracy and quality
Ability to work independently and meet established deadlines
Strong critical thinking skills
Self-starter with accountability for results and performance
Flexible schedule, including weekends
Ability to travel to and from assignments daily
Must possess a Florida Class C or CC investigator license
Qualifications and Equipment:
Valid driver's license with good driving record
Minimum Auto Insurance Coverage: $100,000 per person, $300,000 per accident bodily injury, and $50,000 property damage
Reliable personal vehicle,
tinted windows preferred
HD camcorder, covert camera, smartphone, computer or laptop, and internet connectivity
Windows 11 or greater required, with 8+gb of RAM preferred
Mac OSX 13 or greater required for iMac
Preferred Experience:
High school diploma or associate's degree in criminal justice or related field
Military background; insurance or investigations experience
Start your career with a leader in the investigations industry that is financially stable, is experiencing growth, and whose history spans over 60 years!
Ready to make a difference? Apply now!All replies are confidential Equal Opportunity EmployerPM18
$20-26 hourly 60d+ ago
Special Investigations Unit Investigator
South Florida Community Care Network LLC 4.4
Investigator job in Fort Lauderdale, FL
Hybrid-Sunrise, Florida
Experience Conducting Comprehensive Health Care Fraud, Waste, and Abuse (FWA) Investigations
The Special Investigations Unit Investigator is responsible for the investigation of potential fraud, waste, and abuse cases involving health plan providers and members. The Special Investigations Unit Investigator responsibilities include but are not limited to case management, research, investigation, documentation, and overpayment recovery. ---
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Accountable for managing a caseload of referrals and investigations involving potential member and/or provider fraud, waste, and abuse.
Documents all appropriate case activity in case tracking system.
Ensures compliance with all state and federal requirements related to FWA and FWA investigations.
Performs data-mining activities to identify potential cases for investigation.
Analyzes data as part of the investigative process.
Performs research to analyze aberrant claims billing and practice patterns.
Investigates and documents all fraud, waste, and abuse referrals and cases with a focus on thoroughness and attention to detail, quality, timeliness, and cost control. Testifies on investigations documented, as needed.
Conducts comprehensive interviews with providers, members, and witnesses to obtain information which would be considered admissible under generally accepted criminal and civil rules of evidence.
Conducts investigative steps out in the field throughout the service area as needed.
Prepares and submits investigative reports covering all phases of the investigation.
Works collaboratively with all SIU team members on aspects of the case.
This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.
QUALIFICATIONS:
Bachelor level education
Minimum 2-4 years experience conducting comprehensive health care FWA investigations.
Ability to work independently with minimal supervision and manage a high volume of assignments.
High degree of integrity and confidentiality required handling information that is considered personal and confidential.
Analytical skills and ability to make deductions, logical and sequential thinker.
Strong verbal and written communication skills.
Health care industry and/or Florida Medicaid knowledge required.
Advanced knowledge and experience working on various approaches to health care fraud, waste, and abuse.
Working knowledge of Microsoft applications, especially Excel, required.
Knowledge of available resources (internal and external) to assist in investigations.
Medical terminology knowledge and/or experience with CPT and ICD-10 coding preferred.
Knowledge of suspected FWA trends, potential schemes, and matters of interest to law enforcement and regulators.
Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE) preferred.
SKILLS AND ABILITIES:
· Ability to communicate effectively, verbally and written.
Ability to self-motivate.
Strong time management skills
Ability to prioritize and organize FWA program activities.
Ability to meticulously document case actions and findings for regulatory reporting and any legal action, if applicable
Ability to collaborate.
Results oriented skills.
Work Schedule:
Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds.
We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Background Screening Notice:
In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse.
The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants.
Additional information is available at:
???? h********************************
$31k-45k yearly est. 30d ago
Licensed Covert Surveillance Investigator - Part Time - Miami, FL
Meridian Bank 4.6
Investigator job in Miami, FL
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
Licensed Covert Surveillance Investigator - Full Time - Miami, FL
Meridian Investigative Group
Investigator job in Miami, FL
Full-time Description
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
SPi Investigations 4.0
Investigator job in Miami, FL
Job Title: Full-Time Private Investigator - Surveillance Investigator Job Type: Full-Time | Flexible Schedule SPi Investigations is a boutique investigative firm based in Florida, delivering precision-driven intelligence for legal professionals, businesses, and individuals. Our intimate size allows us to offer a hands-on, customized approach-because in investigations, a tailored strategy makes all the difference. Our team is comprised of experienced professionals dedicated to uncovering the truth with integrity and precision. We're currently seeking a Full-Time Surveillance Specialist to join our team in the South Florida.
Position Overview:
This role is ideal for a licensed Private Investigator with a strong background in mobile and stationary surveillance, who can work independently, think on their feet, and produce detailed, high-quality documentation of investigative findings.
Responsibilities:
Conduct covert surveillance operations to gather photo/video evidence
Follow subjects while maintaining discretion and situational awareness
Prepare and submit accurate, detailed written reports in a timely manner
Utilize and maintain investigative equipment, including standard and covert video camera
Work closely with SPi case managers to ensure client expectations are met
Availability to work varied shifts including nights, weekends, and holidays
Requirements:
Current Florida Class “C” (Private Investigator) or Class “CC” (Private Investigator Intern) license or ability to obtain
1-2 years' experience in surveillance investigations or related field experience - Preferred but not required
Reliable, surveillance-ready vehicle (clean, discreet, with tinted windows)
Proficiency with video recording devices and reporting software
Strong communication and organizational skills
Professional demeanor and high ethical standards
Preferred Qualifications:
Prior law enforcement, military experience or criminal justice background
Bilingual (English/Spanish)
Familiarity with South Florida roadways and neighborhoods
What We Offer:
Competitive hourly compensation (based on experience)
Performance-based incentives
Flexible, remote-friendly work schedule
Supportive team environment with growth opportunities
$38k-59k yearly est. Auto-Apply 26d ago
Surveillance Investigator
Security Director In San Diego, California
Investigator job in Miami, FL
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.
Florida applicants must hold a C Private Investigators' License
OR
For a limited time only, we will cover the cost of Florida's 40-hour prerequisite licensing course and provide paid training to help a few successful candidates break into the industry.
Must possess a valid driver's license with at least one year of driving experience
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 2025-1504546
$35k-55k yearly est. Auto-Apply 11d ago
Background Update
Clay County School District 4.4
Investigator job in Coral Springs, FL
Please complete this application update only if you were directed by Clay County Human Resources personnel to do so.
$24k-30k yearly est. 60d+ ago
Private Investigator / SIU (Part-Time)
Photofax 2.7
Investigator job in Miami, FL
Private Investigator - Part-Time / Experienced (Miami, FL)
PhotoFax, Inc., a nationwide private detective agency, is currently hiring experienced surveillance investigators with SIU (Special Investigations Unit) experience to join our team in the Miami, FL region.
This position is designed for investigators with a background in insurance fraud or liability investigations who want flexible, part-time work with a professional agency. Candidates must have prior SIU and insurance claims investigation experience to be considered.
What your day will look like:
Monitoring, pursuing, and documenting individuals in a covert manner using your own vehicle
Conducting pre- and post-surveillance briefings with your case manager to review objectives and strategy
Preparing detailed reports on daily observations and findings
Uploading video and written documentation to the company database
Traveling within the surrounding Miami area (up to two hours from home location)
View our recruiting video: https://vimeo.com/323***********b7a16e
What you will gain:
Continued professional development in insurance fraud and surveillance investigations
Opportunities for advancement within PhotoFax
Performance-based pay and bonuses
Paid travel time
Support from an established nationwide investigative agency
What you need to apply:
Documented SIU or insurance investigations experience required
High school diploma required; Associate's or Bachelor's degree in Criminal Justice, Criminology, or Law Enforcement preferred
Valid driver's license
Clean driving record with minimal infractions
Must currently reside in the greater Miami area
Flexibility to work any day of the week, including weekends and holidays
Ability to work cases within a two-hour radius - no overnight travel required
Job Type: Part-time
$29k-48k yearly est. 60d+ ago
Healthcare Fraud Investigator
Contact Government Services, LLC
Investigator job in Miami, FL
Job DescriptionHealthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client.
CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.
Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries.
Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity.
#CJ
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
$35k-58k yearly est. 28d ago
Miami, FL Surveillance Investigator
Lemieux & Associates
Investigator job in Miami, FL
Ready to put your surveillance skills to work for a national leader?
Join Lemieux & Associates, a trusted leader in investigative services, and make an impact with your surveillance expertise. Our leadership team brings over 25 years of field experience and is committed to fostering a professional, results-driven environment.
At Lemieux & Associates, we set the standard in investigative services. We are seeking experienced Surveillance Field Investigators in Miami, FL and surrounding areas on a part-time basis. Enjoy flexible hours, competitive pay, and opportunities for professional growth.
Requirements
Extensive surveillance experience; must reside in the Miami or surrounding area.
Licensed by the State of Florida as a Class "C" Private Investigator.
Reliable vehicle, digital camera, and computer with Windows OS, Microsoft Word, and internet access.
Strong computer and internet proficiency.
Ability and willingness to travel as needed.
Flexibility to work irregular hours.
Commitment to timely, high-quality work.
Responsibilities
Conduct mobile and stationary surveillance.
Capture clear, steady HD video.
Accurately identify and confirm subjects' locations.
Prepare detailed, accurate reports.
Skills & Experience
Proven experience as a private investigator conducting surveillance.
SIU/Claims investigation experience (preferred).
Bilingual skills (preferred).
Degree in Criminal Justice or related field (preferred).
Skilled in taking written and recorded statements (preferred).
Ability to photograph evidence accurately (e.g., accident scenes, vehicle damage).
Strong organizational and time-management skills.
Take the next step toward an exciting investigative career-apply today and become part of a team that sets the standard in surveillance excellence.
How much does an investigator earn in Delray Beach, FL?
The average investigator in Delray Beach, FL earns between $24,000 and $72,000 annually. This compares to the national average investigator range of $42,000 to $119,000.