Criminal Investigator (Special Agent) (Reemployed Annuitant)
Investigator job in Miami, FL
ICE is hiring for law enforcement jobs that have an exciting opportunity! Once onboarded and if in the DC local area, you may be assigned for up to one year to support the D.C. Safe and Beautiful Task Force. The law enforcement component of the D.C. Task Force is a partnership of over 20 federal and local agencies working together to make D.C. the safest city in America. Once the assignment ends, you'll transition back to support ICE. Visit the D.C. Task Force page for more information.
Summary
ICE is hiring for law enforcement jobs that have an exciting opportunity! Once onboarded and if in the DC local area, you may be assigned for up to one year to support the D.C. Safe and Beautiful Task Force. The law enforcement component of the D.C. Task Force is a partnership of over 20 federal and local agencies working together to make D.C. the safest city in America. Once the assignment ends, you'll transition back to support ICE. Visit the D.C. Task Force page for more information.
Overview
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Accepting applications
Open & closing dates
11/06/2025 to 12/31/2025
Salary $105,383 to - $171,268 per year Pay scale & grade GS 13
Locations
Many vacancies in the following locations:
Phoenix, AZ
Los Angeles, CA
San Diego, CA
San Francisco, CA
Show morefewer locations (25)
Denver, CO
Washington, DC
Miami, FL
Tampa, FL
Atlanta, GA
Honolulu, HI
Chicago, IL
Kansas City, KS
New Orleans, LA
Boston, MA
Baltimore, MD
Detroit, MI
Saint Paul, MN
Charlotte, NC
Newark, NJ
Buffalo, NY
New York, NY
Philadelphia, PA
San Juan, PR
Nashville, TN
Dallas, TX
El Paso, TX
Houston, TX
San Antonio, TX
Seattle, WA
Remote job No Telework eligible No Travel Required Occasional travel - You may be expected to travel for this position. Relocation expenses reimbursed No Appointment type Term - 1 Year Work schedule Full-time Service Competitive
Promotion potential
13
Job family (Series)
* 1811 Criminal Investigation
Supervisory status No Security clearance Top Secret Drug test Yes Position sensitivity and risk Critical-Sensitive (CS)/High Risk
Trust determination process
* Suitability/Fitness
Financial disclosure No Bargaining unit status No
Announcement number HSI-12830647-RHA Control number 849707200
This job is open to
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Career transition (CTAP, ICTAP, RPL)
Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants.
Special authorities
Individuals eligible under a special authority not listed in another hiring path.
Clarification from the agency
Retirees under Federal Employee Retirement System (FERS) or Civil Service Retirement System (CSRS) who are eligible for re-employment as a Federal Annuitant AND previously worked as an 1811 for any Federal Government Agency and Federal CTAP, ICTAP and RPL eligibles. Retired applicants must be retired on or before the opening date of this announcement.
Duties
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As a Criminal Investigator (Special Agent), you will perform duties such as:
* Serve as a Special Agent for interagency, multi-jurisdictional, international, and/or inter-organizational inquiries and investigations;
* Conduct investigations of unusual difficulty and responsibility associated with trade, travel, finance, and immigration for combatting illicit activities associated with individuals, businesses, employers, criminal organizations or criminal conspiracies, and cyber systems and networks;
* Utilize a combined methodology of intelligence, investigative techniques, and legal authorities to conduct investigations and associated activities;
* Apply knowledge of the trends, laws, and investigative case development, independently or in coordination with other law enforcement officers (LEOs) or agencies to accomplish work;
* Prepare written documentation utilizing expert knowledge in support of investigations;
* May lead teams of special agents and other law enforcement officers; make assignments and provide guidance and coordination to team members; and
* May instruct special agents in the appropriate use of Firearms and application of Defensive Tactics.
Salary: The salary range indicated in this announcement reflects the lowest and highest potential salaries for this position. The actual salary range will be based on the applicable locality pay for the selected duty location. General Schedule locality pay tables may be found under Salaries & Wages.
Are you ready to return to mission? Resume your impactful and thrilling career as a Criminal Investigator with HSI at ICE! Rejoin an elite team dedicated to defending the U.S. by tackling complex criminal threats and securing our nation's safety.
This role offers up to $50,000 in signing and retention bonuses, a Dual Compensation Waiver, and a streamlined onboarding process. If you're ready to serve with pride once again, apply and reclaim your vital role in preserving homeland security!
You have the opportunity to identify one location preference Special Agent in Charge (SAC) office area of responsibility. Note that multiple duty locations fall within the area of responsibility (AOR) of each SAC office. Please view the duty locations within each SAC AOR here. Your location preferences are NOT guaranteed. The duty locations offered will be based on the needs of the agency. If you decline the duty locations offered during the official job offer, you will be removed from further consideration. Note: Selectees for the Glynco, GA, Huntsville AL and Charleston, SC locations may be assigned as Firearms and Defensive Tactics instructors.
Retired applicants must be retired on or before the opening date of this announcement.
This announcement may be used to fill additional vacancies based on the needs of the Agency.
View Common Definitions of terms found in this announcement.
Organizational Location: These positions are located in the Department of Homeland Security, U.S. Immigration and Customs Enforcement, Homeland Security Investigations in multiple locations.
This is a term position not-to-exceed 1 year (may be extended based on the needs of the Agency).
Recruitment and retention incentives available to eligible candidates require a service agreement.
Requirements
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Conditions of employment
* You must be a U.S. citizen to apply for this position.
* You must successfully pass a background investigation.
* You must successfully pass a drug screen.
* Males born after 12/31/59 must certify registration with Selective Service.
* Requirements by Closing Date: Unless otherwise noted, you must meet all requirements by the closing date of the announcement.
* Time in Grade: Time in grade restrictions must be met by the closing date of this announcement. Applicants must have at least 52 weeks of service equivalent to the next lower grade level in the normal line of progression for the position to be filled
* Motor Vehicle Operation: You must possess a valid automobile driver's license at the time of appointment.
* This position requires the selectee to carry a firearm. Any person who has been convicted of a misdemeanor crime of domestic violence cannot lawfully possess a firearm or ammunition (Title 18, U.S.C. Section 022 (g)(9)).
* Convictions of misdemeanor crime of domestic violence are disqualifying.
* Work Conditions: Job requires physical strength and stamina due to long periods of surveillance, restraining suspects, and carrying heavy equipment. Environment includes work indoors/outdoors in a potentially dangerous and stressful situations.
* Travel: You will be required to travel frequently and on short notice.
* Medical Requirements: You may be required to pass a pre-employment medical examination.
* You will be required to live within 50 miles of your duty station.
* You may be required to testify at court. Law enforcement officers and agents must be able to testify without concern of impeachment.
Qualifications
Dual Compensation Off-Set Waiver for Criminal Investigators (Special Agents) Approved for Rehires: This announcement is being used to recruit CSRS and FERS annuitants on a limited basis with a waiver of salary offset (if a dual compensation waiver is requested) under certain specified circumstances not to exceed 6/30/2028 excluding annuitants with early voluntary and buyout retirements.
Annuitants who are reemployed with a salary offset (dual compensation) waiver are eligible for:
* Full annuity and full Federal salary
* Annual and sick leave (not applicable for an intermittent work schedule)
* Full-time work schedules
* Receive overtime (on a full schedule). Overtime hours are counted towards maximum hour limitations
* Law Enforcement Availability Pay (LEAP) - additional compensation of 25% of the base salary added to locality pay
* New hires under this authority will be offered a non-status, term appointment in the competitive service not-to-exceed 1 year (may be extended based on the needs of the Agency).
Annuitants who are reemployed with a salary offset (dual compensation) waiver are NOT eligible for:
* Additional retirement coverage (other than Social Security coverage).
* TSP Contributions.
Reemployed annuitants may only receive one appointment per job series.
To be considered qualified for this position you must meet the following qualification requirements:
Please limit your resume to 2 pages. If more than 2 pages are submitted, only the first 2 pages will be reviewed to determine your eligibility/qualifications.
You qualify for the GS-13 grade level if you possess one (1) year of specialized experience at the GS-12 grade level or equivalent performing the following duties/duties such as:
* Conducting a broad range of investigations of a very high order of difficulty and responsibility, and exercising specialized expertise in programmatic areas such as narcotics, money laundering, financial crimes, human trafficking, fraud, international trade, network intrusion response, counterintelligence, counterterrorism, counterproliferation or general criminal investigations;
* Reviewing files and performing complex federal, state, and local law enforcement-related database queries, using law enforcement sensitive and classified databases;
* Maintaining, developing, and enhancing inter-agency partnerships, and connections with other governmental and private sector entities;
* Planning and implementing strategies for the collection and analysis of information to support long-term criminal investigations;
* Conducting interviews and interrogations using advanced techniques with a wide variety of individuals (e.g., suspects, witnesses, sources, and/or victims) to gather information;
* Preparing reports, using expert knowledge, in support of general criminal actions;
* Leading immigration-related law enforcement actions or investigations (e.g., worksite cases, visa overstays, immigration fraud investigations, administrative immigration enforcement).
Qualification requirements must be met by the closing date of this announcement. Qualification claims will be subject to verification.
National Service Experience (i.e., volunteer experience): 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.
Current or Former Political Appointees: The Office of Personnel Management (OPM) must authorize employment offers made to current or former political appointees. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office.
Education
Medical Requirement: You may be required to pass a pre-employment medical examination.
Firearms Requirement: You will be required to carry a firearm while performing duties of this position. Maintaining firearm proficiency is also mandatory. You must satisfactorily complete (or have previously completed) the firearms component of the Criminal Investigation Training Program at Glynco, Georgia. Any person who has been convicted of a misdemeanor crime of domestic violence cannot lawfully possess a firearm or ammunition. Candidates under consideration will be required to certify whether they have ever been convicted of such an offense. False or fraudulent information provided by candidates is criminally punishable by fine or imprisonment.
Work Conditions: This job requires physical strength and stamina to perform such activities as conducting long periods of surveillance, pursuing and restraining suspects, and carrying heavy equipment to be uses in investigative efforts. These activities require considerable physical exertion, such as running, stooping, bending, climbing, lifting and carrying heavy objects. The environment involves work indoors and outdoors in a variety of potentially dangerous and stressful situations, as well as exposure to physical attack, including the use of lethal weapons.
Additional information
To support operational needs, applicant lists will be generated every two weeks or earlier and offers of employment may be extended prior to the close of the announcement.
These are non-bargaining unit positions.
This position is at the full performance level.
E-Verify: DHS uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Learn more about E-Verify, including your rights and responsibilities.
Suitability: If you receive a conditional offer of employment for this position, you will be required to complete an Optional Form 306, Declaration for Federal Employment, and to sign and certify the accuracy of all information in your application, prior to entry on duty. False statements on any part of the application may result in withdrawal of offer of employment, dismissal after beginning work, fine, or imprisonment.
Background Investigation: To ensure the accomplishment of our mission, DHS requires every employee to be reliable and trustworthy. To meet these standards, all selected applicants must undergo and successfully obtain and maintain a background investigation for Top Secret as a condition of placement into this position. This may include a credit check, a review of financial issues such as delinquency in the payment of debts, child support and/or tax obligations, as well as certain criminal offenses and illegal use or possession of drugs.
Polygraph: ICE has designated this position for polygraph testing, which you may be required to complete. If referred for polygraph testing, you may be required to travel to a testing location.
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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.
Law Enforcement Availability Pay (LEAP): This position may require substantial amounts of irregular or occasional overtime. You will be required to work on an unscheduled basis in excess of the 40-hour workweek. You must be readily available to perform this unscheduled overtime on a continual basis. Upon entering on duty, LEAP will be paid to reemployed annuitants.
Benefits: DHS offers competitive salaries and an attractive benefits package, including: health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include: flexible work schedules; telework; tuition reimbursement; transportation subsidies; uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "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.
We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. If you meet the minimum qualifications, your experience, education, and training will be rated using an Assessment Questionnaire that is based on the following competencies or knowledge, skills, and abilities needed to perform this job:
* Conscientiousness
* Decision Making and Judgment
* Interpersonal Skills
* Manages Human Resources
* Managing and Organizing Information
* Teamwork
Based on your responses, you will receive a score from the Assessment Questionnaire between 70 and 100.
If you are best qualified, you may be referred to the hiring manager for consideration and may be called for an interview.
Interviews may be required for this position. Failure to complete the interview may result in removal from further consideration.
Due weight will be given to performance appraisals and incentive awards in merit promotion selection decisions in accordance with 5 CFR 335.103(b)(3).
Pursuant to Executive Order 12564, and the DHS Drug-Free Workplace Plan, ICE is committed to maintaining a drug-free workplace and, therefore, personnel in safety- or security-sensitive positions (testing designated positions) are subject to random drug testing. Moreover, other drug testing of employees (e.g., reasonable suspicion drug test) may be conducted in order to ensure a safe and healthy work environment. All applicants tentatively selected for employment at ICE are subject to pre-employment drug testing and a final offer of employment is contingent upon a negative drug test result.
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.
Law Enforcement Availability Pay (LEAP): This position may require substantial amounts of irregular or occasional overtime. You will be required to work on an unscheduled basis in excess of the 40-hour workweek. You must be readily available to perform this unscheduled overtime on a continual basis. Upon entering on duty, LEAP will be paid to reemployed annuitants.
Benefits: DHS offers competitive salaries and an attractive benefits package, including: health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include: flexible work schedules; telework; tuition reimbursement; transportation subsidies; uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "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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* Resume showing relevant experience, education and training. Work experience should include: job title, duties, employer's name, employer's telephone number, employer's address, starting and ending dates (MM/YY), hours worked per week, and indicate whether or not we may contact your current supervisor. Please limit your resume to 2 pages. If more than 2 pages are submitted, only the first 2 pages will be reviewed to determine your eligibility/qualifications (for more information, see the Frequently Asked Questions about the two-Page Resume Limit).
* Are you a current or former political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee? Submit a copy of your applicable SF-50, along with a statement that provides the following information regarding your most recent political appointment: Position title, type of appointment (Schedule A, Schedule C, Non-career SES, or Presidential Appointee), agency and beginning and ending dates of appointment.
* Please provide a copy of your retirement SF-50 (Notification of Personnel Action). Retired applicants must be retired on or before the opening date of this announcement.
* You may be asked to provide a copy of your recent performance appraisal and/or incentive awards.
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.
INVESTIGATOR SUPERVISOR - SES - 64082217
Investigator job in Fort Lauderdale, FL
Working Title: INVESTIGATOR SUPERVISOR - SES - 64082217 Pay Plan: SES 64082217 Salary: $47,668.01 - $49,670.88 Total Compensation Estimator Tool Department of Health
Division of Medical Quality Assurance
Bureau of Enforcement
Investigative Services Unit - Ft. Lauderdale Field Office
Internal Agency Opportunity
Applicants accepted only from Department of Health employees, (includes OPS, Career Service, SES or SMS employees). Applicants will not be accepted from outside of the department.
Note: Positions are typically filled at base salary
Your Specific Responsibilities:
Incumbent is responsible for supervising investigators. This is accomplished through planning, organizing, staffing, training, motivating, and supervising the personnel and operations of the office. Work is performed under supervision through conferences and review of accomplishments concerning the achievement of the unit and division goals and objectives.
* Responsible for all supervisory duties including, but not limited to, hiring and selection, developing performance plans, conducting performance appraisals, planning, and directing their work, approving leave, and taking disciplinary action as appropriate.
* Conducts comprehensive quality control of files which includes daily review of electronic document queues and uploading final investigative reports to improve efficiencies in line with our strategic priorities.
* Supervises the investigation of complaints lodged against Health Care Practitioners, regulated by Florida Statute 456.
* Meets with assigned personnel on a regular basis, at least weekly, to assess progress, provide guidance and solve problems. Applies discipline to assigned personnel in a fair and effective manner.
* Reviews and assigns cases to investigators.
* Advises subordinates of all policy and procedural changes.
* Delegates when appropriate, assignment, review and quality control of cases, evidence control and other related work.
* Conducts investigations and inspections to assist subordinate investigative staff.
* Evaluates evidence of investigations and prepares reports of findings.
* Receives and reviews all field area investigative reports to determine affected financial statutes and regulations and to make recommendations on courses of action.
* Assists Investigation Manager with assigned complex projects.
* Conducts or assures training is conducted on a regular basis and in accordance with policy and procedure for all assigned personnel.
* Assures Review and Performance Plans are performed on time and are done objectively and fairly to assure achievement of performance standards/expectations. When appropriate, assures performance improvement plans are made on employees falling below standards.
* Assures the office is adequately supplied and furnished with the necessary equipment, property, and forms to accomplish its mission and assures all property is maintained according to policy and procedure.
* Assures office is staffed by experienced personnel through recruiting, interviewing, and hiring in accordance with the Department's policies, procedures, and goals.
* This position has security access to Facebook for research purposes only when conducting investigations.
* Answers public inquiries, makes referrals, makes public speaking engagements, and makes professional contacts to further the goals and mission of the Department. Refers press inquiries to the Public Information Office.
* Performs other related duties as required.
Required Knowledge, Skills, and Abilities:
Proficient computer skills to include Word, Excel, PowerPoint and Outlook; knowledge of computer data bases; knowledge and use of the compliance management system and licensing system used by the Agency; knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar; understanding written sentences and paragraphs in work related documents; knowledge of laws, legal codes, court procedures and government rules & regulations; communicating effectively with others verbally and in writing; listening to what other people are saying and asking questions as appropriate; ability to establish and maintain effective working relationships with others; knowledge of healthcare industry and healthcare practice standards; knowledge of medical records; interview skills; knowledge of basic investigative techniques, court procedures and requirements; ability to evaluate evidence; knowing how to find information and identifying essential information; conduct fact-finding research; knowledge of the methods of data collection and analysis; organize data into logical format for presentation in reports, documents and other written materials; developing approaches for implementing an idea; basic management principles and practices; conflict resolution to include handling complaints, arbitrating disputes and resolving grievances; motivating, developing, and directing people as they work, identifying the best people for the job; time management skills; ability to prepare and conduct training.
Qualifications:
* Three (3) years of professional experience conducting regulatory inspections or law enforcement investigations
* One (1) year of supervisory or management experience
* Bachelor's degree from an accredited college or university in a related field of study can substitute on a year-for-year basis for the required professional experience.
* Must have a valid Florida State driver's license, satisfactorily complete a background investigation, fingerprinting, and participation in direct deposit are requirements for employment.
Florida Department of Health Mission, Vision, and Values:
Mission:
To protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.
Vision:
To be the Healthiest State in the Nation.
Values:
I nnovation: We search for creative solutions and manage resources wisely.
C ollaboration: We use teamwork to achieve common goals & solve problems.
A ccountability: We perform with integrity & respect.
R esponsiveness: We achieve our mission by serving our customers & engaging our partners.
E xcellence: We promote quality outcomes through learning & continuous performance improvement.
Where You Will Work:
Office location - Fort Lauderdale, FL
Main counties covered by office - Broward
The Benefits of Working for the State of Florida:
Working for the State of Florida is more than a paycheck. The State's total compensation package for employees features a highly competitive set of employee benefits including:
* Annual and Sick Leave benefits;
* Nine paid holidays and one Personal Holiday each year;
* State Group Insurance coverage options, including health, life, dental, vision, and other supplemental insurance options;
* Retirement plan options, including employer contributions
(For more information, please click ***************
* Flexible Spending Accounts;
* Tuition waivers;
* And more!
For a more complete list of benefits, including monthly costs, visit *****************************
Please be advised:
Your responses to qualifying questions for this position must be verifiable by documentation provided through the electronic application process.
This position requires a security background check and/or drug screening and participation in direct deposit. Any misrepresentations or omissions will disqualify you from employment consideration. Note: You will be required to provide your Social Security Number (SSN) in order to conduct this background check Successful completion of a drug test is a condition of employment for safety-sensitive positions.
Male applicants born on or after October 1, 1962, will not be eligible for hire or promotion unless they are registered with the Selective Services System (SSS) before their 26th birthday, or have a Letter of Registration Exemption from the SSS. For more information, please visit the SSS website: ******************
If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended or deemed ineligible depending upon the date of your retirement.
The successful candidate will be required to complete the Form I-9 and that information will be verified using the E-Verify system. E-Verify is operated by the Department of Homeland Security in partnership with the Social Security Administration to verify employment eligibility.
Incumbents may be required to perform emergency duty before, during, and/or beyond normal work hours or days.
All Florida Department of Health positions require the incumbent to be able to learn and communicate effectively, orally and in writing, in English. Applicants who do not meet this requirement will not be considered.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer and does not tolerate discrimination or violence in the workplace.
Applicants requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (***************. Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
Florida has the third largest population of veterans in the nation with more than 1.5 million service men and women. The Florida Department of Health (department) is committed to serving members of the United States Armed Forces, veterans and their families by encouraging them to apply for vacancies that fit their area of knowledge and/or expertise. Through the Department's VALOR program, which expedites licensing for military veterans, the Department also waives initial licensing and application fees for military veterans who apply for a health care professional license within 60 months of an honorable discharge. These initiatives help ensure that the transition from military service into the workforce is as smooth as possible and reflects our appreciation for the dedication devoted to protecting our country.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (***************. Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
Location:
Private Investigator / SIU (Part-Time)
Investigator job in Miami, FL
Private Investigator - Part-Time / Experienced (Miami, FL)
PhotoFax, Inc., a nationwide private detective agency, is currently hiring experienced surveillance investigators with SIU (Special Investigations Unit) experience to join our team in the Miami, FL region.
This position is designed for investigators with a background in insurance fraud or liability investigations who want flexible, part-time work with a professional agency. Candidates must have prior SIU and insurance claims investigation experience to be considered.
What your day will look like:
Monitoring, pursuing, and documenting individuals in a covert manner using your own vehicle
Conducting pre- and post-surveillance briefings with your case manager to review objectives and strategy
Preparing detailed reports on daily observations and findings
Uploading video and written documentation to the company database
Traveling within the surrounding Miami area (up to two hours from home location)
View our recruiting video: https://vimeo.com/323***********b7a16e
What you will gain:
Continued professional development in insurance fraud and surveillance investigations
Opportunities for advancement within PhotoFax
Performance-based pay and bonuses
Paid travel time
Support from an established nationwide investigative agency
What you need to apply:
Documented SIU or insurance investigations experience required
High school diploma required; Associate's or Bachelor's degree in Criminal Justice, Criminology, or Law Enforcement preferred
Valid driver's license
Clean driving record with minimal infractions
Must currently reside in the greater Miami area
Flexibility to work any day of the week, including weekends and holidays
Ability to work cases within a two-hour radius - no overnight travel required
Job Type: Part-time
Surveillance Investigator
Investigator job in Fort Lauderdale, FL
Individuals selected for the position will be expected to perform investigations of workers compensation claims, liability investigations, multi-line insurance claims, criminal and civil background checks, and other investigative tasks.
The majority of cases worked in this position require stationary and mobile surveillance.
PRINCIPAL RESPONSIBILITIES FOR SURVEILLANCE:
Thoroughly complete assigned cases.
Testify to the collected facts obtained in any hearing or court of law as needed.
Assist other investigators on challenging cases.
Make sound judgments both during the investigation and with future handling recommendations.
Turn in updates, evidence, and report in timely manner.
Upload surveillance video upon completion of investigation.
The nature of this job requires early hours, long days, and travel into surrounding areas.
WHO SHOULD APPLY:
We are looking for people who are enthusiastic about investigations, those who thrive in a diverse work environment, and individuals who have a commitment to the very highest standards of honesty, integrity and respect.
Candidates with at least one year of PI experience are strongly encouraged to apply.
POSITION QUALIFICATIONS:
Candidates MUST hold a current and valid Florida Private Investigator license.
Self-motivated, determined, and intuitive.
Strong initiative and work ethic.
Ability to identify critical issues quickly and accurately
Demonstrated observational, organizational, and listening skills.
Excellent oral and written communication.
Ability to work independently, as well as in a team.
Flexible schedule working weekends, holidays, and possible evenings.
Candidate must own a reliable computer, preferably a laptop.
Access to high-speed internet and a scanner or fax machine.
Must have strong computer and internet skills.
Proficient with a digital camera.
Must own reliable transportation.
Possess a valid driving license.
Upon hire, candidate will be asked to submit a driving record provided by the state DMV or Secretary of State.
Applicants must pass an extensive background check.
Must be able to pass a drug test with negative results (except when undergoing documented medical treatment).
College Degree preferred.
TRAINING
The Robison Group provides remote and/or in-classroom training to ensure that individuals are set up for success before moving into their roles.
COMPENSATION & REIMBURSEMENTS:
Paid travel time and reimbursement for mileage, tolls, and other per diem items.
Hourly Rate is commensurate with education and experience.
OPPORTUNITIES FOR GROWTH WITHIN THE COMPANY INCLUDE:
SIU work, Field Supervisor, Field Operations Manager, Case Management, etc.
Special Investigations Unit Investigator
Investigator job in Sunrise, FL
Hybrid-Sunrise, Florida Experience Conducting Comprehensive Health Care Fraud, Waste, and Abuse (FWA) Investigations The Special Investigations Unit Investigator is responsible for the investigation of potential fraud, waste, and abuse cases involving health plan providers and members. The Special Investigations Unit Investigator responsibilities include but are not limited to case management, research, investigation, documentation, and overpayment recovery. ---
ESSENTIAL DUTIES AND RESPONSIBILITIES:
* Accountable for managing a caseload of referrals and investigations involving potential member and/or provider fraud, waste, and abuse.
* Documents all appropriate case activity in case tracking system.
* Ensures compliance with all state and federal requirements related to FWA and FWA investigations.
* Performs data-mining activities to identify potential cases for investigation.
* Analyzes data as part of the investigative process.
* Performs research to analyze aberrant claims billing and practice patterns.
* Investigates and documents all fraud, waste, and abuse referrals and cases with a focus on thoroughness and attention to detail, quality, timeliness, and cost control. Testifies on investigations documented, as needed.
* Conducts comprehensive interviews with providers, members, and witnesses to obtain information which would be considered admissible under generally accepted criminal and civil rules of evidence.
* Conducts investigative steps out in the field throughout the service area as needed.
* Prepares and submits investigative reports covering all phases of the investigation.
* Works collaboratively with all SIU team members on aspects of the case.
This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.
QUALIFICATIONS:
* Bachelor level education
* Minimum 2-4 years experience conducting comprehensive health care FWA investigations.
* Ability to work independently with minimal supervision and manage a high volume of assignments.
* High degree of integrity and confidentiality required handling information that is considered personal and confidential.
* Analytical skills and ability to make deductions, logical and sequential thinker.
* Strong verbal and written communication skills.
* Health care industry and/or Florida Medicaid knowledge required.
* Advanced knowledge and experience working on various approaches to health care fraud, waste, and abuse.
* Working knowledge of Microsoft applications, especially Excel, required.
* Knowledge of available resources (internal and external) to assist in investigations.
* Medical terminology knowledge and/or experience with CPT and ICD-10 coding preferred.
* Knowledge of suspected FWA trends, potential schemes, and matters of interest to law enforcement and regulators.
* Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE) preferred.
SKILLS AND ABILITIES:
* · Ability to communicate effectively, verbally and written.
* Ability to self-motivate.
* Strong time management skills
* Ability to prioritize and organize FWA program activities.
* Ability to meticulously document case actions and findings for regulatory reporting and any legal action, if applicable
* Ability to collaborate.
* Results oriented skills.
Work Schedule:
Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds.
We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Miami, FL Private Investigator Trainee
Investigator job in Miami, FL
Job Opportunity: Private Investigator Trainee
Seeking Veterans Ready for a New Challenge
Are you recently separated from the military and searching for your next mission? We are looking for dedicated individuals who are ready to transition into an exciting new career as a Private Investigator Trainee.
Lemieux & Associates, a national leader in the investigative industry, is seeking Military Veterans looking to be trained as a Private Investigator in the Miami, FL or surrounding area. This is a full-time position for the right individual.
No Experience Necessary - We Provide Comprehensive Training
Who We're Looking For: Motivated, disciplined individuals who have recently left military service.
Experience: None required. If you have the drive and a strong work ethic, we will train you!
Training: Full, hands-on instruction provided for the right candidate. Learn investigation techniques, surveillance, and more from industry experts.
Qualities: Integrity, attention to detail, and a desire to help others.
Position Summary
A majority of the work activity involves field surveillance requiring the investigator to obtain high quality videotape documentation of claimants who have filed workers compensation and liability/personal injury claims. Investigators are also responsible for submitting accurate and timely reports regarding the results of their investigations. In addition, investigators conduct background investigations, neighborhood canvasses, activity checks, and locates. The Field Investigator performs their duties using the highest legal and ethical investigative standards while efficiently utilizing time and resources to provide outstanding investigative services.
Qualifications
Bi-lingual is a plus
Ability and willingness to travel as necessary
Flexibility to work varied/irregular hours and days
Strong computer and Internet skills
Possess a valid state-issued driver's license
Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection
Benefits
Competitive pay
Career growth opportunities
Supportive team environment
We offer Medical, Dental, 401K, Paid Vacation and Paid Holidays
How to Apply
If you are ready to put your skills to work in a new way and want to learn from the best, we want to hear from you! Please submit your resume and a brief cover letter explaining why you are interested in becoming a Private Investigator.
Start Your Next Adventure Today!
Private Investigator - Miami Area
Investigator job in Miami, FL
Job DescriptionLicensed and Experienced - To conduct surveillance in the Miami Area - P/T Surveillance experience required. Pay commensurate with experience. Please send resume.
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Special Investigations Unit Investigator
Investigator job in Fort Lauderdale, FL
Hybrid-Sunrise, Florida
Experience Conducting Comprehensive Health Care Fraud, Waste, and Abuse (FWA) Investigations
The Special Investigations Unit Investigator is responsible for the investigation of potential fraud, waste, and abuse cases involving health plan providers and members. The Special Investigations Unit Investigator responsibilities include but are not limited to case management, research, investigation, documentation, and overpayment recovery. ---
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Accountable for managing a caseload of referrals and investigations involving potential member and/or provider fraud, waste, and abuse.
Documents all appropriate case activity in case tracking system.
Ensures compliance with all state and federal requirements related to FWA and FWA investigations.
Performs data-mining activities to identify potential cases for investigation.
Analyzes data as part of the investigative process.
Performs research to analyze aberrant claims billing and practice patterns.
Investigates and documents all fraud, waste, and abuse referrals and cases with a focus on thoroughness and attention to detail, quality, timeliness, and cost control. Testifies on investigations documented, as needed.
Conducts comprehensive interviews with providers, members, and witnesses to obtain information which would be considered admissible under generally accepted criminal and civil rules of evidence.
Conducts investigative steps out in the field throughout the service area as needed.
Prepares and submits investigative reports covering all phases of the investigation.
Works collaboratively with all SIU team members on aspects of the case.
This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.
QUALIFICATIONS:
Bachelor level education
Minimum 2-4 years experience conducting comprehensive health care FWA investigations.
Ability to work independently with minimal supervision and manage a high volume of assignments.
High degree of integrity and confidentiality required handling information that is considered personal and confidential.
Analytical skills and ability to make deductions, logical and sequential thinker.
Strong verbal and written communication skills.
Health care industry and/or Florida Medicaid knowledge required.
Advanced knowledge and experience working on various approaches to health care fraud, waste, and abuse.
Working knowledge of Microsoft applications, especially Excel, required.
Knowledge of available resources (internal and external) to assist in investigations.
Medical terminology knowledge and/or experience with CPT and ICD-10 coding preferred.
Knowledge of suspected FWA trends, potential schemes, and matters of interest to law enforcement and regulators.
Accredited Health Care Fraud Investigator (AHFI) and/or Certified Fraud Examiner (CFE) preferred.
SKILLS AND ABILITIES:
· Ability to communicate effectively, verbally and written.
Ability to self-motivate.
Strong time management skills
Ability to prioritize and organize FWA program activities.
Ability to meticulously document case actions and findings for regulatory reporting and any legal action, if applicable
Ability to collaborate.
Results oriented skills.
Work Schedule:
Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds.
We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion.
WORK ENVIRONMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
Healthcare Fraud Investigator
Investigator job in Miami, FL
Healthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client.
CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.
Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries.
Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity.
#CJ
Auto-ApplySpecial Investigations Unit- Fraud, Waste & Abuse Investigator
Investigator job in Doral, FL
This position will investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse
ESSENTIAL DUTIES & RESPONSIBILITIES
Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party.
Perform data mining and analysis to detect aberrancies and outliers in claims.
Develop new queries and reports to detect potential waste, abuse, and fraud.
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions.
Assist with complex allegations of healthcare fraud.
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies.
Complete various special projects and audits
Interpret and analyze new HPMS memoranda, alerts, and regulatory guidance to assess the impact on Fraud, Waste, and Abuse (FWA) programs.
QUALIFICATIONS & EDUCATION
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Bachelor's degree in business, Criminal Justice, Healthcare, related field or equivalent experience.
1+ years of experience in medical claims investigation, auditing, and analysis within a Managed Care Environment, with a focus on detecting potential fraud, waste and abuse.
Knowledge of medical coding and terminology.
Advanced Proficiency in Microsoft Excel, Data Analysis and Fraud Detection.
Advanced skills in SQL, SAS and business intelligence (BI) tools are preferred
WORK CONDITIONS
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Fast-paced office environment.
Highly regulated environment.
Time frames to handle issues are in accordance with CMS and NCQA as well as internal time frames.
Interacts with providers, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.
This work requires the following physical activities: climbing, bending, stooping, kneeling, twisting, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lift, and moves intermittently during working hours.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
PERFORMANCE MEASUREMENTS
3-5 Monthly evaluations
Compliance with Department Call Metrics/ Company Regulations
Attendance/Punctuality
Safety and Security
Quality of work
This Job Description may be modified at any time at the discretion of the employer as business operation may seem necessary. This does not constitute an employment agreement and may not include all duties. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.
Solis Health Plans provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Auto-ApplySurveillance Investigator
Investigator job in Fort Lauderdale, FL
Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.
Job Description
Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim.
Florida applicants must hold a C Private Investigators' License
OR
For a limited time only, we will cover the cost of Florida's 40-hour prerequisite licensing course and provide paid training to help a few successful candidates break into the industry.
Must possess a valid driver's license with at least one year of driving experience
RESPONSIBILITIES:
Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability
Utilize various surveillance techniques and equipment to monitor subjects covertly
Document and report observations, activities, and any relevant information in a clear and concise manner
Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts
Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations
QUALIFICATIONS (MUST HAVE):
High school diploma or equivalent
Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course
Prior educational or professional exposure to witness interviews or video monitoring
Prior educational or professional incident reporting and/or investigations experience
Flexibility to work varied and irregular hours/days including weekends and holidays
Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors
Proficient in utilizing laptop computers, video cameras and cell phones
Capable of maintaining focus and multitasking effectively in a dynamic environment
Demonstrated ability to manage stressful situations with composure and professionalism
Ability to work in a very independent environment
PREFERRED QUALIFICATIONS (NICE TO HAVE):
Associate's Degree or higher, preferably in Criminal Justice
Security/Loss Prevention experience
Military experience
Law enforcement experience
Prior insurance investigations experience
BENEFITS:
Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company's 401(k)plan, subject to eligibility requirements
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law
Closing
Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: ***********
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices.
Requisition ID 2025-1487839
Auto-ApplyLicensed Covert Surveillance Investigator - Full Time - Miami, FL
Investigator job in Miami, FL
JOB PURPOSE
Conduct covert field surveillance with an emphasis on worker's compensation fraud and insurance fraud.
DUTIES AND RESPONSIBILITIES
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Conduct covert field surveillance via both stationary and mobile surveillance.
Obtain professional quality video and photographic documentation of subjects.
Prepare and file comprehensive investigative reports using the information that was collected from surveillance investigations.
Upload video, photographs, audio files, and documents into the case management system.
Conduct scene investigations, interviews, recorded statements, etc.
Prepare written and recorded Statements from in-person interviews.
Provide legal testimony.
Other duties as assigned
Requirements
SKILLS AND QUALIFICATIONS
Minimum two years experience working as an investigator.
Ability to conduct covert field surveillance assignments.
Ability to communicate effectively, both orally and in writing.
Ability to gather data, compile information, and prepare reports.
Ability to provide legal depositions and testimony.
Ability to gather and organize evidence.
Ability to investigate and analyze information.
Knowledge of legal documentation procedures and requirements.
LICENSES /CERTIFICATIONS REQUIREMENTS
Valid state-issued driver's license.
Current auto insurance.
MUST possess a Private Investigator license in the state where work is performed.
REQUIRED EQUIPMENT
A reliable vehicle.
Smartphone with access to the app store. Android OS7 or higher, Apple iOS 11 or higher.
Laptop computer with Microsoft Word, Windows, and wireless Internet connection.
Digital video camera with upload capability and accurate time and date stamp.
Covert camera.
WORKING CONDITIONS
As an hourly, non-exempt status employee, your job may require extended work hours and significant work travel. This includes occasional overnight travel, weekend and/or evening work, and working on holidays.
The worker is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes.
The worker is subject to outside environmental conditions: No effective protection from weather.
The worker is subject to both environmental conditions: Activities occur inside and outside.
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk and hear. The employee is frequently required to stand, walk, stoop, kneel, crouch, or crawl.
The employee must regularly lift and/or move up to 10 pounds and frequently lift and/or move up to 50 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Work involves individuals to stay seated/sedentary for long periods of time.
Work involves moderate exposure to unusual elements, such as extreme temperatures, exposure to the sun, and various days and hours of scheduled work.
Salary Description Up to $30.00 per hour based on experience
Surveillance Investigator
Investigator job in Miami, FL
Job Title: Full-Time Private Investigator - Surveillance Specialist Job Type: Full-Time | Flexible Schedule SPi Investigations is a boutique investigative firm based in Florida, delivering precision-driven intelligence for legal professionals, businesses, and individuals. Our intimate size allows us to offer a hands-on, customized approach-because in investigations, a tailored strategy makes all the difference. Our team is comprised of experienced professionals dedicated to uncovering the truth with integrity and precision. We're currently seeking a Full-Time Surveillance Specialist to join our team in the South Florida.
Position Overview:
This role is ideal for a licensed Private Investigator with a strong background in mobile and stationary surveillance, who can work independently, think on their feet, and produce detailed, high-quality documentation of investigative findings.
Responsibilities:
Conduct covert surveillance operations to gather photo/video evidence
Follow subjects while maintaining discretion and situational awareness
Prepare and submit accurate, detailed written reports in a timely manner
Utilize and maintain investigative equipment, including standard and covert video camera
Work closely with SPi case managers to ensure client expectations are met
Availability to work varied shifts including nights, weekends, and holidays
Requirements:
Current Florida Class “C” (Private Investigator) or Class “CC” (Private Investigator Intern) license or ability to obtain
1-2 years' experience in surveillance investigations or related field experience - Preferred but not required
Reliable, surveillance-ready vehicle (clean, discreet, with tinted windows)
Proficiency with video recording devices and reporting software
Strong communication and organizational skills
Professional demeanor and high ethical standards
Preferred Qualifications:
Prior law enforcement, military experience or criminal justice background
Bilingual (English/Spanish)
Familiarity with South Florida roadways and neighborhoods
What We Offer:
Competitive hourly compensation (based on experience)
Performance-based incentives
Flexible, remote-friendly work schedule
Supportive team environment with growth opportunities
Auto-ApplyLAW ENFORCEMENT INVESTIGATOR II - 43001454
Investigator job in West Palm Beach, FL
Working Title: LAW ENFORCEMENT INVESTIGATOR II - 43001454 Pay Plan: Career Service 43001454 Salary: $60,000.00 - $63,000.00 (Plus $4,999.80 CAD) Total Compensation Estimator Tool
* OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY*
CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II
DIVISION: CRIMINAL INVESTIGATIONS DIVISION
BUREAU: BUREAU OF INSURANCE FRAUD
CITY: WEST PALM BEACH
COUNTY: PALM BEACH
The Criminal Investigations Division encompasses all law enforcement and forensic components residing within the Department of Financial Services. This advertisement is for a Bureau of Insurance Fraud detective.
Click here for additional information about the Department of Financial Services, Criminal Investigations Division.
SPECIAL NOTES:
TO APPLY FOR THIS POSITION, SUBMIT A STATE OF FLORIDA EMPLOYMENT APPLICATION VIA PEOPLE FIRST AND SUBMIT A SUPPLEMENTAL APPLICATION TO THE FOLLOWING
EMAIL ADDRESS: **************************
Click here for Supplemental Application.
QUESTIONS:
Job Line phone number: **************
This supplemental application MUST be received no later than five (5) business days after the closing date of this advertisement in order to be considered for this position.
THIS IS NOT A TELEWORK POSITION. CANDIDATE WILL BE REQUIRED TO WORK IN THE OFFICE.
Requirements:
* High School Diploma or its equivalent.
* ACTIVE Certified Florida Law Enforcement Officer; Possess a passing score on the State of Florida Law Enforcement Certification Examination and be eligible to receive the Law Enforcement Certification; or completed the Florida Equivalency of Training (CJSTC 76) and be eligible to receive the Law Enforcement Certification in accordance with Section 943.13, Florida Statutes.
* VALID Driver's License from the Florida Department of Safety and Motor Vehicles by time of employment.
For Law Enforcement Investigator II
* Three (3) or more years of sworn law enforcement experience.
Preferences:
* A degree from an accredited college or university.
* Special consideration may be given to eligible candidates who have bilingual verbal and written skills that meet a critical need of the agency's mission.
College education can be substituted at the rate of 30 semester or 45 quarter hours per year for a maximum of one year required experience.
* NOTE: Correctional Officer and Correction Probational Officer Certifications DO NOT meet the requirements of the job description.
The Division requires you to live no more than 50 miles from your residence to your assigned duty station (office). The mileage will be determined by geodesic distance (direct line) from their address of resident to the address of their assigned office.
Candidate Profile (application) must be completed in its entirety. Please read below:
* Please include the names and phone numbers for the supervisor(s) and/or Human Resource Department for all periods of employment.
* Account for and explain any gaps in employment so that the hiring process is not delayed.
* Experience, education, training, knowledge, skills and/or abilities as well as responses to pre-qualifying questions must be verifiable to meet the minimum qualifications. It is unacceptable to use the statement "See Resume".
* Each field (address, city, and state, dates, phone numbers, etc.) should be completed.
* If claiming Right to Interview, candidate MUST attach a copy of your official layoff letter when applying.
* Upon the selection of the top candidate, a current supervisory reference contact will be required.
Experience and education requirements must be met at the time of application submission to be considered.
This position requires a security background check, including fingerprint as a condition of employment.
Responses to qualifying questions must be clearly supported by the state application and any omission, falsification, or misrepresentation in the answering of the qualifying questions will be cause for immediate elimination from the selection process.
WHAT IS THE SELECTION PROCESS?
Selection is a three-to-six-month process where the successful applicants MUST PASS the Physical Abilities Test, Oral and Written Exam, CJSTC background prior to beginning.
If selected for an interview, interview will be conducted in person.
Our Salary & Benefits - CAREER SERVICE SPECIAL RISK
LEI-II annual salary is $63,000.00.
LEI- I annual salary is $60,000.00.
A CAD (Competitive Area Differential) of $4,999.80 will apply only to those applying for positions in the following counties Palm Beach, Broward and Dade.
Employees of the Department of Financial Services are paid on a monthly pay cycle.
Benefits include:
* Paid holidays, vacation and one personal holiday
* Ability to earn up to 104 hours of paid annual leave as a new employee
* Ability to earn up to 104 hours of paid sick leave annually
* Pension and investment retirement plan options (MyFRS)
* Flexible Spending Accounts, Health Savings Accounts
* Tax deferred medical and childcare reimbursement accounts
* State of Florida Tuition Waiver Program (must be accepted by a Florida colleges/universities)
* Public Service Student Forgiveness Program (PSLF) - (Eligibility required) *****************************************************************************************
* $25,000.00 in automatic life insurance coverage
* Affordable health insurance options starting as low as $50.00 per month for individuals or $180 per month for family
* Multiple supplemental insurance options including dental, vision, disability and more
CLICK HERE FOR TOTAL COMPENSATION ESTIMATOR
Pay Additives and Competitive Area Differential (CAD)
* Criminal Justice Incentive Pay - up to $1,560 annually
* Clothing allowance up to $500.00 annually
* Take home car - approximately $10,000.0 in savings annually
* Specialty pay additives: K-9 handler, Bomb team tech, on-call pay, FTO and Lead Detective
* CAD pay up to $5000.00 for Dade, Broward, and Palm Beach Counties
Programs
* Participation on state and federal task forces
* Community Outreach
* Honor Guard
* K-9 program - (Accelerant or Explosives)
* Bomb Tech
MINIMUM QUALIFICATIONS FOR THIS POSITION INCLUDE THE FOLLOWING REQUIRED ENTRY LEVEL KNOWLEDGE, SKILLS AND ABILITIES:
Communication
* Displays good written and oral communication skills.
* Exhibits good mediation and negotiating skills.
* Documents investigation activity in compliance with Division Policies and Procedures.
* Complies with all administrative documentation as prescribed by Division Policies and Procedures.
* Ensures that all reports are logically comprehensive and grammatically correct.
* Prepares detailed and accurate reports of findings and ensures that they are filed and properly reported.
Interpersonal Skills
* Exhibits flexibility to respond to change.
* Exhibits demeanor which is appropriate for the situation.
* Functions well as a team member.
* Responds to others using tact and diplomacy.
* Provides guidance, direction, leadership, and motivation to assisting agents, analysts and others as applicable.
* Displays ethical and responsible behavior.
* Always conducts daily business in professional manner with respect, quality, service and commitment to excellence.
Training and Proficiency
* All state-issued equipment is utilized and maintained in a safe and ready manner consistent with AP&P and Division Policies and Procedures.
* All state-issued and personally approved firearms are maintained and utilized in a safe and proficient manner consistent with Division Policies and Procedures.
* Applies a working knowledge of current Florida Statutes, Florida Administrative Code, AP&P, Division Policies and Procedures, industry trends, and current case law relevant to all Job-related functions.
* Successfully completed mandated training programs required by Florida Statute, DFS, and Division.
* Provide training and technical assistance to new investigators on the requirements and duties associated with the Bureau.
* Train and instruct public safety personnel and others on State laws, rules and current investigative techniques.
OTHER KSAs (Incumbent may learn on job):
Knowledge of investigative and surveillance principles and techniques. Knowledge of the criminal justice system.
Ability to work in dangerous and stressful situations. Ability to understand and apply laws, rules, regulations, policies, and procedures.
Ability to deal with individual's critical situations in an effective manner. Ability to gather and preserve evidence.
Ability to describe facts and events accurately. Ability to plan, organize and coordinate work assignments.
Ability to communicate effectively verbally and in writing. Ability to establish and maintain effective working relationships with others.
Ability to analyze and interpret data. Ability to effectively interview suspects, complainants and witnesses.
Ability to safely operate a motor vehicle.
BRIEF DESCRIPTION OF DUTIES:
Incumbent of position is a member of DFS' Disaster Response Team and, in that capacity, may be required on short notice to perform duties and necessary attendant travel in support of disaster relief efforts.
The duties of this position require a constituted law enforcement officer subject to be on call 24 hours a day, seven days a week. The incumbent is required to bear firearms. The incumbent is required to maintain certification as a law enforcement officer pursuant to Chapter 943, Florida Statutes.
Investigative Activities
* Conduct extensive investigations. Responsibilities to include following up on leads, conducting interviews, executing search warrants, making arrests.
* Conduct follow-up latent investigations, interviewing witnesses and interrogation of suspects as appropriate in order to secure background information on suspect(s).
* Identify and arrest criminal suspects. Prepare and present information and evidence to the prosecuting attorney.
* Provide expert testimony at legal proceedings and assists in preparation of witnesses, victims, and evidence for use by the prosecution.
* Identifies, recruits, documents, and supervises confidential sources as per Division Policies and Procedures.
* Collects, seizes, protects, maintains, transports and documents evidence consistent with statutes, current case law, and Division Policies and Procedures.
* Displays sound surveillance techniques and undercover capabilities as needed.
* Provides investigative support to Division personnel and to other public safety entities.
* Applies diverse knowledge and research methods.
* Development of strategic and tactical intelligence.
* Monitors arrests, prosecutions, and forfeitures. Maintains liaison with Prosecutor.
* Conduct thorough background investigations into potential Department employees.
* Establish and maintain liaison with other entities.
* Performs disaster related duties as requested.
Planning and Organizing
* Provides complete and accurate collection of data/information, evaluation, and dissemination.
* Displays initiative and organizational skills in conducting investigative activities.
* Prepares and implements investigative plan.
* Focuses investigation on objectives necessary for prosecution and closure of cases.
* Displays creative planning and seeks innovative resolutions.
* Goals, objectives, and assignments are met efficiently and in a timely manner.
* Consistently allocates resources to maximize efficiency and successful case completion.
* Demonstrates fiscal responsibility and monitors expenditures.
* Develops case targets.
Performs other related duties as required.
THE INCUMBENT OF THIS POSITION IS CONSIDERED TO HAVE REGULATORY RESPONSIBILITIES AND IS SUBJECT TO THE PROVISIONS OF CHAPTER 60L-32.
If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended, or deemed ineligible depending upon the date of your retirement.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (***************. Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
VETERANS' PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans' Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.
Location:
Easy ApplyMiami, FL Private Investigator Trainee
Investigator job in Miami, FL
Job Description
Job Opportunity: Private Investigator Trainee
Seeking Veterans Ready for a New Challenge
Join Our Team as a Private Investigator Trainee
Are you recently separated from the military and searching for your next mission? We are looking for dedicated individuals who are ready to transition into an exciting new career as a Private Investigator Trainee.
Lemieux & Associates, a national leader in the investigative industry, is seeking Military Veterans looking to be trained as a Private Investigator in the Miami, FL or surrounding area. This is a full-time position for the right individual.
No Experience Necessary - We Provide Comprehensive Training
Who We're Looking For: Motivated, disciplined individuals who have recently left military service.
Experience: None required. If you have the drive and a strong work ethic, we will train you!
Training: Full, hands-on instruction provided for the right candidate. Learn investigation techniques, surveillance, and more from industry experts.
Qualities: Integrity, attention to detail, and a desire to help others.
Position Summary
A majority of the work activity involves field surveillance requiring the investigator to obtain high quality videotape documentation of claimants who have filed workers compensation and liability/personal injury claims. Investigators are also responsible for submitting accurate and timely reports regarding the results of their investigations. In addition, investigators conduct background investigations, neighborhood canvasses, activity checks, and locates. The Field Investigator performs their duties using the highest legal and ethical investigative standards while efficiently utilizing time and resources to provide outstanding investigative services.
Qualifications
Bi-lingual is a plus
Ability and willingness to travel as necessary
Flexibility to work varied/irregular hours and days
Strong computer and Internet skills
Possess a valid state-issued driver's license
Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection
Benefits
Competitive pay
Career growth opportunities
Supportive team environment
We offer Medical, Dental, 401K, Paid Vacation and Paid Holidays
How to Apply
If you are ready to put your skills to work in a new way and want to learn from the best, we want to hear from you! Please submit your resume and a brief cover letter explaining why you are interested in becoming a Private Investigator.
Start Your Next Adventure Today!
Healthcare Fraud Investigator
Investigator job in Miami, FL
Job DescriptionHealthcare Fraud Investigator Employment Type: Full-Time, Mid-Level Department: Litigation Support CGS is seeking a Healthcare Fraud Investigator to provide Legal Support for a large Government Project in Nashville, TN. The candidate must take the initiative to ask questions to successfully complete tasks, perform detailed work consistently, accurately, and under pressure, and be enthusiastic about learning and applying knowledge to provide excellent litigation support to the client.
CGS brings motivated, highly skilled, and creative people together to solve the government's most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities.
Responsibilities will Include:- Review, sort, and analyze data using computer software programs such as Microsoft Excel.- Review financial records, complex legal and regulatory documents and summarize contents, and conduct research as needed. Preparing spreadsheets of financial transactions (e.g., check spreads, etc.).- Develop HCF case referrals including, but not limited to:- Ensure that HCF referrals meet agency and USAO standards for litigation.- Analyze data for evidence of fraud, waste and abuse.- Review and evaluate referrals to determine the need for additional information and evidence, and plan comprehensive approach to obtain this information and evidence.- Advise the HCF attorney(s) regarding the merits and weaknesses of HCF referrals based upon applicable law, evidence of liability and damages, and potential defenses, and recommend for or against commencement of judicial proceedings.- Assist the USAO develop new referrals by ensuring a good working relationship with client agencies and the public, and by assisting in HCF training for federal, state and local agencies, preparing informational literature, etc. - Assist conducting witness interviews and preparing written summaries.
Qualifications:- Four (4) year undergraduate degree or higher in criminal justice, finance, project management, or other related field.- Minimum three (3) years of professional work experience in healthcare, fraud, or other related investigative field of work.- Proficiency in Microsoft Office applications including Outlook, Word, Excel, PowerPoint, etc.- Proficiency in analyzing data that would assist in providing specific case support to the Government in civil HCF matters (E.g., Medicare data, Medicaid data, outlier data).- Communication skills: Ability to interact professionally and effectively with all levels of staff including AUSAs, support staff, client agencies, debtors, debtor attorneys and their staff, court personnel, business executives, witnesses, and the public. Communication requires tact and diplomacy.- U.S. Citizenship and ability to obtain adjudication for the requisite background investigation.- Experience and expertise in performing the requisite services in Section 3.- Must be a US Citizen.- Must be able to obtain a favorably adjudicated Public Trust Clearance.Preferred qualifications:- Relevant Healthcare Fraud experience including compliance, auditing duties, and other duties in Section 3.- Relevant experience working with a federal or state legal or law enforcement entity.
#CJ
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
Special Investigations Unit- Fraud, Waste & Abuse Investigator
Investigator job in Doral, FL
This position will investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse
ESSENTIAL DUTIES & RESPONSIBILITIES
Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party.
Perform data mining and analysis to detect aberrancies and outliers in claims.
Develop new queries and reports to detect potential waste, abuse, and fraud.
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions.
Assist with complex allegations of healthcare fraud.
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies.
Complete various special projects and audits
Interpret and analyze new HPMS memoranda, alerts, and regulatory guidance to assess the impact on Fraud, Waste, and Abuse (FWA) programs.
QUALIFICATIONS & EDUCATION
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Bachelor's degree in business, Criminal Justice, Healthcare, related field or equivalent experience.
1+ years of experience in medical claims investigation, auditing, and analysis within a Managed Care Environment, with a focus on detecting potential fraud, waste and abuse.
Knowledge of medical coding and terminology.
Advanced Proficiency in Microsoft Excel, Data Analysis and Fraud Detection.
Advanced skills in SQL, SAS and business intelligence (BI) tools are preferred
WORK CONDITIONS
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Fast-paced office environment.
Highly regulated environment.
Time frames to handle issues are in accordance with CMS and NCQA as well as internal time frames.
Interacts with providers, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.
This work requires the following physical activities: climbing, bending, stooping, kneeling, twisting, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lift, and moves intermittently during working hours.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
PERFORMANCE MEASUREMENTS
3-5 Monthly evaluations
Compliance with Department Call Metrics/ Company Regulations
Attendance/Punctuality
Safety and Security
Quality of work
This Job Description may be modified at any time at the discretion of the employer as business operation may seem necessary. This does not constitute an employment agreement and may not include all duties. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.
Solis Health Plans provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Auto-ApplySurveillance Investigator
Investigator job in Miami, FL
Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.
Job Description
Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim.
Florida applicants must hold a C Private Investigators' License
OR
For a limited time only, we will cover the cost of Florida's 40-hour prerequisite licensing course and provide paid training to help a few successful candidates break into the industry.
Must possess a valid driver's license with at least one year of driving experience
RESPONSIBILITIES:
Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability
Utilize various surveillance techniques and equipment to monitor subjects covertly
Document and report observations, activities, and any relevant information in a clear and concise manner
Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts
Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations
QUALIFICATIONS (MUST HAVE):
High school diploma or equivalent
Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course
Prior educational or professional exposure to witness interviews or video monitoring
Prior educational or professional incident reporting and/or investigations experience
Flexibility to work varied and irregular hours/days including weekends and holidays
Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors
Proficient in utilizing laptop computers, video cameras and cell phones
Capable of maintaining focus and multitasking effectively in a dynamic environment
Demonstrated ability to manage stressful situations with composure and professionalism
Ability to work in a very independent environment
PREFERRED QUALIFICATIONS (NICE TO HAVE):
Associate's Degree or higher, preferably in Criminal Justice
Security/Loss Prevention experience
Military experience
Law enforcement experience
Prior insurance investigations experience
BENEFITS:
Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company's 401(k)plan, subject to eligibility requirements
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law
Closing
Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: ***********
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices.
Requisition ID 2025-1487854
Auto-ApplyLAW ENFORCEMENT INVESTIGATOR II - 43001794
Investigator job in Miami, FL
Working Title: LAW ENFORCEMENT INVESTIGATOR II - 43001794 Pay Plan: Career Service 43001794 Salary: $60,000.00 -$63,000.00 (Plus CAD) Total Compensation Estimator Tool
* OPEN COMPETITIVE EMPLOYMENT OPPORTUNITY*
CLASS TITLE: LAW ENFORCEMENT INVESTIGATOR II (SWORN INSURANCE FRAUD DETECTIVE)
DIVISION: CRIMINAL INVESTIGATIONS DIVISION
BUREAU: BUREAU OF INSURANCE FRAUD
CITY: MIAMI
COUNTY: MIAMI-DADE
The Criminal Investigations Division encompasses all law enforcement and forensic components residing within the Department of Financial Services. This advertisement is for a Bureau of Insurance Fraud detective.
Click here for additional information about the Department of Financial Services, Criminal Investigations Division.
SPECIAL NOTES:
TO APPLY FOR THIS POSITION, SUBMIT A STATE OF FLORIDA EMPLOYMENT APPLICATION VIA PEOPLE FIRST AND SUBMIT A SUPPLEMENTAL APPLICATION TO THE FOLLOWING
EMAIL ADDRESS: **************************
Click here for Supplemental Application.
This supplemental application MUST be received no later than five (5) business days after the closing date of this advertisement in order to be considered for this position.
THIS IS NOT A TELEWORK POSITION. CANDIDATE WILL BE REQUIRED TO WORK IN THE OFFICE.
Requirements:
* High School Diploma or its equivalent.
* ACTIVE Florida Law Enforcement Compliance/Certification of Equivalency of Training from the Florida Department of Law Enforcement.
* VALID Driver's License from the Florida Department of Safety and Motor Vehicles by time of employment.
* Must be 19 years of age.
For Law Enforcement Investigator II
* Three (3) or more years of sworn law enforcement experience.
Preferences:
* A degree from an accredited college or university.
* Special consideration may be given to eligible candidates who have bilingual verbal and written skills that meet a critical need of the agency's mission.
* NOTE: Correctional Officer and Correction Probational Officer Certifications DO NOT meet the requirements of the job description.
College education can be substituted at the rate of 30 semester or 45 quarter hours per year for a maximum of one year required experience.
Individuals that have less than three years of sworn law enforcement experience may be considered at a Law Enforcement Investigator I, depending upon the agency's needs.
The Division requires you to live no more than 50 miles from your residence to your assigned duty station (office). The mileage will be determined by geodesic distance (direct line) from their address of resident to the address of their assigned office.
If selected for an interview, interview will be conducted in person.
Candidate Profile (application) must be completed in its entirety. Please read below:
* Please include the names and phone numbers for the supervisor(s) and/or Human Resource Department for all periods of employment.
* Account for and explain any gaps in employment so that the hiring process is not delayed.
* Experience, education, training, knowledge, skills and/or abilities as well as responses to pre-qualifying questions must be verifiable to meet the minimum qualifications. It is unacceptable to use the statement "See Resume".
* Each field (address, city, and state, dates, phone numbers, etc.) should be completed.
* If claiming Right to Interview, candidate MUST attach a copy of your official layoff letter when applying.
* Upon the selection of the top candidate, a current supervisory reference contact will be required.
Experience and education requirements must be met at the time of application submission to be considered.
This position requires a security background check, including fingerprint as a condition of employment.
Responses to qualifying questions must be clearly supported by the state application and any omission, falsification, or misrepresentation in the answering of the qualifying questions will be cause for immediate elimination from the selection process.
WHAT IS THE SELECTION PROCESS?
Selection is a three-to-six-month process where the successful applicants MUST PASS the Physical Abilities Test, Oral and Written Exam, CJSTC background prior to beginning.
OUR SALARY & BENEFITS - CAREER SERVICE SPECIAL RISK
Salary:
* LEI I Salary: $60,000.00
* LEI II Salary: $63,000.00
A CAD (Competitive Area Differential) of $4,999.80 will apply only to those applying for positions in the following counties Palm Beach, Broward and Dade.
Employees of the Department of Financial Services are paid on a monthly pay cycle.
Benefits include:
* Paid holidays, vacation and one personal holiday
* Ability to earn up to 104 hours of paid annual leave as a new employee
* Ability to earn up to 104 hours of paid sick leave annually
* Pension and investment retirement plan options (MyFRS)
* Flexible Spending Accounts, Health Savings Accounts
* Tax deferred medical and childcare reimbursement accounts
* State of Florida Tuition Waiver Program (must be accepted by a Florida colleges/universities)
* Public Service Student Forgiveness Program (PSLF) - (Eligibility required) *****************************************************************************************
* $25,000.00 in automatic life insurance coverage
* Affordable health insurance options starting as low as $50.00 per month for individuals or $180 per month for family
* Multiple supplemental insurance options including dental, vision, disability and more
CLICK HERE FOR TOTAL COMPENSATION ESTIMATOR
PAY ADDITIVES AND COMPETITIVE AREA DIFFERENTIAL (CAD)
* Criminal Justice Incentive Pay - up to $1,560 annually
* Clothing allowance up to $500.00 annually
* Take home car - approximately $10,000.0 in savings annually
* Specialty pay additives: FTO and Lead Detective
* CAD pay up to $5000.00 for Dade, Broward, and Palm Beach Counties
Programs
* Participation on state and federal task forces
* Community Outreach
* Honor Guard
* Disaster Fraud Action Strike Team (DFAST)
Minimum Qualifications for this position include the following REQUIRED ENTRY LEVEL KNOWLEDGE, SKILLS AND ABILITIES:
* Knowledge of investigative and surveillance principles and techniques.
* Knowledge of the criminal justice system.
* Ability to work in dangerous and stressful situations.
* Ability to understand and apply laws, rules, regulations, policies, and procedures.
* Ability to deal with individual's critical situations in an effective manner.
* Ability to gather and preserve evidence.
* Ability to describe facts and events accurately.
* Ability to plan, organize and coordinate work assignments.
* Ability to communicate effectively verbally and in writing.
* Ability to establish and maintain effective working relationships with others.
* Ability to analyze and interpret data.
* Ability to effectively interview suspects, complainants and witnesses.
BRIEF DESCRIPTION OF DUTIES:
Incumbent of position is a member of DFS' Disaster Response Team and, in that capacity, may be required on short notice to perform duties and necessary attendant travel in support of disaster relief efforts.
The duties of this position require a constituted law enforcement officer subject to be on call 24 hours a day, seven days a week. The incumbent is required to bear firearms. The incumbent is required to maintain certification as a law enforcement officer pursuant to Chapter 943, Florida Statutes.
Investigative Activities
* Conduct extensive investigations. Responsibilities to include following up on leads, conducting interviews, executing search warrants, making arrests.
* Conduct follow-up latent investigations, interviewing witnesses and interrogation of suspects as appropriate in order to secure background information on suspect(s).
* Identify and arrest criminal suspects. Prepare and present information and evidence to the prosecuting attorney.
* Provide expert testimony at legal proceedings and assists in preparation of witnesses, victims, and evidence for use by the prosecution.
* Identifies, recruits, documents, and supervises confidential sources as per Division Policies and Procedures.
* Collects, seizes, protects, maintains, transports and documents evidence consistent with statutes, current case law, and Division Policies and Procedures.
* Displays sound surveillance techniques and undercover capabilities as needed.
* Provides investigative support to Division personnel and to other public safety entities.
* Applies diverse knowledge and research methods.
* Development of strategic and tactical intelligence.
* Monitors arrests, prosecutions, and forfeitures. Maintains liaison with Prosecutor.
* Conduct thorough background investigations into potential Department employees.
* Establish and maintain liaison with other entities.
* Performs disaster related duties as requested.
Planning and Organizing
* Provides complete and accurate collection of data/information, evaluation, and dissemination.
* Displays initiative and organizational skills in conducting investigative activities.
* Prepares and implements investigative plan.
* Focuses investigation on objectives necessary for prosecution and closure of cases.
* Displays creative planning and seeks innovative resolutions.
* Goals, objectives, and assignments are met efficiently and in a timely manner.
* Consistently allocates resources to maximize efficiency and successful case completion.
* Demonstrates fiscal responsibility and monitors expenditures.
* Develops case targets.
Performs other related duties as required.
THE INCUMBENT OF THIS POSITION IS CONSIDERED TO HAVE REGULATORY RESPONSIBILITIES AND IS SUBJECT TO THE PROVISIONS OF CHAPTER 60L-32.
If you are a retiree of the Florida Retirement System (FRS), please check with the FRS on how your current benefits will be affected if you are re-employed with the State of Florida. Your current retirement benefits may be canceled, suspended, or deemed ineligible depending upon the date of your retirement.
The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace.
Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (***************. Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation.
The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act.
VETERANS' PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans' Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement.
Location:
Easy ApplySpecial Investigations Unit- Fraud, Waste & Abuse Investigator
Investigator job in Miami, FL
This position will investigate allegations of potential healthcare fraud and abuse activity. Assist in planning, organizing, and executing claims investigations or audits that identify, evaluate and measure potential healthcare fraud and abuse
ESSENTIAL DUTIES & RESPONSIBILITIES
Conduct investigations of potential waste, abuse, and fraud
Document activity on each case and refer issues to the appropriate party.
Perform data mining and analysis to detect aberrancies and outliers in claims.
Develop new queries and reports to detect potential waste, abuse, and fraud.
Provide case updates on progress of investigations and coordinate with Health Plans on recommendations and further actions and/or resolutions.
Assist with complex allegations of healthcare fraud.
Prepare summary and/or detailed reports on investigative findings for referral to Federal and State agencies.
Complete various special projects and audits
Interpret and analyze new HPMS memoranda, alerts, and regulatory guidance to assess the impact on Fraud, Waste, and Abuse (FWA) programs.
QUALIFICATIONS & EDUCATION
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Bachelor's degree in business, Criminal Justice, Healthcare, related field or equivalent experience.
1+ years of experience in medical claims investigation, auditing, and analysis within a Managed Care Environment, with a focus on detecting potential fraud, waste and abuse.
Knowledge of medical coding and terminology.
Advanced Proficiency in Microsoft Excel, Data Analysis and Fraud Detection.
Advanced skills in SQL, SAS and business intelligence (BI) tools are preferred
WORK CONDITIONS
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually moderate.
Fast-paced office environment.
Highly regulated environment.
Time frames to handle issues are in accordance with CMS and NCQA as well as internal time frames.
Interacts with providers, staff, visitors, government agencies, etc., under a variety of conditions and circumstances.
This work requires the following physical activities: climbing, bending, stooping, kneeling, twisting, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lift, and moves intermittently during working hours.
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
PERFORMANCE MEASUREMENTS
3-5 Monthly evaluations
Compliance with Department Call Metrics/ Company Regulations
Attendance/Punctuality
Safety and Security
Quality of work
This Job Description may be modified at any time at the discretion of the employer as business operation may seem necessary. This does not constitute an employment agreement and may not include all duties. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate.
Solis Health Plans provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.