Investigator jobs in North Miami, FL - 63 jobs

Delta Group is a privately held, national investigative firm established in 1983 and headquartered in Buford, Georgia. As pioneers of unmanned surveillance technology, Delta Group's eRemote technology is an industry recognized product that continues to evolve and produce game-changing results. With more than 500 direct employees nationwide, our domestic footprint is large enough to matter and small enough to care. We pride ourselves on developing and retaining professional staff while maintaining diversity within our team. Our executive leadership team brings over 100 years of combined experience leading national carrier fraud divisions, state fraud prosecutorial offices, claims and program management divisions, and investigative operations. For over 41 years, our investigative resources have helped organizations reduce risk, improve profitability, and increase revenue within the insurance industry. Our expert employees are located throughout the United States, executing investigations for all types of claims including but not limited to, workers' compensation, liability, auto, property, disability, and corporate investigations, regardless of size. Come join our talented team and our commitment to people, innovation and results. As we say at Delta Group, we are “Big Enough to Matter, but Small Enough to Care!”. We strive to provide a work culture that maintains our roots as a family-owned business and partner with our employees to get the results our clients need! Position Description: We are currently seeking talented and experienced Private Investigators to join our growing team. This role involves ethical and professional investigative work on Workers' Compensation and Liability claims, primarily through surveillance and factual data collection. Details around field specific programs, and other perks can be discussed during the interview process. Job Responsibilities Conduct surveillance on Liability and Work Comp Insurance claims. Prolonged periods of sitting in a vehicle or other stationary positions during surveillance - up to 12 hours per day. Ability to travel to different locations for investigations, which may involve driving, walking, or using public transportation. Maintain visual focus during surveillance activities, often for extended periods. Ability to navigate various environments, including urban, rural, and indoor settings. Ability to review and dissect comprehensive reports, as well as Police reports. Ability to write a detailed surveillance report to Company Standards. Ability to review video in order to properly prepare reports. Ability to covertly document a Subject without being detected. Ability to search, locate and utilize Social Media throughout the investigative process. Ability to react quickly and use good judgement to scenarios that may arise during surveillance. Knowledge of pretexting is preferable. Ability to think outside the box. Required: Must be 18 years of age - unless otherwise stated by State Licensure Laws Associate degree or comparable field experience preferred Must pass background check Must pass a clean driving record Must be willing to obtain investigator licensing within your home state Diligent Compensation Package: $20-$30 per hour dependent on experience and geographical location Competitive Travel Rates Mileage Pay Lodging Cost Coverage Covert Video Pay Daily Report Writing Pay Overnight Stay Per Diem. Opportunity for Potential Quarterly Bonus Additional Pay for Holiday Work Licensure Reimbursement for Eligible States (for Delta-specific licenses only) Competitive Benefits We offer competitive benefits to our field investigation employees. Benefits include: Medical, dental and vision insurance Ancillary benefits to include short-term disability, long-term disability, accident, voluntary term and/or whole life insurance, critical illness and more! 401K eligible after 90 days! Field specific benefit programs The Delta Difference Supportive, dynamic, and collaborative work environment Dedicated Regional Field Supervisors with Investigative Experience Attentive Case Managers committed to client and investigator experience. Flexible Schedule The final job level and annual salary will be determined based on the education, qualification, knowledge, skills, ability, and experience of the final candidate(s), and calibrated against relevant market data and internal team equity. Delta Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex (including pregnancy, sexual orientation, gender identity / expression), national origin or ancestry, genetic information (including family medical history), physical or mental disability, protected veteran status, or any other characteristic protected under federal, state or local law, where applicable, and those with criminal histories will be considered in a manner consistent with applicable state and local laws.

Private Investigator - Part-Time / Experienced (Miami, FL) PhotoFax, Inc., a nationwide private detective agency, is currently hiring experienced surveillance investigators with SIU (Special Investigations Unit) experience to join our team in the Miami, FL region. This position is designed for investigators with a background in insurance fraud or liability investigations who want flexible, part-time work with a professional agency. Candidates must have prior SIU and insurance claims investigation experience to be considered. What your day will look like: Monitoring, pursuing, and documenting individuals in a covert manner using your own vehicle Conducting pre- and post-surveillance briefings with your case manager to review objectives and strategy Preparing detailed reports on daily observations and findings Uploading video and written documentation to the company database Traveling within the surrounding Miami area (up to two hours from home location) View our recruiting video: https://vimeo.com/323***********b7a16e What you will gain: Continued professional development in insurance fraud and surveillance investigations Opportunities for advancement within PhotoFax Performance-based pay and bonuses Paid travel time Support from an established nationwide investigative agency What you need to apply: Documented SIU or insurance investigations experience required High school diploma required; Associate's or Bachelor's degree in Criminal Justice, Criminology, or Law Enforcement preferred Valid driver's license Clean driving record with minimal infractions Must currently reside in the greater Miami area Flexibility to work any day of the week, including weekends and holidays Ability to work cases within a two-hour radius - no overnight travel required Job Type: Part-time

Working Title: COMMISSION INVESTIGATOR - 78001810 Pay Plan: Career Service 78001810 Salary: $46,894.56 Total Compensation Estimator Tool COMMISSION INVESTIGATOR - CS FLORIDA COMMISSION ON OFFENDER REVIEW * OPEN COMPETITIVE* * Anticipated Vacancy* The Florida Commission on Offender Reviewis looking to fill the Commission Investigator - CS. The Commission on Offender Review performs a vital role in Florida's criminal justice system by preserving the autonomy needed in post-release decisions affecting inmates and ex-offenders. Commissioners preside over weekly meetings at the central office in Tallahassee and various other state locations as required by statute. During these public proceedings, the commissioners make a variety of determinations regarding parole and other releases. Benefits * State Group Health Insurance Coverage through CHP and Blue Cross/Blue Shield. * Various plans for dental, vision, and other supplemental insurance options are available. * Annual and Sick Leave benefits. * Nine paid holidays each year. * One Personal Holiday each year. * $25,000 Life Insurance Policy (paid 100% by employer). * Retirement plans that include employer contributions. * Flexible Spending Accounts. * Tuition waivers to attend State of Florida colleges and universities for up to six credit hours per semester. * Seven paid weeks of Maternity Leave, plus two paid weeks of Care and Bonding Leave. Duties and Responsibilities * Conducts probable cause (parole only) and final violation hearings for alleged parole, conditional release, addiction recovery, conditional medical release and control release violators. Provides alleged violators with an initial interview to advise them of the charges and their due process rights and assess the need for appointed legal counsel for the alleged violator. If a hearing is requested, schedules the hearing, obtains witness information, issues subpoenas to secure the attendance of witnesses and the production of documents, etc. * Conducts violation hearings and makes written recommendations to the Florida Commission on Offender Review. Check's inmate population of Florida county jails within the region to determine the presence of alleged parole, conditional release, addiction recovery, conditional medical release and control release violators who have not been previously reported to the Florida Commission on Offender Review as being detained. Conducts probable cause hearings for other states pursuant to the Interstate Compact Agreements. * Conducts comprehensive confidential clemency investigations for the Board of Executive Clemency for applicants seeking various types of clemency (example: firearm authority, pardon, commutation of sentence, remission of fines and forfeitures, and restoration of civil rights). These investigations, which are reviewed by the Florida Commission on Offender Review prior to submission to the Board of Executive Clemency, provide a broad picture of the applicant's history and activities. This position also conducts Restoration of Civil Rights Investigations without Hearing, which includes verifying the status of pecuniary penalties and restitution and determining whether the individual is eligible for clemency consideration under the Rules of Executive Clemency. * Performs interviews and investigations in connection with inmates who are eligible for parole consideration. This includes, but is not limited to, analyzing inmate prison files, interviewing inmates in the State of Florida prison system, and conducting pre-parole investigations to make recommendations regarding the suitability of proposed release plans. Minimum Qualifications * High school diploma. Knowledge, Skills, and Abilities * Knowledge of criminal justice principles and practices, legal terminology, and methods and techniques of reviewing, researching, and summarizing criminal and social data. * Knowledge of fact-finding and problem-solving techniques. * Skilled in using computers including proficiency in Microsoft Word, Excel, and Outlook. * Ability to communicate effectively verbally and in writing. * Ability to conduct interviews and investigations; to communicate concise and accurate information. * Ability to maintain cooperative working relationships. * Ability to understand and apply laws, rules, regulations, policies, and procedures. * Ability to plan, organize and coordinate work assignments. * Ability to handle matters of highly confidential nature. * Ability to work independently. Preference may be given to applicants that possess a bachelor's degree or higher from an accredited college or university. As a part of the interview process, a written work sample may be given at the start/conclusion of the verbal interview. Special Notes: BACKGROUND SCREENING REQUIREMENT: It is the policy of the Florida Commission on Offender Review that any applicant being considered for employment must successfully complete a State and National criminal history check as a condition of employment before beginning employment, and also be screened in accordance with the requirements of Chapter 435, F.S., and, if applicable, Chapter 408, F.S. No applicant may begin employment until the background investigation results are received, reviewed, and approved by the Commission. Background investigations shall include, but not be limited to, fingerprinting for State and Federal criminal records checks through the Florida Department of Law Enforcement (FDLE) and Federal Bureau of Investigation (FBI) and may include local criminal history checks through local law enforcement agencies. Also, employees are subject to background re-screening at least every five (5) years." NOTE: It is unacceptable to use the statement "See resume" in place of work history. Incomplete applications will not be considered. All responses provided to the qualifying questions for this vacancy advertisement must be verifiable on your State of Florida, Employment Application. Please use complete sentences, correct grammar, and punctuation. The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace. Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (***************. Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. VETERANS' PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans' Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement. Location:

This position will investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse ESSENTIAL DUTIES & RESPONSIBILITIES Conduct investigations of potential waste, abuse, and fraud Document activity on each case and refer issues to the appropriate party. Perform data mining and analysis to detect aberrancies and outliers in claims. Develop new queries and reports to detect potential waste, abuse, and fraud. Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions. Assist with complex allegations of healthcare fraud. Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies. Complete various special projects and audits Interpret and analyze new HPMS memoranda, alerts, and regulatory guidance to assess the impact on Fraud, Waste, and Abuse (FWA) programs. QUALIFICATIONS & EDUCATION To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Bachelor's degree in business, Criminal Justice, Healthcare, related field or equivalent experience. 1+ years of medical claim investigation, medical claim audit, medical claim analysis, or fraud investigation experience. Knowledge of medical coding and terminology. Advanced Proficiency in Microsoft Excel, Data Analysis and Fraud Detection. Advanced skills in SQL, SAS and business intelligence (BI) tools are preferred WORK CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Fast-paced office environment. Highly regulated environment. Time frames to handle issues are in accordance with CMS and NCQA as well as internal time frames. Interacts with providers, staff, visitors, government agencies, etc., under a variety of conditions and circumstances. This work requires the following physical activities: climbing, bending, stooping, kneeling, twisting, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lift, and moves intermittently during working hours. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. PERFORMANCE MEASUREMENTS 3-5 Monthly evaluations Compliance with Department Call Metrics/ Company Regulations Attendance/Punctuality Safety and Security Quality of work This Job Description may be modified at any time at the discretion of the employer as business operation may seem necessary. This does not constitute an employment agreement and may not include all duties. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate. Solis Health Plans provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Job Opportunity: Private Investigator Trainee Seeking Veterans Ready for a New Challenge Are you recently separated from the military and searching for your next mission? We are looking for dedicated individuals who are ready to transition into an exciting new career as a Private Investigator Trainee. Lemieux & Associates, a national leader in the investigative industry, is seeking Military Veterans looking to be trained as a Private Investigator in the Miami, FL or surrounding area. This is a full-time position for the right individual. No Experience Necessary - We Provide Comprehensive Training Who We're Looking For: Motivated, disciplined individuals who have recently left military service. Experience: None required. If you have the drive and a strong work ethic, we will train you! Training: Full, hands-on instruction provided for the right candidate. Learn investigation techniques, surveillance, and more from industry experts. Qualities: Integrity, attention to detail, and a desire to help others. Position Summary A majority of the work activity involves field surveillance requiring the investigator to obtain high quality videotape documentation of claimants who have filed workers compensation and liability/personal injury claims. Investigators are also responsible for submitting accurate and timely reports regarding the results of their investigations. In addition, investigators conduct background investigations, neighborhood canvasses, activity checks, and locates. The Field Investigator performs their duties using the highest legal and ethical investigative standards while efficiently utilizing time and resources to provide outstanding investigative services. Qualifications Bi-lingual is a plus Ability and willingness to travel as necessary Flexibility to work varied/irregular hours and days Strong computer and Internet skills Possess a valid state-issued driver's license Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection Benefits Competitive pay Career growth opportunities Supportive team environment We offer Medical, Dental, 401K, Paid Vacation and Paid Holidays How to Apply If you are ready to put your skills to work in a new way and want to learn from the best, we want to hear from you! Please submit your resume and a brief cover letter explaining why you are interested in becoming a Private Investigator. Start Your Next Adventure Today!

Job DescriptionLicensed and Experienced - To conduct surveillance in the Miami Area - P/T Surveillance experience required. Pay commensurate with experience. Please send resume. .

Job DescriptionHealthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client. CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries. Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity. #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks. The majority of cases worked in this position require stationary and mobile surveillance. PRINCIPAL RESPONSIBILITIES FOR SURVEILLANCE: Thoroughly complete assigned cases. Testify to the collected facts obtained in any hearing or court of law as needed. Assist other investigators on challenging cases. Make sound judgments both during the investigation and with future handling recommendations. Turn in updates, evidence, and report in timely manner. Upload surveillance video upon completion of investigation. The nature of this job requires early hours, long days, and travel into surrounding areas. WHO SHOULD APPLY: We are looking for people who are enthusiastic about investigations, those who thrive in a diverse work environment, and individuals who have a commitment to the very highest standards of honesty, integrity and respect. Candidates with at least one year of PI experience are strongly encouraged to apply. POSITION QUALIFICATIONS: Candidates MUST hold a current and valid Florida Private Investigator license. Self-motivated, determined, and intuitive. Strong initiative and work ethic. Ability to identify critical issues quickly and accurately Demonstrated observational, organizational, and listening skills. Excellent oral and written communication. Ability to work independently, as well as in a team. Flexible schedule working weekends, holidays, and possible evenings. Candidate must own a reliable computer, preferably a laptop. Access to high-speed internet and a scanner or fax machine. Must have strong computer and internet skills. Proficient with a digital camera. Must own reliable transportation. Possess a valid driving license. Upon hire, candidate will be asked to submit a driving record provided by the state DMV or Secretary of State. Applicants must pass an extensive background check. Must be able to pass a drug test with negative results (except when undergoing documented medical treatment). College Degree preferred. TRAINING The Robison Group provides remote and/or in-classroom training to ensure that individuals are set up for success before moving into their roles. COMPENSATION & REIMBURSEMENTS: Paid travel time and reimbursement for mileage, tolls, and other per diem items. Hourly Rate is commensurate with education and experience. OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager, Case Management, etc.

Job DescriptionBenefits: 401(k) matching Competitive salary Flexible schedule Opportunity for advancement Paid time off Profit sharing Training & development Job Summary Seeking a motivated person (experienced or entry level) to investigate the facts surrounding insurance claims. Full-time positions available in Dade and Broward Counties. Combination of working from your home and local field work (Dade & Broward County, Florida). Must be bilingual/Spanish. For entry level position, applicant must have demonstrated an interest in the Private Investigative field (Criminal Justice Degree, Adjuster, Paralegal, Military, Journalism, or related field). We offer extensive training to include cost of Florida notary certification, PI course and Florida PI license. Experienced investigators should have experience in conducting one or more of the following: research, criminal, civil & social media background investigations, recorded statements, scene investigations & locates. Types of Investigations/Responsibilities: Backgrounds (social media, asset, criminal & civil) Desktop research (in-depth claims investigations) Recorded statements (In-person & phone) Locates Accident scene investigations Notarization of documents Produce accurate, timely and detailed reports Flexibility to work varied/irregular hours and some weekends Approximately 70 percent of time is desktop investigations and 30 percent is local field work Requirements: Bilingual Spanish (Required) Detail oriented Diligent, persevering, tireless Goal oriented Self-motivated and self-disciplined, ability to work independently Prioritize, handle multiple tasks Effective communications both written and verbally Strong work and personal ethics, team oriented Computer literacy to include Microsoft Word and other related computer applications Dependable vehicle, cell phone, laptop, and internet access Benefits: Pay commensurate with experience (22-32 hourly) Direct deposit payroll Advancement opportunities Health insurance subsidy Maternity benefits Paid time off Over time pay Cell phone reimbursement Licensing fees paid 401(K) company match Profit sharing Flexible schedule

JOB PURPOSE Conduct covert field surveillance with an emphasis on worker's compensation fraud and insurance fraud. DUTIES AND RESPONSIBILITIES Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Conduct covert field surveillance via both stationary and mobile surveillance. Obtain professional quality video and photographic documentation of subjects. Prepare and file comprehensive investigative reports using the information that was collected from surveillance investigations. Upload video, photographs, audio files, and documents into the case management system. Conduct scene investigations, interviews, recorded statements, etc. Prepare written and recorded Statements from in-person interviews. Provide legal testimony. Other duties as assigned Requirements SKILLS AND QUALIFICATIONS Minimum two years experience working as an investigator. Ability to conduct covert field surveillance assignments. Ability to communicate effectively, both orally and in writing. Ability to gather data, compile information, and prepare reports. Ability to provide legal depositions and testimony. Ability to gather and organize evidence. Ability to investigate and analyze information. Knowledge of legal documentation procedures and requirements. LICENSES /CERTIFICATIONS REQUIREMENTS Valid state-issued driver's license. Current auto insurance. MUST possess a Private Investigator license in the state where work is performed. REQUIRED EQUIPMENT A reliable vehicle. Smartphone with access to the app store. Android OS7 or higher, Apple iOS 11 or higher. Laptop computer with Microsoft Word, Windows, and wireless Internet connection. Digital video camera with upload capability and accurate time and date stamp. Covert camera. WORKING CONDITIONS As an hourly, non-exempt status employee, your job may require extended work hours and significant work travel. This includes occasional overnight travel, weekend and/or evening work, and working on holidays. The worker is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes. The worker is subject to outside environmental conditions: No effective protection from weather. The worker is subject to both environmental conditions: Activities occur inside and outside. PHYSICAL REQUIREMENTS The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk and hear. The employee is frequently required to stand, walk, stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds and frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Work involves individuals to stay seated/sedentary for long periods of time. Work involves moderate exposure to unusual elements, such as extreme temperatures, exposure to the sun, and various days and hours of scheduled work. Salary Description Up to $30.00 per hour based on experience

Job Title: Full-Time Private Investigator - Surveillance Investigator Job Type: Full-Time | Flexible Schedule SPi Investigations is a boutique investigative firm based in Florida, delivering precision-driven intelligence for legal professionals, businesses, and individuals. Our intimate size allows us to offer a hands-on, customized approach-because in investigations, a tailored strategy makes all the difference. Our team is comprised of experienced professionals dedicated to uncovering the truth with integrity and precision. We're currently seeking a Full-Time Surveillance Specialist to join our team in the South Florida. Position Overview: This role is ideal for a licensed Private Investigator with a strong background in mobile and stationary surveillance, who can work independently, think on their feet, and produce detailed, high-quality documentation of investigative findings. Responsibilities: Conduct covert surveillance operations to gather photo/video evidence Follow subjects while maintaining discretion and situational awareness Prepare and submit accurate, detailed written reports in a timely manner Utilize and maintain investigative equipment, including standard and covert video camera Work closely with SPi case managers to ensure client expectations are met Availability to work varied shifts including nights, weekends, and holidays Requirements: Current Florida Class “C” (Private Investigator) or Class “CC” (Private Investigator Intern) license or ability to obtain 1-2 years' experience in surveillance investigations or related field experience - Preferred but not required Reliable, surveillance-ready vehicle (clean, discreet, with tinted windows) Proficiency with video recording devices and reporting software Strong communication and organizational skills Professional demeanor and high ethical standards Preferred Qualifications: Prior law enforcement, military experience or criminal justice background Bilingual (English/Spanish) Familiarity with South Florida roadways and neighborhoods What We Offer: Competitive hourly compensation (based on experience) Performance-based incentives Flexible, remote-friendly work schedule Supportive team environment with growth opportunities

Overview Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Job Description Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. Florida applicants must hold a C Private Investigators' License OR For a limited time only, we will cover the cost of Florida's 40-hour prerequisite licensing course and provide paid training to help a few successful candidates break into the industry. Must possess a valid driver's license with at least one year of driving experience RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law Closing Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: *********** If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices. Requisition ID 2025-1504546

Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Job Description Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. Florida applicants must hold a C Private Investigators' License OR For a limited time only, we will cover the cost of Florida's 40-hour prerequisite licensing course and provide paid training to help a few successful candidates break into the industry. Must possess a valid driver's license with at least one year of driving experience RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law Closing Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: *********** If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices. Requisition ID 2025-1504546

Hybrid-Sunrise, Florida Experience Conducting Comprehensive Health Care Fraud, Waste, and Abuse (FWA) Investigations The Special Investigations Unit Investigator is responsible for the investigation of potential fraud, waste, and abuse cases involving health plan providers and members. The Special Investigations Unit Investigator responsibilities include but are not limited to case management, research, investigation, documentation, and overpayment recovery. --- ESSENTIAL DUTIES AND RESPONSIBILITIES: Accountable for managing a caseload of referrals and investigations involving potential member and/or provider fraud, waste, and abuse. Documents all appropriate case activity in case tracking system. Ensures compliance with all state and federal requirements related to FWA and FWA investigations. Performs data-mining activities to identify potential cases for investigation. Analyzes data as part of the investigative process. Performs research to analyze aberrant claims billing and practice patterns. Investigates and documents all fraud, waste, and abuse referrals and cases with a focus on thoroughness and attention to detail, quality, timeliness, and cost control. Testifies on investigations documented, as needed. Conducts comprehensive interviews with providers, members, and witnesses to obtain information which would be considered admissible under generally accepted criminal and civil rules of evidence. Conducts investigative steps out in the field throughout the service area as needed. Prepares and submits investigative reports covering all phases of the investigation. Works collaboratively with all SIU team members on aspects of the case. This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management. QUALIFICATIONS: Bachelor level education Minimum 2-4 years experience conducting comprehensive health care FWA investigations. Ability to work independently with minimal supervision and manage a high volume of assignments. High degree of integrity and confidentiality required handling information that is considered personal and confidential. Analytical skills and ability to make deductions, logical and sequential thinker. Strong verbal and written communication skills. Health care industry and/or Florida Medicaid knowledge required. Advanced knowledge and experience working on various approaches to health care fraud, waste, and abuse. Working knowledge of Microsoft applications, especially Excel, required. Knowledge of available resources (internal and external) to assist in investigations. Medical terminology knowledge and/or experience with CPT and ICD-10 coding preferred. Knowledge of suspected FWA trends, potential schemes, and matters of interest to law enforcement and regulators. Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE) preferred. SKILLS AND ABILITIES: · Ability to communicate effectively, verbally and written. Ability to self-motivate. Strong time management skills Ability to prioritize and organize FWA program activities. Ability to meticulously document case actions and findings for regulatory reporting and any legal action, if applicable Ability to collaborate. Results oriented skills. Work Schedule: Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds. We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. Background Screening Notice: In compliance with Florida law, candidates selected for this position must complete a Level 2 background screening through the Florida Care Provider Background Screening Clearinghouse. The Clearinghouse is a statewide system managed by the Agency for Health Care Administration (AHCA) and is designed to help protect children, seniors, and other vulnerable populations while streamlining the screening process for employers and applicants. 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Please complete this application update only if you were directed by Clay County Human Resources personnel to do so.

Private Investigator Part-Time / Experienced (Miami, FL) PhotoFax, Inc., a nationwide private detective agency, is currently hiring experienced surveillance investigators with SIU (Special Investigations Unit) experience to join our team in the Miami, FL region. This position is designed for investigators with a background in insurance fraud or liability investigations who want flexible, part-time work with a professional agency. Candidates must have prior SIU and insurance claims investigation experience to be considered. What your day will look like: Monitoring, pursuing, and documenting individuals in a covert manner using your own vehicle Conducting pre- and post-surveillance briefings with your case manager to review objectives and strategy Preparing detailed reports on daily observations and findings Uploading video and written documentation to the company database Traveling within the surrounding Miami area (up to two hours from home location) View our recruiting video: https://vimeo.com/323***********b7a16e What you will gain: Continued professional development in insurance fraud and surveillance investigations Opportunities for advancement within PhotoFax Performance-based pay and bonuses Paid travel time Support from an established nationwide investigative agency What you need to apply: Documented SIU or insurance investigations experience required High school diploma required; Associates or Bachelors degree in Criminal Justice, Criminology, or Law Enforcement preferred Valid drivers license Clean driving record with minimal infractions Must currently reside in the greater Miami area Flexibility to work any day of the week, including weekends and holidays Ability to work cases within a two-hour radius no overnight travel required Job Type: Part-time

Job Description Job Opportunity: Private Investigator Trainee Seeking Veterans Ready for a New Challenge Join Our Team as a Private Investigator Trainee Are you recently separated from the military and searching for your next mission? We are looking for dedicated individuals who are ready to transition into an exciting new career as a Private Investigator Trainee. Lemieux & Associates, a national leader in the investigative industry, is seeking Military Veterans looking to be trained as a Private Investigator in the Miami, FL or surrounding area. This is a full-time position for the right individual. No Experience Necessary - We Provide Comprehensive Training Who We're Looking For: Motivated, disciplined individuals who have recently left military service. Experience: None required. If you have the drive and a strong work ethic, we will train you! Training: Full, hands-on instruction provided for the right candidate. Learn investigation techniques, surveillance, and more from industry experts. Qualities: Integrity, attention to detail, and a desire to help others. Position Summary A majority of the work activity involves field surveillance requiring the investigator to obtain high quality videotape documentation of claimants who have filed workers compensation and liability/personal injury claims. Investigators are also responsible for submitting accurate and timely reports regarding the results of their investigations. In addition, investigators conduct background investigations, neighborhood canvasses, activity checks, and locates. The Field Investigator performs their duties using the highest legal and ethical investigative standards while efficiently utilizing time and resources to provide outstanding investigative services. Qualifications Bi-lingual is a plus Ability and willingness to travel as necessary Flexibility to work varied/irregular hours and days Strong computer and Internet skills Possess a valid state-issued driver's license Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection Benefits Competitive pay Career growth opportunities Supportive team environment We offer Medical, Dental, 401K, Paid Vacation and Paid Holidays How to Apply If you are ready to put your skills to work in a new way and want to learn from the best, we want to hear from you! Please submit your resume and a brief cover letter explaining why you are interested in becoming a Private Investigator. Start Your Next Adventure Today!

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

Job DescriptionSalary: Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks. The majority of cases worked in this position require stationary and mobile surveillance. PRINCIPAL RESPONSIBILITIES FOR SURVEILLANCE: Thoroughly complete assigned cases. Testify to the collected facts obtained in any hearing or court of law as needed. Assist other investigatorsonchallenging cases. Make sound judgments both during the investigation and with future handling recommendations. Turn in updates, evidence, and report intimelymanner. Upload surveillance video upon completion ofinvestigation. The nature of this job requires early hours, long days, and travel into surrounding areas. WHO SHOULD APPLY: We are looking for people who are enthusiastic about investigations, those who thrive in a diverse work environment, and individuals who have a commitment to the very highest standards of honesty, integrityandrespect. Candidates with at least one year of PI experience are strongly encouraged to apply. POSITION QUALIFICATIONS: CandidatesMUSThold a current and valid Florida Private Investigator license. Self-motivated, determined, and intuitive. Strong initiative and work ethic. Ability to identify critical issues quickly and accurately Demonstrated observational, organizational, and listening skills. Excellent oral and written communication. Ability to work independently, as well as in a team. Flexible schedule working weekends, holidays, and possible evenings. Candidate must own a reliable computer, preferably a laptop. Access to high-speed internet and a scanner or fax machine. Must have strong computer and internet skills. Proficient with a digital camera. Must own reliable transportation. Possess a valid driving license. Upon hire,candidatewill be asked to submit a driving record provided by the state DMV or Secretary of State. Applicants must pass an extensive background check. Must be able to pass a drug test with negative results (except when undergoing documented medical treatment). College Degree preferred. TRAINING The Robison Group provides remote and/or in-classroom training to ensure that individuals are set up for success before moving into their roles. COMPENSATION & REIMBURSEMENTS: Paid travel time and reimbursement for mileage, tolls, and other per diem items. Hourly Rate is commensurate with education and experience. OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE: SIU work, Field Supervisor, Field Operations Manager, Case Management, etc.