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  • Senior Fraud and Abuse Investigator- Remote

    Sentara Health 4.9company rating

    Remote investigator job

    City/State Norfolk, VA Work Shift First (Days) Sentara Health Plan is currently hiring a Senior Fraud and Abuse Investigator- Remote! Status: Full-time, permanent position (40 hours) Work hours: 8am to 5pm EST, M-F Remote opportunities available in the following states: Virginia, North Carolina, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming. With travelto Virginia Beach 1x a year. Overview Responsible for contributing to in-depth investigations for suspected fraud or abuse with respect to provider, pharmacy, employer, member, and broker interactions involving the full range of products at Sentara Health Plans. Responsible for contributing to the review of the quality of pharmacy, physician, ancillary and hospital based coding in routine desk audits as well as occasional on-site audits. Contribute to the review of reimbursement systems relating to health insurance claims processing and ensures adherence to Optima Health policies and procedures for its various product offerings. Specific progression of responsibility is a follows dependent upon education, certifications, and experience: Conducts investigation-related training. Negotiates settlement agreements to resolve disputes. Maintain current knowledge of relevant laws, regulations and standards. Updates department policies and procedures and assists in training staff on changes. Prepares routine department reporting as needed. Education Bachelor's Degree REQUIRED; Degree in a related field of study preferred. Certification/Licensure Certified Professional Coder REQUIRED (or achieved within 12 months of hire date) Additional Preferred Qualifications: Certified Forensic Interviewer (CFI) Certified Fraud Specialist (CFS) Certified Professional Coder (CPC) or Certified in Healthcare Compliance (CHC) Certified Fraud Examiner (CFE) OR Accredited Health Care Fraud Investigator (AHFI) preferred. (Note: Federal Agents who have successfully completed the Federal Bureau of Investigation Training Program (FBITP) - Criminal Investigator Training Program (CITP) would be considered equivalent to the AHFI). Experience Minimum 5-8 years of related investigative experience OR 3 - 5 years of related health care investigative experience Healthcare, Coding, Audit, Investigations, Regulatory, and/or Compliance 5 years REQUIRED -OR- Healthcare Investigation related to Coding, Audit, Regulatory, and/or Compliance 3 years REQUIRED Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees. Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health. Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth. Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve! We provide market-competitive compensation packages, inclusive of base pay, incentives, and benefits. The base pay rate for Full Time employment is: $29.21 hour- $48.68/hour. Additional compensation may be available for this role such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. To apply, please go to ********************** and use the following as your Keyword Search:JR-92443 Talroo-Health Plan Keywords: Healthcare, Health Plan, Remote, Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming, Bachelor's Degree, Medical Coding, Medical Chart Review, Insurance Billing, Internal/External Audit, Regulatory, Compliance, Claims Investigations, Criminal Investigation, White Collar Crime, Certified Professional Coder (CPC), Certified Fraud Examiner (CFE), Accredited Health Care Fraud Investigator (AHFI), Federal Bureau of Investigation Training Program (FBITP) - Criminal Investigator Training Program (CITP); Certified Forensic Interviewer (CFI), Certified Fraud Specialist (CFS), Certified Professional Coder (CPC) or Certified in Healthcare Compliance (CHC), Fraud, Waste, Abuse, Program Integrity, FWA, PI, Professional Writing, Verbal Communication, Time Management, Complex Problem Solving/Critical Thinking, Microsoft Excel and Word, Microsoft Access and Outlook Benefits: Caring For Your Family and Your Career • Medical, Dental, Vision plans • Adoption, Fertility and Surrogacy Reimbursement up to $10,000 • Paid Time Off and Sick Leave • Paid Parental & Family Caregiver Leave • Emergency Backup Care • Long-Term, Short-Term Disability, and Critical Illness plans • Life Insurance • 401k/403B with Employer Match • Tuition Assistance - $5,250/year and discounted educational opportunities through Guild Education • Student Debt Pay Down - $10,000 • Reimbursement for certifications and free access to complete CEUs and professional development •Pet Insurance •Legal Resources Plan •Colleagues have the opportunity to earn an annual discretionary bonus ifestablished system and employee eligibility criteria is met. Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves. In support of our mission “to improve health every day,” this is a tobacco-free environment. For positions that are available as remote work, Sentara Health employs associates in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.
    $29.2-48.7 hourly 5d ago
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  • Criminal Investigator

    Washington D.C 4.5company rating

    Investigator job in Washington, DC

    General Job Information is a Criminal Investigator (Healthcare) in the Medicaid Fraud Control Unit (MFCU). The MFCU is a Unit responsible for investigating and prosecuting cases involving healthcare fraud by the District Medicaid providers and abuse, neglect, or financial exploitation of individuals residing in Medicaid-funded healthcare facilities. Major Duties: The Criminal Investigator is expected to have a full range of experience in handling all aspects of complex criminal investigations and extensive experience in handling illegal diversion or misuse of prescription opioids and other pharmaceuticals. Consults with senior investigator and/or supervisor in initiating investigations, developing investigative "milestones" relevant to the conduct of individual work assignments, formulating investigative plans and violation matrix, and providing work products promptly. Secures facts and develops evidence from all sources to establish the extent and nature of violations. Properly seizes and safeguards evidence to preserve the integrity of the chain of custody. Receives and analyzes complaints/allegations under procedures identified and against applicable laws, regulations, and policies regarding potential credibility and conducts interviews and ensures that all District employees and non-employees interviewed during an official investigation are provided all requisite warnings, as the circumstances warrant. Creates an accurate, clear, and well-written record of events associated with all interviews and investigative activity. For administrative cases, draft reports of investigations for responsible management officials to take any necessary corrective action. Assists the Department of Justice and Districts United States Attorney's Office in preparing cases for prosecution; Assists the District of Columbia Office of the Attorney General in preparing cases for civil litigation and testify in legal proceedings as required. Performs other related duties as assigned. Other Significant Facts Tour of Duty: This position may require the CI to work extended hours. Promotion Potential: No Known Promotion Potential Duration of Appointment: Career Service Pay Plan, Series, and Grade, CS-1811-12 Collective Bargaining Unit (Non-Union): This position is not part of a collective bargaining unit. This position requires the incumbent to frequently handle multiple cases simultaneously in a fast paced, time-sensitive environment with frequently changing priorities. This position does not provide federal law enforcement retirement and/or Law Enforcement Availability Pay (LEAP). Medical Requirements: This position requires the applicant to take and pass a pre-employment physical examination. This position requires the CI to take and pass an annual medical examination. This position requires moderate physical exertion involving walking, standing, running, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of finger, wrist, elbow, shoulder, hip, and knee joints is required. Arms, hands, legs, and feet must be sufficiently intact and functioning to allow applicants to perform the assigned duties. Sufficiently good vision in each eye, with or without correction, is required to perform the duties satisfactorily. Corrective lenses are permitted, and vision must be sufficient to read printed material the size of typewritten characters. Hearing loss, as measured by an audiometer, must not exceed 35 decibels at 1000, 2000, and 3000 Hz levels. Because the duties of this position may involve activities under stressful conditions, applicants must possess emotional and mental stability. Any physical condition that would cause the applicant to be a hazard to themselves or others is disqualifying. Physical Demands: The work may involve long periods of standing and recurring stooping and bending. The work can require frequent and recurring surveillance in which there is considerable walking, stooping, bending, and climbing. The incumbent may have to remain in one location for many hours without relief. The work may also include frequent lifting of moderately heavy objects such as luggage or boxes in cargo containers. Incumbents must also be prepared to protect themselves or others from physical attacks and without warning and to use firearms as required by the positions. Work Environment: The work is performed in a fast-paced environment with constantly changing priorities; an office setting with adequate lighting, heating, and ventilation. However, duties may require frequent visits to areas with high crime rates to conduct interviews of suspects and surveillance operations, which may include exposure to extreme weather conditions outside in the elements (i.e., rain, heat, cold, etc.). The incumbent is required to carry a firearm. This position requires the CI to possess, upon appointment, and maintain a valid U.S. driver's license. The position requires the CI to take and pass a pre-employment physical examination. The position requires the CI to take and pass annual examinations. This position requires the employee to successfully qualify with the use of a firearm within 90 days of appointment and, maintain all established requirements for carrying and using firearms, and follow use of force guidelines in accordance with investigative policies and procedures. Firearms qualification is mandatory as part of the assigned duties. Special safety precautions are required, including the use of protective equipment, including non-lethal force generators, mechanical restraints, and firearms. Special Requirements This position will be subject to enhanced suitability screening pursuant to Chapter 4 of D.C. Personnel Regulations, Suitability - Safety Sensitive. Graduate of the Federal Law Enforcement Training Center (FLETC) Criminal Investigator Training Program (CITP) or other comparable federal, state, or military law enforcement training is preferred. When applying for DC OIG positions, please ensure you check your spam folder after the closing date. Information regarding interviews will be sent via the OIG Recruitment email box. OIG reserves the right to deny interviews after the dates have been identified and the interviews have concluded. The District of Columbia Government does not discriminate in employment on the basis of race, color, religion, sex including pregnancy and gender identity), national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an employee organization, retaliation, parental status, military service, or other non-merit factors. Submission of a resume alone is NOT a complete application. This position may require the completion of additional form/s and/or supplemental materials. Failure to provide the required information and/or materials will result in your application not being considered for employment.
    $58k-84k yearly est. 14d ago
  • Lead Background Investigator: W2

    Kentech Consulting 3.9company rating

    Remote investigator job

    Responsive recruiter Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Inc. KENTECH Consulting Inc. is an award-winning background technology and investigations company. We are the creators of innovative platforms such as eKnowID.com, the first consumer background checking system of its kind, and ClarityIQ, a high-tech, high-touch investigative case management system. Our Mission We help the world make clear and informed hiring decisions. Our Values To achieve our mission, our team is guided by the following core values: Customer Focused: We are results-driven and committed to delivering quality outcomes for our clients. Growth Minded: We value continuous learning, collaboration, and industry best practices. Fact Finders: We are passionate about discovery, accuracy, and truth. Community and Employee Partnerships: We believe meaningful impact comes from supporting what our communities and employees care about. The Impact As a small, agile organization, every role at KENTECH directly contributes to our success. This position offers the opportunity to make a measurable impact on public safety, hiring integrity, and the future of background investigations. Position Overview KENTECH Consulting Inc. is seeking a detail-oriented Background Investigator to conduct impartial, fact-based pre-employment investigations for municipal government and law enforcement clients. This is a full-time, W-2 remote position ideal for professionals with strong investigative, research, and writing skills. As a remote investigator, you will analyze applications, conduct interviews, research public records, and produce clear, defensible investigative reports while maintaining the highest standards of confidentiality and accuracy. Key Responsibilities Conduct pre-employment background investigations for law enforcement and government candidates. Review and analyze applications, employment history, criminal records, and public records. Conduct thorough interviews via phone or virtual platforms. Complete criminal history and civil record verifications using public sources. Identify inconsistencies, gaps, or red flags and determine appropriate follow-up actions. Prepare detailed, well-organized investigative reports. Communicate professionally and timely with internal teams and external agency stakeholders. Manage multiple cases simultaneously while meeting required deadlines. Qualifications and Experience Bachelor's degree in Journalism, Criminal Justice, Political Science, Pre-Law, Paralegal Studies, or a related field. Five or more years of investigative, journalistic, or related professional experience. Strong interviewing skills, including remote interviews. Excellent analytical thinking and professional writing abilities. Demonstrated ability to handle sensitive and confidential information with discretion. Proficiency in Google Docs, spreadsheets, and investigative or case management tools. Ability to obtain and maintain a Security Clearance, including a Permanent Employee Registration Card (PERC), if required. Ability to obtain and maintain FCRA Certification Ability to meet productivity expectations and manage a consistent investigative workload. Key Soft Skills Strong attention to detail with a focus on accuracy and clarity. High ethical standards and commitment to unbiased investigations. Clear, professional communication skills. Strong investigative mindset with sound judgment. Effective time management and organizational skills. Compensation and Benefits Annual Salary: $45,000 Employment Type: Full-Time, W-2 Benefits Include: Health Insurance Dental Insurance Vision Insurance 401(k) Retirement Plan Apply Now If you are a dedicated investigator who values accuracy, integrity, and meaningful work, we encourage you to apply. KENTECH Consulting Inc. is an equal opportunity employer. We celebrate diversity and are committed to fostering an inclusive and respectful workplace. This is a remote position. Compensation: $45,000.00 per year We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. 🌐 WHO WE ARE KENTECH Consulting, Inc. is a premier U.S.-based background investigation solutions firm and licensed Private Detective Agency. Our team of investigative experts blends cutting-edge technology with industry insight to deliver fast, accurate, and comprehensive reports. With deep cross-industry experience, we provide fully compliant investigative services that meet the high demands of today's business environment. 🔎 WHAT WE DO We offer customized background screening solutions tailored to meet the needs of diverse industries. Our advanced tools and digital platforms allow us to conduct background and security checks up to 75% faster than traditional methods. With real-time access to over 500 million records, KENTECH is a trusted authority in background checking technology across the U.S. 🌟 OUR VISION To help the world make clear and informed decisions. 🎯 OUR MISSION To deliver fast, accurate, and secure background investigations on a global scale-supporting safer hiring decisions and stronger communities. 🚀 CAREERS AT KENTECH We're building a team of remarkable individuals who are: ✅ Critical thinkers and problem solvers who see challenges as opportunities ✅ Driven professionals who create meaningful impact through their ideas and results ✅ Mission-driven collaborators who believe in the power of digital identity to create safer environments ✅ Naturally curious and eager to innovate in an ever-changing landscape ✅ Team players who believe in the value of camaraderie, laughter, and high standards 💼 WHO THRIVES HERE? People who never back down from a tough challenge Professionals who bring their best every day-and uplift others around them Individuals who value purpose, performance, and a good laugh Teammates who want to shape the future of digital security and identification You, if you're reading this and thinking: “This sounds like my kind of place.” 🎉 YOUR NEXT CHAPTER STARTS HERE Ready to do work that matters with people who care? Explore our current openings-your future team is waiting.
    $45k yearly Auto-Apply 12d ago
  • CRIMINAL INVESTIGATOR

    Department of Defense

    Investigator job in Washington, DC

    Department of Defense Defense Intelligence Agency Print Share * * * * Save * This job is open to * Requirements * How you will be evaluated * Required documents * How to apply We are committed to: * Teamwork: Partnering at all levels and across organizational boundaries for mission accomplishment. * Integrity: Adherence to the highest legal and ethical principles in our responsibilities. * Excellence: Unrivaled defense intelligence expertise. * Service: Putting the welfare of the Nation and commitment to our mission before oneself. Summary We are committed to: * Teamwork: Partnering at all levels and across organizational boundaries for mission accomplishment. * Integrity: Adherence to the highest legal and ethical principles in our responsibilities. * Excellence: Unrivaled defense intelligence expertise. * Service: Putting the welfare of the Nation and commitment to our mission before oneself. Overview Help Accepting applications Open & closing dates 01/06/2026 to 01/19/2026 Salary $120,579 to - $156,755 per year Pay scale & grade GG 13 Location Washington, DC 2 vacancies Telework eligible No Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time - Full Time Service Excepted Promotion potential 13 Job family (Series) * 1811 Criminal Investigation Supervisory status No Security clearance Sensitive Compartmented Information Drug test Yes Announcement number 126281-01-JS Control number 853862300 This job is open to Help The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Federal employees - Excepted service Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria. Veterans Veterans of the U.S. Armed Forces or a spouse, widow, widower or parent of a veteran, who may be eligible for derived preference National Guard and reserves Current members, those who want to join or transitioning military members. Clarification from the agency See "WHO CAN APPLY" for more information on who is eligible to apply Duties Help DIA employs a variety of professionals who serve throughout the workforce to ensure successful operations. To view this position's duties, click Vacancies to be directed to DIA's online application system. Please make note of the position title and 6-digit Job Opening ID number to which you are interested. You can scroll to the bottom of the page to locate the announcement or click on the "Advanced Search" link and enter in the 6-digit Job Opening ID number in the "Job Opening ID" field. Requirements Help Conditions of employment * - U.S. Citizenship - Drug Test - Security Investigation All applicants must be U.S. citizens and are subject to a thorough background inquiry. Qualifications ASSESSMENT FACTORS 1. Is flexible and responds in a timely fashion to changing requirements, priorities, and short deadlines. 2. Plans, organizes, prioritizes, and schedules own work activities to complete assignments in timely and effective manner. 3. Confidentially engages in communication of sensitive topics and non-routine issues. 4. Presents a positive, professional image of the office to all clients, colleagues, and leadership in spoken and written complex communications. 5. Leads communication efforts to all levels of involved personnel including local, state, federal, and international law enforcement and investigative agencies. HIGHLY DESIRED SKILLS 1. Prior experience or training in conducting interviews or elicitation/interrogations. 2. Prior training or experience in investigative methodologies. 3. Bachelor's degree from an accredited university or college. Individual Occupational Requirements Medical Requirements The duties of positions in this series require moderate to arduous physical exertion involving walking and standing, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of finger, wrist, elbow, shoulder, hip, and knee joints is required. Arms, hands, le GG, and feet must be sufficiently intact and functioning in order that applicants may perform the duties satisfactorily. Sufficiently good vision in each eye, with or without correction, is required to perform the duties satisfactorily. Near vision, corrective lenses permitted, must be sufficient to read printed material the size of typewritten characters. Hearing loss, as measured by an audiometer, must not exceed 35 decibels at 1000, 2000, and 3000 Hz levels. Since the duties of these positions are exacting and responsible, and involve activities under trying conditions, applicants must possess emotional and mental stability. Any physical condition that would cause the applicant to be a hazard to himself/herself, or others is disqualifying. Additional information DIA positions are Defense Civilian Intelligence Personnel System (DCIPS) positions in the Excepted Service under 10 U.S.C. 1601. All applicants must be U.S. citizens at the time of application. Applicants must meet the agency's conditions of employment, to include, but not limited to, satisfactory completion of an initial special background investigation and periodic reinvestigation, completion of any required medical examination and physical requirements, completion of any required personal interviews, favorable completion of any required initial or aperiodic polygraph examinations, completion of any required drug test, satisfactory completion of a two-year Defense Civilian Intelligence Personnel System trial period, and completion of a civilian mobility agreement. All employees are required to sign an agreement not to disclose, in any fashion, classified information to unauthorized persons. All civilian employees are required to participate in the DoD Direct Deposit/Electronic Fund Transfer of Pay (DD/EFT) Program. DIA employees and applicants for employment are protected by federal laws, from discrimination. Employees and applicants are also protected against retaliation. Consistent with federal laws, acts of retaliation against an employee who engages in a protected activity, whistle blowing, or the exercise of any appeal or grievance right provided by law, will not be tolerated. Veterans who are preference-eligible or who have been separated from the armed forces under honorable conditions are encouraged to apply. Expand Hide additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Please visit our web site, ************ Under the "Careers" heading on our web site, you will find a listing of benefits available to DIA employees. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How you will be evaluated You will be evaluated for this job based on how well you meet the qualifications above. In order to qualify for this position, your application must include sufficient experience and/or education, knowledge, skills, and abilities to perform the duties of the specific position to which you are applying. To view this position's requirements, click Vacancies to be directed to DIA's online application system. Please make note of the position title and 6-digit Job Opening ID number to which you are interested. You can scroll to the bottom of the page to locate the announcement or click on the "Advanced Search" link and enter in the 6-digit Job Opening ID number in the "Job Opening ID" field. Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Please visit our web site, ************ Under the "Careers" heading on our web site, you will find a listing of benefits available to DIA employees. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. Required documents Required Documents Help Please see instructions within the on-line application for this vacancy announcement on the DIA web-site, ************ If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating. How to Apply Help How Do I Apply HOW DO I APPLY? Unless specified within the vacancy announcement, you must complete and submit your job application electronically, using DIA's online job tool. * Go to: http://************ * Click the link to "Search and Apply for Jobs" or click the link to "Careers" > "Vacancies." * Your first visit? Click "New User" to setup your account. * Click "Search" to view Vacancy Announcements for opportunities that interest you. * Save as a Favorite or select the Job Opening to Apply. * At the top of the "Job Search" page, click "My Favorite Jobs" to view each announcement. Start the application process by clicking the "Apply" at the bottom of the announcement. * While working on the application, "Save" frequently. When you save the document, prior to final submission, you can exit the application and return later to continue by logging-in and going to Job Search > My Activities > Applications with a status of Not Submitted. * Finished? Click "Submit." * You must complete and submit the application prior to the closing date listed on the Vacancy Announcement. * Final applications are not available for revision. If you need to revise your application, complete and submit another application. All positions in the Defense Intelligence Agency are in the excepted service under 10 USC 1601 appointment authority and covered by the Defense Civilian Intelligence Personnel System (DCIPS), a General Grade (GG) pay system divided into grades and steps similar to OPM's General Schedule (GS) compensation system. All candidates must be U.S. citizens and are subject to a thorough background inquiry and any required medical examinations. Agency contact information Civilian Operations Division Phone Not Available Address Defense Intelligence Agency Bolling AFB Washington, DC 20340 Next steps Your application for employment must be prepared and submitted on-line at ************ We will notify you, via e-mail, when your application has been received. Later, you will be notified, via e-mail, if DIA is or is not interested in you as a potential employee of our agency. Fair and transparent The Federal hiring process is set up to be fair and transparent. Please read the following guidance. Criminal history inquiries Equal Employment Opportunity (EEO) Policy Financial suitability New employee probationary period Privacy Act Reasonable accommodation policy Selective Service Signature and false statements Social security number request Required Documents Help Please see instructions within the on-line application for this vacancy announcement on the DIA web-site, ************ If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
    $120.6k-156.8k yearly 13d ago
  • Detectives and Criminal Investigators - AI Trainer (Contract)

    Handshake 3.9company rating

    Remote investigator job

    Handshake is recruiting Detectives and Criminal Investigator Professionals to contribute to an hourly, temporary AI research project-but there's no AI experience needed. In this program, you'll leverage your professional experience to evaluate what AI models produce in your field, assess content related to your field of work, and deliver clear, structured feedback that strengthens the model's understanding of your workplace tasks and language. The Handshake AI opportunity runs year-round, with project opportunities opening periodically across different areas of expertise. Details The position is remote and asynchronous; work independently from wherever you are. The hours are flexible, with no minimum commitment, but most average 5-20 hrs The work includes developing prompts for AI models that reflect your field, and then evaluating responses. You'll learn new skills and contribute to how AI is used in your field Your placement into a project will be dependent on project availability-if you apply now and can't work on this project, more will be available soon. Qualifications You have at least 4 years of professional experience in one or more of the following types of work. The examples below reflect the types of real-world responsibilities that you might have had in your role that will give you the context needed to evaluate and train high-quality AI models Conduct thorough investigations by collecting and analyzing evidence, interviewing witnesses and suspects, and documenting findings in detailed reports. Secure crime scenes, collaborate with other agencies, and prepare for court proceedings. Engage in surveillance and undercover operations, utilizing specialized equipment and techniques to gather critical information. You're able to participate in asynchronous work in partnership with leading AI labs. Application Process Create a Handshake account Upload your resume and verify your identity Get matched and onboarded into relevant projects Start working and earning Work authorization information F-1 students who are eligible for CPT or OPT may be eligible for projects on Handshake AI. Work with your Designated School Official to determine your eligibility. If your school requires a CPT course, Handshake AI may not meet your school's requirements. STEM OPT is not supported. For more information on what types of work authorizations are supported on Handshake AI.
    $42k-71k yearly est. Auto-Apply 13d ago
  • Sanctions Financial Intelligence Unit Investigator

    Meta 4.8company rating

    Investigator job in Washington, DC

    Meta is seeking a highly-organized, detail-oriented candidate with impeccable judgment and significant Sanctions Compliance experience to join the Meta FinTech Compliance Sanctions Financial Intelligence Unit (FIU) as a Sanctions FIU Investigator. In addition to having an extensive investigative and analytical background, Meta is seeking an investigator who has impeccable communication skills and experience conducting both open source investigations, as well as investigations originating from automated sanctions screening. You will assess and analyze large amounts of data in order to identify sources of potential threats and abuses, operate independently in a fast-paced environment, and proactively collaborate with teams across the company. **Required Skills:** Sanctions Financial Intelligence Unit Investigator Responsibilities: 1. Conduct investigations involving large amounts of data across a variety of global sanctions programs 2. Draft detailed case narratives documenting your investigative work and highlighting the sanctions and compliance risk identified through the investigation 3. Present to leadership on the results of investigations and the sanctions/compliance risk identified 4. Apply analytical skills to complex information sets in order to make logical and supported recommendations 5. Support and lead a variety of projects to improve the Sanctions Compliance Program 6. Develop cross-functional partnerships with key internal and external stakeholders in order to enhance investigative processes and minimize risk 7. Producing timely and accurate management reports to assist decision making processes within the team and cross functionally 8. Monitoring trends and patterns across Meta's payment environment to identify potential risk and taking appropriate action mitigate such risks 9. Work collaboratively with a dynamic group of cross-functional stakeholders including, but not limited to, Legal, Product, Engineering, Finance and Marketing 10. Interact with other teams to continually drive sanctions investigative innovation and compliance 11. Interact with Management and cross-functional partners to raise awareness of Sanctions Compliance related trends, emerging issues, remedial actions or potential enhancements impacting the Sanctions Compliance Program 12. Investigate complex cases and conduct analysis of potential threats that may manifest on Meta technologies 13. Independently manage multiple analyses at once while effectively prioritizing time 14. Work with graphic and sensitive content on a regular basis 15. Work independently under high-pressure situations and make sound decisions with little supervision **Minimum Qualifications:** Minimum Qualifications: 16. 4+ years of professional experience in Sanctions Compliance investigations, AML Compliance investigations, law enforcement investigations or intelligence 17. Experience working on proactive investigations that did not originate from an automated alert 18. Experience working with sensitive issues that include graphic violence, a variety of religious and political views, and adult content 19. Subject matter knowledge of global sanctions regulations 20. Experience and inclination to protect highly confidential information 21. Demonstrated communication skills and experience tailoring the communication for the audience 22. Experience presenting investigative results to a broad audience **Preferred Qualifications:** Preferred Qualifications: 23. 4+ years of experience conducting Sanctions Compliance investigations for a regulatory agency, law enforcement agency or financial services 24. Experience conducting open source investigations and/or investigations on behalf of a technology company 25. Experience with SQL 26. Analytical and investigative skills combined with knowledge to quickly assess large amounts of data in order to detect critical and credible information 27. BA/BS degree or equivalent **Public Compensation:** $118,000/year to $173,000/year + bonus + equity + benefits **Industry:** Internet **Equal Opportunity:** Meta is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender, gender identity, gender expression, transgender status, sexual stereotypes, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law. Meta participates in the E-Verify program in certain locations, as required by law. Please note that Meta may leverage artificial intelligence and machine learning technologies in connection with applications for employment. Meta is committed to providing reasonable accommodations for candidates with disabilities in our recruiting process. If you need any assistance or accommodations due to a disability, please let us know at accommodations-ext@fb.com.
    $118k-173k yearly 5d ago
  • GSI Insider Threat & Counterintelligence Investigator

    Navy Federal 4.7company rating

    Investigator job in Vienna, VA

    To identify, review, and investigate insider risk activity with an emphasis on counterintelligence threats across Navy Federal's corporate enterprise. Conduct full scope complex investigations into potential foreign collection, unauthorized disclosures, foreign intelligence influence, and misuse of access to protect sensitive information, personnel, and assets. Partner across Fraud, Information Security, IT, HR, Legal, Compliance, Technology, and Operations to mitigate risk and strengthen enterprise resilience. Ensure adherence to applicable federal and state laws, rules and regulations, and Navy Federal policies. Work is performed in an independent manner under general direction. Credentialed federal agent (former/retired)- counterintelligence investigative and operational authorities Bachelor's degree in Criminal Justice, Security Studies, Intelligence, Business Administration, or related field; or equivalent combination of education, training, and experience Demonstrated extensive experience conducting insider threat and/or counterintelligence investigations in a corporate and/or federal environment Expert knowledge of insider risk frameworks and counterintelligence principles (e.g., unauthorized disclosure prevention, foreign contact risk, tradecraft indicators) Extensive experience working cross-functionally with HR, Legal, Compliance, IT Security, and Operations in sensitive investigations Expert skill applying analytical techniques to correlate behavioral, access, and contextual data and develop defensible conclusions Expert investigative, research, analytical, and problem-solving skills, including structured interviewing and elicitation Expert skill exercising initiative and sound judgment to make timely, risk-based decisions in high-stakes cases Expert written and verbal communication skills, including executive-ready reports and briefings Expert organizational, planning, and time management skills; able to manage multiple complex cases simultaneously Expert skill following, interpreting, and applying relevant data/instructions to guidelines, procedures, practices, and regulations Expert skill building relationships through rapport, trust, diplomacy, and tact; able to influence and negotiate in sensitive matter Expert proficiency with case management and productivity tools (word processing, spreadsheet, and presentation software) Position based in Navy Federal Headquarters, Vienna, VA campus Desired Qualifications Master's degree in Criminal Justice, Security, Intelligence, Business, or related field Experience in federal counterintelligence and/or insider threat programs (e.g., DoD, IC, DHS) Experience working corporate insider risk leadership Working knowledge of relevant frameworks and directives (e.g., EO 13587, ICD 704/705, NISP/32 CFR Part 117, applicable privacy and labor requirements) Familiarity with Navy Federal products, services, programs, policies, and procedures Experience with DLP, UEBA, SIEM, IAM/privileged access monitoring, and related investigative tooling Fraud investigative experience within financial services (transactional analysis, red flags, loss mitigation) is preferred but not required Hours: Monday - Friday, 8:00AM - 4:30PM Location: 820 Follin Lane, Vienna, VA 22180 Investigate insider threat indicators and counterintelligence risks (e.g., unauthorized disclosures, suspicious contacts, data misuse, foreign influence, and compromise of sensitive information) from multiple channels and referral sources Conduct structured interviews, evidence collection, and documentation; ensure chain of custody and preservation of evidence per applicable laws, regulations, and corporate procedures Analyze behavioral, technical, and contextual signals (e.g., anomalous access, travel patterns, workplace conduct, financial stressors) to assess likelihood and impact of insider events Perform risk assessments and case triage, prioritizing investigations based on threat severity, business impact, and regulatory exposure Develop investigative plans and produce detailed reports (findings, supporting facts, and recommended actions) for leadership, HR, Legal, and Compliance Collaborate with HR, Legal, Compliance, IT Security, Physical Security, and business units to develop corrective actions, response plans, and control enhancements Maintain liaison with federal agencies and industry partners to share threat intelligence, best practices, and deconflict activity when appropriate Support policy, governance, and awareness programs for insider risk and counterintelligence; contribute to training content and targeted communications Monitor and evaluate insider risk tooling and workflows (e.g., DLP, UEBA, access controls) and recommend improvements to detection and case management Prepare data and metrics for analysis and executive reporting; identify trends, systemic issues, and control gaps Advise on preventive measures (e.g., segregation of duties, privileged access reviews, travel/security advisories, pre-employment and continuous evaluation enhancements) Maintain knowledge of applicable federal and state laws, rules, and regulations, and Navy Federal policies and procedures Preferred: Investigate fraud-related activities as needed, leveraging expertise in fraud detection and prevention. Performs other duties as assigned
    $48k-69k yearly est. Auto-Apply 8d ago
  • Cyber Crime Investigator

    Sphinx LLC 3.9company rating

    Investigator job in Washington, DC

    Job Description Cyber Crime Investigator Clearance: Must currently possess an active TS/SCI security clearance and be able to obtain a CI polygraph after hire Years of Experience: Must have at least 3-5 years of experience providing digital forensics and/or cyber support to investigations, preferably counterintelligence investigations. Description: The Cyber Crime Investigator (CCI) serves as a technical subject matter expert supporting the agencies counterintelligence program. The CCI will leverage traditional and cyber experience while conducting sensitive national security investigations to ensure the conduct of a fair, unbiased, and professional investigation. Responsibilities: Shall support counterintelligence (CI) and counterterrorism (CT) investigations research, design, deploy, and lead training events Shall evaluate emerging forensic technologies Shall provide operational security assessments Shall support cyber forensic and cyber security tasks Shall be responsible for all phases of the forensic examination of digital media, including on-site and off-site evidence acquisition/seizures, forensic analysis, and reporting, while maintaining chain of custody and following rules of evidence Shall provide support for incident response activities, intrusion events, and malware analysis Required Qualifications: Must currently possess an active TS/SCI security clearance and be able to obtain a CI polygraph after hire Must have at least 3-5 years of experience supporting national security investigations to include the conduct of Digital Forensic Examinations ISO of such investigations. Must be capable of operating within a diverse environment and comfortable operating with limited guidance and oversight, maturity and self-motivation required. Must possess recognized digital forensic analysis/cyber security certifications and experience. Desired Qualifications: Bachelor's Degree from an accredited school in a related discipline Completion of Defense Cyber Investigations Training Academy (DCITA) courses to include, Forensic Intrusion in a Windows Environment (FIWE), Windows Forensic Examiner (WFE), Computer Incident Responders Course (CIRC). Familiarity with digital forensic tools such as EnCase, AccessData FTK, Autopsy/Sleuth Kit, SIFT, Magnet Forensics, or others. Advanced certifications in digital forensics to include GCFA, GCFE, FTK/EnCase Certified Examiner, or equivalent training. Graduate of Counterintelligence Special Agent credentialing course such as CISAC, DCAC, or other service component school. Possess the Cyber Crime Investigator Certification from the Defense Cyber Investigations Training Academy (DCITA) US Government COVID-19 Requirements: In accordance with the latest guidance, all personnel supporting covered contracts must provide proof of COVID-19 vaccination or an approved accommodation. Additional requirements may apply as agencies interpret and implement their own policies in response to Presidential Executive Order. Sphinx will consider Religious and Medical Waiver requests for all candidates who request them. Please submit questions or requests to Jobs@SphinxSecure[.]com Job Type: Full-time Salary: $135,000.00 - $195,000.00 per year Benefits: 401(k) 401(k) matching Dental insurance Flexible schedule Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Referral program Relocation assistance Retirement plan Tuition reimbursement Vision insurance Schedule: 8 hour shift Supplemental pay types: Bonus pay Signing bonus
    $135k-195k yearly 28d ago
  • Fraud Investigative Lead Supervisor

    Open 3.9company rating

    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
    $78k-97k yearly Auto-Apply 41d ago
  • Part Time Bilingual (Spanish) Private Investigator - Special Investigations Unit (SIU)

    The Robison Group 4.2company rating

    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.
    $52k-81k yearly est. 60d+ ago
  • Fraud Investigator

    Nymbus, Inc. 4.4company rating

    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!
    $65k-75k yearly 27d ago
  • Entry Level Field Investigator

    Military, Veterans and Diverse Job Seekers

    Remote investigator job

    The Field Investigator (FI) directly supports national security and suitability investigations, focusing on performing background investigations on behalf of government clients. Investigators will conduct interviews, retrieve records, conduct research, and prepare reports of investigations in compliance with federal standards, all laws, and other required federal agency regulations. Investigators type comprehensive reports summarizing facts obtained from these field source interviews and record information, and submit them for quality review and completeness. Casework is performed throughout the geographic area of responsibility with travel to various places of employment, residence, and education institutions. Travel to other geographic locations (by car or by plane) may also be required as needed. ESSENTIAL FUNCTIONS The functions listed describe the business purpose of this job. Specific duties or tasks may vary and be documented separately. The employee might not be required to perform all functions listed. Additional duties may be assigned, and functions may be modified according to business necessity. All assigned duties or tasks are deemed to be part of the essential functions unless such duties or tasks are unrelated to the functions listed, in which case they are deemed to be other (non-essential) functions. Employees are held accountable for successful job performance. Job performance standards may be documented separately and may include functions, objectives, duties, or tasks not specifically listed herein. In performing functions, duties, or tasks, employees are required to know and follow safe work practices and to be aware of company policies and procedures related to job safety, including safety rules and regulations. Employees are required to notify superiors upon becoming aware of unsafe working conditions. All functions, duties, or tasks are to be carried out honestly, ethically, and professionally and are to be performed in conformance with applicable company policies and procedures. In the event of uncertainty or lack of knowledge of company policies and procedures, employees are required to request clarification or explanations from superiors or authorized company representatives. Conduct interviews and background checks that help to ensure the safety and security of the nation. Obtain and report factual information for background investigations that determine employment suitability and security clearance eligibility. Conduct face-to-face interviews with the applicant and their neighbors, coworkers, friends, and associates. Complete record searches at law enforcement agencies, courthouses, and mental health, financial, and educational institutions. Compile information in a clear, concise report on a standardized reporting format. Meet quality, timeliness, and production metrics Interact with team leader and case review officers to ensure timeliness and thoroughness of investigations. Assist in obtaining fieldwork in a rapid, time-sensitive work environment. Ensure leads are completed in a timely manner and in accordance with investigative standards. May be asked to assist with temporary details (TDYs) to high-need areas, dependent upon workload demands. Perform additional functions, duties, and specific tasks of a similar nature and scope as necessary to achieve assigned business objectives. MINIMUM QUALIFICATIONS AT ENTRY Additional qualifications may be specified and receive preference depending upon the nature of the position. Basic Qualifications Must be a citizen of the United States. At least 18 years of age. Ability to acquire and maintain the required level of U.S. Government security clearance. Must be able to complete and pass all required training successfully. Ability to acquire and maintain any other specific special clearances/access requirements and successfully pass an adjudicated SSBI clearance. Reliable personal vehicle, valid driver's license, and satisfactory driving record. Familiarity with metrics tools, processes, and delivery assurance. Strong interpersonal, writing, and communications skills. Ability to cover a local territory of approximately a 50-mile radius from home residence. Must have the ability to travel 100% of the time with coverage area that consists of assigned geography. Will require vehicle travel and may require air, train, or other commercial travel methods. Education/Experience Bachelors Degree or equivalent is required; additional relevant experience can be substituted for the required education on the basis of one (1) calendar year of experience for one (1) academic year of education. Prior background investigations, law enforcement, or personnel security experience is preferred but not required. Background Prerequisites Must undergo and meet company standards for background and reference checks, controlled substance testing, and behavioral selection survey, in addition to any mandatory licensing requirements. Competencies (as demonstrated through experience, training, and/or testing) Ability to work remotely without daily supervision. Intermediate typing and computer skills. Excellent time management and organizational skills to balance and prioritize work. Ability to handle multiple tasks concurrently. Interpersonal skills to interact with sources, customers, and team members. Ability to establish and build rapport with new people. Speak and hear sufficiently to communicate in person and by phone. Excellent written and verbal communication skills. Visual ability to include close vision, distance vision, and ability to adjust focus. Personal computer and business solutions software skills. Ability to identify, understand, and apply federal, state, and local changes and/or new regulations/laws pertaining to personnel investigations. Ability to work in a team environment. Analytical and problem-solving skills. Ability to synthesize information, identify key findings, and determine conclusions. WORKING CONDITIONS (Physical/Mental Demands) With or without reasonable accommodation, requires the physical and mental capacity to perform effectively all essential functions. In addition to other demands, the demands of the job include: Maintaining composure in dealing with executives, sources, subjects, and staff, in group and one-on-one settings and in situations requiring high performance and results. Handling and being exposed to sensitive and confidential information. Frequent sitting, standing, and walking, which may be required for long periods of time and may involve climbing stairs and walking up inclines and on uneven terrain. Occasional lifting and/or moving up to 10 pounds. Regular use of vehicle required in the performance of duties. Frequent local travel to interview sites. Speak and hear sufficiently to communicate in person and by phone. Maintain visual ability, including close vision, distance vision, and ability to adjust focus. BENEFITS - Wage range for this position is $24.24 - $41.33 with a Health and Welfare benefit of $4.60 per hour (up to a maximum of 40 hours per week). Benefits: Medical, Dental, Vision, 401k (if paid via Health and Welfare benefit, there is no separate company contribution) The paid leave for full time employees is as follows: Vacation 80 hours annually. This time increases based on years of service with the company. Sick 56 hours annually Floating Holidays 32 hours annually
    $24.2-41.3 hourly 60d+ ago
  • SIU/Fraud Investigator- Long Term Care

    Illumifin

    Remote investigator job

    llumifin provides third party administration and technology services to individual and group insurers. The company blends insurance industry knowledge, technology leadership and operational execution to prepare insurers for the digital future. illumifin is a diverse, passionate and empowered team of insurance specialists committed to the growth and success of its customers. With illumifin, there's a brighter future A SIU/Fraud Investigator is responsible for working with multiple business units on coordination, identification, mitigation, and reporting of incidents and risks related to anti-fraud activities. Conducts and/or assists with investigative tasks Reviews referrals of potential fraud, waste, and abuse from both auto-detection programs and from claims organization, as assigned Coordinates and performs investigations with oversight of lead investigator Prepares responses for suspected or alleged fraud Works closely with cross-functional leaders to ensure appropriate resolution, accurate reporting and tracking to meet client specific service level agreements Participates as a subject matter expert during client implementations, audits and system or process development Complies with state and federal laws to meet client contractual requirements Conducts effective research, analysis, and accurate documentation for reporting to clients and illumifin's leadership Schedules surveillance once approved by the client Conducts continuing education to Claims staff May conduct phone calls or basic interviews with witnesses, as assigned Assists with administration tasks relating to Fraud Services Department, as assigned Assists with client and department reporting Interfaces with claimants, providers and clients Conducts telephonic interviews of members, providers, and/or additional witnesses to gather information to support investigation Other duties as assigned
    $39k-61k yearly est. 16h ago
  • Healthcare Fraud Investigator

    Contact Government Services, LLC

    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
    $39k-61k yearly est. Auto-Apply 60d+ ago
  • Experienced Background Investigator

    Fraud Fighters, Inc.

    Remote investigator job

    PRODIGY INVESTIGATIONS OFFERS TOP PAY FOR SUPERIOR RESULTS! We are seeking experienced Background Investigator candidates throughout the country. This is a remote position. Over the past 43 years, Prodigy Investigations has saved employers and insurance carriers 100's of Millions of Dollars. More than 50,000 employers have trusted Prodigy Investigations to solve big problems fast, close claims quicker, and save more money. Prodigy Investigations is the best choice to refute fraudulent claims. Job duties include, but are not limited to: setup new surveillance cases in database, conduct pre-surveillance research, research locations, backgrounds, and social media profiles, assistance with claims investigations, locates, online investigations, court research, and report writing. This is a fun, dynamic, and exciting career! Every day is unpredictable. Job Duties include: Internet research Social media investigations Locates Vehicle identification Asset Investigations Pre Surveillance Planning Develop address histories New surveillance investigations intake Data entry Driving records License plate searches Pre-employment background checks Court research & public records requests Freedom of Information Act requests Report writing Open Source Intelligence (OSINT)
    $37k-69k yearly est. Auto-Apply 60d+ ago
  • Background Investigator: Independent Contractor/1099 (Experienced)

    1Force 3.8company rating

    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.
    $40k-59k yearly est. 60d+ ago
  • Field Investigator

    ACI Federal, Staffing Division

    Investigator job in Chantilly, VA

    The Background Investigator contributes to the safety and security of our nation in the company of colleagues who value trust and integrity above all else by conducting comprehensive interviews to obtain facts. Essential Job Functions Interview individuals and review appropriate records to obtain facts to resolve all material issues in a case or to establish the background, reputation, character, suitability, or qualifications of the subject under investigation. Document all information received Submit a detailed report of investigation within a strict timeline. Other duties as assigned
    $28k-42k yearly est. 60d+ ago
  • CLEARED Background Investigator

    Sentrysix International

    Investigator job in Reston, VA

    About the Role SENTRYSIX is hiring Background Investigators (W-2 employees and 1099 contractors) to support federal background investigations for security clearance and suitability determinations. This role is ideal for professionals with experience in investigations, law enforcement, military, or security clearance work. What You'll Do Conduct federal background investigations including subject/source interviews and records checks Prepare accurate Reports of Investigation (ROIs) Travel within assigned areas (some TDY may be required) Meet deadlines, quality, and compliance standards Handle and safeguard sensitive information Compensation & Benefits W-2 (Employee): Competitive hourly rate + benefits Performance Bonuses for meeting/exceeding goals Qualifications Must hold active Top Secret security clearance Experience in background investigations, military, law enforcement, or security clearance work preferred Credentialed field investigator experience preferred Strong communication, interviewing, and writing skillset Valid driver's license and reliable transportation Job Types: Full-time, Contract Location: Field-based within assigned area Apply now to join SENTRYSIX and make an impact in national security investigations. Job Types: Full-time, Contract Security clearance: Top Secret (Preferred) Work Location: In person
    $39k-69k yearly est. 46d ago
  • As Needed Field Investigator- Washington, D.C.

    J T Becker & Co

    Investigator job in Washington, DC

    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
    $30k-45k yearly est. 60d+ ago
  • SIU - Experienced Field Investigator - Part-Time

    Command Investigations LLC

    Investigator job in Frederick, MD

    Job DescriptionDescription: Command Investigations, LLC is seeking an Insurance Field Investigator with a minimum of three years experience to become part of a dynamic team. This is a great opportunity for individuals with prior SIU experience who demonstrate integrity, independence, and a drive to succeed in a fast-paced investigative environment. Why You Will Love Working with Command Investigations, LLC? At Command Investigations, we are invested in YOU! We know, together, we can Lead with Excellence to provide top tier Service with Integrity that drives Results! Our employees have opportunities to grow within a nationally recognized organization in an exciting and evolving industry. How We Take Care of You (for Full Time positions): Accrued Paid Time Off Medical, Dental, Vision, and Life Insurance 401(k) Plan Employee Referral Program At Command, we take care of our own. Our benefits plan helps keep you and your family healthy, happy, and secure. What You will Do: In this role, you will conduct claims investigations by gathering evidence, interviewing involved parties, documenting findings, and preparing comprehensive, detailed reports for client review. Conduct investigations related to insurance claims, including workers' compensation, general liability, auto, and property cases Obtain in-person recorded statements from claimants, witnesses, and involved parties Capture detailed scene photographs to support investigative findings Prepare comprehensive, factual, and well-organized investigative reports within required deadlines Review case materials and identify inconsistencies or areas requiring further inquiry Communicate effectively with clients and internal teams to provide case updates and ensure investigative objectives are met Utilize sound judgment and discretion while maintaining confidentiality and compliance with company standards Manage multiple case assignments simultaneously while prioritizing tasks to meet strict due dates Operate investigative equipment, including digital recorders and cameras, with proficiency and accuracy Special Note: This role requires you to supply your own equipment, including but not limited to, a camera and a digital recorder. Certain equipment specifications or minimum standards may apply. Requirements: What We are Looking For: Exceptional attention to detail and accuracy Strong work ethic with a willingness to learn and adapt Team-oriented mindset and open-minded attitude Ability to thrive in a focused, detail-driven, and repetitive environment Strong computer skills and working knowledge of Microsoft Suite, specifically in Word and Outlook Excellent written and verbal communication skills What You Will Bring: 3-5 years of experience working as a field investigator required Prior experience with multi-lines investigations strongly preferred Reside within a 60-mile radius of the posted location required Multi-lingual is a plus High school diploma or equivalent required College degree strongly preferred Proficient reading skills and ability to follow directions required Must be able to work independently, provide excellent customer service, and demonstrate strong interpersonal, organizational, and multi-tasking skills. Flexibility and effective time management are required Flexible to work overtime preferred Regular, predictable, and full attendance, as assigned, is an essential function of the job Willingness to work the required schedule Complete a Command Investigations, LLC employment application, submit to pre-employment tasks as required for employment Physical Requirements: The physical and mental demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee will be required to remember and understand certain instructions, guidelines, or other information. The employee should have the ability to lift up to and including 25lbs/11.34kg on occasion. The employee will be required to sit, stand, and/or walk for long periods at a time. The employee will be required to enter text or data into a computer or other machine by means of a traditional keyboard. Traditional Keyboard refers to a panel of keys used as the primary input device on a computer, typographic machine, or 10-Key numeric keypad. Specific vision abilities required for this position include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus. The associate must be able to hear, understand, and distinguish speech and surrounding sounds, such as traffic, environmental noises, or standard office activity. About Command Investigations Command Investigations, founded in 2012, is a nationally recognized investigations firm offering surveillance, remote investigations, desktop intelligence, and specialty services to the insurance defense industry. Grounded in core values of integrity, service, and results, we deliver fast, reliable outcomes and treat every client like they are our only client. Our team leverages cutting-edge technology to stay at the forefront of the industry. With headquarters in Lake Mary, Florida, our experts provide services across the U.S. on a national scale. Command Investigations, LLC is an Equal Opportunity Employer.
    $30k-45k yearly est. 9d ago

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