**Join Us in Shaping the Future of Health Care** At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
**What's in it for you:**
+ Growth opportunities to uplevel your career
+ A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
+ Competitive compensation and comprehensive benefits focused on well-being
+ An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** .
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
**Qualifications you'll bring:**
+ BA/BS degree in criminal justice or a related field, and minimum of five years ofinsurance claims investigation experience; or five years of professional investigation experience with law enforcement agencies, or seven years of professional investigation experience involving economic or insurance relatedmatters.
+ A clinical investigator must have in addition to the above requirements: A duly licensed or authorized medical professional, including but not limited to MD or RN.
+ New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred.
+ Obtain CPC and/or COC credential.
+ Maintain nursing license and coding credentials through continuing education process as required.
+ Superior judgment skills, verbal and written communication, and presentation skills.
+ Extremely detail-oriented with excellent organizational and analytical skills.
+ Ability to utilize various data management tools to help identify potentially fraudulent activity.
+ Possess knowledge of CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data.
+ Working knowledge of MS Office (Word, Excel and Outlook)
+ Curiosity to foster innovation and pave the way for growth
+ Humility to play as a team
+ Commitment to being the difference for our customers in every interaction
**Preferred Job Skills:**
+ Working knowledge of Macess, Facets, CareRadius, Cognos, CMS web sites, and Encoder-Pro.
**Your key responsibilities:**
+ Conduct clinical reviews of various forms of medical documentation and records obtained from providers and facilities including but not limited to medical charts, patient account records, and member interviews.
+ Organize and conduct highly complex investigations. Document findings and recommendations throughout the investigative process in a timely and efficient manner according to corporate and departmental SIU policies and procedures.
+ Act as an SIU liaison and interact with and analyze data in cooperation with Pharmacy, Medical Affairs, Operations, Provider Relations, Credentialing, Customer Care Center, Legal and other corporate personnel.
+ Assist in investigations conducted by government agencies, law enforcement, and other insurance company SIU staff.
+ Make recommendations for and conduct clinical re-audits of providers and facilities previously audited by SIU.
+ Testify in criminal and civil legal case proceedings as necessary and assist outside legal counsel especially concerning issues needing clinical decision making.
+ Participate in annual Corporate FWA training and training of new SIU personnel.
+ Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid, and any corporate compliance initiatives or policies.
+ Minimal travel may be required pertaining to investigations and audits.
+ Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
**Where you'll be:**
Virtual; Must reside within Eastern or Central Time Zone
**Pay Transparency**
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$69,383.00-$92,279.00
**MVP's Inclusion Statement**
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** .
$69.4k-92.3k yearly 20d ago
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Investigator Senior
Carebridge 3.8
Investigator job in New Hyde Park, NY
Supports the Payment Integrity line of business Hybrid 1: This role requires associates to be in-office 1-2 days 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.
* 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.
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.
The Investigator Senior is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting.
How will you 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 independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one company health plan, line of business and/or state.
* 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.
* May be called upon to represent the Company in court proceedings regarding research findings.
* Develops and maintains a high degree of rapport and cooperation with the Federal, State and local law enforcement and regulatory agencies which can assist in investigative efforts.
Minimum Requirements
* Requires a BA/BS and minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications, Skills & Capabilities
* Professional certification of CFE, AHFI, CPC, Paralegal, RN, JD or other job related designation preferred.
* 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 locations, the salary* range for this specific position is $82,320 to $141,120.
Locations: New York and New Jersey.
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.
Please note: State agencies that contact job applicants do not usually request personal or financial information via text message or over the phone in connection with your response to a job posting. If you are contacted for such information by these methods, or any other method, please verify the identity of the individual before transmitting such information to that person.
Note: For questions about the job posting, please contact the agency that posted this position by using the contact information provided on the "Contact" tab for the position.
Review Vacancy
Date Posted 11/04/25
Applications Due01/31/26
Vacancy ID201913
* Basics
* Schedule
* Location
* Job Specifics
* How to Apply
NY HELPYes
AgencyTaxation & Finance, State
TitleAuditor 1 (Tax)/Auditor Trainee 1 (Tax)/Auditor Trainee 2 (Tax) (NY HELPS) Criminal Investigations Division
Occupational CategoryOther Professional Careers
Salary Grade18
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $53764 to $66951 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Competitive Class
Travel Percentage 10%
Workweek Mon-Fri
Hours Per Week 37.5
Workday
From 8:30 AM
To 4:30 PM
Flextime allowed? Yes
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? Yes
County Westchester
Street Address 44 South Broadway
City White Plains
StateNY
Zip Code10601
Duties Description ·Conduct audits and examinations of taxpayer's books and records to determine compliance with the various articles of the NYS Tax Law;
* Develop and maintain working knowledge of the Tax Law, Criminal Tax and Penal Law as well as Department and Criminal Investigations Division (CID) procedures and policies, including the Code of Conduct, Ethics practices and security and confidentiality rules;
* Communicate effectively, both verbally and in writing, with supervisors and other Department staff, taxpayers and/or their representatives, and prosecutor offices;
* Develop and maintain skills in computer technology including operation of laptop computers, PCs, and various software and job-related applications;
* Travel frequently, including both local and overnight within and outside New York State and to locations not accessible by public transportation; and be able to perform field works in non-business hours if necessary;
* Carry computer equipment and case materials to various field audit sites, training classes, BCMS conferences, etc.
* Prepare cases for prosecution and assist prosecuting authority;
* Represent CID and advocate disputed cases at BCMS conferences and Small Claims
* Hearings; may participate at hearings as a witness for the Department to assist attorneys from the Department's Office of Counsel in the resolution of disagreed cases; testify in Grand Jury and Trial in criminal courts.
Conduct interviews of witnesses, taxpayers, or subjects under investigation with an investigative team;
* Perform various special assignments and miscellaneous tasks as requested; and
* Adhere to the Department's time and attendance rules and regulations.
Minimum Qualifications The ability to fill this position is subject to DOB guidelines for processing personnel transactions. Note: a budget waiver is not
required to fill positions via transfer to lateral or downward level positions within the same department or to change line items
within the same funding source; or to replace employees who have been terminated during their probationary periods. The
selected candidate must be eligible for appointment in accordance with the provisions of the Civil Service Law, Rules, and
Regulations. If mandatory rehiring lists exist for this title, appointment other than reassignment must be made from these lists.
If there are no acceptors from these lists, appointment may be made using the following:
a) New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS)
b) Employees who are currently serving in the same title are eligible for reassignment without change in title or status;
c) Candidates reachable on the appropriate eligible list for this title and location;
d) Employees eligible for transfer.
e) This position may be filled as a two year traineeship.
f) Employees eligible for 55b appointment
This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration
of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means no examination is required
but all candidates must meet the minimum qualifications of the title for which they apply.
At a future date, it is expected employees hired under NY HELPS will have their non-competitive employment status converted
to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights
and privileges of competitive class employees of New York State. While serving permanently in an NY HELPS title,
employees may take part in any promotion examination for which they are qualified.
NON-COMPETITIVE MINIMUM QUALIFICATIONS:
Auditor Trainee 1 Tax:
* Bachelor's degree including 24 credits in accounting/auditing/taxation
OR
* Bachelor's degree including 18 credit hours in accounting/auditing/taxation AND 6 credits in finance, money and banking,
economics, or business.
Auditor Trainee 2 Tax:
* Meet the Trainee 1 minimum qualifications AND 1 year of experience*
OR
* Meet the Trainee 1 minimum qualifications AND a Masters, including 15 credits in accounting/auditing/taxation
Auditor 1 Tax:
* Meet the Trainee 1 minimum qualifications AND 2 years' experience*
OR
* Meet the Trainee 1 minimum qualifications AND CPA license in NYS
OR
* Meet the Trainee 1 minimum qualifications AND a Masters, including 15 credits in accounting/auditing/taxation AND 1 year
experience*
* Experience must be gained in any one or combination of the following:
1. As an accountant/auditor with responsibility for the full range of professional activities involved in the review, analysis, and
management of accounting systems, resulting in the rendering of opinions or recommendations on financial statements in
accordance with generally accepted accounting principles. Activities restricted to bookkeeping or preparing tax returns are not
considered qualifying.
2. As an internal accountant/auditor with responsibility for conducting a full range of financial accounting/auditing activities
for an entity. Activities limited to such duties as maintaining and/or auditing payroll records, accounts receivable or accounts
payable are not considered qualifying.
3. As an accountant with ongoing responsibility for the design, implementation, and review of accounting systems.
4. As a professional staff member of a private accounting practice with broad experience in maintaining accounting books and
records, completing financial statements, and preparing business and personal tax returns.
5. As field auditor with a federal, state, or municipal agency, with the responsibility for performing comprehensive field audits
to determine the compliance of individuals or businesses with the taxing jurisdictions laws, rules, and regulations.
6. As an accountant/auditor principally engaged in the analysis and/or interpretation of tax law.
Additional Comments Having a valid NYS license may be a condition of employment in this title, based on location.
Work hours, travel, and telecommuting options to be discussed during interview.
Appointment to each level of the traineeship will depend on which minimum qualifications are met.
The salary listed is a range, starting from the Trainee 1 level and ending at the Auditor 1 level, this will depend on what level the candidate is coming in at.
This location is eligible for location pay, in addition to the salary range listed.
New York State is an equal opportunity employer. It's the policy of the state of New York to provide for and promote equal opportunity in employment, compensation, and other terms and conditions of employment without discrimination on the basis of age, race, color, religion, disability, national origin, gender, sexual orientation, marital status, or an arrest or criminal conviction record unless based on a bona fide occupational qualification or other exception.
Any candidate selected for this position will be subject to a review of their tax return submissions by the New York State Department of Taxation & Finance. Employment of a candidate is conditioned upon a finding by the New York State Department of Taxation & Finance that the candidate is in compliance with all local, state, and federal tax laws. In accordance with federal government requirements, the employment of any candidate selected for this position is conditioned upon successfully completing a background investigation including a criminal history record check (fingerprint check).
Some positions may require additional credentials or a background check to verify your identity.
Name Team 5
Telephone ************
Fax
Email Address *******************************
Address
Street W.A. Harriman State Campus, Bldg. 9
Building 9, Room 256
City Albany
State NY
Zip Code 12227
Notes on ApplyingQualified candidates should copy the below web address into your browser to complete the online application for the Department of Tax and Finance. Within the application you will attach your resume and cover letter.
***********************************************
Current and former NYS employees may be contacted for your Social Security Number for verification purposes.
$53.8k-67k yearly 60d+ ago
Senior Investigator, Employee Relations
Samsung 4.9
Investigator job in Englewood Cliffs, NJ
Headquartered in Englewood Cliffs, N.J., Samsung Electronics America, Inc. (SEA), the U.S. Sales and Marketing subsidiary, is a leader in mobile technologies, consumer electronics, home appliances, enterprise solutions and networks systems. For more than four decades, Samsung has driven innovation, economic growth and workforce opportunity across the United States-investing over $100 billion and employing more than 20,000 people nationwide. By integrating our large portfolio of products, services and AI technology, we're creating smarter, sustainable and more connected experiences that empower people to live better. SEA is a wholly owned subsidiary of Samsung Electronics Co., Ltd.
To learn more, visit Samsung.com. For the latest news, visit news.samsung.com/us.
Role and Responsibilities
The Employment Practices function at Samsung is responsible for conducting prompt and thorough investigations of workplace complaints. In addition, this team provides guidance to leadership and employees across the Samsung organization on company policy, practices, state/federal employment laws, and counsel on employment best practices. At Samsung, we're constantly looking for talented individuals who can deliver the caliber of service our company requires. Reporting to the Senior Director, Employment Law, the Senior Investigator, Employment Practices, will be responsible for leading efficient, ethical and professional investigations across Samsung and our affiliates in partnership with our Legal, Compliance and Human Resources teams.
The Senior Investigator, Employment Practices role will also serve as a regional advisor to our affiliates providing direct support and counseling on their employee relations and investigation needs and acting as a center of excellence to share resources and best practices. This role will also facilitate training programs and host roundtable discussions for Human Resources leaders at Samsung affiliates to provide support and build cohesive collaboration across the region.
Accountability and Ownership will include but not be limited to the following:
Conduct efficient, ethical and professional investigations across all business organizations including intake and fact-finding interviews used for addressing, among other things, alleged policy violations; discrimination, harassment and retaliation complaints; sexual harassment; and other unlawful conduct
Lead complex employee relations investigations and summarize findings and mitigation opportunities in written reports
Develop and lead best in class employment practices strategies to address employee relations issues in the organization
Proactively address and manage employee relations issues to mitigate any adverse impact on the business
Act as the point of contact for advice, mentorship and counsel on investigation issues with business leaders, internal centers of excellence, Human Resources Business Partners (HRBPs) and Human Resources leaders at Samsung affiliates
Responsible for organizing investigation data and reports in a manner that allows for analysis of trends and reporting using company's case management system
Partner closely with HRBPs to directly support their organization to drive recommendations based off investigations, deliver investigative training and gather data/metrics to drive process improvements
Prepare timely and accurate analytical reports on investigation issues and trends
Assist in developing and implementing a standardized investigative process across the region
Research, design and implement best in class practices in Employment Practices group to advance effective investigations, stakeholder engagement, and program and policy implementation
Develop policies, procedures and programs to promote fair and efficient administration across employees in order to reduce legal risk. Assist top leaders, and division leaders with employee relations issues
Provide guidance and training to supervisors, managers and Human Resources personnel on employee relations issues, as well as help them navigate more complex issues that arise.
Ensure that case management system and trackers are kept current
Skills and Qualifications
Minimum Qualifications
Bachelor's degree in Human Resources, Industrial or Labor Relations
8 - 10 years professional Human Resources and/or employee relations experience
Experience conducting internal investigations, drafting investigation reports, and reporting to leadership
Extensive knowledge of U.S. Federal, state, and local employment laws and trends
Cross-Functional Relationships: Knowledge of and ability to articulate to senior management the benefits of supporting cross-functional objectives to achieve the business plan
Negotiation: Exploring alternatives and positions to reach outcomes that gain all parties' support and acceptance; striving for outcomes that are a win-win for all parties involved
Resiliency and ability to thrive in a fast-paced environment
Effective communication skills - written, verbal, and listening skills
Ability to explain complex and/or confidential information and communicate with all levels of management; high-quality document and report preparation
Problem-solving and critical thinking
High level of judgment, calm presence, and stress management capabilities
Collaborative skills and the ability to work effectively with others
Organizational savvy - ability to be a credible advocate and manage ambiguity while building strong relationships with leaders in the organization
#LI-KR1
Life @ Samsung - ***************************************************
Benefits @ Samsung - ********************************************
Regular full-time employees (salaried or hourly) have access to benefits including: Medical, Dental, Vision, Life Insurance, 401(k), Employee Purchase Program, Tuition Assistance (after 6 months), Paid Time Off, Student Loan Program (after 6 months), Wellness Incentives, and many more. In addition, regular full-time employees (salaried or hourly) are eligible for MBO bonus compensation, based on company, division, and individual performance.
NEW JERSEY STATE ONLY
The salary range for this role is expected to be between $126,000 and $155,500. Actual pay will be determined considering factors such as relevant skills and experience, and comparison to other employees in the role.
* Please visit Samsung membership to see Privacy Policy, which defaults according to your location. You can change Country/Language at the bottom of the page. If you are European Economic Resident, please click here.
At Samsung, we believe that innovation and growth are driven by an inclusive culture and a diverse workforce. We aim to create a global team where everyone belongs and has equal opportunities, inspiring our talent to be their true selves. Together, we are building a better tomorrow for our customers, partners, and communities.
* Samsung Electronics America, Inc. and its subsidiaries are committed to employing a diverse workforce, and provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, gender identity, status as a protected veteran, genetic information, status as a qualified individual with a disability, or any other characteristic protected by law.
Reasonable Accommodations for Qualified Individuals with Disabilities During the Application Process
Samsung Electronics America is committed to providing reasonable accommodations for qualified individuals with disabilities in our job application process. If you have a disability and require a reasonable accommodation in order to participate in the application process, please contact our Reasonable Accommodation Team ************** or SEA_Accommodations_******************* for assistance. This number is for accommodation requests only and is not intended for general employment inquiries.
$126k-155.5k yearly Auto-Apply 14d ago
Global Security Investigator
JPMC
Investigator job in Jersey City, NJ
Join JPMorganChase, a leading financial institution with a rich 200-year history. We offer innovative financial solutions to a diverse clientele, and a competitive rewards package including a base salary, discretionary incentive compensation, and comprehensive benefits. We are committed to diversity and inclusion, providing equal opportunities for all. Be a part of our Global Security team, ensuring the safety of our operations, people, and assets on a global scale.
As a Global Security Investigator within our Global Security team, you will report directly to the Global Security Electronic Crimes Investigations Manager. You will need a basic understanding of fraud and technology risk, and will work extensively with our internal management and the law enforcement community at various levels. You will assist in and perform investigations of fraud activities that involve remote channels and various electronic payment mechanisms. Your focus will be on root cause analysis and quantifying risk exposure, and you will communicate your findings to management to initiate necessary changes. You will be required to use one or more High Security Access (HSA) systems, and will need to pass enhanced screening checks. This role provides an opportunity to work in a challenging environment and contribute to the security of our operations.
Job responsibilities
Gather electronic evidence for investigations related to internet, mobile banking, call center, and ecommerce fraud. This evidence is then compiled in a logical fashion to identify suspects and perform root cause analysis
Enforce the JPMC Cyber Security and High Tech Investigations teams regarding cyber threats that may impact investigations.
Analyze and closely with Risk and other key LOB personnel to analyze controls and recommend enhancements.
Works effectively with JPMC's technology support teams to discover how frauds occur through a deep understanding of JPMC systems and the processes that support them.
Works independently, is a self-starter, and has ability to prioritize daily work based on time lines, case profiles, and significant exposure.
Communicate effectively with Lines of Businesses n when systems or process deficiencies are identified to ensure they are corrected.
Interface with Law identifies fraudulent transactions based on actionable intelligence to mitigate reputation and financial risk.
Maintain proper mitigation efforts are taken on any/all significant intelligence leads related to risk issues.
Recognizes opportunities for addressing fraud issues, risks and exposures.
Maintains strong liaison and working relationships with all federal, state and local law enforcement and regulatory agencies, including international enforcement agencies.
Required qualifications, capabilities and skills
Bachelors Degree in Computer Science, Accounting, MIS, Business Management, Engineering, Criminology/Criminal Justice or a technology-related field.
Minimum of 2+ years experience in fraud technical understanding of all forms of electronic payments; ACH, Wire, etc.
investigations, Internal Audit, EFT Risk, or investigating EFT-related fraud.
Knowledge of online banking systems, telephone banking risk management, EFT systems, and/or risk management.
Knowledge of EFT systems used to move funds intra or interbank; ACH, Wire Transfer, etc.
A basic understanding of cyber organized criminal groups, online carding groups, digital currencies, and electronic crimes as they relate to electronic fraud
Clear understanding of Electronic Funds Transfer (EFT) payment systems.
Thorough understanding of industry data security trends/standards related to Electronic Payments.
Basic knowledge of Microsoft operating systems and securing PII best practices, including both data in motion and data at rest.
Experience with tools used for aggregating and analyzing large amounts of data using tools like Excel, Access, etc.
Experience writing reports or process documents that are clear, articulate, and concise.
Preferred qualifications, capabilities and skills
CISSP, CISA, and/or CFE preferred
Experience presenting to an audience regarding fraud or investigations is a plus.
Prior experience filing Suspicious Activity Reports with FinCEN is a plus.
$49k-82k yearly est. Auto-Apply 60d+ ago
Entry-Level Investigator
Ethos Risk Services
Investigator job in Kearny, NJ
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 of, we provide accurate data and actionable insights that translate into better decision-making for our clients. To learn more, visit: *******************************
JOB SUMMARY:
Have you ever thought about becoming a Private Investigator? Are you ready to kick-start your career in a rapidly growing industry? Want to get paid to learn how to investigate fraud and conduct covert surveillance in the real world? Our Full-Time Entry-Level Field Investigator position will help launch your career by providing you with an industry leading FULLY PAID Investigator Training Program - no prior experience necessary!
KEY RESPONSIBILITIES:
Case Preparation: Conduct preliminary investigations using social media and analyzing database research.
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 field supervisor, receiving regular guidance and mentorship.
QUALIFICATIONS:
Driver's License: Active driver's license that is not currently suspended or revoked.
Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows). Proof of auto insurance coverage is required.
Travel Expectations: While we aim to keep assignments within a reasonable drive of your residence, occasional further travel and overnight stays (covered by the company) may be required.
Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks.
Required Skills: Strong computer & internet proficiency. Excellent communication, verbal & writing skills.
WHAT WE OFFER:
Paid Investigator Training Program: Fully paid training program led by industry experts with ongoing development and support. Initial training will be held via virtual classroom then transition into on-the-job training.
Paid Licensing: We pay for all your licensing fees! Our licensing team will guide you through the process of acquiring all investigator licensing to ensure a smooth process.
Surveillance Equipment: We will provide you with necessary surveillance equipment. After a year of employment, it is yours to keep!
Pay Increases & Milage Reimbursement: There are several performance milestones within your training & first year of employment that will reward you with pay increases. Additionally, we offer a mileage reimbursement program.
Health Insurance/Retirement: Medical, Dental Vision, Life/Disability Insurance + 401k
WORKING CONDITIONS:
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
$49k-82k yearly est. 8d ago
Quality Assurance Investigator I
School for Adaptive and Integrative Learning Sail
Investigator job in Yonkers, NY
SAIL at Ferncliff Manor is seeking to hire an Internal Investigator with OPWDD experience to join our Quality Assurance team.
This position will be responsible for all aspects of the incident management process in accordance with NYCRR 14 Part 624, 625, 633 and 8 CRR-NY 200.15 regulations.
Annual Salary: $50,000.00
Education: BA/BS required
Benefits: Health /vision, Dental Insurance, 401k/401k match, and PTO
Essential Duties:
Conduct investigations regarding allegations of abuse and neglect and reportable significant incidents.
Prepare written investigative summary (utilizing the OPWDD required 149 form) with appropriate recommendations.
Enter all information related to investigation process and findings in Incident Reporting Management Application (IRMA) database.
Upload investigations to IRMA, and WSIR websites. May conduct new orientation and other trainings related to incident reporting and incident management as assigned.
Receive, and review all incidents and occurrences in OPWDD & SED programs.
Conduct new hire orientation and other trainings related to incident reporting and incident management as assigned.
Maintain a working knowledge of government and industry assurance codes and standards.
$50k yearly 60d+ ago
Residency Investigator
North Arlington School District 3.8
Investigator job in North Arlington, NJ
Residency Investigator JobID: 310 Security/Security - 12-Months Additional Information: Show/Hide Residency Investigator * Three years of experience that is directly related to the duties and responsibilities specified.
* Demonstrated knowledge of admissions, enrollment, residency documents, and student records for a school district.
* Strong communication and interpersonal skills.
* Valid driver's license.
* Required criminal history background check, employment history review, and proof of authorization to work in the United States for the North Arlington School District.
* Knowledge of student enrollment requirements and issues, including an understanding of the legal requirements applicable to school attendance set forth in N.J.S.A. 18A:38-1 et seq. and N.J.A.C. 6A:22-1.1 et seq.
* Ability to maintain confidentiality of records and information.
* Ability to follow up, good with details, ability to handle numerous enrollment issues concurrently.
* Computer literacy as it pertains to residency records.
Position is part-time, as needed, but not to exceed 600 hours per year
$30/hour.
Gas, tolls, mileage, and other travel expenses are the responsibility of the Residency Investigator.
Position is non-tenure and subject to annual reappointment.
$30 hourly 60d+ ago
Fraud Investigative Lead Supervisor
Open 3.9
Investigator job in Jersey City, NJ
Our roster has an opening with your name on it
This role is responsible for leading and conducting comprehensive, complex investigations related to regulator concerns related to deposit fraud, play integrity, abuse, account takeovers, organized fraud, and other fraud specific investigations. This position will be a part of internal quality assurance testing as it relates to fraud processes along with preparing and presenting findings. This role is required to stay current on fraud trends and emerging threats and present case studies to the broader team on a recurring basis.
As a Fraud Investigative Lead Supervisor, you will be contributing to state-specific reporting and regulatory-related fraud reviews. In addition to completing and leading investigations, this role will be responsible for overseeing direct reports, and managing tasks such as coordinating job rotations, providing regular and consistent feedback to direct reports, reporting significant findings and activity updates to the Fraud investigative Manager, goal coaching, and other supervisory tasks. This role may assist in designing, documenting, implementing, and monitoring of new procedures/services.
Candidates for this role must pass the required licensing as mandated by various state gaming and racing regulatory bodies. Failure to be licensed or retain licensure will result in termination of employment. This position reports to the Fraud Investigative Manager.
In addition to the specific responsibilities outlined above, employees may be required to perform other such duties as assigned by the Company. This ensures operational flexibility and allows the Company to meet evolving business needs.
THE GAME PLAN
Everyone on our team has a part to play
Train and mentor Fraud Investigators and Fraud Prevention Analysts within our department
Participate in quality assurance testing related to fraud prevention efforts
Prepare investigation reports, summaries, and present findings
Investigate and research allegations of fraud or abuse of system controls and communicate root cause findings
Lead applicable state-specific regulatory fraud form reporting and regulator investigations
Research, evaluate, and analyze information and intelligence to determine risk
Aid in developing fraud mitigation strategies
OSINT collection and analysis
Collaborate with other departments within our organization, such as Security, Risk, Compliance, and other related teams
Analyze past and current fraud trends and suspicious behavior tracking
Continually learn and adapt to changing fraud trends and behavior
Other tasks and projects as assigned by the leadership team
THE STATS
What we're looking for in our next teammate
3+ years of fraud experience in daily fantasy sports, online gaming or related industries
1+ years of leadership experience preferred
Proficiency with SQL required
Experience with digital payments and understanding of e-Commerce platforms
Cybersecurity experience a plus
Experience interacting with regulators and compliance a plus
Prior experience using open-source intelligence
Strong verbal and written communication skills
Bachelor's degree in related field preferred
Demonstrated aptitude for process execution, including identification of areas for improvement
In-depth knowledge and understanding of common fraud trends and emerging threats
Advanced knowledge of common fraud prevention strategies and systems
Intermediate understanding of Check, ACH, Wire, Debit/Credit card, PayPal and other payment channel operating rules
Effective communication, organizational, problem-solving, and analytical skills
Passion for sports and/or gaming industry a plus
Licensure: Must be able to pass required licensing as mandated by various state racing and gaming regulatory bodies
ABOUT FANDUEL
FanDuel Group is the premier mobile gaming company in the United States and Canada. FanDuel Group consists of a portfolio of leading brands across mobile wagering including: America's #1 Sportsbook, FanDuel Sportsbook; its leading iGaming platform, FanDuel Casino; the industry's unquestioned leader in horse racing and advance-deposit wagering, FanDuel Racing; and its daily fantasy sports product.
In addition, FanDuel Group operates FanDuel TV, its broadly distributed linear cable television network and FanDuel TV+, its leading direct-to-consumer OTT platform. FanDuel Group has a presence across all 50 states, Canada, and Puerto Rico.
The company is based in New York with US offices in Los Angeles, Atlanta, and Jersey City, as well as global offices in Canada and Scotland. The company's affiliates have offices worldwide, including in Ireland, Portugal, Romania, and Australia.
FanDuel Group is a subsidiary of Flutter Entertainment, the world's largest sports betting and gaming operator with a portfolio of globally recognized brands and traded on the New York Stock Exchange (NYSE: FLUT).
PLAYER BENEFITS
We treat our team right
We offer amazing benefits above and beyond the basics. We have an array of health plans to choose from (some as low as $0 per paycheck) that include programs for fertility and family planning, mental health support, and fitness benefits. We offer generous paid time off (PTO & sick leave), annual bonus and long-term incentive opportunities (based on performance), 401k with up to a 5% match, commuter benefits, pet insurance, and more - check out all our benefits here: FanDuel Total Rewards. *Benefits differ across location, role, and level.
FanDuel is an equal opportunities employer and we believe, as one of our principles states, “We are One Team!”. As such, we are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, creed, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, or any other characteristic protected by state, local or federal law. We believe FanDuel is strongest and best able to compete if all employees feel valued, respected, and included.
FanDuel is committed to providing reasonable accommodations for qualified individuals with disabilities. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please email ********************.
The applicable salary range for this position is $78,000 - $97,000 USD, which is dependent on a variety of factors including relevant experience, location, business needs and market demand. This role may offer the following benefits: medical, vision, and dental insurance; life insurance; disability insurance; a 401(k) matching program; among other employee benefits. This role may also be eligible for short-term or long-term incentive compensation, including, but not limited to, cash bonuses and stock program participation. This role includes paid personal time off and 14 paid company holidays. FanDuel offers paid sick time in accordance with all applicable state and federal laws.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
#LI-Hybrid
$78k-97k yearly Auto-Apply 42d ago
Fraud Investigative Lead Supervisor
Flutter Entertainment PLC
Investigator job in Jersey City, NJ
:" Our roster has an opening with your name on it This role is responsible for leading and conducting comprehensive, complex investigations related to regulator concerns related to deposit fraud, play integrity, abuse, account takeovers, organized fraud, and other fraud specific investigations. This position will be a part of internal quality assurance testing as it relates to fraud processes along with preparing and presenting findings. This role is required to stay current on fraud trends and emerging threats and present case studies to the broader team on a recurring basis.
As a Fraud Investigative Lead Supervisor, you will be contributing to state-specific reporting and regulatory-related fraud reviews. In addition to completing and leading investigations, this role will be responsible for overseeing direct reports, and managing tasks such as coordinating job rotations, providing regular and consistent feedback to direct reports, reporting significant findings and activity updates to the Fraud investigative Manager, goal coaching, and other supervisory tasks. This role may assist in designing, documenting, implementing, and monitoring of new procedures/services.
Candidates for this role must pass the required licensing as mandated by various state gaming and racing regulatory bodies. Failure to be licensed or retain licensure will result in termination of employment. This position reports to the Fraud Investigative Manager.
In addition to the specific responsibilities outlined above, employees may be required to perform other such duties as assigned by the Company. This ensures operational flexibility and allows the Company to meet evolving business needs.
THE GAME PLAN
Everyone on our team has a part to play
* Train and mentor Fraud Investigators and Fraud Prevention Analysts within our department
* Participate in quality assurance testing related to fraud prevention efforts
* Prepare investigation reports, summaries, and present findings
* Investigate and research allegations of fraud or abuse of system controls and communicate root cause findings
* Lead applicable state-specific regulatory fraud form reporting and regulator investigations
* Research, evaluate, and analyze information and intelligence to determine risk
* Aid in developing fraud mitigation strategies
* OSINT collection and analysis
* Collaborate with other departments within our organization, such as Security, Risk, Compliance, and other related teams
* Analyze past and current fraud trends and suspicious behavior tracking
* Continually learn and adapt to changing fraud trends and behavior
* Other tasks and projects as assigned by the leadership team
THE STATS
What we're looking for in our next teammate
* 3+ years of fraud experience in daily fantasy sports, online gaming or related industries
* 1+ years of leadership experience preferred
* Proficiency with SQL required
* Experience with digital payments and understanding of e-Commerce platforms
* Cybersecurity experience a plus
* Experience interacting with regulators and compliance a plus
* Prior experience using open-source intelligence
* Strong verbal and written communication skills
* Bachelor's degree in related field preferred
* Demonstrated aptitude for process execution, including identification of areas for improvement
* In-depth knowledge and understanding of common fraud trends and emerging threats
* Advanced knowledge of common fraud prevention strategies and systems
* Intermediate understanding of Check, ACH, Wire, Debit/Credit card, PayPal and other payment channel operating rules
* Effective communication, organizational, problem-solving, and analytical skills
* Passion for sports and/or gaming industry a plus
* Licensure: Must be able to pass required licensing as mandated by various state racing and gaming regulatory bodies
ABOUT FANDUEL
FanDuel Group is the premier mobile gaming company in the United States and Canada. FanDuel Group consists of a portfolio of leading brands across mobile wagering including: America's #1 Sportsbook, FanDuel Sportsbook; its leading iGaming platform, FanDuel Casino; the industry's unquestioned leader in horse racing and advance-deposit wagering, FanDuel Racing; and its daily fantasy sports product.
In addition, FanDuel Group operates FanDuel TV, its broadly distributed linear cable television network and FanDuel TV+, its leading direct-to-consumer OTT platform. FanDuel Group has a presence across all 50 states, Canada, and Puerto Rico.
The company is based in New York with US offices in Los Angeles, Atlanta, and Jersey City, as well as global offices in Canada and Scotland. The company's affiliates have offices worldwide, including in Ireland, Portugal, Romania, and Australia.
FanDuel Group is a subsidiary of Flutter Entertainment, the world's largest sports betting and gaming operator with a portfolio of globally recognized brands and traded on the New York Stock Exchange (NYSE: FLUT).
PLAYER BENEFITS
We treat our team right
We offer amazing benefits above and beyond the basics. We have an array of health plans to choose from (some as low as $0 per paycheck) that include programs for fertility and family planning, mental health support, and fitness benefits. We offer generous paid time off (PTO & sick leave), annual bonus and long-term incentive opportunities (based on performance), 401k with up to a 5% match, commuter benefits, pet insurance, and more - check out all our benefits here: FanDuel Total Rewards. *Benefits differ across location, role, and level.
FanDuel is an equal opportunities employer and we believe, as one of our principles states, "We are One Team!". As such, we are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, creed, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, or any other characteristic protected by state, local or federal law. We believe FanDuel is strongest and best able to compete if all employees feel valued, respected, and included.
FanDuel is committed to providing reasonable accommodations for qualified individuals with disabilities. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please email ********************.
The applicable salary range for this position is $78,000 - $97,000 USD, which is dependent on a variety of factors including relevant experience, location, business needs and market demand. This role may offer the following benefits: medical, vision, and dental insurance; life insurance; disability insurance; a 401(k) matching program; among other employee benefits. This role may also be eligible for short-term or long-term incentive compensation, including, but not limited to, cash bonuses and stock program participation. This role includes paid personal time off and 14 paid company holidays. FanDuel offers paid sick time in accordance with all applicable state and federal laws.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
#LI-Hybrid
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$78k-97k yearly 52d ago
FIELD INVESTIGATOR
Premier Investigations Inc.
Investigator job in White Plains, NY
Job DescriptionWestchester County, New YorkInvestigative Firm seeks a full-time or part-time field investigator with 2-3 years' experience preferably. Spanish-speaking a plus. Salary commensurate with experience. References required.
$35k-53k yearly est. 19d ago
Quality Assurance Compliance Investigator
Lynkx Staffing LLC
Investigator job in Saddle Brook, NJ
Quality Assurance Compliance InvestigatorAllendale, NJ Lynkx Staffing LLC specializes in placing talented professionals in the Biotechnology, Pharmaceutical and Medical Devices industries in New Jersey. This position will report into the (Associate) Manager of Quality Assurance (Floor support). Responsible to perform Quality Assurance Compliance activities in support of company and/or client procedures, including but not limited to, document. management: investigations, CAPA, SOPs, qualification and validation reports, QC data. Supports Quality management with various department, organizational and operational excellence initiatives. Generally, exercises independent judgment, within generally defined practices and policies, when selecting methods and techniques for obtaining solutions. This role supports internal and external audits which may include interaction with Health Authorities and clients.
Liaises with relevant functional groups (Operations, Facilitates, QC, EH&S) to conduct investigation and CAPA processes.
Conduct investigation and identify true root cause using appropriate tools.
Manage multiple investigations in different stages of the process to meet compliance deadlines and product release dates.
Reviews and approves investigations and CAPAs when required;
Collaborate with cross functional department to develop and track CAPA plans.
Prepares and issues change control as necessary.
Adherences and champions to all compliance regulations as required by regulatory agencies and per the Company's processes and procedures.
Ensures appropriate CAPAs are generated to increase compliance and prevent repeat occurrences of deviations.
Conducts trend analysis of compliance related metrics such as deviations and CAPAs.
Performs supplemental investigations and/or participates in project teams or assignment as necessary.
Support in agency, internal and/or client audits.
Other duties as assigned.
REQUIREMENTS
B.S in biological sciences or other relevant field of study.
Minimum 5 years' experience in QA in a life sciences company with a strong focus in the manufacturing and/or testing of biologics preferred.
Experience in authoring, reviewing, and /or approving cGMP/cGTP related documents (Investigation report, CAPA report, SOPs etc.) required.
Understanding of quality system applications, including the use of electronic applications for training, deviations, CAPA management, etc.
Familiar with FDA, ISO, and other regulatory agency guidelines.
Understanding of Good Manufacturing Practices (GMP), Good Documentation Practices (GDP) and Good Laboratory Practices (GLP) required.
Working knowledge and technical understanding of aseptic manufacture of biologics preferred.
Experience in both clinical and commercial manufacturing is preferred.
Experience in supporting health authority inspections and/or client audits preferred.
Competencies/Candidate Profile
Relevant computer skills (Microsoft Office, Outlook)
Detail-oriented and organized
Analytical and problem-solving skills
Good written and oral communication skills
Ability to multi-task and be adaptable
Flexible and able to adapt to company growth and evolving responsibilities
Ability to work independently and with a team
Strong Project Management and organization skills
Must be able adaptable, collaborative, accountable, and have a “can-do” pioneering spirit.
Must be able to work in a team-oriented environment.
Must be able to work occasional weekends, nights, and/or holidays as required/necessary.
May be exposed to infectious diseases transmittable through human blood, tissues, or bodily fluids.
Must be able to handle the standard moderate noise of the manufacturing facility.
Must be able to work in open floor plan environment and may work in close proximity to others.
Wheel-o-Vator available for use.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
$53k-76k yearly est. 17d ago
As Needed Field Investigator- Greenwich, CT
J T Becker & Co Inc.
Investigator job in Greenwich, CT
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
$31k-47k yearly est. 15d ago
Fraud Investigator
Fanatics Inc. 4.7
Investigator job in Jersey City, NJ
About the Role
As a Fraud Investigator, you will play a critical role in identifying, investigating, and mitigating emerging and evolving fraud attacks across the business. This is a senior individual contributor role that operates with a high degree of autonomy and influence, supporting both team level and broader departmental fraud objectives.
You will work very closely with the Fraud Compliance Manager, Fraud Operations, AML, Compliance and the Chargeback team to analyze complex fraud activity, learn from past losses, and proactively strengthen fraud detection, investigations and reporting frameworks. This role requires a deeply curious, analytical, and investigative mindset, paired with strong collaboration skills and a continuous improvement mentality.
What You Will Do
Fraud Investigation & Analysis
Investigate new and emerging fraud attack vectors, identifying patterns, root causes and systemic gaps.
Perform in depth analysis of fraudulent chargebacks to understand errors, control failures and decisioning opportunities that led to losses.
Review historical fraud cases and prior incidents to extract actionable learnings and prevent recurrence.
Serve as the primary point of contact for complex, high-risk and ambiguous fraud escalations, including cross-functional cases.
Strategy, Reporting & Risk Health
Analyze FBG fraud health metrics to identify underlying trends, anomalies and early warning indicators of potential risk.
Assist leadership in optimizing fraud strategy, including recommendations related to controls, tooling, workflows and investigative methodologies.
Support and advance regulatory and compliance reporting through detailed account reviews, performance analysis and investigative findings.
Partner closely with Fraud Compliance, AML and Compliance teams to ensure fraud investigations meet all regulatory and documentation standards.
Collaboration & Process Improvement
Work cross-functionally with Fraud Operations, Chargebacks, AML, Compliance and Product/Payments partners to resolve complex fraud issues.
Collaboratively suggest and drive improvements to day-to-day fraud investigations, escalation handling and team processes.
Act as a subject-matter expert during fraud incidents, contributing insight, guidance, and investigative direction.
Share learnings, trends, and investigative insights with leadership and peers to strengthen team capability and fraud readiness.
What Skills You Bring
4+ years of relevant fraud, payments risk, or AML experience, with demonstrated exposure to complex investigations.
Deep understanding of KYC, fraud withdrawal platforms and geo location tooling.
Strong investigative instincts with the ability to connect disparate data points into clear fraud narratives.
Proven experience analyzing chargebacks, fraud metrics and investigative outcomes to drive improvements.
Ability to operate independently on complex cases while collaborating effectively across teams.
Strong written and verbal communication skills, with the ability to explain complex fraud issues to diverse stakeholders.
Advanced analytical skills; strong proficiency in Google Sheets and familiarity with tools such as Tableau, Sigma, Snowflake and SQL.
Understanding of gaming, payments, and transaction lifecycles; online sports betting or iGaming experience strongly preferred.
Demonstrated curiosity, ownership and continuous-improvement mindset.
Flexibility to work in a fast-paced, evolving regulatory environment.
Ability to obtain and maintain licensing in multiple jurisdictions.
$31k-42k yearly est. Auto-Apply 7d ago
Investigator
Ethos Risk Services
Investigator job in Kearny, NJ
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
$49k-82k yearly est. 9d ago
Quality Assurance Investigator II
School for Adaptive and Integrative Learning Sail
Investigator job in Yonkers, NY
SAIL at Ferncliff Manor is seeking to hire an Internal Investigator with OPWDD experience to join our Quality Assurance team.
This position will be responsible for all aspects of the incident management process in accordance with NYCRR 14 Part 624, 625, 633 and 8 CRR-NY 200.15 regulations.
Annual Salary: $45,000.00
Education: Associates Degree Preferred
Benefits: Health /vision, Dental Insurance, 401k/401k match, and PTO
Essential Duties:
Conduct investigations regarding allegations of abuse and neglect and reportable significant incidents.
Prepare written investigative summary (utilizing the OPWDD required 149 form) with appropriate recommendations.
Enter all information related to investigation process and findings in Incident Reporting Management Application (IRMA) database.
Upload investigations to IRMA, and WSIR websites. May conduct new orientation and other trainings related to incident reporting and incident management as assigned.
Receive, and review all incidents and occurrences in OPWDD & SED programs.
Conduct new hire orientation and other trainings related to incident reporting and incident management as assigned.
Maintain a working knowledge of government and industry assurance codes and standards.
$45k yearly 60d+ ago
Internal Forensic Investigator
Samsung 4.9
Investigator job in Englewood Cliffs, NJ
Headquartered in Englewood Cliffs, N.J., Samsung Electronics America, Inc. (SEA), the U.S. Sales and Marketing subsidiary, is a leader in mobile technologies, consumer electronics, home appliances, enterprise solutions and networks systems. For more than four decades, Samsung has driven innovation, economic growth and workforce opportunity across the United States-investing over $100 billion and employing more than 20,000 people nationwide. By integrating our large portfolio of products, services and AI technology, we're creating smarter, sustainable and more connected experiences that empower people to live better. SEA is a wholly owned subsidiary of Samsung Electronics Co., Ltd. To learn more, visit Samsung.com. For the latest news, visit news.samsung.com/us.
Reporting to the Sr. Director of North American Headquarters (NAHQ) Global Management Advisory, this role will be responsible for planning, executing, and completing internal and external assessment and investigations on a regional and global basis.
This high impact, managerial track role will support our mission to protect the people, assets and reputation of Samsung by conducting proactive and incident specific investigations and full-scope operational review projects while leveraging forensic, analytical and e-discovery platforms to enhance efficient detection of anomalous activity.
Role and Responsibilities
Role and Responsibilities
Strategic Contribution: Utilize your expertise in digital forensic tools (e.g., EnCase, Intella, Cellebrite) to acquire and leverage data and help uncover critical insights and drive actionable findings.
Investigative Expertise: Conduct independent-level reviews, assessments, and agile decision-making with minimal supervision, focusing on fraud, waste, abuse, and Code of Conduct violations.
Risk Mitigation: Establish and cultivate a robust network of internal and external sources to translate intelligence into actionable proposals, mitigating potential business risks.
Analytical Proficiency: Develop SME-level familiarity with internal data systems to conduct analytical reviews, ensuring thorough and accurate investigations.
Reporting and Advocacy: Document and present findings through concise, scalable reports tailored for diverse stakeholders, while advocating for the company in dynamic and challenging settings.
Global Collaboration: Contribute to and facilitate domestic and global HQ operational review projects, requiring on-location presence for 6-8 weeks and in locations outside of North America.
Representation: Effectively represent the company in legal proceedings, both civil and criminal which may include court testimony, depositions, and interactions with internal/external legal counsel.
Skills and Qualifications
Skills and Qualifications
Experience: At least 7+ years in investigative/risk management, business strategy/compliance, or related fields.
Technical Expertise: Advanced digital forensic and/or eDiscovery skills, including data mining, imaging, investigation, and reporting.
Tools and Platforms: Expertise in prominent industry embraced digital forensic tools (e.g., EnCase, Intella, Cellebrite). Proficiency in implementation of AI enhanced review and analytics is highly desirable. Familiarity with data analytics platforms such as Alteryx and Tableau are a plus.
Communication: Fluency in English required - Proficiency in Korean and Spanish highly desirable
Certifications: Digital Forensics / e-Discovery, audit, investigation, and interviewing-related certifications are highly valued.
Soft Skills: Exceptional communication, negotiation, conflict resolution, and relationship-building abilities. Individual contributor with a managerial mindset.
Industry Knowledge: Strong understanding of financial operations in Procurement, Sales, Marketing, or service organizations, preferably within consumer/industry electronics.
Travel Readiness: Ability to travel internationally without entry/work limitations and respond to company emergencies with short notice. Valid driver's license required for business-related travel and on-location assignments.
The salary range for this role is expected to be between $126,000 and $155,500 Actual pay will be determined considering factors such as relevant skills and experience, and comparison to other employees in the role.
#LI-HM1
Life @ Samsung - ***************************************************
Benefits @ Samsung - ********************************************
* Please visit Samsung membership to see Privacy Policy, which defaults according to your location. You can change Country/Language at the bottom of the page. If you are European Economic Resident, please click here.
At Samsung, we believe that innovation and growth are driven by an inclusive culture and a diverse workforce. We aim to create a global team where everyone belongs and has equal opportunities, inspiring our talent to be their true selves. Together, we are building a better tomorrow for our customers, partners, and communities.
* Samsung Electronics America, Inc. and its subsidiaries are committed to employing a diverse workforce, and provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, gender identity, status as a protected veteran, genetic information, status as a qualified individual with a disability, or any other characteristic protected by law.
Reasonable Accommodations for Qualified Individuals with Disabilities During the Application Process
Samsung Electronics America is committed to providing reasonable accommodations for qualified individuals with disabilities in our job application process. If you have a disability and require a reasonable accommodation in order to participate in the application process, please contact our Reasonable Accommodation Team ************** or SEA_Accommodations_******************* for assistance. This number is for accommodation requests only and is not intended for general employment inquiries.
$126k-155.5k yearly Auto-Apply 31d ago
Special Investigations Unit Investigator
JPMC
Investigator job in Jersey City, NJ
Join our elite Global Security team and become a key player in safeguarding our people and assets worldwide. Leverage cutting-edge technology and collaborate with top-tier talent to develop innovative security solutions, ensuring a safer and more secure future for all.
As a Special Investigations Unit Investigator within the Global Security team, you will be responsible for conducting complex and sensitive investigations involving Code of Conduct violations in both North America and Latin America and coordinate with other senior level bank employees in Legal, Human Resources, Employee Relations, Compliance, and/or Audit throughout the course of any investigation. This position requires the use of one or more High Security Access (HSA) systems and will subject the user to enhanced screening, which includes criminal and credit background checks, and/or other enhanced screening at the time of accepting the position and on an annual basis thereafter. The enhanced screening will need to be successfully completed prior to commencing employment or assignment.
Job Responsibilities:
Be Responsible for leading investigations specific to internal fraud, insider trading, securities violations, antitrust, anti-corruption, Sarbanes-Oxley, and employee misconduct allegations. As such, this individual will be required to have an in-depth understanding of fraud investigations specific to these case types.
Demonstrate high levels of integrity and ability to exercise sound judgment.
Work with highly sensitive information through the Bank's proprietary and confidential systems and must be able to handle such information appropriately while also conducting a thorough investigation by gathering and analyzing such information.
Must be able to create well-written internal and external reports to support investigative findings which are supported by facts and documents within the case record which may include financial profiles, tracing financial transactions, detailing business processes, detailing controls, identifying internal policies and procedures, reviewing subjects' background and profiles, and other key data, as appropriate.
Demonstrate the ability to make independent and appropriate decisions on regulatory reporting in accordance with established bank policy and regulatory requirements and filing SARs as needed.
Demonstrate independent decision making and possess the ability to keep GS management briefed on investigations.
Must be able to professionally conduct interviews of internal and/or external witnesses and suspects.
Required qualifications, capabilities and skills
5+ years experience working in securities regulation, regulatory agencies, compliance, law, law enforcement, or other related fields ideally with a combination of both public and private sector experience, ideally in the Federal, State, or County government and the financial sector.
Experience conducting complex and diverse investigations involving, but not limited to: internal fraud; misconduct; securities violations; insider trading; antitrust; anti-corruption; ethical violations; and Sarbanes Oxley violations.
Must have strong interpersonal skills. Individual must be a team player with an ability to coordinate, partner with, and gain the trust of team members, key partners, and business stakeholders on investigations.
Must be able to articulate sophisticated fact patterns to senior management and memorialize investigations into regulatory reporting requirements.
Must have excellent written and verbal communication skills in order to communicate effectively with representatives from various lines of business and key stakeholders.
Must have an ability to communicate with law enforcement and intelligence agencies to solicit their assistance in gathering and/or providing related intelligence.
Must be able to brief executive level management on key issues in a timely fashion.
Bachelor's Degree in Business, Finance, Criminal Justice, or other related field work, or work experience is required.
Preferred qualifications, capabilities and skills
Spanish and/or Brazilian Portuguese language skills preferred.
Master's Degree in Business Management, Intelligence, or Public Administration is a plus.
Juris Doctorate or LLM a plus.
CFE, CPA, Series 7, etc., a plus
$49k-81k yearly est. Auto-Apply 60d+ ago
Quality Control Analytical Compliance Investigator
Lynkx Staffing LLC
Investigator job in Saddle Brook, NJ
QC Analytical Compliance Investigator Lynkx Staffing LLC specializes in placing talented professionals in the Life Sciences, Biotechnology, Pharmaceutical and Medical Devices industries in New Jersey. Our client is seeking a QC Analytical Compliance Investigator to lead life-cycle investigations, including but not limited to deviations, environmental excursions, non-conformances, discrepancies, etc. to improve the processes by implementing corrective and preventative actions to ensure compliance.
Determine the causes and preventative actions of Deviations, Non-Conformances, OOS, OOT, field complaints and environmental excursion investigations.
Drive investigations to true root cause using appropriate investigation tools.
Benchmark industry standards to develop, advocate, and implement investigative and impact assessment tool sets.
Define and implement effective preventative actions to prevent recurrence.
Manage multiple investigations in different stages of the process to efficiently meet compliance deadlines and product release dates.
Collaborate with cross-functional teams to develop and track CAPA plans.
Identify and create appropriate trending rules that trigger corrective actions.
Analyze process data and evaluate trends to identify major improvement opportunities.
Effectively utilize change management approach.
Develop materials to train and educate personnel on writing problem statements and use of root cause analysis tools, discrepancy and deviation process.
Champion CAPA plans and implementation.
Provide communication plan for on-going deviations & CAPA's.
Effectively create and communicate CAPA plan to responsible parties.
Oversee timely completion of deviations, CAPAs, and Change Controls as necessary.
Ability to abide by quality standards.
REQUIREMENTS
BS in a Quality / Process related field.
Experience in GMP Operations and/or QA in Cell Therapies, Biotechnology or Bio-Pharma.
Root cause analysis experience in pharmaceutical or FDA regulated operation preferred.
Experience using e-Quality Management Systems preferred.
Relevant IT skills (able to work with Visio, Microsoft Project and Excel)
Ability to think strategically and tactically (detail-oriented)
Strong collaborative and influencing skills and ability to work well in a cross-functional, matrixed environment
Analytical and problem-solving skills
Strong written and oral communication skills
Flexible and able to adapt to company growth and evolving responsibilities
Integrity, accountability and strong dedication to regulatory compliance
Continuous improvement mindset
Ability to work effectively as a team and independently.
GMP Trained, Quality Systems Trained (Deviation/CAPA)
Working EnvironmentWhile performing the duties of this job, the employee may occasionally be exposed to infectious diseases transmittable through human blood, tissues, or bodily fluids and are expected to utilize universal precautions with all human specimens. Other exposures may include gases (nitrogen), or corrosive chemicals (Clorox, potassium hydroxide), or exposure to liquid nitrogen. The noise level in the work environment is moderately noisy. Physical RequirementsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Non-absorbent laboratory coats are required, as well as latex (or a non-latex substitute) gloves. When working with potentially hazardous materials that may spray, aerosol, or otherwise contact skin or mucous membranes, face shields or goggles must be worn. Heavy cryo-gloves must be used when working with liquid nitrogen. Other DutiesPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
$53k-76k yearly est. 24d ago
As Needed Field Investigator- Greenwich, CT
J T Becker & Co
Investigator job in Greenwich, CT
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
How much does an investigator earn in Greenburgh, NY?
The average investigator in Greenburgh, NY earns between $48,000 and $127,000 annually. This compares to the national average investigator range of $42,000 to $119,000.
Average investigator salary in Greenburgh, NY
$78,000
What are the biggest employers of Investigators in Greenburgh, NY?
The biggest employers of Investigators in Greenburgh, NY are: