Healthcare Fraud Investigator - Hybrid!
HealthCare Support is actively seeking a Healthcare Fraud Investigator to join a respected health plan organization, that provides Medicare and Medi-Cal healthcare services to over 1.5 million members in Rancho Cucamonga, California.
Schedule
Monday - Thursday 8:00 am - 5:00 pm
Onsite Tuesday - Thursday and remote on Mondays and Fridays
Compensation
$80,000 - $95,000 annually (depending on experience)
Annual HEDIS Incentive: Up to 10%
Annual Merit Increases: Up to 3% based upon individual performance
Benefits
Very low healthcare premiums ($35 - $100 depending on the plan!)
3 ½ weeks of PTO (18 days) & 11 Paid Holidays
Fitness Reimbursement up to $125/a year and on-site fitness facility
Tuition reimbursement after 1 year of employment
457(b) Retirement Plan - matches 3% of base salary
CalPERS Retirement Plan (i.e., pension plan for all employees) - full vesting after 5 years
Daily Responsibilities
Assign oversight to daily revenue cycle operations including billing, AR, denials, and appeals
Review coding and billing accuracy to ensure compliance and proper reimbursement
Oversee a team of billing/RCM staff 4-5 and vendors
Qualifications
Bachelor's degree from an accredited institution required
5+ years relevant professional experience in fraud, waste, and abuse investigations, including Federal and State reporting requirements
Experience working
directly with a health plan
, with full knowledge of Medi-Cal and Medicare
Interested in this opportunity?
Click Apply Now for immediate consideration, or reach out to our Recruiter, Melanie Williams with any questions:
Call: **************
Email: **************************************
Schedule a Call: ************************
Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Hybrid
$80k-95k yearly 5d ago
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Supervisory Criminal Investigator
Department of Defense
Investigator job in Mission Viejo, CA
Apply Supervisory Criminal Investigator Department of Defense Office of Inspector General Investigations Apply Print Share * * * * Save * This job is open to * Requirements * How you will be evaluated * Required documents * How to apply This position is located in the Department of Defense Office of Inspector General (DoD OIG). The incumbent of this position will work within the Office of the Deputy Inspector General for Investigations (DIG INV), Defense Criminal Investigative Service (DCIS).
Summary
This position is located in the Department of Defense Office of Inspector General (DoD OIG). The incumbent of this position will work within the Office of the Deputy Inspector General for Investigations (DIG INV), Defense Criminal Investigative Service (DCIS).
Overview
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Accepting applications
Open & closing dates
01/06/2026 to 01/13/2026
Salary $107,446 to - $139,684 per year
Salary listed is Base Salary - Locality pay will be determined based on location.
Pay scale & grade GS 14
Locations
Phoenix, AZ
1 vacancy
Long Beach, CA
1 vacancy
Mission Viejo, CA
1 vacancy
Oakland, CA
1 vacancy
Show morefewer locations (8)
Sacramento, CA
1 vacancy
New Haven, CT
1 vacancy
Atlanta, GA
1 vacancy
Melville, NY
1 vacancy
Syracuse, NY
1 vacancy
Pittsburgh, PA
1 vacancy
Charleston, SC
1 vacancy
Seattle, WA
1 vacancy
Remote job No Telework eligible Yes-as determined by the agency policy. Travel Required 25% or less - You may be expected to travel for this position. Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time Service Excepted
Promotion potential
14
Job family (Series)
* 1811 Criminal Investigation
Supervisory status Yes Security clearance Sensitive Compartmented Information Drug test Yes Position sensitivity and risk Special-Sensitive (SS)/High Risk
Trust determination process
* National security
Financial disclosure Yes Bargaining unit status No
Announcement number IG-26-12858934-INV-INT Control number 853616200
This job is open to
Help
Federal employees - Competitive service
Current federal employees whose agencies follow the U.S. Office of Personnel Management's hiring rules and pay scales.
Federal employees - Excepted service
Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria.
Internal to an agency
Current federal employees of the hiring agency that posted the job announcement.
Clarification from the agency
Vacancy is open to current DoD OIG employees only.
Duties
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* Serves as the supervisor of Resident Agency (RA).
* Ensures the timely performance of satisfactory quantity and quality of work, by reviewing, accepting, amending, or rejecting work products.
* Develops budget and program planning documents for the Field Office Special Agent in Charge as required.
* Analyzes all preliminary criminal or final investigative reports to ensure compliance with investigative directives, standards, and guidelines.
* Serves as court witness and frequently testifies before grand juries, courts, or administrative hearings regarding the crime and evidentiary proofs ascertained through investigative efforts.
Requirements
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Conditions of employment
* U.S. Citizenship Required.
* Position has been designated as Special Sensitive; incumbent is required to obtain and maintain a Top Secret/Sensitive Compartmented Information (TS/SCI) security clearance.
* May require travel internationally and/or deployment to Southwest Asia.
* Males born after 12/31/1959 must be registered or exempt from Selective Service (see ********************
* This is an Excepted Service position and an applicant receiving such an appointment does not acquire competitive civil service status.
* This position requires a pre-employment physical exam and a pre-employment physical readiness test. A physical readiness test is required for the duration of employment.
* This position requires qualifications to carry and use government-owned firearms as part of assigned duties (as a condition of employment you must maintain this qualification).
* The applicant selected for this position must be able to qualify and maintain authorization to carry firearms including no current or previous domestic violence charges/convictions.
* Employees are ineligible for this position if, at any time, they have been convicted of a misdemeanor crime of domestic violence, unless the conviction was expunged, set aside, or he/she received a pardon.
* Incumbent will be required to work, or be available to work substantial amounts of unscheduled overtime duty based on the needs of the agency.
* Compensation for this unscheduled overtime is in the form of a special form of premium pay fixed at 25 percent of the adjusted salary (basic and locality).
* May be required to serve 1-Year Supervisory Probationary Period.
* This position is considered a secondary law enforcement administrative position and is covered under the special retirement provision for secondary law enforcement positions.
* If you have not previously successfully completed a trial or probationary period with the Federal Government in a similar position, you will be required to serve a two year trial period.
* Requires the incumbent to possess and maintain a valid state driver's license.
* This position requires employees to agree to a Mobility Agreement. Selectees will be required to sign the Mobility Agreement as a condition of employment.
* Federal employees currently serving in the Competitive Service must acknowledge that they will voluntarily leave the Competitive Service by accepting an offer of employment in the Excepted Service.
* May be required to submit a financial disclosure form (OGE-450) at time of appointment and annually.
* Recruitment incentives WILL NOT be paid.
* The incumbent must adhere to the DoD Standards of Conduct.
Qualifications
Applicants must demonstrate that they meet the Basic AND Minimum Qualification requirements as noted below.
Basic Requirement: 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, legs, 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.
In addition to meeting the basic requirement, you must also meet the specialized experience described below:
Time in Grade: Applicants who have held a General Scheduled (GS) position for 52 weeks of Federal service at the next lower grade (or equivalent)
Specialized Experience for GS-14: You must have at least 52 weeks of specialized experience at the GS-13 level in the Federal service or at an equivalent level. Specialized experience is defined as: demonstrated ability to supervise a criminal investigative office that investigates procurement and/or contract fraud; bribery/corruption; theft and/or illegal export of sensitive defense articles. And other complex fraud allegations involving DoD programs and operations; skill in criminal investigative techniques, rules of criminal procedures, laws and rules of evidence, search warrants and seizure and related issues in the conduct of investigations. This experience must have equipped the applicant with the particular knowledge, skills, and competencies to perform successfully the duties of the position.
You must meet the minimum qualification requirements as stated in the Office of Personnel Management (OPM) Operating Manual, Qualification Standards for General Schedule Positions: *******************************************************************
All qualifications and time-in-grade (if applicable) requirements must be met by the closing date of this announcement.
Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g. professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.
Any appointment made under the provisions of this announcement is excepted from competitive civil service and may require the incumbent to serve a trial period.
Position(s) may be filled by displaced Department of Defense (DoD) employees through the Priority Placement Program.
This job opportunity announcement may be used to fill additional vacancies within 90 calendar days of the referral certificate issue date.
Only resumes submitted according to the instructions on the job announcement listed at *************** will be considered.
If applicable, you may apply under the appropriate Special Appointment Authority and be considered for non-competitive appointments. Please see link for definitions of the Special Appointment Authorities: ***********************************************************************************
Incumbent must have successfully completed the Criminal Investigator Training Program at the Federal Law Enforcement Training Center (FLETC) in Glynco, Georgia, or another Federal equivalent criminal investigator training program, such as the FBI Special Agent training program or Military Criminal Investigative Organization equivalent. Tribal, State, and local law enforcement academy training does not meet this requirement.
Education
There is no substitution of education for experience at this grade level.
Additional information
This position is covered by the Domestic Violence Misdemeanor Amendment (30 Sep 96) of the Gun Control Act (Lautenberg Amendment) of 1968. Employees are ineligible for this position if, at any time, they have been convicted of a misdemeanor crime of domestic violence, unless the conviction was expunged, set aside, or he/she received a pardon. The applicant selected for this position must be able to qualify and maintain authorization to carry and use government-owned firearms including no current or previous domestic violence charges/convictions.
This position is covered by the special retirement provisions for Federal Law Enforcement Officers (FLEO). Position is approved for Primary 6C coverage under the provision of Title, 5 USC, Sections 8336(c) and 8412(d).
This position is considered a secondary law enforcement administrative position and is covered under the special retirement provision for secondary law enforcement positions. The applicant must meet all of the following special retirement requirements: (1) Has moved directly (without a break in service exceeding three days) from a rigorous position to a secondary position; (2) Has completed three years of service in a rigorous position; and (3) If the applicant has served in a secondary position continuously (without a break in service of more than three days) since serving in a primary position. If selected, applicants that meet qualification requirements, but do not meet special retirement coverage requirements, will be placed under the regular Federal Employee retirement coverage.
Incumbent is required to submit to urinalysis to screen for illegal drug use prior to appointment and is subject to random drug testing for the duration of service with Department of Defense Office of Inspector General (DoD OIG). Current DoD civilian employees are not required to conduct drug testing if moving from one Testing Designated Position (TDP) to another TDP with no break in service, unless deemed appropriate on a case-by-case basis by the gaining Component.
Permanent Change of Duty (PCS) expenses MAY be paid.
Recruitment incentives WILL NOT be paid.
This position requires the potential for up to 25% temporary duty travel (TDY).
Other alternate "Conditions of Employment"
This position is considered a secondary law enforcement administrative position and is covered under the special retirement provision for secondary law enforcement positions.
May be required to serve 1-Year Supervisory Probationary Period.
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
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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.
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.
Once the announcement has closed, your resume and supporting documentation will be used to determine if you meet the qualifications listed on this announcement. If you are minimally qualified, your resume and supporting documentation will be compared to your responses on the assessment questionnaire to determine your level of experience. If you rate yourself higher than is supported by your application package, your responses may be adjusted and/or you may be excluded from consideration for this position. If you are found to be among the top qualified candidates, you will be referred to the selecting official for employment consideration.
Your qualifications will be evaluated on the following competencies:
* Communication
* Criminal Investigation
* Leadership
* Planning and Evaluating
Preview the assessment questionnaire here: ********************************************************
This is covered by the special retirement provisions for Federal Law Enforcement Officer (FLEO). Candidates without previous FLEO service must be under age 37. Employees subject to special retirement coverage for law enforcement officers must retire at age 57 upon completing 20 years of law enforcement service under the special retirement provisions for law enforcement officers. If these 20 years of service are not attained at age 57, mandatory retirement is required upon completion of 20 years of service. This requirement may be waived only for veterans. See OPM Retirement Handbook for further details. The Maximum Entry Age requirement may be waived for applicants eligible for veterans' preference. Applicants previously covered by 5 U.S.C. 8336(c) or 5 U.S.C 412(d) are not restricted from applying.
Criminal History Inquiries- If you apply to this position and are selected, we will not ask about your criminal history before you receive a conditional job offer. If you believe you were asked about your criminal history improperly, contact the agency @ *******************************************
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.
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
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To apply for this position, you must provide a complete Application Package which includes:
Resume:Your resume showing relevant experience and should include the following: where you worked, job title, series and grade, if applicable, duties and accomplishments, employer's name and address, supervisor's name and phone number, starting and end dates (Mo/Yr), hours per week and salary. DO NOT include the following information: Classified or government sensitive information; social security number; photos of yourself; personal information, such as age, sex, religious affiliation, etc.; or encrypted and digitally signed documents. Read more about what you should leave out of your resume at USAJOBS. PLEASE NOTE: Only resumes of 2 pages or less in length will be reviewed. Be sure your relevant experience is included in those two pages. (cover letter optional).
* SF-50(s): If you are a current or former federal employees, you MUST submit a SF-50. If your SF-50 does not show you meet time-in-grade requirements or competitive status eligibility, you must submit additional SF-50s for verification. If you fail to provide the required documentation, by the closing date of this announcement, you will not receive consideration.
* Performance Appraisal: Current Federal employees, MUST submit a copy of their most recent completed annual performance appraisal received within the past 18 months. The performance appraisal must include the final rating. If a completed performance appraisal does not exist, is incomplete or unavailable, you must submit an explanation as to why it is not available at the time of your application submission. Mid-year progress reviews will not be accepted.
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
To apply for this position, you must provide a complete Application Package. See required documents above.
Click 'Apply Online' to create an account or log in to your existing USAJOBS account.
1. Follow the prompts to complete the assessment questionnaire and upload required documents.
2. Please ensure you click the Submit My Answers button to submit your application.
3. Check application status by logging into your USAJOBS account, clicking Application Status, then More Information for this position. Return to an incomplete application by logging into your USAJOBS account and clicking Update Application in the vacancy announcement. You must re-select your resume and other documents from your USAJOBS account or your application will be incomplete.
If you are unable to apply online, you must request an alternative application which is available from the
Human Resources Office. Please contact KYRA GILSON at *********************~ to obtain an alternative application.
Working for DoD OIG offers a comprehensive benefits package that includes paid vacation, sick leave, holidays, life insurance, health benefits and participation in the Federal Employees Retirement System.
This position is covered by the special retirement provisions for Federal Law Enforcement Officers (FLEO). Position is approved for Primary 6C coverage under the provision of Title, 5 USC, Sections 8336(c) and 8412(d).
If applicable, you may apply under the appropriate Special Appointment Authority and be considered for non-competitive appointments. Please see link for definitions of the Special Appointment Authorities: ***********************************************************************************
Failure to submit a complete application package including any required documentation by the closing date of the announcement or at the time of application for announcements with an extended closing date, may result in an ineligible rating and loss of consideration. To verify that your application is complete, log into your USAJOBS account, select Application Status and More Information. The Details page will display the status of your application. It is the applicant's responsibility to verify that information entered, uploaded, or faxed is received, legible and accurate. HR will not modify answers submitted by an applicant.
All applicants are encouraged to apply electronically. If you are unable to apply on-line, you may contact ************ for assistance.
Agency contact information
KYRA GILSON
Email ********************* Address DoD OIG - DIG FOR INVESTIGATIONS
4800 Mark Center Drive
Alexandria, VA 22350
US
Next steps
You will receive emails at various points in the evaluation process to notify you of: 1) receipt of your application; 2) after further evaluation, whether or not you are referred to the selecting manager for consideration and possible interview; and 3) the final disposition of your application when recruitment is complete.
To check the status of your application or return to a previous or incomplete application, log into your USAJOBS account, select My Applications, and click on the more information link under the application status for this position.
Fair and Transparent: The links below under Fair and Transparent are incorporated by reference.
This Job Opportunity Announcement may be used to fill similar positions in other organizations with in the Department of Defense Office of Inspector General.
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
To apply for this position, you must provide a complete Application Package which includes:
Resume:Your resume showing relevant experience and should include the following: where you worked, job title, series and grade, if applicable, duties and accomplishments, employer's name and address, supervisor's name and phone number, starting and end dates (Mo/Yr), hours per week and salary. DO NOT include the following information: Classified or government sensitive information; social security number; photos of yourself; personal information, such as age, sex, religious affiliation, etc.; or encrypted and digitally signed documents. Read more about what you should leave out of your resume at USAJOBS. PLEASE NOTE: Only resumes of 2 pages or less in length will be reviewed. Be sure your relevant experience is included in those two pages. (cover letter optional).
* SF-50(s): If you are a current or former federal employees, you MUST submit a SF-50. If your SF-50 does not show you meet time-in-grade requirements or competitive status eligibility, you must submit additional SF-50s for verification. If you fail to provide the required documentation, by the closing date of this announcement, you will not receive consideration.
* Performance Appraisal: Current Federal employees, MUST submit a copy of their most recent completed annual performance appraisal received within the past 18 months. The performance appraisal must include the final rating. If a completed performance appraisal does not exist, is incomplete or unavailable, you must submit an explanation as to why it is not available at the time of your application submission. Mid-year progress reviews will not be accepted.
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.
$107.4k-139.7k yearly 5d ago
Sub-Investigator (NP or PA) (Bilingual-Spanish) (Riverside)
Irvine Clinical Research
Investigator job in Riverside, CA
Job DescriptionRiverside Clinical is part of the Irvine Clinical Research site network, the largest of its kind on the West Coast. With 5 research centers in California, we are leaders in the search for new treatments in neurology, psychiatry, and obesity medicine. Our largest area of research is in Alzheimer's Disease prevention and treatment drug trials, and our doctors were the largest contributors in the world to the most recently FDA-approved medication in Alzheimer's Disease.
Riverside Clinical is hiring a clinician who is an NP or PA. The clinician will oversee clinical trials of some of the most promising drugs under investigation in Alzheimer's Disease treatment and prevention.Job Duties
Manage study team as a Sub-Investigator, ensuring trials are conducted safely and per protocol
Conduct clinical intake interviews to determine medical eligibility of potential study participants
Manage the safety of study participants; respond appropriately to adverse events in a timely manner
Perform and oversee infusion, phlebotomy, physical exams, and other assessments
Work closely with our team of doctors and study coordinators
Job Requirements
Valid license to practice in California as an NP or PA-C, free and unencumbered
Experience working with older adults in a clinical or research setting
Clinical research experience is preferred, but not required
A command of professional spoken and written English
A command of professional spoken and written Spanish
Hours and CompensationThis is a full-time employment position based in-person at our clinic on Central Avenue across the street from the Riverside Plaza mall. It is one stoplight away from the 91 freeway, and there is lots of free parking on-site, which can make for a convenient commute. We have five clinics throughout California, and this is our only one in the Inland Empire.
There are no planned overnight or weekend hours.
The starting salary for this position is indicated above. Higher salary is available with candidates who are current/previous sub-investigators in pharmaceutical clinical trials of Alzheimer's Disease.
The company pays for 100% of health/dental/vision individual insurance costs for eligible full-time employees. Vacation (PTO) is earned at a rate of 3 weeks per year.
$72k-125k yearly est. 28d ago
Supervising Court Investigator
Military, Veterans and Diverse Job Seekers
Investigator job in Orange, CA
Duties may include but are not limited to the following:
Establishes unit goals and priorities, assigns, reviews, and evaluates work; recommends action on personnel matters such as merit increases, promotions, and disciplinary actions; participates in employee selection, development and evaluation; reviews employees' work to ensure quality and accuracy; provides ongoing feedback and coaching to enhance performance; keeps staff informed of policy and procedures within the department as well as court-wide; and oversees the daily workload of investigators
Maintains professional and technical knowledge for self and the unit; plans, implements, and monitors training and cross-training for staff; attends ongoing training in the field of conservatorships, guardianships; stays abreast of changes in the Probate Code that impact the department; and attends ongoing training in the area of supervision and management of others and in court technology as needed
Contributes to team effort by providing direction to staff and/or personally reviewing, evaluating and resolving the most sensitive, unusual, and/or complicated cases; conducts special investigations of individuals and organizations on complex issues; reviews and approves summaries of interviews and investigations results; holds regular staff meetings to impart information; and consults with judicial officers, management, staff and court users, as appropriate
Enhances program effectiveness by acting as a liaison with relevant agencies and implementing changes that improve efficiency and/or services to the program
Provides information on the nature of conservatorship and guardianship proceedings to families, general public, attorneys and all court clients; reviews power of attorney problems; investigates and determines facts and conditions surrounding cases including environment and suitability of parties in guardianship matters interviews parties and reviews files prior to preparing a report with recommendations to the Court; ensures timelines for completing reports are met
Education and Experience
Bachelors of Arts or Bachelors of Science degree from an accredited educational institution in science, social science, behavioral science, liberal arts, or nursing - AND - two (2) years full-time (or equivalent) experience in a classification comparable to or higher than a Court Investigator OR five (5) years full-time (or equivalent) experience performing casework or investigations in a legal, financial, law enforcement or social services setting AND at least two (2) of the five (5) years must be supervisory experience. Note: To receive educational credit, a copy of your college official transcripts must be included with your application.
Desirable Qualification
Experience with work in social services.
$72k-125k yearly est. 60d+ ago
Investigator
Ethos Risk Services
Investigator job in Irvine, CA
Job Description
ABOUT US: Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for our clients.
JOB SUMMARY:
Our dynamic Ethos team is seeking an Experienced Field Investigator to conduct surveillance and investigative activities to identify potential fraudulent insurance claims. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.
KEY RESPONSIBILITIES:
Case Preparation: Prepare for surveillance assignment by reviewing Ethos' preliminary reports and case information.
Field Surveillance: Perform covert surveillance from your vehicle by tracking and capturing high-quality video evidence of surveillance targets.
Report Writing: Draft detailed and court-ready investigative reports summarizing activity and key findings.
Documentation: Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day.
Communication: Work closely with the field supervisor and operations teams, receiving regular guidance and mentorship.
REQUIREMENTS:
Previous Experience: Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
Driver's License: Valid driver's license and proof of automobile insurance.
Personal Vehicle: A well-maintained vehicle that is always reliable (preferably with tinted windows).
Surveillance Equipment: A handheld camcorder with high-quality zoom and a covert camera device. Use of stabilization equipment (gimbals, tripods, etc.) is strongly encouraged.
Technology: A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks.
Private Investigator License: Active Private Investigator license or willingness to obtain one (where required by state).
WORKING CONDITIONS:
While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be required
Most surveillance cases start at 6:00AM. End time can vary depending on activity and a typical workday can vary from 3-12 hours.
Weekends/holidays are common workdays as claimants are more likely to be active.
This is an independent role often requiring long hours alone in your vehicle, regardless of weather conditions.
Must remain alert with no external distractions, ready to use videography equipment to document subjects.
Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.
A background check will be conducted, in accordance to the local state law and regulations.
Job Posted by ApplicantPro
$72k-124k yearly est. 31d ago
Fraud Investigator
ADP 4.7
Investigator job in San Dimas, CA
ADP is hiring a Senior Fraud, Client Svc & Prod Supt Consultant - Wisely Card Product in our Employee Financial Solutions organization. The Senior Fraud Analyst serves as a technical expert and investigative resource for the Wisely Card product. This role is responsible for in-depth analysis of complex fraud cases, advanced data analysis and reporting, and providing consultative support to internal teams and external partners. The ideal candidate will leverage strong Excel skills and investigative expertise to resolve issues, improve processes, and support operational excellence.
Ready to #MakeYourMark? Apply now!
WHAT YOU'LL DO: Responsibilities
* Conduct in-depth investigations of complex fraud cases, using advanced analytical and investigative techniques
* Utilize strong Excel skills for data analysis, reporting, and metrics to identify trends and support business decisions
* Assist with developing, implementing, and optimizing fraud rules (including Feedzai) in collaboration with vendors and internal stakeholders
* Provide second-tier support and subject matter expertise to internal teams and external partners
* Develop and maintain reports, dashboards, and presentations to communicate findings and recommendations
* Collaborate with vendors and internal stakeholders to optimize fraud prevention strategies and resolve issues
* Identify process gaps and propose solutions to enhance fraud detection and mitigation
* Support compliance initiatives, audits, and regulatory reporting as required
* Communicate effectively with senior leaders to provide updates and recommendations
* Mentor colleagues and share best practices in fraud investigation and analytics
* Act as a resource for project-oriented assignments and cross-functional initiatives
TO SUCCEED IN THIS ROLE: Requirements
* This role is located in our San Dimas, CA office. We support a hybrid working arrangement (3 days in the office minimum with 2 days at home).
* 5+ years of experience in fraud investigation, risk management, or compliance
* Strong Excel skills and technical proficiency in data analysis and reporting
* Demonstrated expertise in investigative techniques and problem-solving
* Experience supporting internal and external stakeholders in a complex business environment
* Experience with fraud monitoring, fraud detection and interpretation.
* Experience with fraud rules development, and optimization, including Feedzai or similar tools.
* Excellent written and verbal communication skills, including the ability to communicate with Senior Leadership and cross-functional partners
* Ability to work independently and manage multiple priorities
* Proven ability to lead projects and drive operational changes
* Visionary mindset with the ability to anticipate issues, and implement system changes
A college degree is great but not required. What's more important is having the skills to do the job. Other acceptable experiences could include:
* Experience noted above, OR
* Military Experience. We recognize and appreciate the unique talents and experiences Veterans bring to the table. We value the discipline, commitment, and problem-solving abilities you developed and are excited to provide an environment where you can continue to make a meaningful impact
Bonus points for these: Preferred Qualifications
* Advanced degree
* Professional Certifications: Certified Fraud Examiner (CFE), Certified Anti-Money Laundering Specialist (CAMS).
* Experience with the following tools: Feedzai or similar, Threat Metrix, Visa, LexisNexis
* Background in payroll, implementation, and/or contact center operations is a plus.
* Excellent communication skills
* Fast learner
* Ability to influence
* Analytical
Base salary offers for this position may vary based on factors such as location, skills, and relevant experience. Some positions may include additional compensation in the form of bonus, equity or commissions. We offer the following benefits: Medical, Dental, Vision, Life Insurance, Matched Retirement Savings, Wellness Program, Short-and Long-Term Disability, Charitable Contribution Match, Holidays, Personal Days & Vacation, Paid Volunteer Time Off, and more. The compensation for this role is USD $59,100.00 - USD $120,200.00 / Year*
* Actual compensation will not be less than the applicable minimum wage or minimum exempt salary requirement under federal, state and local laws.
A little about ADP: We are a comprehensive global provider of cloud-based human capital management (HCM) solutions that unite HR, payroll, talent, time, tax and benefits administration and a leader in business outsourcing services, analytics, and compliance expertise. We believe our people make all the difference in cultivating a down-to-earth culture that embraces our core values, welcomes ideas, encourages innovation, and values belonging. We've received recognition for our work by many esteemed organizations, learn more at ADP Awards and Recognition.
Diversity, Equity, Inclusion & Equal Employment Opportunity at ADP: ADP is committed to an inclusive, diverse and equitable workplace, and is further committed to providing equal employment opportunities regardless of any protected characteristic including: race, color, genetic information, creed, national origin, religion, sex, affectional or sexual orientation, gender identity or expression, lawful alien status, ancestry, age, marital status, protected veteran status or disability. Hiring decisions are based upon ADP's operating needs, and applicant merit including, but not limited to, qualifications, experience, ability, availability, cooperation, and job performance.
Ethics at ADP: ADP has a long, proud history of conducting business with the highest ethical standards and full compliance with all applicable laws. We also expect our people to uphold our values with the highest level of integrity and behave in a manner that fosters an honest and respectful workplace. Click ********************************* to learn more about ADP's culture and our full set of values.
$59.1k-120.2k yearly 3d ago
Compliance and Fraud Investigator- Toronto-Full Time- Perm- Non-Bilingual
Serco 4.2
Investigator job in Ontario, CA
Ontario, CA Customer Service 12895 Full-Time $66379.01 - $99569.56 Description & Qualifications** Description & Qualifications** If you enjoy working with the public in a high energy and dynamic environment - challenging and rewarding job opportunities await you at Serco Canada
Join our team as a Compliance and Fraud Investigator, where you will be responsible for safeguarding compliance and identifying potential risks within testing services. Leveraging your analytical skills and attention to detail, you will oversee adherence to policies, support confidential investigations, and contribute to the development of strategies to ensure the operational integrity and ethical practices across all sites in Ontario.
**SUMMARY/PURPOSE:**
+ Provide compliance and fraud/risk mitigation oversight of testing services at DriveTest Centres, across Ontario
+ Support and assist with confidential investigations into allegations of internal and external fraud and unethical activities, alongside Business Integrity Manager.
+ Supervise and ensure adherence to company guidelines and processes designed to ensure business integrity.
+ Monitor DriveTest Centres to ensure Driver Examiner and Driving Instructor compliance with defied business practices and standards
+ Identify and report areas of risk, and work with key stakeholders to propose and implement mitigating solutions
+ Ensure compliance with all Serco Canada Inc. policies and procedures, including but not limited to MTO Standards, Code of Conduct and Ethics, Serco Management System, PDR's, etc.
+ Responsible and accountable to meet the Project Agreement KPIs.
+ **This position will mostly work at the CAA off site truck location.**
**KEY RESPONSIBILITIES:**
+ Monitor DriveTest Centre levels of compliance with policies and procedures with a focus on detecting and mitigating fraud and unethical activities in the workplace
+ Monitor employee adherence to processes by reviewing scorecards, reports and conducting in-vehicle audits
+ Perform data analytics to identify anomalies and potential areas of exposure.
+ Identify and mitigate Serco liabilities using fraud prevention and awareness processes.
+ Work with key internal stake holders, to review and implement new business initiatives and other special projects as assigned
+ Direct subordinate employees in performance of section tasks and responsibilities.
+ Perform hands on work in support of section service delivery objectives.
+ Accountable for performance management of subordinate employees, including authority to initiate corrective action in line with HR approval model.
+ Accountable to ensure all assigned deliverables and other reports are completed accurately and on time.
+ Accountable to ensure that standards for the accomplishment of short-term priorities are clearly articulated to staff and that resources are made available to achieve the standard.
+ Communicate key business objectives to front-line staff.
+ Visibly demonstrate Serco Values and work practices and ensure that all staff across the organization are practicing these Values daily.
+ Other related duties relevant to this position as may be required.
+ Comply with all regulations, policies and procedures pertaining to the operations including occupational health and safety, environmental, drug and alcohol, and quality.
**Health & Safety, Environmental:**
+ Ensure compliance with all regulations, policies and procedures pertaining to the operations including occupational health and safety, environmental, and quality.
+ Responsible for the safety of all personnel, equipment, and facilities under the scope of this position, in accordance with Provincial, Serco and customer safety regulations and procedures.
+ Accountable for the implementation of plans to drive for results in the areas of safety, compliance, service delivery and cost.
+ Authority to stop work or service delivery for matters relating to H&Sand regulatory compliance risks.
**General:**
+ Reliable vehicle required for local travel - travel estimated to be 25%. Ability and willingness to travel throughout Ontario, on occasion, required.
+ This position typically follows a Monday to Friday schedule; however, occasional Saturday work may be required based on business needs. Flexibility in availability is necessary to accommodate these requirements.
**EDUCATION /CERTIFICATIONS:**
+ Post-Secondary education in a related field or possess a relevant combination of education
+ Possession of a valid Driver's License i.e.A, B, M, Z, is preferred; if not, the ability to obtain all classes of licenses will be considered
**KNOWLEDGE and EXPERENCE**
+ 3-5+ years experience in a leadership capacity
+ Previous supervisory experience.
+ Experience in fraud mitigation, evaluation of fraud risk assessment and investigative work
+ Experience and understanding of contracts, SOW and labour agreements.
+ Specific years required in specific roles or special knowledge
+ Comprehensive understanding of concepts and principles within own discipline and knowledge of others.
+ Ability to evaluate risk and related mitigation strategies.
+ Communicates effectively - able to articulate ideas in a clear and persuasive manner.
**SKILLS/Competencies (Interpersonal Communication, Financial, Managerial, Problem solving):**
+ Excellent computer skills in MS Office suite.
+ Strong project management skills with the ability to work on and track multiple projects simultaneously.
+ Effective communication skills and ability to work cross functionally within the organization.
+ Excellent collaborative leadership and organizational skills.
+ Strong degree of integrity and judgment.
+ Able to effectively delegate authority as required.
+ Willing to take ownership for the outcomes of projects within scope of responsibility.
+ Strong planning, coordination, execution and analytical skills.
+ Proven ability to meet deadlines and changing priorities.
**Supervisory leadership skills:**
1. Capability in applying and ensuring consistent Performance Management practices (Coaching, Feedback, Expectations, Corrective Action).
2. Capability in working with Manager to ensure the overall development of direct reports.
3. Solid decision-making skills.
4. Team building aptitude, focus on productivity and collaboration.
5. Solid communication skills to appeal to broad audiences including managerial, direct reports, and cross-functional relationships.
6. Capability to influence others internally and externally, including senior leaders.
7. Presents with impact. This includes skillfully facilitating discussions and confidently expressing ideas and insights when appropriate.
8. Capability to exchange ideas and information effectively using tact and diplomacy when dealing with others.
**Personal Attributes:**
+ Innovative, creative and agile.
+ Anticipates issues and opportunities and proactively responds.
+ Focuses on solutions; drives results; contributes ideas that will inform and support Manager with making tough decisions in ambiguous situations.
+ Maintains effective and sustainable teams of direct reports.
+ Highly accountable and motivated with a strong work ethic.
**This position is contingent upon your ability to** **Pass Criminal Record Check (CPIC); Fingerprint Check.**
To be successful in this role, you must have:
+ 3-5+ years experience in a leadership capacity
+ Previous supervisory experience.
+ Experience in fraud mitigation, evaluation of fraud risk assessment and investigative work
+ Experience and understanding of contracts, SOW and labour agreements.
+ Specific years required in specific roles or special knowledge
+ Comprehensive understanding of concepts and principles within own discipline and knowledge of others.
+ Ability to evaluate risk and related mitigation strategies.
+ Communicates effectively - able to articulate ideas in a clear and persuasive manner.
**Employee hours vary based on customer demand and location's operating hours.
**This position may require extended shift hours and possibly Saturday hours (depending on location) during certain periods of the year when Drive Test Centre volume is higher.
_Serco Canada Inc. an equal opportunity employer that is committed to inclusive, barrier-free recruitment and selection processes. Consistent with our Values, Serco Canada is committed to providing equitable treatment to all with respect to barrier-free employment and accommodation without discrimination. Serco Canada will provide accommodation for applicants in all aspects of the hiring process. If you have an accommodation need, please contact Human Resources as soon as possible to make appropriate arrangements._
We thank all applicants for their interest. However, only candidates selected for an interview will be contacted. Serco Canada Inc. is an equal opportunity employer.
**Company Overview**
Serco Canada Inc. strives to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves the Canadian Federal and Provincial governments and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters.
**Pay Transparency**
Our Total Rewards package includes competitive pay, performance-based incentives, and benefits that promote well-being and work-life balance-so you can thrive both professionally and personally. Program availability may vary based on factors such as contract type, location, hire date, and applicable collective bargaining agreements.
Salary range: The range for this position can be found at the top of the posting. This range is provided as a general guideline and represents a good faith estimate across all experience levels. Actual base salary will be determined by a variety of factors, including but not limited to, the scope of the role, relevant experience, job-related knowledge, education and training, key skills, and geographic market considerations. For roles available in multiple provinces, the range may vary to reflect differences in local labor markets. In addition to base salary, eligible positions may include other forms of compensation such as annual bonuses or long-term incentive opportunities.
To review all Serco benefits please visit: ******************************************* .
Serco complies with all applicable federal, provincial, and local leave laws This is a Canada-based role and this position is for an existing vacancy, unless stated otherwise in the job description. Please submit applications exclusively through Serco's external (or internal) career site. If an applicant has any concerns with job posting compliance, please send an email to: ******************** .
$66.4k-99.6k yearly Easy Apply 7d ago
Private investigator
USA Express Legal & Investigative Service Inc.
Investigator job in Santa Ana, CA
Job DescriptionLooking for private investigator or anyone is in training to become an investigator to handle field assignments for personal injury cases. Training will be provided. Immediate opening. We pay hourly rate plus IRS applicable mileage.
$53k-96k yearly est. 4d ago
SIU Investigator - Underwriting & Premium Fraud
CNA Financial Corp 4.6
Investigator job in Irvine, CA
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Under minimal direction, initiates and manages suspected fraudulent underwriting and insurance premium investigations involving the highest complexity matters. Provides advice, direction, and support to underwriters, auditors, business unit leadership, corporate investigations and other stakeholders across the organization on the detection, investigation, and litigation of suspected underwriting matters.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Leads the detailed analysis and completion of thorough and timely investigations of suspected underwriting fraud by following Best Practice Guidelines and collaborating with business stakeholders.
* Develops and executes investigation strategy either independently or in collaboration with underwriting professionals, counsel, experts, insureds, and other stakeholders.
* Manages investigation activities independently and/or coordinates/oversees vendor service partner activities in the field.
* Maintains detailed, accurate and timely case records by following established Best Practices for file documentation and by creating comprehensive reports of investigative findings, and conclusions.
* Makes recommendations for resolution by presenting evidence-based findings and proposing solutions of moderate to complex scope.
* Identifies opportunities and participates in the design and implementation of process or procedural improvements.
* Leads or directs efforts to build and enhance and oversees organizational capabilities by developing and delivering fraud awareness or regulatory compliance training and mentoring SIU staff.
* Leads or directs the preparation of cases for appropriate reporting to outside agencies; leads or directs pursuit of criminal or civil actions through gathering and documenting relevant data, organizing and summarizing facts and testifying on behalf of the company in civil or criminal matters.
* Continuously develops knowledge and expertise related to insurance fraud by keeping current on related law, regulations, trends, and emerging issues and participating in insurance fraud or related professional associations.
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or Director
Skills, Knowledge and Abilities
* Solid knowledge of property and casualty claim handling practices
* Strong technical knowledge of practices and techniques related to investigations and fact finding. For roles focused in an area of specialty (medical provider investigations), strong technical knowledge of respective specialty practices is required.
* Strong interpersonal, oral, and written communication skills; ability to clearly communicate complex issues
* Ability to interact and collaborate with internal and external business partners, including outside agencies
* Ability to work independently, exercise good judgment, and make sound business decisions
* Detail oriented with strong organization and time management skills
* Strong ability to analyze complex, ambiguous matters and develop effective solutions
* Proficiency with Microsoft Office applications and similar business software, and understanding of relational databases information querying techniques
* Ability to adapt to change and value diverse opinions and ideas
* Developing ability to implement change
* Ability to travel occasionally (less than 10%)
Education and Experience
* Bachelor's degree or equivalent professional experience.
* Minimum of three to five years of experience conducting investigations in the area of a) insurance fraud, b) law enforcement, c) civil or criminal litigation, or d) similar field.
* Professional certification or designation related to fraud investigations strongly preferred (e.g., CFE, CIFI, FCLS, FCLA, or similar).
#LI-AR1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
$54k-103k yearly Auto-Apply 25d ago
Field Investigator - Riverside, CA
Magna Legal Services 3.2
Investigator job in Riverside, CA
About Us: Magna Legal Services provides end-to-end legal support services to law firms, corporations, and governmental agencies throughout the nation. As an end-to-end service provider, we can provide strategic advantages to our clients by offering legal support services at every stage of their legal proceedings.
Job Description: Job Title: Investigator Position Summary: Magna Legal Services is seeking a Field Investigator to join our investigations team! As an Investigator, you will support a wide range of case types, with an emphasis on civil investigations for both plaintiff and defense firms. This role blends office responsibilities with field-based assignments across Southern California, offering a dynamic and fast-paced work environment.While licensed private investigators are preferred, this position is open to those seeking to qualify for a California Private Investigator license. Responsibilities may be tailored based on your skills, experience, and strengths.This role is located in our Riverside (Jurupa Valley) office, with frequent travel across Southern California. This a full-time (40 hours per week) position. The schedule is primarily Monday through Friday during core business hours with occasional evening or weekends based on business needs.Key Responsibilities
Conducting witness and subject interviews.
Canvassing accident scenes and crime sites.
Investigating insurance accident and injury claims.
Assisting with legal discovery (e.g., supporting individuals with required legal paperwork).
Identifying, collecting, and preserving physical evidence.
Periodic stakeout for complex Service of Process
Qualifications
Experience: 3-5 years in investigations, law enforcement, paralegal work, or a related field.
Education: A degree in Criminal Justice, Psychology, Communications, or a related discipline is strongly preferred.
Skills: Strong interpersonal and communication abilities, with a professional and detail-oriented approach.
Other: Bilingual candidates are highly encouraged to apply.
Compensation: USD $28.00 - $35.00 per hour.
An employee's pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, travel requirements, revenue-based metrics, any contractual agreements, and business or organizational needs. The range listed is just one component of the total compensation package for employees.
Magna Legal Services 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.
$28-35 hourly Auto-Apply 60d+ ago
SIU Investigator - Underwriting & Premium Fraud
CNA Holding Corporation 4.7
Investigator job in Brea, CA
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Under minimal direction, initiates and manages suspected fraudulent underwriting and insurance premium investigations involving the highest complexity matters. Provides advice, direction, and support to underwriters, auditors, business unit leadership, corporate investigations and other stakeholders across the organization on the detection, investigation, and litigation of suspected underwriting matters.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
Leads the detailed analysis and completion of thorough and timely investigations of suspected underwriting fraud by following Best Practice Guidelines and collaborating with business stakeholders.
Develops and executes investigation strategy either independently or in collaboration with underwriting professionals, counsel, experts, insureds, and other stakeholders.
Manages investigation activities independently and/or coordinates/oversees vendor service partner activities in the field.
Maintains detailed, accurate and timely case records by following established Best Practices for file documentation and by creating comprehensive reports of investigative findings, and conclusions.
Makes recommendations for resolution by presenting evidence-based findings and proposing solutions of moderate to complex scope.
Identifies opportunities and participates in the design and implementation of process or procedural improvements.
Leads or directs efforts to build and enhance and oversees organizational capabilities by developing and delivering fraud awareness or regulatory compliance training and mentoring SIU staff.
Leads or directs the preparation of cases for appropriate reporting to outside agencies; leads or directs pursuit of criminal or civil actions through gathering and documenting relevant data, organizing and summarizing facts and testifying on behalf of the company in civil or criminal matters.
Continuously develops knowledge and expertise related to insurance fraud by keeping current on related law, regulations, trends, and emerging issues and participating in insurance fraud or related professional associations.
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or Director
Skills, Knowledge and Abilities
Solid knowledge of property and casualty claim handling practices
Strong technical knowledge of practices and techniques related to investigations and fact finding. For roles focused in an area of specialty (medical provider investigations), strong technical knowledge of respective specialty practices is required.
Strong interpersonal, oral, and written communication skills; ability to clearly communicate complex issues
Ability to interact and collaborate with internal and external business partners, including outside agencies
Ability to work independently, exercise good judgment, and make sound business decisions
Detail oriented with strong organization and time management skills
Strong ability to analyze complex, ambiguous matters and develop effective solutions
Proficiency with Microsoft Office applications and similar business software, and understanding of relational databases information querying techniques
Ability to adapt to change and value diverse opinions and ideas
Developing ability to implement change
Ability to travel occasionally (less than 10%)
Education and Experience
Bachelor's degree or equivalent professional experience.
Minimum of three to five years of experience conducting investigations in the area of a) insurance fraud, b) law enforcement, c) civil or criminal litigation, or d) similar field.
Professional certification or designation related to fraud investigations strongly preferred (e.g., CFE, CIFI, FCLS, FCLA, or similar).
#LI-AR1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut,
Illinois
,
Maryland,
Massachusetts
,
New York and Washington,
the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
$54k-103k yearly Auto-Apply 27d ago
Fraud Investigator
Blueprint30 LLC
Investigator job in San Dimas, CA
ADP is hiring a Senior Fraud, Client Svc & Prod Supt Consultant - Wisely Card Product in our Employee Financial Solutions organization.
The Senior Fraud Analyst serves as a technical expert and investigative resource for the Wisely Card product. This role is responsible for in-depth analysis of complex fraud cases, advanced data analysis and reporting, and providing consultative support to internal teams and external partners. The ideal candidate will leverage strong Excel skills and investigative expertise to resolve issues, improve processes, and support operational excellence.
Ready to #MakeYourMark? Apply now!
WHAT YOU'LL DO: Responsibilities
Conduct in-depth investigations of complex fraud cases, using advanced analytical and investigative techniques
Utilize strong Excel skills for data analysis, reporting, and metrics to identify trends and support business decisions
Assist with developing, implementing, and optimizing fraud rules (including Feedzai) in collaboration with vendors and internal stakeholders
Provide second-tier support and subject matter expertise to internal teams and external partners
Develop and maintain reports, dashboards, and presentations to communicate findings and recommendations
Collaborate with vendors and internal stakeholders to optimize fraud prevention strategies and resolve issues
Identify process gaps and propose solutions to enhance fraud detection and mitigation
Support compliance initiatives, audits, and regulatory reporting as required
Communicate effectively with senior leaders to provide updates and recommendations
Mentor colleagues and share best practices in fraud investigation and analytics
Act as a resource for project-oriented assignments and cross-functional initiatives
TO SUCCEED IN THIS ROLE: Requirements
This role is located in our San Dimas, CA office. We support a hybrid working arrangement (3 days in the office minimum with 2 days at home).
5+ years of experience in fraud investigation, risk management, or compliance
Strong Excel skills and technical proficiency in data analysis and reporting
Demonstrated expertise in investigative techniques and problem-solving
Experience supporting internal and external stakeholders in a complex business environment
Experience with fraud monitoring, fraud detection and interpretation.
Experience with fraud rules development, and optimization, including Feedzai or similar tools.
Excellent written and verbal communication skills, including the ability to communicate with Senior Leadership and cross-functional partners
Ability to work independently and manage multiple priorities
Proven ability to lead projects and drive operational changes
Visionary mindset with the ability to anticipate issues, and implement system changes
A college degree is great but not required. What's more important is having the skills to do the job. Other acceptable experiences could include:
Experience noted above, OR
Military Experience. We recognize and appreciate the unique talents and experiences Veterans bring to the table. We value the discipline, commitment, and problem-solving abilities you developed and are excited to provide an environment where you can continue to make a meaningful impact
$47k-78k yearly est. 4h ago
Fraud Investigator
Adpcareers
Investigator job in San Dimas, CA
ADP is hiring a Senior Fraud, Client Svc & Prod Supt Consultant - Wisely Card Product in our Employee Financial Solutions organization.
The Senior Fraud Analyst serves as a technical expert and investigative resource for the Wisely Card product. This role is responsible for in-depth analysis of complex fraud cases, advanced data analysis and reporting, and providing consultative support to internal teams and external partners. The ideal candidate will leverage strong Excel skills and investigative expertise to resolve issues, improve processes, and support operational excellence.
Ready to #MakeYourMark? Apply now!
WHAT YOU'LL DO: Responsibilities
Conduct in-depth investigations of complex fraud cases, using advanced analytical and investigative techniques
Utilize strong Excel skills for data analysis, reporting, and metrics to identify trends and support business decisions
Assist with developing, implementing, and optimizing fraud rules (including Feedzai) in collaboration with vendors and internal stakeholders
Provide second-tier support and subject matter expertise to internal teams and external partners
Develop and maintain reports, dashboards, and presentations to communicate findings and recommendations
Collaborate with vendors and internal stakeholders to optimize fraud prevention strategies and resolve issues
Identify process gaps and propose solutions to enhance fraud detection and mitigation
Support compliance initiatives, audits, and regulatory reporting as required
Communicate effectively with senior leaders to provide updates and recommendations
Mentor colleagues and share best practices in fraud investigation and analytics
Act as a resource for project-oriented assignments and cross-functional initiatives
TO SUCCEED IN THIS ROLE: Requirements
This role is located in our San Dimas, CA office. We support a hybrid working arrangement (3 days in the office minimum with 2 days at home).
5+ years of experience in fraud investigation, risk management, or compliance
Strong Excel skills and technical proficiency in data analysis and reporting
Demonstrated expertise in investigative techniques and problem-solving
Experience supporting internal and external stakeholders in a complex business environment
Experience with fraud monitoring, fraud detection and interpretation.
Experience with fraud rules development, and optimization, including Feedzai or similar tools.
Excellent written and verbal communication skills, including the ability to communicate with Senior Leadership and cross-functional partners
Ability to work independently and manage multiple priorities
Proven ability to lead projects and drive operational changes
Visionary mindset with the ability to anticipate issues, and implement system changes
A college degree is great but not required. What's more important is having the skills to do the job. Other acceptable experiences could include:
Experience noted above, OR
Military Experience. We recognize and appreciate the unique talents and experiences Veterans bring to the table. We value the discipline, commitment, and problem-solving abilities you developed and are excited to provide an environment where you can continue to make a meaningful impact
$47k-78k yearly est. 4h ago
Fraud Investigator
First Foundation Inc. 4.6
Investigator job in Irvine, CA
. Summary: This position is responsible for assessing various situations and identifying risks to related to fraud to the bank and its clients. The investigator works closely with various retail banking and operations teams to assist with fraud investigation and deterrence against First Foundation Bank. This role requires the ability to triage work assigned; conduct research utilizing various methods and provide clear and timely documentation of all findings. Must be analytical and focused with the ability to analyze documents and reports. Remains apprised of industry fraud trends, using knowledge and experience to detect instances of fraud and prevent bank loss.
Duties and Responsibilities:
* Understands and complies with requirements of all laws and regulations applicable to the position
* Monitors fraud alert transactions through the Bank's transaction monitoring software to identify unusual or suspicious account activity and/or financial crime patterns related to ATM/Debit cards, credit cards, new accounts, checks, and loans
* Perform a series of reviews utilizing various tools and reports to identify potentially fraudulent activities on new/existing deposit and loan accounts
* Thoroughly research incidents and/or allegations and interact with other departments and other banks, companies, or local, state, and federal authorities when necessary
* Provide excellent customer service to clients impacted by fraud, ensuring we help as appropriate including detection of identity theft and elder financial abuse and related reporting
* Review of new accounts, negative balance accounts, ACH reports, Fiserv fraud notifications, and any suspicious activity on an existing account
* Assist in the preparation and completion of reports and case file documentation as required to ensure adherence to policies and procedures
* Utilize bank systems and resources to evaluate accounts and situations that may require unique treatment and a specialized approach
* Interview victims, witnesses, and/or suspects to obtain details of an incident
* Present case summaries to the management team as needed
* Analyze transactional data, assessing historical client activity to help make determinations of irregular activity
* Responsible for composing case narratives and completion of the initial Suspicious Activity Report (SAR) recommendation and justification
* Assist with editing and updating internal departmental procedures
* Provide training and guidance to new or less experienced team members
* Performs other duties as assigned
Salary Range: The salary range budgeted for this position represents the Company's good faith minimum and maximum range for this role at the time of posting. The compensation offered to a candidate may vary depending on several factors, including a candidate's qualifications, skills, competencies, experience, and location.
Geographic Location:
* Irvine, CA: $60,100 - $84,200 (Annually)
Applicants must have current work authorization when accepting a First Foundation Inc. position. Currently, we cannot sponsor or take over the sponsorship of an Employment Visa.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Education and/or Experience:
* The successful candidate will possess a bachelor's degree or the equivalent combination of education and experience; 3+ years of direct experience in the Fraud Investigations field preferred.
* 5+ years of banking experience in retail, operations, compliance, or BSA setting is required.
Skills:
* Working knowledge of current bank fraud investigative and interviewing techniques.
* Works independently to continuously monitor, review, analyze, detect, and prevent unauthorized or fraudulent activity.
* Strong written and verbal communication skills.
* Effective time management and organizational skills.
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 essential functions.
While performing the duties of this job, the employee is regularly required to sit for long periods; use hands to operate controls on a computer; reach with hands and arms for phone and computer work; and communicate on the phone wearing a headset for extended periods. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. This job description is subject to change at any time.
First Foundation is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, and status as a qualified individual with a disability, sexual orientation, gender identity, or any other characteristic protected by law.
$60.1k-84.2k yearly 32d ago
Surveillance Investigator
Digistream Investigations 3.5
Investigator job in San Bernardino, CA
DigiStream Investigations, Inc., a fast-growing private investigations firm, seeks a full-time Field Investigator to work under general supervision, investigating suspicious worker's compensation claims from various corporate clients in the Inland Empire region. This entry-level work experience provides career growth opportunities including promotion to management and partnership to those who came before you. DigiStream alumni have gone on to work for the Federal Bureau of Investigation, state and local law enforcement, top Silicon Valley companies such as Google, and have gone on to study at some of the nation's top graduate schools. We pride ourselves on being a great place to start a career.
TAKE A LOOK AT OUR YOUTUBE VIDEO!!!
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Duties including, but not limited to: -Monitoring and videotaping various individuals as they conduct their normal day-to-day activities -Note-taking and detailed report rendering on the activities captured by the investigator
Requirements: -Bachelor's Degree preferred, but not required -Must currently reside in the Inland Empire region -Quick decision-making skills -Excellent driving skills -Strong computer skills -Critical-thinking skills -Ability to pass DMV, pre-employment physical and background check -Ability to start work as early as 5:00am daily -Must be a morning person -Must be available to work weekends and holidays frequently -Must be available to occasionally travel out of town for extended periods of time
Candidate must have great intuition and the ability to process many mitigating factors during the course of the investigation. Decisions are expected to be made in an accurate and timely manner and in the best interest in preserving the confidentiality of the assignment in question.
All equipment is provided including: a vehicle, company laptop, wi-fi access, a gas/maintenance card, and all video equipment.
Only apply if Live in Upland or Surrounding cities and you have availability to work any of the 7 days of the week, and only if you can work a 5 day per week schedule with an average of 10 hours per day, including frequent cases to be worked on weekends and Holidays. You will be paid to commute to and from cases.
Work Schedule: Full-time, 50-60 hours per week, 10-12 hours per day average with commute time "on the clock"
Starting Hourly Pay Rate: $20.00 per hour (entry-level) First-Year Total Compensation: $50k-65K range, frequent overtime
Please fill out your Employment Application:
*****************************************************************************
Applicants must currently reside in the Inland Empire region
Employee Benefits: Health, Dental, Vision, and Life insurance offered, and 401(k) retirement plan with 4% Company Match offered Company vehicle provided, all equipment provided, and you will be paid to commute to and from your cases.
All work expenses covered by DigiStream.
No phone calls please.
$50k-65k yearly Auto-Apply 60d+ ago
Surveillance Investigator
Frasco 4.1
Investigator job in Palm Springs, CA
Part-time Description
Job Type: Part-Time, Billable Hours, Non-Exempt
Reports to: Regional Manager
Eager to start your career in a growing industry? Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully paid investigator training to help you launch your career!
Is surveillance right for you? Watch this: ****************************
This position has the potential to transition to Full-Time for the right candidate.
Compensation:
Hourly Rate: $20 - $26 per hour (Weekly Pay) Commensurate with experience and performance
Travel Time: Travel commute time is compensated at 100% of regular hourly rate, after standard commute deduction
Mileage Reimbursement: $0.55 per mile for all portal-to-portal and mobile surveillance mileage
Paid Administrative Time: Paid at regular hourly rate for all report writing and administrative time
Paid Training: Compensation for training sessions to ensure you are well-prepared for your role
About Frasco: Frasco has been in business for 60 years as a family-owned full-service investigation company with hundreds of investigators and regional offices nationwide. Our vibrant company culture, driven by core values of integrity, innovation, and excellence, fosters a supportive and collaborative environment where every individual is valued. We are committed to diversity and inclusion, encouraging applications from all backgrounds. Join us to make a meaningful impact and thrive in a positive, respectful workplace.
Responsibilities:
Review assignments to determine case objectives and develop or follow action plans
Utilize various surveillance equipment and technology
Perform surveillance and activity checks, documenting video footage and relevant information
Conduct surveillance indoors and outdoors, involving extended periods of walking, standing, or sitting
Drive safely and effectively in varied weather and traffic conditions
Move swiftly and discreetly to observe subjects
Maintain high standards of communication and confidentiality, adhering to ethical and legal guidelines
Prepare detailed reports with timestamps and supporting evidence for legal use
Adapt to changing circumstances and work flexible hours, including nights, weekends, and holidays
Attend and testify at hearings as required
Requirements
Requirements:
Exceptional writing and communication skills
Strong attention to detail and commitment to accuracy and quality
Ability to work independently and meet established deadlines
Strong critical thinking skills
Self-starter with accountability for results and performance
Flexible schedule, including weekends
Ability to travel to and from assignments daily
Qualifications and Equipment:
Valid driver's license with good driving record
Minimum Auto Insurance Coverage: $100,000 per person, $300,000 per accident bodily injury, and $50,000 property damage
Reliable personal vehicle, tinted windows preferred
HD camcorder, covert camera, smartphone, computer or laptop, and internet connectivity
Windows 11 or greater required, with 8+gb of RAM preferred
Mac OSX 13 or greater required for iMac
Preferred Experience:
High school diploma or associate's degree in criminal justice or related field
Military background; insurance or investigations experience
Ready to make a difference? Apply now!
All replies are confidential Equal Employment Opportunity Employer
PM18
Salary Description $20-$28
$20-26 hourly 38d ago
Surveillance Investigator
Security Director In San Diego, California
Investigator job in Orange, CA
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.
Multiple positions available!
Must possess a valid driver's license with at least one year of driving experience
Pay Rate: $20 - $24 / hr
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 2025-1497095
$20-24 hourly Auto-Apply 25d ago
Fraud Investigator
First Foundation Bank 4.6
Investigator job in Irvine, CA
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Summary: This position is responsible for assessing various situations and identifying risks to related to fraud to the bank and its clients. The investigator works closely with various retail banking and operations teams to assist with fraud investigation and deterrence against First Foundation Bank. This role requires the ability to triage work assigned; conduct research utilizing various methods and provide clear and timely documentation of all findings. Must be analytical and focused with the ability to analyze documents and reports. Remains apprised of industry fraud trends, using knowledge and experience to detect instances of fraud and prevent bank loss.
Duties and Responsibilities:
Understands and complies with requirements of all laws and regulations applicable to the position
Monitors fraud alert transactions through the Bank's transaction monitoring software to identify unusual or suspicious account activity and/or financial crime patterns related to ATM/Debit cards, credit cards, new accounts, checks, and loans
Perform a series of reviews utilizing various tools and reports to identify potentially fraudulent activities on new/existing deposit and loan accounts
Thoroughly research incidents and/or allegations and interact with other departments and other banks, companies, or local, state, and federal authorities when necessary
Provide excellent customer service to clients impacted by fraud, ensuring we help as appropriate including detection of identity theft and elder financial abuse and related reporting
Review of new accounts, negative balance accounts, ACH reports, Fiserv fraud notifications, and any suspicious activity on an existing account
Assist in the preparation and completion of reports and case file documentation as required to ensure adherence to policies and procedures
Utilize bank systems and resources to evaluate accounts and situations that may require unique treatment and a specialized approach
Interview victims, witnesses, and/or suspects to obtain details of an incident
Present case summaries to the management team as needed
Analyze transactional data, assessing historical client activity to help make determinations of irregular activity
Responsible for composing case narratives and completion of the initial Suspicious Activity Report (SAR) recommendation and justification
Assist with editing and updating internal departmental procedures
Provide training and guidance to new or less experienced team members
Performs other duties as assigned
Salary Range: The salary range budgeted for this position represents the Company's good faith minimum and maximum range for this role at the time of posting. The compensation offered to a candidate may vary depending on several factors, including a candidate's qualifications, skills, competencies, experience, and location.
Geographic Location:
Irvine, CA: $60,100 - $84,200 (Annually)
Applicants must have current work authorization when accepting a First Foundation Inc. position. Currently, we cannot sponsor or take over the sponsorship of an Employment Visa.
Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Education and/or Experience:
The successful candidate will possess a bachelor's degree or the equivalent combination of education and experience; 3+ years of direct experience in the Fraud Investigations field preferred.
5+ years of banking experience in retail, operations, compliance, or BSA setting is required.
Skills:
Working knowledge of current bank fraud investigative and interviewing techniques.
Works independently to continuously monitor, review, analyze, detect, and prevent unauthorized or fraudulent activity.
Strong written and verbal communication skills.
Effective time management and organizational skills.
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 essential functions.
While performing the duties of this job, the employee is regularly required to sit for long periods; use hands to operate controls on a computer; reach with hands and arms for phone and computer work; and communicate on the phone wearing a headset for extended periods. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. This job description is subject to change at any time.
First Foundation is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, and status as a qualified individual with a disability, sexual orientation, gender identity, or any other characteristic protected by law.
$60.1k-84.2k yearly 7d ago
Private investigator
USA Express Legal & Investigative Service
Investigator job in Santa Ana, CA
Looking for private investigator or anyone is in training to become an investigator to handle field assignments for personal injury cases. Training will be provided. Immediate opening. We pay hourly rate plus IRS applicable mileage. Compensation: $25.00 per hour
$25 hourly Auto-Apply 60d+ ago
SIU Investigator - Underwriting & Premium Fraud
CNA 4.6
Investigator job in Placentia, CA
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Under minimal direction, initiates and manages suspected fraudulent underwriting and insurance premium investigations involving the highest complexity matters. Provides advice, direction, and support to underwriters, auditors, business unit leadership, corporate investigations and other stakeholders across the organization on the detection, investigation, and litigation of suspected underwriting matters.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
Leads the detailed analysis and completion of thorough and timely investigations of suspected underwriting fraud by following Best Practice Guidelines and collaborating with business stakeholders.
Develops and executes investigation strategy either independently or in collaboration with underwriting professionals, counsel, experts, insureds, and other stakeholders.
Manages investigation activities independently and/or coordinates/oversees vendor service partner activities in the field.
Maintains detailed, accurate and timely case records by following established Best Practices for file documentation and by creating comprehensive reports of investigative findings, and conclusions.
Makes recommendations for resolution by presenting evidence-based findings and proposing solutions of moderate to complex scope.
Identifies opportunities and participates in the design and implementation of process or procedural improvements.
Leads or directs efforts to build and enhance and oversees organizational capabilities by developing and delivering fraud awareness or regulatory compliance training and mentoring SIU staff.
Leads or directs the preparation of cases for appropriate reporting to outside agencies; leads or directs pursuit of criminal or civil actions through gathering and documenting relevant data, organizing and summarizing facts and testifying on behalf of the company in civil or criminal matters.
Continuously develops knowledge and expertise related to insurance fraud by keeping current on related law, regulations, trends, and emerging issues and participating in insurance fraud or related professional associations.
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or Director
Skills, Knowledge and Abilities
Solid knowledge of property and casualty claim handling practices
Strong technical knowledge of practices and techniques related to investigations and fact finding. For roles focused in an area of specialty (medical provider investigations), strong technical knowledge of respective specialty practices is required.
Strong interpersonal, oral, and written communication skills; ability to clearly communicate complex issues
Ability to interact and collaborate with internal and external business partners, including outside agencies
Ability to work independently, exercise good judgment, and make sound business decisions
Detail oriented with strong organization and time management skills
Strong ability to analyze complex, ambiguous matters and develop effective solutions
Proficiency with Microsoft Office applications and similar business software, and understanding of relational databases information querying techniques
Ability to adapt to change and value diverse opinions and ideas
Developing ability to implement change
Ability to travel occasionally (less than 10%)
Education and Experience
Bachelor's degree or equivalent professional experience.
Minimum of three to five years of experience conducting investigations in the area of a) insurance fraud, b) law enforcement, c) civil or criminal litigation, or d) similar field.
Professional certification or designation related to fraud investigations strongly preferred (e.g., CFE, CIFI, FCLS, FCLA, or similar).
#LI-AR1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut,
Illinois
,
Maryland,
Massachusetts
,
New York and Washington,
the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
How much does an investigator earn in Redlands, CA?
The average investigator in Redlands, CA earns between $56,000 and $160,000 annually. This compares to the national average investigator range of $42,000 to $119,000.
Average investigator salary in Redlands, CA
$95,000
What are the biggest employers of Investigators in Redlands, CA?
The biggest employers of Investigators in Redlands, CA are: