Investigator jobs in Rialto, CA - 50 jobs

People Drive Our Success Are you enthusiastic, highly motivated, and have a strong work ethic? If yes, come join our team! At Cathay Bank - we strive to provide a caring culture that supports your aspirations and success. We believe people are our most valuable asset and we proudly foster growth and development empowering you to achieve your professional goals. We have thrived for 60 years and persevered through many economic cycles due to our team members' drive and optimism. Together we can make a difference in the financial future of our communities. Apply today! What our team members are saying: Video Clip 1 Video Clip 2 Video Clip 3 Learn more about us at cathaybank.com GENERAL SUMMARY Investigator is responsible to conduct the transactional activity reviews and due diligence on potential AML risks associated with existing or potential clients with the purpose that the client does not present undue legal, regulatory, or reputational risk to Cathay Bank. Interface with branch/lending staff to obtain information related to their client's transaction activity and documentation provided. ESSENTIAL FUNCTIONS Maintains a current knowledge of the Bank Secrecy Act and related anti-money laundering and OFAC regulations. Conducts account analysis to detect trends and patterns, irregular transaction behavior. Sends requests to account officers to provide supporting documentation on unusual transactions. Organizes and summarizes the analysis performed into cohesive and concise narrative to enrich the client profile. Completes SARs (if necessary) in a timely manner. Ensures that analysis information and documentation is organized and maintained appropriately. Researches detailed information, including names and accounts provided by multiple sources to determine if there is evidence of criminal activity. Ensures accurate tracking of assignments and requests for documentation for proper tracking of deadlines, as well as following up on pending items in a timely manner. Coordinates with the AVP Manager to resolve issues, discuss patterns and trends, policy changes, etc. Performs other responsibilities assigned by the BSA Officer or designee. Regular overtime is required; this includes occasional weekend days. QUALIFICATIONS Education: Bachelor's Degree in related fields of business or finance, preferred. Experience: 3 or more years of investigative or related experience with specific emphasis on BSA/AML, SDD/KYC and OFAC. Familiarity with U.S. BSA/AML Laws/Regulations required. Skills/Ability: Strong understanding of Financial Institutions and relevant products/services. Strong analytical and problem resolution skills. Excellent communication skills, both written and verbal. Ability to work well independently and with others. Ability to multi-task prioritize deliverables in a timely and effective manner. Flexibility to adapt to changing priorities to meet business needs. Proficient in the Microsoft suite of products and Internet-based research. OTHER DETAILS $31.25 - $36.06 / hour Pay determined based on job-related knowledge, skills, experience, and location. This position may be eligible for incentive compensation. Cathay Bank offers its full-time employees a competitive benefits package which is a significant part of their total compensation. It is our goal to provide employees with a comprehensive benefits package to fit their needs which includes, coverage for medical insurance, dental insurance, vision insurance, life insurance, long-term disability insurance, and flexible spending accounts (FSAs), health saving account (HSA) with company contributions, voluntary coverages, and 401(k). Cathay Bank may collect personal information from potential job candidates and applicants. For more information on how we handle personal information and your applicable rights, please review our Privacy Policy. Cathay Bank is an Equal Opportunity and Affirmative Action Employer. We welcome applications for employment from all qualified candidates, regardless of race, color, ethnicity, ancestry, citizenship, gender, national origin, religion, age, sex (including pregnancy and related medical conditions, childbirth and breastfeeding), reproductive health decision-making, sexual orientation, gender identity and expression, genetic information or characteristics, disability or medical condition, military status or status as a protected veteran, or any other status protected by applicable law. Click here to view the "Know Your Rights: Workplace Discrimination is Illegal" Poster: Poster- English Poster- Spanish Poster- Chinese Traditional Poster- Chinese Simplified Cathay Bank endeavors to make **************************** to any and all users. 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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.

Full-time Description Job Title: Investigator Job Type: Full-Time, Billable Hours, Non-exempt Reports To: Regional Manager Compensation: Hourly Rate: $22 - $28 per hour (Weekly Pay) Commensurate with experience and performance Travel Time: Travel commute time is compensated at 100% of regular hourly rate, after reasonable commute Mileage Reimbursement: $0.55 per mile Paid Administrative Time: Paid at regular hourly rate Paid Training: Paid at regular hourly rate Bi-lingual in Spanish and English needed. The Interviews Team is looking for an Investigator to join our team on a full-time or part time if feasible. This role involves conducting thorough insurance claims investigations, which include performing scene investigations to collect photo and video evidence from accident locations. Additionally, this position requires the handling of document signings and retrievals, conducting wellness checks, and submitting daily updates on the work performed for each case. Preparing and dictating investigation reports is also a key responsibility. Essential job functions include, but are not limited to: Conducting insurance claims investigations, including taking recorded claimant and witness statements as well as performing scene investigations Completing multiple types of complex claims investigations Reviewing assignments and supporting documentation to determine case objectives and client expectations. Daily submission of updates regarding work performed on each case Maintaining a sufficient level of client billable hours Preparing and dictating detailed investigation reports Adhering to strict due dates About Us: Frasco is a leading provider of investigative services for our clients in the insurance industry. We are committed to delivering accurate, high-quality investigation services to meet our clients' expectations. Requirements Investigator candidates must have: Strong attention to detail with commitment to accuracy and quality Ability to effectively communicate with others Ability to work independently Ability to work from a home-based office and work flexible hours Valid driver's license and vehicle Minimum auto insurance in the amount of $100,000 each person/$300,000 each accident bodily injury/$50,000 property damage Smartphone, printer, scanner, desktop/laptop computer with a good internet connection Ability to model behaviors that reflect Frasco's core values Capable of working independently, contacting clients, and strategizing about the best course of action to handle their needs, and be able to proceed accordingly Preferred Qualifications/Experience: Associate or Bachelor's Degree in Criminal Justice or related field Bi-lingual in Spanish and English Customer service experience Start your career with a leader in the investigations industry that is financially stable, experiencing considerable growth, and whose history spans over 60 years! Ready to make a difference? Apply now!All replies are confidential Equal Opportunity Employer PM18

Under general supervision of the Water Production and Distribution Supervisor, tests, maintains and repairs City owned cross-connection (backflow prevention) assemblies, inspects new services and oversees annual cross-connection testing to ensure the safety of the public water system; and performs other related duties. Works under the general supervision of the Water Production and Distribution Supervisor; does not exercise supervisory responsibility. The following essential functions are those that are critical, integral, necessary, crucial, primary and fundamental to the job. Incumbents who possess the requisite skill, experience, education, and other job-related requirements of a position are expected to perform the essential functions of the job with or without a reasonable accommodation. The following duties ARE NOT intended to serve as a comprehensive list of all duties performed by all employees in this classification, only a representative summary of the primary duties and responsibilities. Incumbent(s) may not be required to perform all duties listed and may be required to perform additional, position-specific duties. * Tests, maintains and repairs all City owned backflow assemblies to ensure proper functioning; inspects and tests backflow devices annually to ensure they are functional to protect the public water system. * Inspects and connects all new services to ensure proper installation; collects bacteria samples, checks chlorine residual and conducts pressure, leakage, sterilization and flushing test procedures at various water main construction sites. * Inspects consumer premises for cross-connections, performs cross-connection surveys; answers and resolves questions from contractors regarding backflow assemblies. * Maintains records and logs of inspection services performed including record of all backflow devices; mails test notice and list of certified backflow testers to customers, follows-up to ensure that tests are completed and records results. * Reviews, investigates and responds to work requests and complaints. * Responds to requests for information; provides information to other supervisors or managers and organizations; research issues and recommends solutions. * Coordinates division activities with those in other departments, outside agencies and organizations; provides technical assistance as necessary. * Stays abreast of new trends and innovations in the field of backflow prevention. * Performs related duties and responsibilities as assigned. Education and Experience: Possession of a High School diploma, G.E.D. or equivalent; AND minimum three (3) years of experience in a water utility; OR an equivalent combination of education and experience. Required Licenses or Certifications: * Must possess a valid California Class C Driver's License. * Possession of a Grade I Water Treatment and Grade II Water Distribution Certification issued by the State Water Resources Control Board. * Possession of a Los Angeles County Certified Backflow Tester or American Water Works Association (AWWA) Backflow Tester Certification is required. A Los Angeles County Certified Backflow Tester certification will be required to be obtained within 12 months of employment. * University of Southern California Foundation for Cross Connection Control and Hydraulic Research Cross Connection Control Specialist Certification or AWWA Cross Connection Specialist Certification is desirable. Required Knowledge of: * City organization, operations, policies and procedures. * Principles and practices of water distribution and cross-connection prevention system construction, maintenance, repair and safety practices including equipment related maintenance. * State and federal environmental protection codes and regulations; Cal OSHA regulations. * City Code, City Ordinances and Standard Operating Manual, personnel policies and procedures, and applicable Memoranda of Understanding. * Proper installation of backflow devices. * Common hand and power tools. * Basic preventive maintenance on assigned equipment. Required Skill in: * Establishing and maintaining effective working relationships with staff, City departments, elected officials, regulatory agencies, contractors, local businesses, and the general public. * Interpreting water cross-connection standards, safety codes, and City policies and procedures. * Inspecting and testing backflow devices. * Maintaining inspection records. * Operates simple plumbing tools, test gauge and other hand tools to test and repair backflow prevention devices. * Reads, understands, and complies with the City's Safety Manual; has proper knowledge of the use of power operated and hand tools and safety gear; attends and may be responsible for initiating safety meetings as required; reports all accidents, violations, or infractions. * Utilizing public relations techniques in responding to inquiries and complaints. * Operating a personal computer, including word processing and spreadsheet software. * Effective verbal and written communication. Physical Demands / Work Environment: * Work is performed in indoor and outdoor environments with considerable time spent in moderate temperatures (above 80 degrees), with exposure to the elements including heavy rain. * Work requires reaching, bending, lifting, driving, pushing, walking and climbing (more than 12 feet). * Good near vision, far vision and color perception is required. * May be exposed to wet surfaces, minor amounts of dust and on occasion loud noises. * Work may involve exposure to dangerous machinery, hazardous chemicals, high voltage control panels and motors. Internal applicants must use their personal email to apply, as City of Compton work emails will not be accepted for job applications. While we cannot prevent applicants from using their work email, the City is not responsible for missed communications due to system outages, firewall restrictions, employee leave, or any other technical or accessibility issues affecting City email accounts. All applicants must meet the minimum qualifications for the position and submit all required documents -such as licenses, certifications, and proof of education- outlined in the job posting. Incomplete applications, including those missing any required documentation, will not be considered. Please note: Only the first 50 applications received that best meet the qualifications and needs of the department will be invited to continue in the hiring process. EXAMINATION The purpose of this examination is to establish an eligible list from which vacant position(s) may be filled. Only the most qualified candidates will be invited to participate in the examination and interview process. Phase one (1) is an oral examination (weighted 100%) that will be administered by an appraisal panel to evaluate professional qualifications, background and suitability. The oral examination may include graded simulation exercises, writing exercises, and oral presentations. A passing score for the oral exam is 70%. Each candidate will be notified via e-mail of their status at each step of the recruitment. The City of Compton reserves the right to utilize alternative testing methods, if deemed necessary. Failure in one phase of the examination shall be grounds for declaring the applicant as failing in the entire examination, and as disqualified for subsequent parts of an examination. GENERAL INFORMATION TO EXAMINATION APPLICANTS The City of Compton does not discriminate on the basis of race, color, national origin, sex, religion, age, or disability in employment or provisions of services. Applicants with disabilities who require special testing arrangements must give advanced notice to the Human Resources Department prior to the final filing date. ELIGIBLE LISTS Recruitment may be conducted on a (a) promotional basis, (b) open-competitive basis, or (c) promotional and open-competitive basis simultaneously. All candidates who attain an overall score of at least 70.00 (open-competitive) and at least 75.00 (promotional) will be placed in rank order on the relevant eligible list(s). PLEASE NOTE: All permanent City employees that attain an overall score of at least 75.00 will be placed on both the promotional eligible list and the open-competitive eligible list. All City employees that attain a score of 70.00 on EACH PHASE of the examination but an overall score of less than 75.00 will be placed on the open-competitive eligible list only. Each eligible list shall remain in effect one (1) year from the date of its establishment unless it is extended, abolished or exhausted. Whenever possible, three (3) names are certified to fill any one (1) vacant position. No candidate may be certified more than three (3) times for any one classified position. When certifying eligible lists to appointing powers, the promotional eligible list takes precedence over the open-competitive eligible list. A department manager's recommendation for employment is subject to the City Manager's approval. EXAMINATION APPEAL PROCEDURE A candidate may, within five (5) days after taking the written examination, file in writing with the City Manager an appeal against any part of the test, citing the item or items against which the appeal is directed, and the reason(s) for such appeal. The Personnel Board will consider appeals from the decisions and ratings of qualifications appraisals (interview) boards if such appeals meet the conditions described in the Personnel Rules and Regulations (Section 6.8). EXAMINATION RECORDS All examination papers, including the employment application, resume, and other attachments submitted by candidates are the property of the Personnel Board and are confidential records which may be open to inspection only for purposes and under conditions established by the Personnel Board. VETERAN'S PREFERENCE In all entrance examinations (open-competitive only) for positions in the Classified Service, veterans who served in the armed forces of the United States during time(s) of war, and who attain an overall passing score in the examination are allowed additional preferential credit in accordance with the Personnel Rules and Regulations. In order to claim veterans' credit, the applicant must submit proof of service and honorable discharge (showing specific dates of service) on a U.S. Military form (DD-214) at the time of application or not later than the final filing date for the examination. FRINGE BENEFITS The City's comprehensive fringe benefits program includes: retirement (Public Employees' Retirement System), medical, dental, life and vision insurances, deferred compensation, sick and vacation leaves, after-hours education reimbursement, ride share program, uniform allowance and other provisions.

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: ******************** .

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 ***************************.

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.

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.

San Bernardino County's Probation Department is recruiting for Background Investigators who obtain information on potential employees in order to determine their suitability for safety and general positions in a law enforcement environment. Essential functions include: Conduct personal interviews with potential new hires; explain background process; review personal history statements and determine suitability for employment based on department standards and legal requirements; Use departmental guidelines and established background procedures, conduct background investigations on potential employees, including interviews with personal references and prior employers; check credit and criminal history, educational achievements, birth, age, military and DMV records and prepare written reports supporting either the hiring or disqualification of potential employees. For more detailed information, please refer to the Background Investigator job description. EXCELLENT BENEFITS To review job-specific benefits, refer to: Summary of Benefits Memoranda of Understanding (MOU) CONDITIONS OF EMPLOYMENT Background: Candidates must not have been convicted of a felony and must successfully pass an extensive background investigation which includes a fingerprint check and polygraph. Certificate: Incumbent must successfully complete a certified program in Background Investigation for Public Safety and Peace Officers within three (3) months of employment, or be terminated. Travel: Travel throughout the County may be required and employees will be required to make provisions for such transportation. Sponsorship: San Bernardino County is not able to consider candidates who will require visa sponsorship at the time of application or in the future. Applicants must meet one of the following options: Option 1: One (1) year of full-time equivalent experience with primary responsibility for conducting pre-employment background investigations in a law enforcement environment. Option 2: Two (2) years of full-time equivalent experience with primary responsibility for conducting pre-employment background investigations. Option 3: Two (2) years of full-time equivalent experience with primary responsibility for conducting criminal investigations in a law enforcement environment. (Equivalent to a detective, investigator, probation or parole officer; investigative experience as a patrol officer is not qualifying.) POST Intermediate or POST Advanced certificates or completion of a certificated program or course in Background Investigation for Public Safety and Peace Officers are highly desired. Examination Procedure: There will be a competitive evaluation of qualifications based on the information provided in the Application and the Supplemental Questionnaire. You are encouraged to include detailed descriptions of your qualifying experience and skills, as only the most highly qualified applicants will be referred to the Department. Application Procedure: Please complete and submit the online employment application and supplemental questionnaire for consideration before the posted deadline. Resumes will not be accepted in lieu of the application and/or supplemental questionnaires. To ensure timely and successful submission of your online application, please allow ample time to complete and submit your application before the filing deadline. Applicants will be automatically logged-out if they have not submitted the application and all required materials prior to the posted deadline. Once your application has been successfully submitted you will receive an onscreen confirmation and an email. We recommend that you save and/or print these for your records. Please note: if you do not receive an onscreen confirmation and an email acknowledging our receipt of your application, we have not received your application. If you need technical assistance, follow this link to review the Government Jobs online application guide or contact their Toll-Free Applicant Support line at **************. Please note that Human Resources is not responsible for any issues or delays caused by your internet connection, computer, or browser when submitting an application. Equal Employment Opportunity (EEO) / Americans with Disabilities Act (ADA): San Bernardino County is an Equal Employment Opportunity (EEO) and Americans with Disabilities Act (ADA) compliant employer, dedicated to ensuring equal employment opportunities for all employees and applicants. ADA Accommodation: If you have a disability and need accommodations during the testing process, please submit the Special Testing Accommodations Request Form (Download PDF) within one week of the recruitment filing deadline. Veterans' Preference: Eligible veterans, their spouses, or widows/widowers who are not current County employees may receive additional Veterans' Preference points. For details and instructions on how to request these points, please refer to the Veterans' Preference Information (Download PDF). For more important details, review the Applicant Information and County Employment Process.

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 ***************************.

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!!! **************************** 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.

Job Description Healthcare Fraud Investigator II - Medicare Los Alamitos, CA hybrid (OR) Work from Home in CA, AZ, ID, NV, OR, UT, or WA @Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Our Client is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities. Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes. Essential Duties and Responsibilities: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity. Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed. Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements. Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process. Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims. Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards. Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates. Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative processes. Education and /or Skills and Experience Required: Minimum Bachelor's Degree Minimum of 2-4 years experience in healthcare fraud investigation/detection; 5-7 years experience preferred Must possess prior experience in federal or state healthcare programs or a related field that demonstrates expertise in reviewing, analyzing, and making appropriate decisions related to fraud, waste and abuse. Preferred Skills/Experience: Certified Fraud Examiner or Accredited Healthcare Anti-Fraud Investigator Prior successful experience with CMS and OIG/FBI or similar agencies Medicare investigation experience strongly preferred If you match the requirements for this opportunity and believe you have the experience and talent to succeed in the role, we need to hear from you! Compensation for the role of Investigator will be determined based on experience and qualifications. The salary range is expected to be $64,000 - $80,000, plus benefits. Established in 2010, @Orchard LLC, also known as, Talent Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at ****** Orchard.com .

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! Pay Rate: $20 - $24 / hr Must possess a valid driver's license with at least one year of driving experience RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law Closing Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: *********** If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices. Requisition ID 2026-1514113

Overview Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Job Description Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. Multiple positions available! Pay Rate: $20 - $24 / hr Must possess a valid driver's license with at least one year of driving experience RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law Closing Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: *********** If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices. Requisition ID 2026-1513888

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

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 ***************************.

Healthcare Fraud Investigator II - Medicare Los Alamitos, CA hybrid (OR) Work from Home in CA, AZ, ID, NV, OR, UT, or WA @Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Our Client is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities. Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes. Essential Duties and Responsibilities: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity. Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed. Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements. Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process. Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims. Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards. Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates. Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative processes. Education and /or Skills and Experience Required: Minimum Bachelor's Degree Minimum of 2-4 years experience in healthcare fraud investigation/detection; 5-7 years experience preferred Must possess prior experience in federal or state healthcare programs or a related field that demonstrates expertise in reviewing, analyzing, and making appropriate decisions related to fraud, waste and abuse. Preferred Skills/Experience: Certified Fraud Examiner or Accredited Healthcare Anti-Fraud Investigator Prior successful experience with CMS and OIG/FBI or similar agencies Medicare investigation experience strongly preferred If you match the requirements for this opportunity and believe you have the experience and talent to succeed in the role, we need to hear from you! Compensation for the role of Investigator will be determined based on experience and qualifications. The salary range is expected to be $64,000 - $80,000, plus benefits. Established in 2010, @Orchard LLC, also known as, Talent Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at ****** Orchard.com .

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! Pay Rate: $20 - $24 / hr Must possess a valid driver's license with at least one year of driving experience RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law Closing Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: *********** If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices. Requisition ID 2026-1513888

Overview Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Job Description Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. Multiple positions available! Pay Rate: $20 - $24 / hr Must possess a valid driver's license with at least one year of driving experience RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law Closing Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: *********** If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices. Requisition ID 2026-1514113