Quality Investigator
Investigator job in Columbus, OH
Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
Job Details
PRIMARY DUTIES AND RESPONSIBILITIES:
1. Responsible for Quality Assurance Investigations at ABC and ensuring adherence to applicable GMP regulations and policies and procedures.
2. Produces written reports that summarize the investigation, root cause determination, corrective actions and recommended disposition of affected product.
3. Conducts complaint investigations and maintains records of customer complaints.
4. Works with Production/QA to initiate investigations and minimize production down time.
5. Assists with the development of appropriate corrective actions.
6. Works with quality management to determine appropriate disposition of affected product.
7. Maintains the Investigation/CAPA Database and other databases as required.
8. Assists on follow-up checks on the effectiveness of corrective actions.
9. Performs other duties as assigned.
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
1. BS in relevant Science or Engineering discipline.
2. At least 3 years of experience in a cGMP regulated environment
3. Must have a working knowledge of pharmaceutical packaging records, process and equipment; and experience in quality assurance in the pharmaceutical industry.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
1. Strong critical thinking and deductive reasoning skills.
2. Strong oral, written, communication, presentation and interpersonal skills.
3. Ability to interact with Regulatory Agencies, vendors and all levels of associates within the organization, including management and plant associates.
4. Knowledge of QA principles, concepts, systems industry practices and standards.
5. Ability to work independently.
6. Ability to handle a variety of tasks simultaneously.
7. Attention to detail.
8. Strong skill in computer operations, experience with MS Word and Excel, ERP and Ensur)
What Cencora offers
We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit **************************************
Full time Equal Employment Opportunity
Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call ************ or email ****************. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned
Affiliated CompaniesAffiliated Companies: Amerisource Health Services, LLC
Auto-ApplyQuality Investigator
Investigator job in Columbus, OH
Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!
Job Details
PRIMARY DUTIES AND RESPONSIBILITIES:
1. Responsible for Quality Assurance Investigations at ABC and ensuring adherence to applicable GMP regulations and policies and procedures.
2. Produces written reports that summarize the investigation, root cause determination, corrective actions and recommended disposition of affected product.
3. Conducts complaint investigations and maintains records of customer complaints.
4. Works with Production/QA to initiate investigations and minimize production down time.
5. Assists with the development of appropriate corrective actions.
6. Works with quality management to determine appropriate disposition of affected product.
7. Maintains the Investigation/CAPA Database and other databases as required.
8. Assists on follow-up checks on the effectiveness of corrective actions.
9. Performs other duties as assigned.
EXPERIENCE AND EDUCATIONAL REQUIREMENTS:
1. BS in relevant Science or Engineering discipline.
2. At least 3 years of experience in a cGMP regulated environment
3. Must have a working knowledge of pharmaceutical packaging records, process and equipment; and experience in quality assurance in the pharmaceutical industry.
MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS:
1. Strong critical thinking and deductive reasoning skills.
2. Strong oral, written, communication, presentation and interpersonal skills.
3. Ability to interact with Regulatory Agencies, vendors and all levels of associates within the organization, including management and plant associates.
4. Knowledge of QA principles, concepts, systems industry practices and standards.
5. Ability to work independently.
6. Ability to handle a variety of tasks simultaneously.
7. Attention to detail.
8. Strong skill in computer operations, experience with MS Word and Excel, ERP and Ensur)
What Cencora offers
We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit **************************************
Full time
Equal Employment Opportunity
Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call ************ or email ****************. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned
Affiliated Companies
Affiliated Companies: Amerisource Health Services, LLC
Auto-ApplyContract Investigator - Columbus, OH
Investigator job in Columbus, OH
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 Columbus, OH
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.
Sub Investigator
Remote investigator job
Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly into communities that often face barriers to care. We are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need, and contribute to the medical breakthroughs of tomorrow.
With programs like Future of Medicine, which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all.
To learn more about Care Access, visit *******************
How This Role Makes a Difference
The Sub-Investigator will be responsible for regional travel mixed with remote tele-medicine work to support our clinical research. Care Access is looking for Nurse Practitioners or Physicians Assistants to support clinical trial related activities in states throughout the USA.
How You'll Make An Impact
* Work closely with the Principal Investigator to oversee the execution of study protocols, delegating study related duties to site staff, as appropriate, and ensuring site compliance with study protocols, study-specific laboratory procedures, standards of Good Clinical Practice (GCP), Standard Operating Procedures (SOPs), quality (QA/QC) procedures, OSHA guidelines, and other state and local regulations as applicable
* Attends and participates in meetings with the director, other managers, and staff as necessary
* Complies with regulatory requirements, policies, procedures, and standards of practice
* Read and understand the informed consent form, protocol, and investigator's brochure
* Be available to see subjects virtually or in-person as dictated by project design, answer their questions, and resolve medical issues during the study visit
* Sign and ensure that the study documentation for each study visit is completed
* Perform all study responsibilities in compliance with the IRB approved protocol
* Review screening documentation and approves subjects for admission to study
* Review admission documentation and approves subject for randomization
* Provide ongoing assessment of the study subject/patient to identify Adverse Events
* Ensure that serious and unexpected adverse events are reported promptly to the Pl
* Review and evaluates all study data and comments to the clinical significance of any out of range results
* Perform physical examinations as part of screening evaluation and active study conduct
* Provide medical management of adverse events as appropriate
The Expertise Required
* Excellent working knowledge of medical and research terminology
* Excellent working knowledge of federal regulations, good clinical practices (GCP)
* Ability to communicate and work effectively with a diverse team of professionals
* Strong organizational skills: Able to prioritize, support, and follow through on assignments
* Communication Skills: Strong verbal and written communication skills as evidenced by positive interactions with coworkers, management, clients and vendors
* Team Collaboration Skills: Work effectively and collaboratively with other team members to accomplish mutual goals. Bring positive and supportive attitude to achieving these goals
* Strong computer skills with demonstrated abilities using clinical trials database, IVR systems, electronic data capture, MS word and excel
* Ability to balance tasks with competing priorities
* Critical thinker and problem solver
* Curiosity and passion to learn, innovate, able to take thoughtful risks and get things done
* Friendly, outgoing personality; maintain a positive attitude under pressure
* High level of self-motivation and energy
* Ability to work independently in a fast-paced environment with minimal supervision
* Must have a client service mentality
Certifications/Licenses, Education, and Experience:
* Nurse Practitioner or Physician Assistant with 5+ years of clinical experience
* Currently licensed in good standing in one or more states listed above
* A minimum of 1 year of relevant work experience as Sub-Investigator (preferred) in a Clinical Research setting
How We Work Together
* Location: This role is 100% on-site at our Memphis, TN clinic.
* Travel: This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role.
* Physical demands associated with this position Include: The ability to use keyboards and other computer equipment.
Benefits & Perks
* Paid Time Off (PTO) and Company Paid Holidays
* 100% Employer paid medical, dental, and vision insurance plan options
* Health Savings Account and Flexible Spending Accounts
* Bi-weekly HSA employer contribution
* Company paid Short-Term Disability and Long-Term Disability
* 401(k) Retirement Plan, with Company Match
Diversity & Inclusion
We work with and serve people from diverse cultures and communities around the world. We are stronger and better when we build a team representing the communities we support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to, and will not be discriminated against on the basis of, race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Care Access is unable to sponsor work visas at this time.
If you need an accommodation to apply for a role with Care Access, please reach out to: ********************************
SIU Investigator- Miami, FL
Remote investigator job
Our Company
At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in creating a culture where every associate has the opportunity to learn and grow. We strive to create a work environment to meet associate needs and we are determined to achieve excellence in everything we do.
This is an opportunity to join a dynamic team in a company that is a leader in the non-standard auto insurance space and functions with a small company, entrepreneurial style. This position will require someone with an understanding that one needs to have a “roll up your sleeves” attitude to help make things happen.
Job Summary
The SIU Investigator is responsible for conducting thorough investigations throughout the 10 states in which we conduct business. The Investigator is responsible for analytical review of suspicious claims utilizing various investigative methods and techniques. The investigator must evaluate relevant information essential in resolving suspicious and complex investigations. This position requires demonstrated effectiveness in the understanding and application of legal and claim principles. The SIU Investigator works under minimal supervision outside the office and would have access to transportation.
Only candidates located in the Miami area will be considered. This is a field position. Please note a company car provided.
Job Responsibilities
Supports Claims Department operations in the research and investigation of suspicious or questionable property damage and injury claims
Conducts recorded statements and Examinations Under Oath as required
Completes field work as required.
Documents claim files and communicates in writing as required
Provides office training to ensure recognition of potentially suspicious or fraudulent files in the branch
Reports suspicious claims to the department of insurance as required by statute
Must ensure compliance with industry and company policies
Must understand regulatory / statutory requirements; develops and maintains knowledge of changes in law both at state and national levels
Properly utilizes our claims and other various systems
Attends industry meetings for communication trends
Completes individual monthly Investigator report to manager
Attends and participates in team meetings
Participates in roundtable meetings
Actively affiliates and maintains network of SIU, claims, law enforcement, attorney and related contacts to ensure investigation methods are current and proper operating procedures are utilized
Responsible for meeting individual goals and objectives
Maintains consistent, fair and diplomatic interactions with co-workers
Performs other duties as assigned by SIU Manager
Job Qualifications
Formal Education & Certification
Undergraduate College Degree or equivalent work experience will be considered.
Knowledge & Experience
5 years of special investigation experience required. Casualty and PIP claims, as well as medical clinic investigations will be highly preferred. Claims and Property Damage investigations experience will be required.
Skills & Competencies
Must be able to work in a fast-paced, paperless/automated production environment.
Excellent PC skills are required.
Excellent communication/interpersonal skills and ability to work with all levels within the organization and deal tactfully and diplomatically with public and outside authorities.
Must be able to work as a team player throughout the company.
Ensures that the highest degree of professionalism and integrity is maintained, and that decisions are made within the scope of what is fair, reasonable and appropriate according to applicable law and industry standards.
Must have the ability to travel when necessary.
Bilingual preferred.
Florida Adjuster's license is required prior to employment start date.
Auto-ApplySIU Investigator
Remote investigator job
Job DescriptionDescriptionHealthcare Fraud Shield, a leader in healthcare fraud prevention and payment integrity solutions, is looking for a talented Coder or Clinical Coder/Fraud Investigator to join our team. Key Responsibilities
Work with SIU Team (Clinical Reviewers, CPCs, Investigators, Analysts-including performing quality check on work, assisting in research, discuss to make appropriate coding determinations as needed)
Analyze and interpret patient medical records (behavioral related and other specialties) pertaining to FWA investigations as needed
Compare to information submitted on the claims in order to determine amount and nature of billable services as needed
Determines appropriateness of billing and reimbursement as needed
Documents findings for each claim line in a spreadsheet as needed
Summarize findings in a written report as needed
Abstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from medical records as needed
Responsible for maintaining current knowledge of coding guidelines and relevant federal and/or state regulations as needed
Perform data analysis and lead generation/data mining of client data as needed
Conduct various aspects of FWA investigations as needed
Provide Subject Matter Expertise and SIU support to clients as needed
Comply with Privacy and Security standards
Understands and complies with all company Privacy and Security standards
Employee may not use or disclose any protected health information, except as otherwise permitted, or required, by law
Other duties as needed
Skills, Knowledge and Expertise
Knowledge of medical terminology
Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10
Knowledge of specialty medical practices
Must be detail oriented
Ability to communicate effectively both verbally and in writing
Strong listening skills
Independent
Responsible
Self-disciplined
Ability to meet defined performance and production goals
Strong computer skills
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management
CERTIFICATE/LICENSE
Certified Professional Coder - (CPC ) through governing body AAPC or equivalent certification
Minimum of one year of coding and/or billing experience is required.
Benefits
Medical, Dental & Vision insurance
401(k) retirement savings with employer match
Vacation and sick paid time off
7 paid holidays & 2 floating holidays
Paid maternity/paternity leave
Disability & Life insurance
Flexible Spending Account (FSA)
Employee Assistance Program (EAP)
Professional and career development initiatives
Remote work eligible
REMOTE WORK REQUIREMENTS
Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.
Healthcare Fraud Shield is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Investigator
Remote investigator job
Ethos Risk Services is continuing to expand our team of Private Field Surveillance Investigators!
We are looking for Experienced Licensed Investigators to investigate fraud and conduct covert surveillance in the field (from your vehicle).
Ethos Risk is one of the largest and most respected fraud investigations businesses in the US. Join us in uncovering the facts, keeping insurance costs from rising, and serving our clients in a fully remote position.
Are you ready to join the best fraud investigation company in the industry? Apply now!
Ethos Risk Services: What drives us
At Ethos, you'll find more than just a job - you'll discover a purposeful career where your contributions make a lasting impact. Join us and become a trusted partner in insurance claims management and fraud investigations, delivering certainty and peace of mind to every client we serve.
What does aN Experienced Surveillance Investigator do?
As a Surveillance Investigator at Ethos Risk Services, you will conduct covert surveillance, review files, and draft detailed case reports. Working autonomously from your vehicle, you will capture video evidence of surveillance targets, collaborate with our Operations Managers, and ultimately improve the integrity of the health care and insurance industry. Join a team that celebrates high performers, values employees, and delivers results.
What you need to be successful
To qualify for this position candidates must possess:
A valid private investigator license
A valid driver's license
A well-maintained / reliable vehicle (preferably with tinted windows)
In this role you will use discretion, communicate with our Operations Managers regularly, and apply critical thinking skills while conducting surveillance and gathering evidence. Adaptability, attention to detail, and strong analytical capabilities are essential qualities for success at Ethos.
Candidates who are self-motivated, resourceful, and able to maintain a high level of professionalism in various situations will thrive in this position.
Work Schedule
Most investigations will begin at 6AM and may require you to leave your home between 4-5AM. Candidates who are willing to work most weekends and holidays will be prioritized in the hiring process.
Make your move
If you think this position is a fit for what you are looking for, applying is a snap - just follow the instructions on this page. Good luck!
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 protected by law.
A background check will be conducted, in accordance to the local state law and regulations.
Financial Crimes Investigator - Cryptocurrency/Blockchain
Remote investigator job
Treliant is a global consulting firm serving banks, mortgage originators and servicers, FinTechs, and other companies providing financial services. We are led by practitioners from the industry and the regulatory community who bring deep domain knowledge to help our clients drive business change and address the most pressing compliance, regulatory, and operational challenges.
We provide data-driven, technology-enabled advisory and consulting, implementation, staffing and managed services solutions to the regulatory compliance, risk, financial crimes, and capital markets functions of our clients.
Founded in 2005, Treliant is headquartered in Washington, DC, with offices across the United States, London, Belfast, and Łódź, Poland. For more information visit *****************
Treliant is committed to fostering a diverse, equitable and inclusive environment that values and embraces all races, religions, ages, abilities, gender, sexual orientations, ethnicities, languages, nationalities, political parties, socioeconomic groups and other characteristics that inform an individual worldwide view and experiences and systems of beliefs (“the principles”). We believe in championing every voice and ensuring everyone's full potential.
We are looking for Financial Crimes Investigators with an expertise in blockchain and cryptocurrencies to join our team for remote, project-based opportunities.
Responsibilities
While the scope of each project may be different, your duties & responsibilities may include:
Conduct thorough Blockchain Tracing investigations into potential financial crimes, including AML, fraud, and sanctions violations.
Ensure clients meet regulatory and compliance standards by performing EDD/ CDD checks, KYC assessments and analyzing source of funds.
Analyze cryptocurrency transactions and wallet addresses, leveraging blockchain explorers and analytics tools to track illicit activity or suspicious behavior.
Draft and submit SARs to relevant authorities
Identify and assess potential financial crime risks across all client portfolios, leveraging both traditional and crypto-related financial systems.
Work closely with regulatory agencies, and financial institutions to ensure compliance with global anti-money laundering (AML) and counter-financing of terrorism (CFT) regulations.
Investigate high-volume or high-value transactions, including cross-border transfers, to identify red flags or signs of illegal activities.
Qualifications
Strong education background; Bachelor's Degree preferred.
3+ years of experience in Financial Crime; either directly with a bank/financial institution or via a third party providing consulting services.
Strong background in AML, CTF or Sanctions, with an understanding of the compliance and regulatory frameworks that apply.
Familiarity with cryptocurrency blockchain tracing and blockchian technologies including investigating transactions on blockchain platforms and identifying risks associated with digital assets.
Familiarity with blockchain forensics tools such as Chainalysis, Elliptic, or CipherTrace to trace and analyze crypto transactions.
Knowledge of global regulatory frameworks for crypto - understanding of evolving cryptocurrency regulations, including FATF's Travel Rule, KYC/AML compliance for digital assets, and the legal landscape around crypto in different regions.
Experience in developing risk mitigation strategies for crypto-based financial crimes, including fraud prevention and transaction monitoring in the crypto space.
We are committed to being an Equal Opportunity Employer and want to build a diverse, inclusive and authentic workplace. If you are interested in working for Treliant but don't tick all the boxes, we encourage you to apply as you may be the perfect candidate for this or other roles.
Benefits
Primary Location:
Remote
Primary Location Salary Range:
$50/hr - $60/hr
Treliant offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefit package that reflects our commitment to creating a diverse and supportive workplace. In addition to a competitive base salary, candidate is eligible for incentive pay as well as a full range of health benefits, vacation plan, and 401k plan.
If you want to be part of a dynamic team of professionals, we invite you to join the team at Treliant. We invest in people, and challenge you to advance your career while achieving your aspirations and goals. Here at Treliant, we pride ourselves on our collaborative team culture, where we embrace diversity of thought and innovation. If you strive for excellence and seek an inclusive environment apply on line treliant.com and follow us on LinkedIn.
Right to Work
Treliant is not in the position to provide sponsorship for this current position and so applicants must be able to work in the United States without requiring sponsorship.
Please note, Treliant receives a high volume of applications for all roles. While we will endeavor to respond to all applicants, this is not always possible. Should you not receive a response to your application within 2 weeks, it is likely that you will have been unsuccessful on this occasion. However, we would like to retain your details on our systems and may contact you should another potentially suitable vacancy arise.
Treliant LLC is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, sexual orientation, genetic information, religion, age, disability, or military status in employment or provision of services. When contacted for an interview, an applicant who requires special accommodations due to a disability should notify the office so that proper arrangements can be made.
Auto-ApplyFraud Investigative Lead Supervisor
Remote investigator job
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
Auto-ApplyHealthcare Fraud Waste Abuse Investigator (Part-time, Remote)
Remote investigator job
Responsibilities
Identify and conduct investigations into known or suspected FWA with high autonomy
Develop documentation to substantiate findings, including formal reports, graphs, audit logs, and other supporting documentation.
Perform root cause analysis to inform future algorithmic identification of similar claims or cases and associated savings (i.e., help move identified case types from "pay-and-chase" to preventive edits and pre-payment activity)
Participate in the development and presentation of FWA-related education for assigned Customers
Perform coding reviews for flagged claims, to support Coding team (if applicable).
Requirements
Minimum of 2 years of experience in healthcare claims analysis, auditing, payment integrity, or a related field.
Bachelor's degree in Criminal Justice or a related field, or at least 3 years of insurance claims investigation experience or professional investigation experience with law enforcement agencies.
Knowledge of applicable fraud statutes and regulations, and of federal guidelines on recoupments and other anti-FWA activity
Experience handling confidential information and following policies, rules, and regulations
Experience with commercial, Medicare, or Medicaid claims
Strong analytical and problem-solving skills, with attention to detail and accuracy
Excellent communication skills, both written and verbal, for effective collaboration with internal teams and external providers
Proficiency in Microsoft Office, particularly Excel, and familiarity with claims processing or audit software
Certified Fraud Examiner (CFE), Accredited Healthcare Fraud Investigator (AHFI), Certified AML (Anti-Money Laundering) and Fraud Professional (CAFP), or similar is preferred
Certified Professional Coder (CPC) or similar is preferred
Auto-ApplyFraud Investigator Specialist
Remote investigator job
WHAT IS THE OPPORTUNITY? Responsible for performing and documenting through root cause analysis on clients' transactions identified through fraud operations and strategy to identify rings, scams, fraudulent activities that impact CNB's clients, and corporate losses. Additionally, the Fraud Investigator will quarterback internal events and investigation activities to strengthen operational processes to reduce fraud risk.
WHAT WILL YOU DO?
* Perform analysis on clients' transactions identified through the monitoring system that involves various transaction types including but not limited to credit, cash, wire transfers, remote deposit capture and loans.
* Conduct and document, timely investigations with well-reasoned and supported decision-making.
* Utilize a variety of internal bank systems and external research tools to investigate, research, and prepare documentation related to fraud investigations consistent with the resolution of the investigation and perform root cause analysis to identify solutions to reduce future fraud risk.
* Conducts follow-up with line colleagues and clients for any missing or necessary information.
* Demonstrate personal excellence including punctuality, integrity, and accountability.
* Think critically and exercise independent judgement.
* Apply subject matter expertise in the financial services industry to drive improved fraud detection and prevention.
* Champion activities across the fraud organization for identified risk events.
* Provide escalation support for fraud operations.
* Communicate emerging fraud trends across client operations.
WHAT DO YOU NEED TO SUCCEED?
*Required Qualifications**
* Bachelor's Degree or equivalent
* Minimum 5 years experience in risk management or fraud related functions
* Minimum 5 years experience in fraud investigations
*Additional Qualifications*
* Must work well in a team environment, as well as independently.
* Advanced computer experience required (e.g., MS Word, Outlook and Excel)
* Analytical skills, use of good judgment, attention to detail, internet savvy.
* Solid understanding of deposit, credit, and money movement transactions and potential fraud attack vectors.
* Must have a strong and positive work ethic and follow CNB core values.
* Must be flexible and adapt quickly to change.
* Must be able to multi-task, adapt well to changing priorities, and meet specific performance goals.
* Advanced Knowledge of PC functions in a Windows based environment.
* Proficient in Excel and Word.
* Effective written and oral communication skills to interact effectively with all levels of bank personnel and clients.
* Demonstrated experience in root cause analysis and event management coordination.
* CFE and/or CFCI certification desired
* Familiarity/proficiency in programming tools such as Snowflake, Python, SAS for data queries desired
*WHAT'S IN IT FOR YOU?*
*Compensation*Starting base salary: $65,296 - $104,304 per year. Exact compensation may vary based on skills, experience, and location. This job is eligible for bonus and/or commissions.
*Benefits and Perks*
At City National, we strive to be the best at whatever we do, including the benefits and perks we offer our colleagues including:
* Comprehensive healthcare coverage, including Medical, Dental and Vision plans, available the first of the month following start date
* Generous 401(k) company matching contribution
* Career Development through Tuition Reimbursement and other internal upskilling and training resources
* Valued Time Away benefits including vacation, sick and volunteer time
* Specialized health and family planning benefits including fertility benefits, and cancer, diabetes and musculoskeletal support programs
* Career Mobility support from a dedicated recruitment team
* Colleague Resource Groups to support networking and community engagement
Get a more detailed look at our *********************************
ABOUT US
Since day one we've always gone further than the competition to help our clients, colleagues and communities flourish. City National Bank was founded in 1954 by entrepreneurs for entrepreneurs and that legacy of integrity, community and unparalleled client relationships continues today. City National is a subsidiary of Royal Bank of Canada, one of North America's leading diversified financial services companies. To learn more about City National and our dynamic company culture, visit us at **********************************
*INCLUSION AND EQUAL OPPORTUNITY EMPLOYMENT*
City National Bank fosters an inclusive environment where all forms of diversity are valued and leveraged to make us a better company and employer. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, national origin, disability, veteran status or other basis protected by law.
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.
*Represents basic qualifications for the position. To be considered for this position, you must at least meet the required qualifications. careers.cnb.com accepts applications on an ongoing basis, until filled.
Unless otherwise indicated as fully remote, reporting into a designated City National location is an essential function of the job.
Part Time Bilingual (Spanish) Private Investigator - Special Investigations Unit (SIU)
Remote investigator job
Qualified candidates are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire damages, auto accidents, commercial claims, finding missing persons, courthouse searches, and other investigative tasks. For this position, you will also need to be fluent in writing, reading and speaking Spanish.
This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will be joining an incredible team of investigators and industry leaders.
PRINCIPAL RESPONSIBILITIES:
Complete recorded detailed interviews of those insured, claimants, witnesses, and others as identified.
Complete scene investigations, including photographing.
Conduct in-person visit of medical clinics.
Complete neighborhood canvasses.
Make sound judgments during the course of the investigation.
Provide timely progress updates.
Complete detailed investigative reports.
WHO SHOULD APPLY:
Candidates with at least five (5) years of investigations experience are strongly encouraged to 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.
POSITION QUALIFICATIONS:
MUST have current and active Private Investigation License to be eligible for hire.
Self-motivated, determined, and intuitive with a strong initiative and work-ethic.
Ability to identify critical issues quickly and accurately.
Demonstrate observational, organizational, and listening skills.
Excellent oral and written communication.
Fluent in Spanish language (writing, reading, speaking).
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, with access to high-speed internet and a scanner or fax machine.
Must have strong computer and internet skills.
Proficient with a digital camera.
Must possess a valid driving license and own your reliable vehicle.
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.
COMPENSATION & REIMBURSEMENTS:
Hourly Rate is commensurate with education and experience.
Paid travel time and reimbursement for mileage, tolls, and other per diem items.
READY TO APPLY?
Please submit your FULL resume, including salary requirements.
Part Time Private Investigator - Special Investigations Unit (SIU)
Remote investigator job
Qualified candidates are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire damages, auto accidents, commercial claims, finding missing persons, courthouse searches, and other investigative tasks. For this position, you will also need to be fluent in writing, reading and speaking Spanish.
This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will be joining an incredible team of investigators and industry leaders.
PRINCIPAL RESPONSIBILITIES:
Complete recorded detailed interviews of those insured, claimants, witnesses, and others as identified.
Complete scene investigations, including photographing.
Conduct in-person visit of medical clinics.
Complete neighborhood canvasses.
Make sound judgments during the course of the investigation.
Provide timely progress updates.
Complete detailed investigative reports.
WHO SHOULD APPLY:
Candidates with at least five (5) years of investigations experience are strongly encouraged to 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.
POSITION QUALIFICATIONS:
MUST have current and active Private Investigation License to be eligible for hire.
Self-motivated, determined, and intuitive with a strong initiative and work-ethic.
Ability to identify critical issues quickly and accurately.
Demonstrate observational, organizational, and listening skills.
Excellent oral and written communication.
Fluent in Spanish language (writing, reading, speaking).
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, with access to high-speed internet and a scanner or fax machine.
Must have strong computer and internet skills.
Proficient with a digital camera.
Must possess a valid driving license and own your reliable vehicle.
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.
COMPENSATION & REIMBURSEMENTS:
Hourly Rate is commensurate with education and experience.
Paid travel time and reimbursement for mileage, tolls, and other per diem items.
READY TO APPLY?
Please submit your FULL resume, including salary requirements.
Fraud Investigator
Remote investigator job
Job Description
Nymbus (******************** is a high growth fintech company that enables financial institutions to transform their capabilities and drive value in today's digital finance world.
At Nymbus, we believe when you set off on the path to innovation you should feel excitement and confidence, not fear and dread. With Nymbus we are bringing delight back into the banking process. We want our partners to be thrilled about the possibilities we are creating together and the lasting impact our collaboration will bring to the industry and consumers.
The journey to growth begins with doing something different. And that journey starts with the great people that make Nymbus. Thank you for considering and entrusting Nymbus to be the catalyst that helps take your career through your next chapter.
WORK ENVIRONMENT:
We are a remote first company. This role, as most of our positions, is remote. You may be required at times to visit client sites or attend meetings at designated locations.
POSITION SUMMARY:
The Fraud Investigator plays a critical role in protecting the financial assets, operational integrity, and reputation of Nymbus clients by leading advanced investigations into complex and high-impact fraud cases across multiple payment channels and products. This role involves the proactive identification of suspicious patterns and anomalies through the review of transactional data, case alerts, and non-alert-based referrals from both internal and external sources.
The Investigator will perform in-depth case analysis, connect cross-channel and cross-client fraud activity, and determine the root cause of fraudulent behavior. They will work directly with clients to present investigative findings, provide recommendations for risk mitigation, and ensure timely resolution of escalated cases. This includes preparing comprehensive reports, tracking key trends, and recommending targeted process enhancements.
Collaboration is essential, as the Fraud Investigator partners closely with internal operations teams, external client contacts, and third-party fraud detection platforms to resolve cases efficiently and in compliance with regulatory standards. The role also involves drafting and maintaining investigative procedures, mentoring Fraud Analysts, and contributing to the development of enterprise-wide fraud prevention strategies.
The ideal candidate will have proven expertise in fraud investigation, strong pattern-recognition skills, deep knowledge of financial regulations, and the ability to work effectively under pressure in a high-volume, deadline-driven environment.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES:
Include, but are not limited to:
Lead end-to-end investigations into complex and high-impact fraud cases, ensuring timely and thorough resolution.
Analyze transactional data across multiple sources to identify patterns, trends, and emerging fraud typologies.
Develop and maintain detailed fraud reports for clients, highlighting findings, trends, and recommended actions.
Collaborate with internal operational and support teams to ensure accurate documentation, escalation, and resolution of fraud incidents.
Work with clients to provide investigative updates, final case reports, and recommended preventive measures.
Conduct in-depth reviews of customer claims involving Debit card, Credit card, ACH, P2P, Bill Payments, and other payment channels, with a focus on complex and recurring cases.
Identify gaps and recommend procedural enhancements to strengthen fraud prevention measures.
Draft, update, and maintain fraud investigation procedures and best practices documentation.
Serve as a subject matter expert for escalated fraud inquiries from Fraud Analysts and other team members.
Track and report investigation metrics for client review.
Stay current on industry fraud trends, regulatory changes, and compliance requirements to ensure investigative processes remain effective.
Provide training and mentorship to Fraud Analysts on investigative techniques and case handling.
QUALIFICATIONS:
Associates degree in Business, Criminal Justice, Finance, or a related field preferred.
Minimum 5 years of experience in fraud investigation or advanced fraud analysis, preferably in a financial institution or fintech environment.
Proven track record managing complex investigations from initiation to resolution.
Strong understanding of fraud detection tools and platforms (e.g., Verafin, DataVisor) and the ability to leverage multiple systems for analysis.
Fraud certification (CFE, CFCI, or equivalent) strongly preferred.
Expertise in identifying patterns, connecting data points, and recognizing emerging fraud trends.
Strong understanding of banking operations, payment systems, and relevant regulations.
Exceptional written and verbal communication skills, including the ability to prepare and deliver investigation reports to diverse audiences.
Proven analytical, research, and problem-solving skills, with a detail-oriented mindset.
Ability to work independently on complex assignments while collaborating effectively with cross-functional teams.
Proficient in Microsoft Office and Google applications, with strong Excel and data analysis skills.
Comfortable navigating multiple systems and applications in a fast-paced, deadline-driven environment.
HOURS:
Monday - Friday, 8:00 AM - 5:00 PM EST
Rotating weekend coverage as scheduled
Occasional flexibility may be required for urgent investigations or client needs.
SALARY & BENEFITS:
$65,000 - $75,000 Annual Salary
Annual Cash Bonus and Equity Options commensurate with the role level and experience
100% Fully Remote
Robust 401(k) plan with company match
Insurance - Health, Dental and Vision (Nymbus covers 100% of the Healthcare and Basic Dental premiums)
Flexible Paid Time Off
Ready to join? We invite you to watch this video and learn who we are and how we build and innovates together!
Let's Go!
Contact Center Fraud Investigator I
Investigator job in Columbus, OH
The Contact Center Fraud Investigator I is responsible for coordinating various fraud related activities, including investigating and resolving reported external frauds, monitoring kiting and the fraud detection system, coordinating fraud alerts, administering the fraud case management system, substantiating investigative findings with statements and items of evidence, and referring fraudulent activity to federal, state and local law enforcement agencies for prosecution This individual may represent Northwest at trial.
Essential Functions
* Coordinate various fraud related activities, including investigating and resolving reported external frauds, monitoring kiting and the fraud detection system, coordinating fraud alerts
* Administer the fraud case management system, substantiating investigative findings with statements and items of evidence
* Refer fraudulent activity to federal, state and local law enforcement agencies for prosecution, representing Northwest at trial
* Attend Security Group Meetings
* Prepare and analyze departmental reports
* Plan investigations/coordinating cases with law enforcement agencies
* Conduct interviews
* Compile documentation
* Develop investigative reports
* Investigate fraud schemes
* Reconstruct sequence of fraudulent events
* Substantiate findings
* Consult on issues of fraud, suspicious activity and security
* Escalate large losses, internal fraud, critical cases
* Develop relationships with vendors
* Develop/distribute fraud alerts
* Recommend improvements to procedures
* Track and monitor large currency deposits and withdrawals
* Assist the Bank Security Officer with special projects as required
* Ensure compliance with Northwest's policies and procedures, and Federal/State regulations
* Navigate Microsoft Office Software, computer applications, and software specific to the department in order to maximize technology tools and gain efficiency
* Work as part of a team
* Work with on-site equipment
QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education
Bachelor's Degree or equivalent preferred
Work Experience
3 - 5 years Bank or fraud related experience preferred
General Employee Knowledge, Skills, and Abilities
* Ability to establish effective working relationships among team members and participate in solving problems and making decisions
* Ability to present and express ideas and information clearly and concisely in a manner appropriate to the audience, whether oral or written
* Ability to actively listen to what others are saying to achieve understanding, sharing information with others and facilitating the open exchange of ideas and information
* Ability to establish courses of action for self to accomplish specific goals, develop and use tracking systems for monitoring own work progress, and effectively use resources such as time and information
* Ability to make right decisions based on perceptive and analytical processes, practicing good judgment in gray areas
* Knowledge of the CBS system
* Knowledge of Word, Excel, Lotus, Access, and Power Point
* Knowledge of the Check Kiting reporting
* Knowledge of the fraud detection system
* Knowledge of bank regulations impacting fraud investigation
* Knowledge of UCC check collection
* Knowledge of check cashing laws
Licenses and Certifications
Certified Fraud Examiner - candidates with 3+ years experience must obtain within 1 year or candidates with less than 3 years experience must obtain within 2 years
The pay range for this position is generally $25.00 to $27.00 per hour. Shift differentials are provided for hours worked outside of standard office operations. Actual pay is based on various factors including but not limited to the successful candidate's experience, skills, and knowledge. Additional bonus earning opportunities and benefits are also available.
Northwest is an equal opportunity employer. We are committed to creating an inclusive environment for all employees.
Auto-ApplyBackground Investigator: Independent Contractor/1099 (Experienced)
Remote investigator job
Background Investigator - Independent Contractor/1099
Federal Background Investigations Division
1FORCE is currently seeking to engage with experienced Contractors and federally credentialed Background Investigators to conduct personnel security background investigations in a contractor capacity in support of our client's contracts with the federal government. We have work nationwide and if you currently hold credentials on a federal personnel security background investigations contract (or have held government credentials in the last 2 years), we want to partner to provide immediate, weekly work opportunities.
DUTIES & RESPONSIBILITIES:
Complete record searches.
Conduct face-to-face interviews to elicit information about applicants seeking federal positions, contract positions or positions within the military.
Obtain factual information from a variety of personal and record sources to produce a report of investigation, containing all pertinent facts, of an individual's background and character, in accordance with agency guidelines and instructions.
Investigators work from home, set their own schedules, and work independently.
Self-motivated, highly independent, and prepared to work non-traditional hours (i.e., evenings and weekends).
POSITION REQUIREMENTS:
Federally credentialed and experienced investigators will have met the background investigations national training standards and have 12 months or more of consecutive experience performing executive branch investigations.
Superior organizational and time management skills.
Excellent communication skills in both oral and written formats.
Strong computer and typing skills for composing narrative reports of investigation in FWS and utilizing PIPS or other federally supported case management/reporting system.
Sufficient E&O liability, car insurance and personal insurance.
**All candidates must be a US Citizen and be able to obtain a TOP SECRET level security clearance.
Healthcare Fraud Investigator
Remote investigator job
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
Auto-ApplyLicensed Covert Surveillance Investigator - Part Time - Columbus, OH
Investigator job in Columbus, OH
JOB PURPOSE
Conduct covert field surveillance with an emphasis on worker's compensation fraud and insurance fraud.
DUTIES AND RESPONSIBILITIES
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Conduct covert field surveillance via both stationary and mobile surveillance.
Obtain professional quality video and photographic documentation of subjects.
Prepare and file comprehensive investigative reports using the information that was collected from surveillance investigations.
Upload video, photographs, audio files, and documents into the case management system.
Conduct scene investigations, interviews, recorded statements, etc.
Prepare written and recorded Statements from in-person interviews.
Provide legal testimony.
Other duties as assigned
Requirements
SKILLS AND QUALIFICATIONS
Minimum two years experience working as an investigator.
Ability to conduct covert field surveillance assignments.
Ability to communicate effectively, both orally and in writing.
Ability to gather data, compile information, and prepare reports.
Ability to provide legal depositions and testimony.
Ability to gather and organize evidence.
Ability to investigate and analyze information.
Knowledge of legal documentation procedures and requirements.
LICENSES /CERTIFICATIONS REQUIREMENTS
Valid state-issued driver's license.
Current auto insurance.
MUST possess a Private Investigator license in the state where work is performed.
REQUIRED EQUIPMENT
A reliable vehicle.
Smartphone with access to the app store. Android OS7 or higher, Apple iOS 11 or higher.
Laptop computer with Microsoft Word, Windows, and wireless Internet connection.
Digital video camera with upload capability and accurate time and date stamp.
Covert camera.
WORKING CONDITIONS
As an hourly, non-exempt status employee, your job may require extended work hours and significant work travel. This includes occasional overnight travel, weekend and/or evening work, and working on holidays.
The worker is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes.
The worker is subject to outside environmental conditions: No effective protection from weather.
The worker is subject to both environmental conditions: Activities occur inside and outside.
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk and hear. The employee is frequently required to stand, walk, stoop, kneel, crouch, or crawl.
The employee must regularly lift and/or move up to 10 pounds and frequently lift and/or move up to 50 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Work involves individuals to stay seated/sedentary for long periods of time.
Work involves moderate exposure to unusual elements, such as extreme temperatures, exposure to the sun, and various days and hours of scheduled work.
Salary Description Up to $30.00 per hour based on experience
As Needed Field Investigator- Columbus, OH
Investigator job in Columbus, OH
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
On-call investigators (seasonal status)
Remote investigator job
Toggle accordion tab Primary Purpose Ferrum College seeks impartial, experienced On-Call Investigators to conduct timely, thorough, and objective investigations into alleged violations of College policies, including Title IX, harassment, discrimination, and workplace misconduct. These positions exclude investigations under the Student Code of Conduct, which are managed by the Division of Student Affairs, though collaboration with that office may be required. On-call investigators report directly to the Title IX Coordinator and work in close coordination with the College's General Counsel and Office of Human Resources, depending on the nature of the complaint.
This is an as-needed, hourly position based on institutional caseloads.
Key Responsibilities
* Conduct prompt, impartial investigations into complaints involving Title IX, discrimination, harassment, and other policy violations (excluding Student Code of Conduct cases).
* Interview complainants, respondents, and witnesses in a respectful, trauma-informed, and procedurally sound manner.
* Gather, analyze, and organize relevant documentation and evidence.
* Ensure compliance with federal and state regulations, institutional policies, and due process protections throughout the investigation process.
* Maintain accurate and comprehensive records of interviews, evidence, communications, and findings.
* Prepare well-written, thorough investigation reports detailing timelines, evidence, and factual findings.
* Maintain strict neutrality and avoid conflicts of interest.
* Participate in trainings related to Title IX, civil rights, FERPA, and trauma-informed practices as required.
* Collaborate as needed with the Offices of Human Resources, General Counsel, and Student Affairs to ensure institutional coordination.
* Maintain confidentiality and professionalism in all aspects of the work.
Minimum Qualifications
* Bachelor's degree from an accredited institution.
* Relevant investigative experience in law, compliance, human resources, higher education, or a related field.
* Working knowledge of Title IX, civil rights law, and investigatory best practices.
* Strong writing, documentation, and interpersonal skills.
* Commitment to neutrality, due process, and confidentiality.
* Must complete a background check.
Preferred Qualifications
* Master's degree or J.D. in Law, Higher Education, Human Resources, Criminal Justice, or related field.
* Title IX Investigator Certification or similar professional training.
* Experience conducting investigations in a college/university setting.
* Familiarity with FERPA, VAWA, Clery Act, and other federal compliance requirements.
Additional Information
* This is a part-time, on-call position with hours determined by the institution's needs.
* Investigators may work remotely or on-site, depending on the specific case and institutional needs.
* Ferrum College is committed to fostering a safe and respectful environment and encourages applicants who reflect the communities we serve.
Other Preferences:
Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Ferrum, we are committed to creating a diverse, inclusive, and authentic workplace. If you are excited about this role but your experience doesn't perfectly align with every qualification in the job description, we encourage you to apply anyway. You may be the ideal candidate for this role or other positions on campus.
Interested candidates should submit a resume along with the names and telephone numbers of three references to ****************** or mail to Human Resources, Ferrum College, P.O. Box 1000, Ferrum, VA 24088. Background check required.
This institution is an equal opportunity provider and employer.
All applicants must complete the online Ferrum College Employment Application by clicking here.
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