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Investigator jobs in Grand Rapids, MI - 69 jobs

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  • Investigator

    Ethos Risk Services

    Investigator job in Grand Rapids, MI

    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
    $44k-76k yearly est. 29d ago
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  • Contract Investigator - Grand Rapids, MI

    Omniplex World Services Corporation, A Constellis Company

    Investigator job in Grand Rapids, MI

    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 Grand Rapids, MI 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.
    $44k-76k yearly est. 60d+ ago
  • SIU Investigator - Underwriting & Premium Fraud

    CNA Financial Corp 4.6company rating

    Investigator job in Southfield, MI

    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 31d ago
  • As Needed Field Investigator- Grand Rapids, MI

    J T Becker & Co Inc.

    Investigator job in Grand Rapids, MI

    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
    $26k-39k yearly est. 29d ago
  • AML Investigator

    Lake Michigan Credit Union 4.4company rating

    Investigator job in Grand Rapids, MI

    General Information Employee Status: Full-Time Workplace Type: Fully On-Site required to report to the Grand Rapids office daily. Who we are: At LMCU, you'll find more than just a job - discover a fulfilling career where your contributions truly matter. Join our talented team at Lake Michigan Credit Union and discover the difference an employer who puts people first can make in your career and life. About this position: The Anti-Money Laundering (AML) Investigator is responsible for ensuring adherence to Bank Secrecy Act (BSA) through transaction monitoring, investigation of suspicious activity, and the drafting of Suspicious Activity Reports (SARs), as well as identifying and monitoring high risk activity and high-risk accounts. Makes recommendation to file SARs to the BSA Officer and documents findings. Maintains documentation to ensure compliance with the Bank Secrecy Act and supports all elements of BSA, AML, USA, PATRIOT Act and Office of Foreign Assets Control (OFAC) requirements and in accordance with credit union policies and procedures. What you'll do: * Utilize standard procedure and independent judgment to investigate and analyze customer account activity in a timely manner. Review suspicious activity alerts from a variety of sources, including but not limited to: AML monitoring software, referrals from branches and back-office "member facing" departments, and other BSA teammates, to accurately distinguish suspicious activity from false positive alerts. Create well documented and organized findings to write justification summaries for false positive decisions made. * Use well documented and organized findings to make recommendations to BSA Management regarding the filing of SAR cases. Prepare all aspects of documentation retention and SAR form for review for submission to FinCEN, which includes accurately and concisely explaining customer and activity in narrative form. * Use AML software to investigate, rate, and monitor high risk members and/or high-risk activity based on LMCU's risk appetite. Document well organized findings according to procedure. * Maintain and update personal knowledge of AML rules, regulations, laws, and best practices. * Performs other tasks or duties as needed to support AML/BSA/Compliance team. What you'll bring: * Previous compliance experience, preferably in BSA / AML. Two or more years in a banking environment. * A two-year college degree or completion of a specialized course of study at a business or trade school equivalent to approximately 64 credit hours. * Analytical/Investigative skills to understand expected activity for individual members/member entities. * Highly organized with attention to detail to ensure full and complete review of member alert and database of reviews/trends. High degree of accuracy and detail-oriented. * Knowledge of financial crimes and how they are perpetrated. * Understanding of businesses and anticipated or expected transactions for business accounts. * Proficient computer skills including experience using software systems and MS applications, ability and willingness to understand and apply additional software and regulatory reference materials. * Ability to work in a collaborative environment as well as independently, able to self-initiate activity review and research. * Effective time-management skills and the ability to prioritize multiple tasks with competing timelines (multitask). * Demonstrated knowledge of banking, including internal structure of credit union and elements of credit union operations and service. * Demonstrated in-depth knowledge of the Bank Secrecy Act and AML rules and regulations. * Strong ability to understand specific BSA/AML, recognize solutions to mitigate risks and adapt to automation or other changes as implemented. * Must have good working knowledge of Symitar, Application Extender/OnBase, and Image Center. What you'll get: * All Employees: weekly pay and retirement savings options. * Full Time Employees: comprehensive health coverage including medical (with prescription), dental, vision, HSA match, paid parental leave, and tuition reimbursement. * To see a full list of our benefit offerings, check out this helpful guide! Have additional questions about the role? Email the Talent Acquisition Team at: ****************. If you lack access to the internet or require an accommodation in the application process, please send your resume via mail to 5664 Prairie Creek Drive, Caledonia, MI 49316. LMCU is an Equal Opportunity Employer
    $36k-44k yearly est. Auto-Apply 43d ago
  • Senior Investigator (Dental, Aetna SIU)

    CVS Health 4.6company rating

    Investigator job in Home, MI

    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** We are seeking an experienced Senior Healthcare Fraud Investigator to join our Dental/Pharmacy/Broker Investigative Team within Aetna's Special Investigations Unit. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA). This position will be focused on Dental Investigations. **Key Responsibilities** + Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and prepares cases for clinical and legal review. + Documents all appropriate case activity in case tracking system. + Prepare written case summaries and make referrals to State and Federal Agencies within the timeframes required by Law. + Facilitates the recovery of company and customer money lost as a result of fraud, waste and abuse. + Cooperates with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud. + Demonstrates high level of knowledge and expertise during interactions with internal and external partners. + Provide Trial Testimony in support of Criminal or Civil proceedings. + Gives presentations to internal and external customers regarding ongoing case investigations. **Required Qualifications** + 3-5 years of investigative experience in the area of healthcare fraud, waste and abuse. + Exercises independent judgment and uses available resources and technology to develop evidence in support of case investigations. + Strong communication and customer service skills and the ability to effectively interact with Aetna's customers. + Proficiency in Word, Excel, MS Outlook products, open source database search tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE + Bilingual English/Spanish + Dental Investigative Experience + Medicaid and Medicare experience **Education** Bachelor's Degree in the following areas: + Criminal Justice + Healthcare Management + Public Health + Biological Sciences + Data and Analytics + Other related field **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $46,988.00 - $102,000.00 This 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 ***************************************** We anticipate the application window for this opening will close on: 02/13/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
    $47k-102k yearly 2d ago
  • Surveillance Investigator

    Allied Universal Compliance and Investigations

    Investigator job in Grand Rapids, MI

    Overview Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Job Description Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. No office to go to - travel daily to cases in the field! Company credit card to cover fuel and hotel expenses 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 2026-1509468
    $35k-53k yearly est. 11d ago
  • Surveillance Investigator

    Security Director In San Diego, California

    Investigator job in Grand Rapids, MI

    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. No office to go to - travel daily to cases in the field! Company credit card to cover fuel and hotel expenses 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 2026-1509468
    $35k-53k yearly est. Auto-Apply 11d ago
  • Civil Rights Investigator - Grand Rapids

    State of Michigan 4.2company rating

    Investigator job in Grand Rapids, MI

    This position is being filled as Limited Term. There is a possibility that it may become permanent, but that is not guaranteed. The Michigan Department of Civil Rights (MDCR) has one of the most important roles in state government - so important that the Michigan Civil Rights Commission (MCRC) is enshrined in the Michigan Constitution: to investigate allegations of unlawful discrimination and to secure the equal protection of civil rights. MDCR was created in 1965 to carry out the work of the Commission. MDCR is an administrative law enforcement agency with investigative and enforcement authority. The Enforcement Process includes all of the tasks performed when a customer interacts with MDCR about a civil rights-related need or concern, including investigation and resolution of complaints of discrimination, outreach and education, and community engagement. In this important role, an investigator is responsible for investigation and/or resolution of complaints of unlawful discrimination in employment, education, housing, public accommodation, public service, and other jurisdictional areas. Investigators are responsible for investigating complaint allegations and making a determination into each complaint by interviewing witnesses, analyzing information, investigative report writing, and recording data in a departmental data base. Position Description This position generally requires the possession of a bachelor's degree in any major. Specific information on the education and experience required for different class levels is in the job specifications for the Civil Rights Representative class.Your application for any position does not guarantee that you will be contacted by the Department for further consideration. Only those applicants interviewed may be notified of the results. Please attach your cover letter, resume, and OFFICIAL transcript to your application. An official transcript must bear the college/university certification (e.g., seal, logo, watermark, and /or letterhead), Registrar's signature, and date. A transcript with these requirements, with the stamp "Issued to Student" is accepted as an official transcript. Unofficial transcripts will NOT be accepted. An unofficial transcript is: (1) an internet copy printed from the college/university student web account; (2) a transcript stamped with "Student Copy," and (3) a transcript that is labeled as 'Unofficial." The official transcript must be scanned and attached to the electronic NEOGOV Civil Service application with one of the following file extensions: pdf, doc, docx, txt, or rft. Degree certificates are not accepted. When attaching transcripts, please name the college/university for each transcript attached.
    $54k-66k yearly est. 3d ago
  • Private Investigator

    Digistream Investigations 3.5company rating

    Investigator job in Ann Arbor, MI

    Under general supervision, the Private/Surveillance Investigator investigates suspicious workers' compensation claims from various corporate and public-sector clients. The job duties include monitoring and videotaping various individuals as they conduct their normal day-to-day activities as well as completing detailed reports. The position is both journalistic and investigative and centers around obtaining quality video footage and detailed report rendering on the activities captured by the investigator. This job requires knowledge of privacy guidelines and government rules and regulations while operating a motor vehicle. The Private/Surveillance Investigator must have great intuition and the ability to process many mitigating factors during the course of the investigation. Decisions are expected to be made in an accurate and timely manner and in the best interest in preserving the confidentiality of the assignment in question. Responsibilities : - Obtain quality covert video surveillance to be used in litigation - Prepare detailed written reports on subjects' activities during the surveillance - Use both surveillance and creative investigative tactics in order to obtain information that is not readily available - Maintain prompt completion of all assignments and updating the Company's web-access Portal with pertinent case information - Maintain periodic phone/Text contact with an Operations Manager throughout each investigation and coordinate case logistics - Ability to drive at least 8-10 hours a day due to the nature of surveillance investigations - Employee will be paid for travel time and required to stay on their cases until at least the 10 hour mark - Other duties as may be assigned from time to time Requirements : - Bachelor's Degree or in Criminal Justice, Business Administration, or related field, or military experience is preferred - Ability to work independently and to be flexible in changing work priorities - Ability to communicate effectively both verbally and in writing - Excellent driving skills - Strong computer skills - Ability to pass DMV, pre-employment physical and background check - Ability to start work as early as 5:00am daily - Must be a morning person - Must be available to work weekends and holidays - Must possess critical-thinking skills - Must be available to travel out of town/state for up to 15 days per month Work Condition : - Sitting for extended periods of time - Long-distance driving - Maintaining a surveillance position in hot or cold environments - Engaging in a lengthy foot surveillance - Typing and viewing a laptop monitor - Frequent use of camcorder Work Environment : Work is performed in a mobile office environment, sometimes at uncomfortable and can be at unfavorable temperatures for extended period of time.
    $33k-53k yearly est. Auto-Apply 17d ago
  • Healthcare Fraud Investigator

    Contact Government Services, LLC

    Investigator job in Detroit, MI

    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.
    $37k-60k yearly est. 5d ago
  • Mail Fraud Investigative Analyst

    KACE

    Investigator job in Detroit, MI

    Title: Mail Fraud Investigative Support Analyst Security Clearance: Moderate Background Investigation (MBI) Schedule: Due to the nature of law enforcement work and operation, position may require occasional support outside of core working hours, as well as intermittent weekend support, mission dependent. Travel: Travel may be required. About KACE: When you make the decision to join KACE, you are choosing to work alongside talented professionals that have one thing in common; the passion to make a difference! KACE employees bring their diverse talents and experiences to work on critical projects that help shape the nation's safety, security, and quality of life. The desire to have a career that is purposeful and forward thinking is woven into every KACE employee…it's The KACE Way. KACE employees are; purpose driven, forward focused, open-minded, trustworthy and invested. The KACE Way is our commitment to our employees, to our customers, and to our communities. Join KACE and make a difference! Job Summary: The Investigative Support Analyst provides task-specific investigative support to designated criminal and civil investigations in the Inspection Service field division offices. Essential Functions and Responsibilities: Analysis - Review and analyze business records; trace proceeds of illegal activity in order to prepare cash flow analysis; perform personal wealth analysis and related financial transactions; present findings in reports and presentations in non-technical terminology to various audiences. Research - Data-mine Postal records and other databases to identify fraudulent activity; prepare reports documenting analytical results; disseminate research results to appropriate contact(s) in a timely manner. Planning and Preparation - Complete assigned tasks to ensure completion within required timeframes to support the criminal or civil investigation, as appropriate; assist Postal Inspectors with developing intelligence for criminal investigations; prepare initial investigative research; compile basic background information to include, but not limited to, researching all pertinent records and other data. Reporting Responsibilities - Responsible for documenting and reporting analytical results, creating graphic displays and reports that present clear and concise representations of the information analyzed; and disseminating data as required by the assigned task(s). Minimum Qualifications & Skills: Bachelor's Degree from an accredited college or university AND a minimum of ten years investigative experience planning, conducting and participating in complex financial investigations with a minimum of five years specialized experience in areas such as mail fraud, money laundering, organized crime, forfeiture or similar area of criminal activity. Demonstrated knowledge of federal statutes and the federal rules of criminal and civil procedure; Extensive experience in communicating orally and in writing to clearly explain steps and results in research and analysis using multiple mediums such as charts and reports; Extensive experience in conducting research using the Internet and other commercial/public databases; Demonstrated significant ability to analyze investigative results and present sound recommendations for additional investigative action; Extensive experience developing civil and/or criminal cases for presentation to the appropriate prosecution authority; Extensive experience identifying the appropriate analytical techniques and methods during an investigation; Demonstrated extensive ability to prepare complex criminal and/or civil investigations; Demonstrated extensive experience showing the ability to work independently; Demonstrated significant ability to prepare a final work product; Prior experience investigating complex financial investigations; Prior experience developing forfeiture in an investigation; Proficiency with the Microsoft suite of products, Adobe Acrobat Pro, i2, financial analytical software; Experience researching social media activity; Knowledge of FinCEN and Anti Money Laundering processes. Clearance: Applicants selected may be subject to a government background investigation and may be required to meet the following conditions of employment. Security Requirements/Background Investigation Requirements: Must be a U.S Citizen or Legal Permanent Resident. Favorable credit check for all cleared positions Successfully passing a background investigation including drug screening. Physical Requirements/Working Conditions: Standing/Walking/Mobility: Must have mobility to attend meetings with other managers and employees. Standing for prolonged and extended periods of time. Climbing/Stooping/Kneeling: 0% - 10% of the time. Lifting/Pulling/Pushing: 0% - 10% of the time. Fingering/Grasping/Feeling: Must be able to write, type and use a telephone system 100% of the time. Sitting: Sitting for prolonged and extended periods of time. This reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. Management may revise duties as necessary without updating this job description. For more information about the company please visit our website at ******************* KACE is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, disability or any other federal, state or local protected class.KACE complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to **************************.
    $37k-60k yearly est. Auto-Apply 52d ago
  • Card Fraud Investigator

    Michigan First 4.0company rating

    Investigator job in Lathrup Village, MI

    Location : Address 27000 Evergreen Location : City Lathrup Village Location : Postal Code 48076 Responsibilities The Card Fraud Specialist is responsible for providing strategic and tactical risk mitigation for Debit/ATM cards to avoid losses, while ensuring high quality member service levels, loss prevention, and revenue enhancement. Responsible for investigating, researching, and processing Debit/ATM dispute packets with current dispute processor within the allowable time frames. Work card fraud cases through the lifecycle of the case to maximize outcome for the Credit Union and cardholder, including and not limited to positive and professional communication with other team members, cardholders, law enforcement agencies, industry professionals, and merchants. Ability to recognize and escalate new trends and patterns and recommend appropriate mitigating measures to leadership. KEY JOB RESPONSIBILITIES: Card Fraud Analyze and process Debit/ATM card dispute cases to ensure minimal loss to the Credit Union. Monitor the processing and status of Debit/ATM fraud cases with current dispute processor through end of lifecycle. Conduct additional research and follow through on more complex cases. Investigate member transactions through comprehensive research, including but not limited to review of CCTV video. Ensure clear, concise, and compelling research is logged and documented thoroughly. Prepare detailed written reports for periodic fraud and dispute tracking purposes. Present factual documentation and action recommendations to leadership. Effectively communicate status and decision to cardholder both through written and verbal communication. Research, follow through, and resolve other complex situations, issues, and complaints from members. Handle member inquires, process card user changes, and provide written notice to confirm changes and authorizations. Process daily work queue tasks and reports. Assists branches and other teams with researching information for members. Provides ongoing refresher training to team members based on quality reviews, and regulatory updates. Monitors and evaluates dispute handling for accuracy, timeliness, and adherence to regulatory requirements Work closely with Branch Support Leaders to maintain training material and resources to support consistent and compliant dispute investigations Teamwork Work with cross-functional teams to identify fraud patterns and make procedural adjustments to help mitigate fraud loss and reduce exposure to losses regarding Debit/ATM cards, ATMs, and fraud mitigation. Contribute or lead other special projects which reduce chargeback losses while maintaining focus on positive member experience Accuracy/Procedures Responsible for keeping accurate records and reports on all transactions and for learning and updating credit union policies and procedures in accordance with any changes to legislation or government regulations. Controls Accountable for Debit/ATM card controls including but not limited to replacement of lost and stolen cards, restricting card usage, revoking card or other services, issuing additional cards, and processing claims related to inappropriate card usage by members. Regulations/Legal Ensures compliance with rules and regulations governing cards. Knowledgeable about state, federal, and local rules and regulations, restrictions and requirements relative to the risk exposures inherent in the Credit Union operations. Work directly with legal counsel and appropriate law enforcement or government agencies as necessary. Michigan First Way Must adhere to all member service standards as set forth by the credit union. Becomes/is an advocate of The Michigan First Way, supporting all facets of it, including complete fulfillment of Our Promise, 5 STARS Service, SOLVE IT and our ISMs. Fosters a positive demeanor and image through professional representation in all contacts with both, team members and members. Consistently reflects and displays each of our “ISMs” in daily job performance, as well as in all business interactions while executing on our goals and initiatives. Learns and utilizes EMEC (Every Member's Experience Counts) in day-to-day responsibilities when communicating with members only. Performs other duties as assigned. Qualifications QUALIFICATIONS/REQUIREMENTS: Bachelor's degree preferred plus a minimum of three years of loss/fraud prevention experience or card services experience, and at least five years related experience and/or training; or equivalent combination of education and experience. Highly complex analytical ability required to independently resolve not only external member issues, but to provide resolution to branch, team members, members, auditors and regulators on complex situations. Ability to respond objectively and appropriately to common inquiries from credit union members, team members, business partners, regulatory agencies, or members of the business community. Ability to read, analyze, and interpret common technical journals, financial reports and information, and appropriate legal documents. Must fully understand Credit Union products and services and be able to assist members to use these products and services. Cooperative and positive attitude toward members and team members. Professional appearance and demeanor. Thorough knowledge of credit union's computer system for performing basic input/output tasks. Must have excellent interpersonal, verbal and written skills. Superior quantitative and analytical skills. Must be able to multi-task and accomplish a high degree of accurate work that adheres to established processes, procedures and regulations. Ability to operate computer system including input, output, and inquiry to member accounts and other account information required in the member service function. Thorough knowledge of Credit Union's computer system for performing complex input/output tasks. Ability to operate a personal computer, including a full working knowledge and ability to utilize the following software programs: Microsoft Word, Microsoft Excel and supporting card based systems. Ability to confidently and effectively present information verbally to senior leaders and members. Familiar with the differences in a basic number of products and services offered by other financial institutions to those offered by the Credit Union. May be required to become certified as a Notary Public for the purpose of verifying signatures, executing documents and obtaining information. May be required to appear at legal proceedings. Ability to maintain composure under stressful situations. Ability to maintain confidentiality of sensitive information. Who We Are Michigan First Credit Union was founded more than 90 years ago by educators and delivers world-class service to more than 160,000+ members at our branches throughout the State of Michigan, and we're still growing! We offer financial solutions for every life stage and seek to positively transform our members' lives through personalized service that meets their unique needs. Simply put, Michigan First Credit Union's sole mission is to provide the highest quality member experience. Working here, you'll get to participate in a strong culture, centered around service, professionalism, and growth. Michigan First highlights: 500 team members 32 locations spanning the Lansing area, Grand Rapids and Metro Detroit Industry leader in community support and charitable giving through the Michigan First Foundation Member Services Call Center operates 24/7/365 Over $1.5 Billion in assets Awards Michigan First Credit Union has been the proud recipient of: 2024 Best & Brightest in the Nation 2024 Best & Brightest in Metro Detroit 2024 Best & Brightest in West Michigan 2024 Best Credit Unions to Work For 2024 Crain's Cool Places to Work 2024 Detroit Free Press Top Workplaces 2024 Michigan Veterans Affairs Agency - Certified Veteran Friendly Employer - Bronze Level 2021 Credit Union of the Year by NAFCU (National Association of Federally-Insured Credit Unions) Benefits and perks of joining our award-winning team include: Very competitive pay Low-cost medical, dental, and vision benefit options. Employer-paid life and disability insurance 401(k) - 100% match up to 5% deferral Tuition reimbursement for both Undergraduate and Graduate degree program Access to a complimentary concierge service that assists with nearly any item on your to-do list Free, state-of-the-art fitness center at our Lathrup Village headquarters with exercise equipment, showers and locker rooms Wellness initiatives and events throughout the year to help team members stay healthy Loan discounts for certain secured and unsecured loans and mortgages Opportunities for pay increases, incentives and profit-sharing, based on performance Onsite subsidized top notch Cafe 26 for team members' use Onsite bowling center Michigan First Credit Union is an Equal Opportunity Employer.
    $43k-47k yearly est. Auto-Apply 60d+ ago
  • Surveillance Investigator

    The Robison Group 4.2company rating

    Investigator job in Lansing, MI

    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: 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 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-52k yearly est. 60d+ ago
  • Field Investigator - MACP/ACP/OOP

    Command Investigations

    Investigator job in Detroit, MI

    SuperiorX Investigations (Command Investigations) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator. SuperiorX Investigations is the premier servicer for insurers and defense attorneys throughout Michigan, and our Assigned Claims Plan (ACP) unit is actively expanding to meet the increasing demand for quality investigations to gather critical information, conduct special investigations, examine coverage/loss, and combat fraud, one case at a time. Our ACP team provides industry-leading service to clients handling medical, wage loss, attendant care, replacement service and survivorship claims generated through the Michigan Assigned Claims Plan (MACP). We have several open positions and are looking to add two to three efficient, effective, professional investigators to our high-performing team. While all promising candidates will be considered, any prior investigative, claims and legal/law enforcement experience is a plus. The ideal candidate will be self-directed, organized but flexible, responsive to feedback, possess an eye for details, capable of operating independently and as part of a team, and will be comfortable engaging with people of all backgrounds, ethnicities, and positions in pursuit of the facts. The primary duties/responsibilities for this position primarily includes scheduling and conducting subject interviews, obtaining field statements from related parties and witnesses, pursuing, and reviewing any relevant police/court/medical records, and performing spot checks, scene investigations, neighborhood canvasses and insurance canvasses. The investigator will be responsible for completing reports for any investigation conducted at the direction of, and to the standards set by, their supervisor. Investigators will be required to record all findings into a clear and concise report, determine their own schedule within the needs of the investigative timeline, and work independently with minimal supervision. The investigator will have their own caseload, and will work every case from start to finish, prioritizing and re-prioritizing based on the needs of each case and client. The position combines both field work and desk work to varying amounts depending on the demands of the case. On average, anticipate 40% of the investigator's time to be spent in the field, with cases assigned by proximity to the investigator's home base of operations. This role may involve cross-training in additional types of investigations. All applicants must meet the following requirements: Excellent verbal and written communication skills Demonstrate the ability to analyze information, develop logical questions, and accurately report findings in a specified format Proficient in Microsoft Office programs Excellent time management and organizational skills United States Citizenship Possess a high school diploma or GED Possess a valid driver's license Own a reliable vehicle Be willing to travel as needed for assignments, including possible assignments outside of one's geographical area Candidates may have an advantage where they possess: MACP experience Adjuster/PIP claims experience Prior experience as a private investigator Prior law enforcement or legal experience Any prior experience in a role dealing with automobile or medical insurance, research, court or law enforcement records. Benefits: Command Investigations provides their investigators with comparable pay, to include drive time, fuel, and allowance for vehicle and business-related expenses. Command Investigations also offers medical, dental, as well as paid vacation and sick time, and a 401K retirement plan for full-time employees. Compensation: Command Investigations employees are paid on a bi-weekly basis. Investigators are paid an hourly wage, based on experience and possession, with overtime available paid at time-and-a-half for anything over 40 hours/week, once fully trained, and when available. Command Investigations provided the following inclusive hiring information: We are an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. Job Type: Full Time
    $26k-39k yearly est. Auto-Apply 60d+ ago
  • Healthcare Fraud Investigator

    Contact Government Services, LLC

    Investigator job in Detroit, MI

    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
    $37k-60k yearly est. Auto-Apply 60d+ ago
  • Surveillance Investigator

    The Robison Group 4.2company rating

    Investigator job in Lansing, MI

    Are you looking for a company who believes in world class employee culture and focuses on growing YOU professionally? Alpine Intel is dedicated to innovation across the property, auto, liability, and workers comp insurance fields - helping our customers reach peak performance throughout the policy life cycle. Through our operating brands, HVACi, StrikeCheck, National Fire Experts, Donan Engineering, BSC Forensics, Component Testing Laboratories, The Robison Group, VRC Investigations, TechLoss, Mecanica Scientific Services, and HMI we are respected as the industry leader for our scale and our track record of conducting expert, specialized, and accurate investigations. Headquartered in Charlotte, North Carolina, our team of experienced professionals provides high-quality solutions nationwide. Alpine Intel is looking for bright candidates with a passion for problem solving to join our growing team. 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 video 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: 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-52k yearly est. 48d ago
  • Surveillance Investigator

    Allied Universal Compliance and Investigations

    Investigator job in Detroit, MI

    Overview Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Job Description Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. No office to go to - travel daily to cases in the field! Company credit card to cover fuel and hotel expenses 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 2026-1509456
    $36k-55k yearly est. 11d ago
  • Field Investigator - MACP/ACP/OOP

    Command Investigations

    Investigator job in Detroit, MI

    Job Description SuperiorX Investigations (Command Investigations) is seeking qualified, driven, and experienced candidates to join our special investigations unit as an ACP Investigator. SuperiorX Investigations is the premier servicer for insurers and defense attorneys throughout Michigan, and our Assigned Claims Plan (ACP) unit is actively expanding to meet the increasing demand for quality investigations to gather critical information, conduct special investigations, examine coverage/loss, and combat fraud, one case at a time. Our ACP team provides industry-leading service to clients handling medical, wage loss, attendant care, replacement service and survivorship claims generated through the Michigan Assigned Claims Plan (MACP). We have several open positions and are looking to add two to three efficient, effective, professional investigators to our high-performing team. While all promising candidates will be considered, any prior investigative, claims and legal/law enforcement experience is a plus. The ideal candidate will be self-directed, organized but flexible, responsive to feedback, possess an eye for details, capable of operating independently and as part of a team, and will be comfortable engaging with people of all backgrounds, ethnicities, and positions in pursuit of the facts. The primary duties/responsibilities for this position primarily includes scheduling and conducting subject interviews, obtaining field statements from related parties and witnesses, pursuing, and reviewing any relevant police/court/medical records, and performing spot checks, scene investigations, neighborhood canvasses and insurance canvasses. The investigator will be responsible for completing reports for any investigation conducted at the direction of, and to the standards set by, their supervisor. Investigators will be required to record all findings into a clear and concise report, determine their own schedule within the needs of the investigative timeline, and work independently with minimal supervision. The investigator will have their own caseload, and will work every case from start to finish, prioritizing and re-prioritizing based on the needs of each case and client. The position combines both field work and desk work to varying amounts depending on the demands of the case. On average, anticipate 40% of the investigator's time to be spent in the field, with cases assigned by proximity to the investigator's home base of operations. This role may involve cross-training in additional types of investigations. All applicants must meet the following requirements: Excellent verbal and written communication skills Demonstrate the ability to analyze information, develop logical questions, and accurately report findings in a specified format Proficient in Microsoft Office programs Excellent time management and organizational skills United States Citizenship Possess a high school diploma or GED Possess a valid driver's license Own a reliable vehicle Be willing to travel as needed for assignments, including possible assignments outside of one's geographical area Candidates may have an advantage where they possess: MACP experience Adjuster/PIP claims experience Prior experience as a private investigator Prior law enforcement or legal experience Any prior experience in a role dealing with automobile or medical insurance, research, court or law enforcement records. Benefits: Command Investigations provides their investigators with comparable pay, to include drive time, fuel, and allowance for vehicle and business-related expenses. Command Investigations also offers medical, dental, as well as paid vacation and sick time, and a 401K retirement plan for full-time employees. Compensation: Command Investigations employees are paid on a bi-weekly basis. Investigators are paid an hourly wage, based on experience and possession, with overtime available paid at time-and-a-half for anything over 40 hours/week, once fully trained, and when available. Command Investigations provided the following inclusive hiring information: We are an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. Job Type: Full Time Powered by JazzHR mXv2n9WVCa
    $26k-39k yearly est. 6d ago
  • As Needed Field Investigator- Detroit, MI

    J T Becker & Co Inc.

    Investigator job in Detroit, MI

    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
    $26k-39k yearly est. 2d ago

Learn more about investigator jobs

How much does an investigator earn in Grand Rapids, MI?

The average investigator in Grand Rapids, MI earns between $34,000 and $97,000 annually. This compares to the national average investigator range of $42,000 to $119,000.

Average investigator salary in Grand Rapids, MI

$58,000

What are the biggest employers of Investigators in Grand Rapids, MI?

The biggest employers of Investigators in Grand Rapids, MI are:
  1. Lake Michigan Credit Union
  2. Ethos Risk Services
  3. Omniplex World Services Corporation, A Constellis Company
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