About Us: Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related services. We are dedicated to maintaining the highest standards of integrity and transparency within our operations. Our Special Investigations Unit (SIU) plays a vital role in identifying and mitigating risks associated with fraud and misconduct.
SIU Investigator Job Description:
We are seeking a meticulous and experienced SIU Investigator to join our team. The ideal candidate will be responsible for conducting comprehensive investigations into potential fraud and misconduct. This role involves a variety of investigative tasks aimed at gathering evidence and supporting our commitment to ethical practices.
Key Responsibilities as an SIU Investigator:
Conduct scene recreations to analyze incidents thoroughly.
Assess and document intersection light sequences relevant to investigations.
Obtain both recorded and written statements from witnesses, claimants, and involved parties.
Retrieve necessary documents and materials to support investigations.
Procure notarized affidavits to enhance the credibility of evidence.
Perform wellness checks to ensure the safety and well-being of individuals involved.
Conduct unannounced visits as part of investigative protocols.
Engage in neighborhood and witness canvassing to gather additional information.
Compile detailed reports that include time-stamped photos and/or videos to support findings.
Qualifications
SIU Investigators must have the following qualifications:
Insurance Experience, Worker's Compensation, Auto, Liability, or similar SIU / Surveillance experience.
A reliable vehicle, computer, and cell phone.
A digital video camera with date and time stamp capability
Be proficient in web-based systems, and ability to write detailed reports.
Ability and willingness to travel as necessary.
Ability to work independently and complete cases successfully with little supervision
We are hiring employees not subcontractors.
***Must be Eligible for Private Investigator Employee Registration***
Agency: 11000138986
$72k-111k yearly est. 11d ago
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Clinical Investigator
MVP Health Care 4.5
Investigator job in Tarrytown, NY
**Join Us in Shaping the Future of Health Care** At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
**What's in it for you:**
+ Growth opportunities to uplevel your career
+ A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
+ Competitive compensation and comprehensive benefits focused on well-being
+ An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** .
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
**Qualifications you'll bring:**
+ BA/BS degree in criminal justice or a related field, and minimum of five years ofinsurance claims investigation experience; or five years of professional investigation experience with law enforcement agencies, or seven years of professional investigation experience involving economic or insurance relatedmatters.
+ A clinical investigator must have in addition to the above requirements: A duly licensed or authorized medical professional, including but not limited to MD or RN.
+ New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred.
+ Obtain CPC and/or COC credential.
+ Maintain nursing license and coding credentials through continuing education process as required.
+ Superior judgment skills, verbal and written communication, and presentation skills.
+ Extremely detail-oriented with excellent organizational and analytical skills.
+ Ability to utilize various data management tools to help identify potentially fraudulent activity.
+ Possess knowledge of CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data.
+ Working knowledge of MS Office (Word, Excel and Outlook)
+ Curiosity to foster innovation and pave the way for growth
+ Humility to play as a team
+ Commitment to being the difference for our customers in every interaction
**Preferred Job Skills:**
+ Working knowledge of Macess, Facets, CareRadius, Cognos, CMS web sites, and Encoder-Pro.
**Your key responsibilities:**
+ Conduct clinical reviews of various forms of medical documentation and records obtained from providers and facilities including but not limited to medical charts, patient account records, and member interviews.
+ Organize and conduct highly complex investigations. Document findings and recommendations throughout the investigative process in a timely and efficient manner according to corporate and departmental SIU policies and procedures.
+ Act as an SIU liaison and interact with and analyze data in cooperation with Pharmacy, Medical Affairs, Operations, Provider Relations, Credentialing, Customer Care Center, Legal and other corporate personnel.
+ Assist in investigations conducted by government agencies, law enforcement, and other insurance company SIU staff.
+ Make recommendations for and conduct clinical re-audits of providers and facilities previously audited by SIU.
+ Testify in criminal and civil legal case proceedings as necessary and assist outside legal counsel especially concerning issues needing clinical decision making.
+ Participate in annual Corporate FWA training and training of new SIU personnel.
+ Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid, and any corporate compliance initiatives or policies.
+ Minimal travel may be required pertaining to investigations and audits.
+ Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
**Where you'll be:**
Virtual; Must reside within Eastern or Central Time Zone
**Pay Transparency**
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$69,383.00-$92,279.00
**MVP's Inclusion Statement**
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** .
Please note: State agencies that contact job applicants do not usually request personal or financial information via text message or over the phone in connection with your response to a job posting. If you are contacted for such information by these methods, or any other method, please verify the identity of the individual before transmitting such information to that person.
Note: For questions about the job posting, please contact the agency that posted this position by using the contact information provided on the "Contact" tab for the position.
Review Vacancy
Date Posted 11/04/25
Applications Due01/31/26
Vacancy ID201913
* Basics
* Schedule
* Location
* Job Specifics
* How to Apply
NY HELPYes
AgencyTaxation & Finance, State
TitleAuditor 1 (Tax)/Auditor Trainee 1 (Tax)/Auditor Trainee 2 (Tax) (NY HELPS) Criminal Investigations Division
Occupational CategoryOther Professional Careers
Salary Grade18
Bargaining UnitPS&T - Professional, Scientific, and Technical (PEF)
Salary RangeFrom $53764 to $66951 Annually
Employment Type Full-Time
Appointment Type Permanent
Jurisdictional Class Competitive Class
Travel Percentage 10%
Workweek Mon-Fri
Hours Per Week 37.5
Workday
From 8:30 AM
To 4:30 PM
Flextime allowed? Yes
Mandatory overtime? No
Compressed workweek allowed? No
Telecommuting allowed? Yes
County Westchester
Street Address 44 South Broadway
City White Plains
StateNY
Zip Code10601
Duties Description ·Conduct audits and examinations of taxpayer's books and records to determine compliance with the various articles of the NYS Tax Law;
* Develop and maintain working knowledge of the Tax Law, Criminal Tax and Penal Law as well as Department and Criminal Investigations Division (CID) procedures and policies, including the Code of Conduct, Ethics practices and security and confidentiality rules;
* Communicate effectively, both verbally and in writing, with supervisors and other Department staff, taxpayers and/or their representatives, and prosecutor offices;
* Develop and maintain skills in computer technology including operation of laptop computers, PCs, and various software and job-related applications;
* Travel frequently, including both local and overnight within and outside New York State and to locations not accessible by public transportation; and be able to perform field works in non-business hours if necessary;
* Carry computer equipment and case materials to various field audit sites, training classes, BCMS conferences, etc.
* Prepare cases for prosecution and assist prosecuting authority;
* Represent CID and advocate disputed cases at BCMS conferences and Small Claims
* Hearings; may participate at hearings as a witness for the Department to assist attorneys from the Department's Office of Counsel in the resolution of disagreed cases; testify in Grand Jury and Trial in criminal courts.
Conduct interviews of witnesses, taxpayers, or subjects under investigation with an investigative team;
* Perform various special assignments and miscellaneous tasks as requested; and
* Adhere to the Department's time and attendance rules and regulations.
Minimum Qualifications The ability to fill this position is subject to DOB guidelines for processing personnel transactions. Note: a budget waiver is not
required to fill positions via transfer to lateral or downward level positions within the same department or to change line items
within the same funding source; or to replace employees who have been terminated during their probationary periods. The
selected candidate must be eligible for appointment in accordance with the provisions of the Civil Service Law, Rules, and
Regulations. If mandatory rehiring lists exist for this title, appointment other than reassignment must be made from these lists.
If there are no acceptors from these lists, appointment may be made using the following:
a) New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS)
b) Employees who are currently serving in the same title are eligible for reassignment without change in title or status;
c) Candidates reachable on the appropriate eligible list for this title and location;
d) Employees eligible for transfer.
e) This position may be filled as a two year traineeship.
f) Employees eligible for 55b appointment
This title is part of the New York Hiring for Emergency Limited Placement Statewide Program (NY HELPS). For the duration
of the NY HELPS Program, this title may be filled via a non-competitive appointment, which means no examination is required
but all candidates must meet the minimum qualifications of the title for which they apply.
At a future date, it is expected employees hired under NY HELPS will have their non-competitive employment status converted
to competitive status, without having to compete in an examination. Employees will then be afforded with all of the same rights
and privileges of competitive class employees of New York State. While serving permanently in an NY HELPS title,
employees may take part in any promotion examination for which they are qualified.
NON-COMPETITIVE MINIMUM QUALIFICATIONS:
Auditor Trainee 1 Tax:
* Bachelor's degree including 24 credits in accounting/auditing/taxation
OR
* Bachelor's degree including 18 credit hours in accounting/auditing/taxation AND 6 credits in finance, money and banking,
economics, or business.
Auditor Trainee 2 Tax:
* Meet the Trainee 1 minimum qualifications AND 1 year of experience*
OR
* Meet the Trainee 1 minimum qualifications AND a Masters, including 15 credits in accounting/auditing/taxation
Auditor 1 Tax:
* Meet the Trainee 1 minimum qualifications AND 2 years' experience*
OR
* Meet the Trainee 1 minimum qualifications AND CPA license in NYS
OR
* Meet the Trainee 1 minimum qualifications AND a Masters, including 15 credits in accounting/auditing/taxation AND 1 year
experience*
* Experience must be gained in any one or combination of the following:
1. As an accountant/auditor with responsibility for the full range of professional activities involved in the review, analysis, and
management of accounting systems, resulting in the rendering of opinions or recommendations on financial statements in
accordance with generally accepted accounting principles. Activities restricted to bookkeeping or preparing tax returns are not
considered qualifying.
2. As an internal accountant/auditor with responsibility for conducting a full range of financial accounting/auditing activities
for an entity. Activities limited to such duties as maintaining and/or auditing payroll records, accounts receivable or accounts
payable are not considered qualifying.
3. As an accountant with ongoing responsibility for the design, implementation, and review of accounting systems.
4. As a professional staff member of a private accounting practice with broad experience in maintaining accounting books and
records, completing financial statements, and preparing business and personal tax returns.
5. As field auditor with a federal, state, or municipal agency, with the responsibility for performing comprehensive field audits
to determine the compliance of individuals or businesses with the taxing jurisdictions laws, rules, and regulations.
6. As an accountant/auditor principally engaged in the analysis and/or interpretation of tax law.
Additional Comments Having a valid NYS license may be a condition of employment in this title, based on location.
Work hours, travel, and telecommuting options to be discussed during interview.
Appointment to each level of the traineeship will depend on which minimum qualifications are met.
The salary listed is a range, starting from the Trainee 1 level and ending at the Auditor 1 level, this will depend on what level the candidate is coming in at.
This location is eligible for location pay, in addition to the salary range listed.
New York State is an equal opportunity employer. It's the policy of the state of New York to provide for and promote equal opportunity in employment, compensation, and other terms and conditions of employment without discrimination on the basis of age, race, color, religion, disability, national origin, gender, sexual orientation, marital status, or an arrest or criminal conviction record unless based on a bona fide occupational qualification or other exception.
Any candidate selected for this position will be subject to a review of their tax return submissions by the New York State Department of Taxation & Finance. Employment of a candidate is conditioned upon a finding by the New York State Department of Taxation & Finance that the candidate is in compliance with all local, state, and federal tax laws. In accordance with federal government requirements, the employment of any candidate selected for this position is conditioned upon successfully completing a background investigation including a criminal history record check (fingerprint check).
Some positions may require additional credentials or a background check to verify your identity.
Name Team 5
Telephone ************
Fax
Email Address *******************************
Address
Street W.A. Harriman State Campus, Bldg. 9
Building 9, Room 256
City Albany
State NY
Zip Code 12227
Notes on ApplyingQualified candidates should copy the below web address into your browser to complete the online application for the Department of Tax and Finance. Within the application you will attach your resume and cover letter.
***********************************************
Current and former NYS employees may be contacted for your Social Security Number for verification purposes.
$53.8k-67k yearly 60d+ ago
NYC DEP Asbestos Investigator
Atlas Technical Consultants, Inc.
Investigator job in Bethpage, NY
Atlas
is
a
nationwide
leader
in
civil
engineering
materials
testing
and
geotechnical
consulting
services
for
environmental
industrial
and
infrastructure
construction
projects
Headquartered
in
Denver
CO
Atlas
currently
has
over
3500
employees
with
offices
throughout
the
US
including
Alaska
& Hawaii Its no accident that Atlas creates a better experience for infrastructure and environmental projects Its how we are built with the best people in the industry with the reach and expertise to help at any and every step of the project and with a heart led approach that puts quality and safety at the center of everything we do Were just built to be better We are a great company We are seeking a NYC DEP Asbestos Investigator to join our Bethpage NY team Come join us Job responsibilities include but are not limited to To conduct AHERA inspections in schools throughout the five BoroughsPrepare Management Plan ReportsWork in Teams of Two 1 NYCDEP Investigator & 1 NYSDOL InspectorWork from 3pm to12 midnight Monday through FridayMinimum requirements An Associate degree in Engineering or ScienceHigh School Diploma or EquivalentMinimum of 5 years experience performing AHERA inspections and preparation of AHERA Management PlansExcellent verbal and written communication skills Possess a valid NYC DEP Asbestos Investigation Certificate and a NYSDOL Inspector & Management Plan CertificatesTechnical requirements Proficient in reading and sketching drawings Skilled in using software like Microsoft office and be familiar with other applications relevant to AHERA Management Plan ReportsOther miscellaneous qualities Detail OrientedValid Drivers LicenseLegible handwriting Ability to lift 50 lbs Compensation 83200 93600 annually The expected salary range for the position is displayed in accordance with the states law Final agreed upon compensation is based upon individual qualifications and experience Benefits Atlas offers a comprehensive benefit program to meet the diverse needs of our employees Depending on your employment status Atlas benefits include health dental vision life AD&D voluntary life AD&D disability benefits leaves of absence 401k paid time off paid holidays employee assistance program educational assistance program Who We Are We strive to be the most sought after infrastructure and environmental solutions company known for our unique values driven approach and brought to life by the industrys most exceptional people Atlas provides professional testing inspection engineering environmental and consulting services from more than 100 locations nationwide We deliver solutions to both public and private sector clients in the transportation commercial water government education and industrial markets With a legacy of providing consistent quality and results Atlas creates a better experience at every stage of an infrastructure project We connect the best experts in the industry to deliver value from concept to completion and beyond This means doing everything our clients expect and then raising the expectations in a way that only our people can Our Values Life We enhance quality of life We value people and safety above all else Heart As our hallmarks we act with compassion empathy and respect Trust We work together as partners doing what we say with full accountability Mastery Always striving for the highest quality we ensure greatness inspires all our work Atlas EEOC Statement Atlas is an equal opportunity employer We prohibit discrimination and harassment of any kind based on race color sex religion sexual orientation national origin disability genetic information pregnancy or any other protected characteristic as outlined by federal state or local laws This policy applies to all employment practices within our organization including hiring recruiting promotion termination layoff recall leave of absence compensation benefits training and apprenticeship Atlas makes hiring decisions based solely on qualifications merit and business needs at the time For more information read through our EEO Policy httpswwweeocgovsitesdefaultfiles2023 0622 088EEOCKnowYourRights612ScreenRdrpdf LI KS2
$60k-101k yearly est. 60d+ ago
NYC DEP Asbestos Investigator
Atlas 4.3
Investigator job in Bethpage, NY
Atlas is a nationwide leader in civil engineering, materials testing and geotechnical consulting services for environmental, industrial and infrastructure construction projects. Headquartered in Denver, CO, Atlas currently has over 3,500 employees with offices throughout the US, including Alaska & Hawaii. It s no accident that Atlas creates a better experience for infrastructure and environmental projects. It s how we are built with the best people in the industry, with the reach and expertise to help at any and every step of the project, and with a heart-led approach that puts quality and safety at the center of everything we do. We re just built to be better. We are a great company.
We are seeking a NYC DEP Asbestos Investigator to join our Bethpage, NY team! Come join us!
Job responsibilities include but are not limited to:
To conduct AHERA inspections in schools throughout the five Boroughs
Prepare Management Plan Reports
Work in Teams of Two - 1 NYCDEP Investigator & 1 NYSDOL Inspector
Work from 3pm to12 midnight Monday through Friday
Minimum requirements:
An Associate degree in Engineering or Science
High School Diploma or Equivalent
Minimum of 5 years experience performing AHERA inspections and preparation of AHERA Management Plans
Excellent verbal and written communication skills
Possess a valid NYC DEP Asbestos Investigation Certificate and a NYSDOL Inspector & Management Plan Certificates
Technical requirements:
Proficient in reading and sketching drawings
Skilled in using software like Microsoft office and be familiar with other applications relevant to AHERA Management Plan Reports
Other miscellaneous qualities:
Detail Oriented
Valid Driver's License
Legible handwriting
Ability to lift 50 lbs
Compensation:
$83,200 - $93,600 annually
The expected salary range for the position is displayed in accordance with the state s law. Final agreed upon compensation is based upon individual qualifications and experience.
Benefits:
Atlas offers a comprehensive benefit program to meet the diverse needs of our employees. Depending on your employment status, Atlas benefits include health, dental, vision, life, AD&D, voluntary life / AD&D, disability benefits, leaves of absence, 401k, paid time off, paid holidays, employee assistance program, educational assistance program.
Who We Are:
We strive to be the most sought-after infrastructure and environmental solutions company, known for our unique, values-driven approach and brought to life by the industry s most exceptional people.
Atlas provides professional testing, inspection, engineering, environmental and consulting services from more than 100 locations nationwide. We deliver solutions to both public and private sector clients in the transportation, commercial, water, government, education and industrial markets.
With a legacy of providing consistent quality and results, Atlas creates a better experience at every stage of an infrastructure project. We connect the best experts in the industry to deliver value from concept to completion and beyond. This means doing everything our clients expect and then raising the expectations in a way that only our people can.
Our Values:
Life: We enhance quality of life. We value people and safety above all else.
Heart: As our hallmarks, we act with compassion, empathy and respect.
Trust: We work together as partners, doing what we say with full accountability.
Mastery: Always striving for the highest quality, we ensure greatness inspires all our work.
Atlas EEOC Statement
Atlas is an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws.
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Atlas makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, read through our EEO Policy ********************************************************************************************
#LI-KS2
$83.2k-93.6k yearly 60d+ ago
Investigator Senior
Carebridge 3.8
Investigator job in New Hyde Park, NY
Supports the Payment Integrity line of business Hybrid 1: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
* Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.
The Investigator Senior is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting.
How will you make an impact:
* Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.
* Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one company health plan, line of business and/or state.
* May interface internally with Senior level management and legal department throughout investigative process.
* May assist in training of internal and external entities.
* Assists in the development of policy and/or procedures to prevent loss of company assets.
* May be called upon to represent the Company in court proceedings regarding research findings.
* Develops and maintains a high degree of rapport and cooperation with the Federal, State and local law enforcement and regulatory agencies which can assist in investigative efforts.
Minimum Requirements
* Requires a BA/BS and minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications, Skills & Capabilities
* Professional certification of CFE, AHFI, CPC, Paralegal, RN, JD or other job related designation preferred.
* Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred.
For candidates working in person or virtually in the below locations, the salary* range for this specific position is $82,320 to $141,120.
Locations: New York and New Jersey.
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
* The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
$82.3k-141.1k yearly Auto-Apply 60d+ ago
Quality Assurance Investigator I
School for Adaptive and Integrative Learning Sail
Investigator job in Yonkers, NY
SAIL at Ferncliff Manor is seeking to hire an Internal Investigator with OPWDD experience to join our Quality Assurance team.
This position will be responsible for all aspects of the incident management process in accordance with NYCRR 14 Part 624, 625, 633 and 8 CRR-NY 200.15 regulations.
Annual Salary: $50,000.00
Education: BA/BS required
Benefits: Health /vision, Dental Insurance, 401k/401k match, and PTO
Essential Duties:
Conduct investigations regarding allegations of abuse and neglect and reportable significant incidents.
Prepare written investigative summary (utilizing the OPWDD required 149 form) with appropriate recommendations.
Enter all information related to investigation process and findings in Incident Reporting Management Application (IRMA) database.
Upload investigations to IRMA, and WSIR websites. May conduct new orientation and other trainings related to incident reporting and incident management as assigned.
Receive, and review all incidents and occurrences in OPWDD & SED programs.
Conduct new hire orientation and other trainings related to incident reporting and incident management as assigned.
Maintain a working knowledge of government and industry assurance codes and standards.
$50k yearly 60d+ ago
Residency Investigator
North Arlington School District 3.8
Investigator job in North Arlington, NJ
Residency Investigator JobID: 310 Security/Security - 12-Months Additional Information: Show/Hide Residency Investigator * Three years of experience that is directly related to the duties and responsibilities specified.
* Demonstrated knowledge of admissions, enrollment, residency documents, and student records for a school district.
* Strong communication and interpersonal skills.
* Valid driver's license.
* Required criminal history background check, employment history review, and proof of authorization to work in the United States for the North Arlington School District.
* Knowledge of student enrollment requirements and issues, including an understanding of the legal requirements applicable to school attendance set forth in N.J.S.A. 18A:38-1 et seq. and N.J.A.C. 6A:22-1.1 et seq.
* Ability to maintain confidentiality of records and information.
* Ability to follow up, good with details, ability to handle numerous enrollment issues concurrently.
* Computer literacy as it pertains to residency records.
Position is part-time, as needed, but not to exceed 600 hours per year
$30/hour.
Gas, tolls, mileage, and other travel expenses are the responsibility of the Residency Investigator.
Position is non-tenure and subject to annual reappointment.
$30 hourly 60d+ ago
SIU Investigator
Security Director In San Diego, California
Investigator job in Farmingdale, NY
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 Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.
Must possess a valid driver's license with at least one year of driving experience
Candidate must reside in state listed in job posting
Pay Rate: $27 - $32 / hr
RESPONSIBILITIES:
Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability
Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance
Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed
Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct
Run appropriate database indices if necessary and verify the accuracy of results found
Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor
QUALIFICATIONS (MUST HAVE):
Must possess one or more of the following:
Bachelor's degree in Criminal Justice
High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud
Ability to be properly licensed as a Private Investigator as required by the state where work Is completed
Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course
Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims
Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.
Proficient in utilizing laptop computers and cell phones.
Special Investigative Unit (SIU) Compliance knowledge
Ability to type 40+ words per minute with minimum error
Flexibility to work varied and irregular hours and days including weekends and holidays
PREFERRED QUALIFICATIONS (NICE TO HAVE):
Military experience
Law enforcement
Insurance administration experience
Familiarity with California SIU regulations
One or more of the following professional industry certifications:
Certified Fraud Investigator (CFE)
Certified Insurance Fraud Investigator (CIFI)
Fraud Claim Law Associate (FCLA)
Fraud Claim Law Specialist (FCLS)
Certified Protection Professional (CPP)
Associate in Claims (AIC)
Chartered Property Casualty Underwriter (CPCU)
BENEFITS:
Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company's 401(k)plan, subject to eligibility requirements
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law.
Closing
Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: ***********
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices.
Requisition ID 2026-1507739
$27-32 hourly Auto-Apply 17d ago
Asbestos NYC Investigator
M&J Engineering 3.9
Investigator job in Farmingdale, NY
M&J Engineering, D.P.C. is hiring Asbestos Investigator to work on projects in the New York Cit area. Our projects are generally located at public facilities, including but not limited to, schools, public buildings, bridges, subway stations, etc. This is an exciting opportunity to join our collaborative team of experienced engineers, architects, scientists and other professionals.
M&J Engineering, D.P.C. is a quality provider of multi-disciplined consulting services with over 300 employees. Since its inception in 2004, M&J has grown into diversified provider of engineering, construction management, construction inspection, technology, and environmental services to a broad range of clients, including federal, state and city/local agencies, private owners, architects, engineers and contractors.
M&J Engineering is a leader in construction management and inspection, ITS, mechanical, electrical, wastewater, water supply, tunnel airport, port, marine/coastal, environmental engineering, and design-build services for both new infrastructure projects and renovations.
Responsibilities
Performing asbestos field investigations/surveys following federal, state, local, and client/agency protocols.
Collecting samples and deliver them to a lab for analysis, take photographs, complete chain-of-custody forms, and prepare sample collection drawings (photo logs).
Assist in preparation of comprehensive asbestos survey reports.
Exercise sound, independent judgment.
Maintain accurate records and prepare clear and concise technical correspondence.
Interpret sampling results and apply relevant laws and regulations.
Communicate clearly and concisely, both orally and in writing.
Establish and maintaining cooperative working relationships with team members.
Travel throughout the New York Metropolitan Area
Apply through this site or send resume to ***********************
Qualifications
A minimum of two years of experience performing hazardous materials surveys
Current NYSDOL Asbestos Inspector License (obtained a minimum of two years ago)
Current Investigator Certificate is highly desirable
Ability to read project drawings and specifications
Valid NYS Driver's License and ownership of a vehicle to be used for transportation to the job site
Ability to use power tools, climb ladders, and carry sampling and ancillary equipment
Trained to use PPE, such as masks, respirators, safety harnesses, etc.
Be available to work flexible hours
Current Asbestos Investigator Certificate
Salary: $60,000 - $111,000 based on experience, qualifications, and project scope
Benefits
M&J is a leader in providing quality engineering consulting services to a diverse and exciting client base. We attract experienced professionals who understand proactive client service, safety, risk management and loss prevention practices, quality control, teamwork, and the development of younger staff. We seek employees who enjoy their work, desire continuous improvement, and want to contribute to the vision and growth of a quality, employee-owned, professional firm. To all full-time employees we provide a comprehensive package of benefits, including medical, dental and eye insurance, 401(k) retirement plan, life insurance, etc. Salary will depend on experience and credentials.
$60k-111k yearly Auto-Apply 27d ago
Internal Forensic Investigator
Samsung 4.9
Investigator job in Englewood Cliffs, NJ
Headquartered in Englewood Cliffs, N.J., Samsung Electronics America, Inc. (SEA), the U.S. Sales and Marketing subsidiary, is a leader in mobile technologies, consumer electronics, home appliances, enterprise solutions and networks systems. For more than four decades, Samsung has driven innovation, economic growth and workforce opportunity across the United States-investing over $100 billion and employing more than 20,000 people nationwide. By integrating our large portfolio of products, services and AI technology, we're creating smarter, sustainable and more connected experiences that empower people to live better. SEA is a wholly owned subsidiary of Samsung Electronics Co., Ltd. To learn more, visit Samsung.com. For the latest news, visit news.samsung.com/us.
Reporting to the Sr. Director of North American Headquarters (NAHQ) Global Management Advisory, this role will be responsible for planning, executing, and completing internal and external assessment and investigations on a regional and global basis.
This high impact, managerial track role will support our mission to protect the people, assets and reputation of Samsung by conducting proactive and incident specific investigations and full-scope operational review projects while leveraging forensic, analytical and e-discovery platforms to enhance efficient detection of anomalous activity.
Role and Responsibilities
Role and Responsibilities
Strategic Contribution: Utilize your expertise in digital forensic tools (e.g., EnCase, Intella, Cellebrite) to acquire and leverage data and help uncover critical insights and drive actionable findings.
Investigative Expertise: Conduct independent-level reviews, assessments, and agile decision-making with minimal supervision, focusing on fraud, waste, abuse, and Code of Conduct violations.
Risk Mitigation: Establish and cultivate a robust network of internal and external sources to translate intelligence into actionable proposals, mitigating potential business risks.
Analytical Proficiency: Develop SME-level familiarity with internal data systems to conduct analytical reviews, ensuring thorough and accurate investigations.
Reporting and Advocacy: Document and present findings through concise, scalable reports tailored for diverse stakeholders, while advocating for the company in dynamic and challenging settings.
Global Collaboration: Contribute to and facilitate domestic and global HQ operational review projects, requiring on-location presence for 6-8 weeks and in locations outside of North America.
Representation: Effectively represent the company in legal proceedings, both civil and criminal which may include court testimony, depositions, and interactions with internal/external legal counsel.
Skills and Qualifications
Skills and Qualifications
Experience: At least 7+ years in investigative/risk management, business strategy/compliance, or related fields.
Technical Expertise: Advanced digital forensic and/or eDiscovery skills, including data mining, imaging, investigation, and reporting.
Tools and Platforms: Expertise in prominent industry embraced digital forensic tools (e.g., EnCase, Intella, Cellebrite). Proficiency in implementation of AI enhanced review and analytics is highly desirable. Familiarity with data analytics platforms such as Alteryx and Tableau are a plus.
Communication: Fluency in English required - Proficiency in Korean and Spanish highly desirable
Certifications: Digital Forensics / e-Discovery, audit, investigation, and interviewing-related certifications are highly valued.
Soft Skills: Exceptional communication, negotiation, conflict resolution, and relationship-building abilities. Individual contributor with a managerial mindset.
Industry Knowledge: Strong understanding of financial operations in Procurement, Sales, Marketing, or service organizations, preferably within consumer/industry electronics.
Travel Readiness: Ability to travel internationally without entry/work limitations and respond to company emergencies with short notice. Valid driver's license required for business-related travel and on-location assignments.
The salary range for this role is expected to be between $126,000 and $155,500 Actual pay will be determined considering factors such as relevant skills and experience, and comparison to other employees in the role.
#LI-HM1
Life @ Samsung - ***************************************************
Benefits @ Samsung - ********************************************
* Please visit Samsung membership to see Privacy Policy, which defaults according to your location. You can change Country/Language at the bottom of the page. If you are European Economic Resident, please click here.
At Samsung, we believe that innovation and growth are driven by an inclusive culture and a diverse workforce. We aim to create a global team where everyone belongs and has equal opportunities, inspiring our talent to be their true selves. Together, we are building a better tomorrow for our customers, partners, and communities.
* Samsung Electronics America, Inc. and its subsidiaries are committed to employing a diverse workforce, and provide Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, gender identity, status as a protected veteran, genetic information, status as a qualified individual with a disability, or any other characteristic protected by law.
Reasonable Accommodations for Qualified Individuals with Disabilities During the Application Process
Samsung Electronics America is committed to providing reasonable accommodations for qualified individuals with disabilities in our job application process. If you have a disability and require a reasonable accommodation in order to participate in the application process, please contact our Reasonable Accommodation Team ************** or SEA_Accommodations_******************* for assistance. This number is for accommodation requests only and is not intended for general employment inquiries.
$126k-155.5k yearly Auto-Apply 35d ago
Fire Investigator
Travelers Insurance Company 4.4
Investigator job in Melville, NY
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$89,800.00 - $148,300.00
**Target Openings**
1
**What Is the Opportunity?**
Travelers Investigative Services provides industry-first resources designed to detect and deter fraudulent claims. Using some of the most comprehensive technology available, we have the abilities and expertise to identify potential risks and combat fraudulent practices. Under general direction, the Fire Investigator is responsible for conducting high complexity in-depth fire and explosion investigations on fires referred to the fire investigation unit. This position is a dedicated Investigative Professional responding to fire and explosion events as they arise. Working in a nationwide and regional team relationship with executive/regional Claim, Legal and Subrogation professionals on the determination of the origin and cause of a fire loss.
***Ideal candidate must live or reside in or near the New York City metro area***
**What Will You Do?**
+ Primarily responsible for investigating the origin and cause of all levels of complex fires and explosion investigations which may involve the direct management of additional investigative experts.
+ Applies thorough knowledge of general fire scene safety and potential hazards during investigations.
+ Applies the techniques of critical thinking to dismantle complex problems and reasoning through to its logical conclusion utilizing the scientific method as outlined in NFPA 921.
+ Primarily responsible for investigating the origin and cause of all levels of complex fires and explosion investigations which may involve the direct management of additional investigative experts.
+ Applies thorough knowledge of general fire scene safety and potential hazards during investigations.
+ Applies the techniques of critical thinking to dismantle complex problems and reasoning through to its logical conclusion utilizing the scientific method as outlined in NFPA 921.
+ Prepares and provides accurate technical documentation of any fire or explosion investigation in order to accurately recall and communicate effectively observations of the scene at a later date.
+ Collects, identifies and safeguards all evidence and chain of custody necessary to the determination of an origin and cause fire claim.
+ Analyzes, transforms and conveys highly technical information into actionable investigative strategies that would include fraudulent (Arson) events, general liability and subrogation theories.
+ Applies Local, State and Federal statutes to ensure investigations are carried out within the requirements of applicable laws.
+ Participates and testifies in all legal proceedings as a certified technical expert as to the origin and cause of a fire or explosion incident.
+ Participates in various industry and related business functions to maintain awareness/ issues/trends in the claim or underwriting environment.
+ Provides primary technical support, as subject matter expert, to field offices on questions of fire and explosion incidents.
+ Establishes and maintains a working relationship with local, state and federal organizations.
+ Provides exceptional customer service by maintaining contact with business partners and customers throughout the life of each investigation.
+ Periodically engage in specialized investigative areas, including Marine, Vehicle, Heavy Equipment, Wild land, etc.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's or Master's degree in fire science or fire investigations.
+ Working knowledge of NFPA 921 and NFPA 1033 guidelines/ standards and knowledge of rules of evidence, procedural law and other protocols and regulations governing this discipline.
+ Knowledgeable of local and federal fire statutes.
+ Analytical and problem solving skills to use and interpret information and facts.
+ Communication skills necessary to communicate opinions and findings.
+ Knowledge of leadership and coaching skills.
+ Ability to apply critical thinking techniques to investigation review.
+ Takes ownership/initiative; significant planning and goal setting skills.
+ Self-motivated individual.
+ Works well independently or in a remote team environment.
+ Adapts to changes in process and shifting priorities.
+ Analytical and problem solving skills to use and interpret information and facts - Advanced.
+ Communication skills necessary to communicate opinions and findings - Advanced.
+ Proficient computer skills required - Intermediate.
+ Knowledge of leadership and coaching skills - Advanced.
+ Apply critical thinking techniques to investigation review - Master's.
+ Analytical capabilities - Master's.
+ Must take ownership/initiative; significant planning and goal setting skills required -- Advanced.
+ Must be a self-motivated individual - Advanced.
+ Works well independently or in a remote team environment - Advanced.
+ Adapting to changes in process and shifting priorities - Advanced.
**What is a Must Have?**
+ Bachelor's Degree in a related field and/or a minimum of five years of fire scene investigative experience.
+ Nationally Certified Fire Investigator / member of the National Association of Fire Investigators (NAFI) required OR.
+ Internationally Certified Fire and Explosion Investigator with the International Association of Arson Investigators (IAAI)required.
+ Valid drivers license.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
$89.8k-148.3k yearly 13d ago
FIELD INVESTIGATOR
Premier Investigations Inc.
Investigator job in White Plains, NY
Job DescriptionWestchester County, New YorkInvestigative Firm seeks a full-time or part-time field investigator with 2-3 years' experience preferably. Spanish-speaking a plus. Salary commensurate with experience. References required.
$35k-53k yearly est. 18d ago
SIU Investigator - Underwriting & Premium Fraud
CNA Financial Corp 4.6
Investigator job in Melville, NY
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Under minimal direction, initiates and manages suspected fraudulent underwriting and insurance premium investigations involving the highest complexity matters. Provides advice, direction, and support to underwriters, auditors, business unit leadership, corporate investigations and other stakeholders across the organization on the detection, investigation, and litigation of suspected underwriting matters.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Leads the detailed analysis and completion of thorough and timely investigations of suspected underwriting fraud by following Best Practice Guidelines and collaborating with business stakeholders.
* Develops and executes investigation strategy either independently or in collaboration with underwriting professionals, counsel, experts, insureds, and other stakeholders.
* Manages investigation activities independently and/or coordinates/oversees vendor service partner activities in the field.
* Maintains detailed, accurate and timely case records by following established Best Practices for file documentation and by creating comprehensive reports of investigative findings, and conclusions.
* Makes recommendations for resolution by presenting evidence-based findings and proposing solutions of moderate to complex scope.
* Identifies opportunities and participates in the design and implementation of process or procedural improvements.
* Leads or directs efforts to build and enhance and oversees organizational capabilities by developing and delivering fraud awareness or regulatory compliance training and mentoring SIU staff.
* Leads or directs the preparation of cases for appropriate reporting to outside agencies; leads or directs pursuit of criminal or civil actions through gathering and documenting relevant data, organizing and summarizing facts and testifying on behalf of the company in civil or criminal matters.
* Continuously develops knowledge and expertise related to insurance fraud by keeping current on related law, regulations, trends, and emerging issues and participating in insurance fraud or related professional associations.
May perform additional duties as assigned.
Reporting Relationship
Typically Manager or Director
Skills, Knowledge and Abilities
* Solid knowledge of property and casualty claim handling practices
* Strong technical knowledge of practices and techniques related to investigations and fact finding. For roles focused in an area of specialty (medical provider investigations), strong technical knowledge of respective specialty practices is required.
* Strong interpersonal, oral, and written communication skills; ability to clearly communicate complex issues
* Ability to interact and collaborate with internal and external business partners, including outside agencies
* Ability to work independently, exercise good judgment, and make sound business decisions
* Detail oriented with strong organization and time management skills
* Strong ability to analyze complex, ambiguous matters and develop effective solutions
* Proficiency with Microsoft Office applications and similar business software, and understanding of relational databases information querying techniques
* Ability to adapt to change and value diverse opinions and ideas
* Developing ability to implement change
* Ability to travel occasionally (less than 10%)
Education and Experience
* Bachelor's degree or equivalent professional experience.
* Minimum of three to five years of experience conducting investigations in the area of a) insurance fraud, b) law enforcement, c) civil or criminal litigation, or d) similar field.
* Professional certification or designation related to fraud investigations strongly preferred (e.g., CFE, CIFI, FCLS, FCLA, or similar).
#LI-AR1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
$54k-103k yearly Auto-Apply 35d ago
As Needed Field Investigator- Greenwich, CT
J T Becker & Co Inc.
Investigator job in Greenwich, CT
Job DescriptionDescription:
Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect for a licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results.
We are seeking a detail-oriented and proactive investigator to join our team. The ideal candidate will conduct a variety of investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within an assigned geographical area. Surveillance assignments require the investigator to obtain videotape documentation of the subject and for SIU assignments the investigator must complete the assignment as per the instructions given by the case manager.
Key Responsibilities:
Adhere to specific requirements of an assignment based upon the case manager's instructions
Review all case materials prior to conducting investigative activity
Complete video surveillance on identified individuals for the allotted amount of time and utilizes established investigative techniques to secure covert video footage
Conduct investigations such as securing recorded statements, scene inspections, activity checks and securing documents as assigned
Complete written notes on each case assignment in a timely manner
Submit all videotaped results, photographs, and digital recordings via e-mail by the next business day
Meet established deadlines set by the client
Communicate effectively with the assigning case manager with regularity regarding the progress of assignments
Ensure confidentiality of all information obtained
Requirements:
Possess a valid state issued driver's license
Possess a current private investigator license (if applicable)
Must be dependable and able to meet deadlines
Must be a self-starter capable of working with limited supervision
Possess investigative tools (Laptop, Video Cameras, Digital Recorder, etc.)
Possess strong writing and verbal communication skills
Experience conducting surveillance as a field investigator
Experience completing SIU claim investigations
Possess a reliable vehicle
$31k-47k yearly est. 15d ago
Quality Assurance Compliance Investigator
Lynkx Staffing LLC
Investigator job in Saddle Brook, NJ
Quality Assurance Compliance InvestigatorAllendale, NJ Lynkx Staffing LLC specializes in placing talented professionals in the Biotechnology, Pharmaceutical and Medical Devices industries in New Jersey. This position will report into the (Associate) Manager of Quality Assurance (Floor support). Responsible to perform Quality Assurance Compliance activities in support of company and/or client procedures, including but not limited to, document. management: investigations, CAPA, SOPs, qualification and validation reports, QC data. Supports Quality management with various department, organizational and operational excellence initiatives. Generally, exercises independent judgment, within generally defined practices and policies, when selecting methods and techniques for obtaining solutions. This role supports internal and external audits which may include interaction with Health Authorities and clients.
Liaises with relevant functional groups (Operations, Facilitates, QC, EH&S) to conduct investigation and CAPA processes.
Conduct investigation and identify true root cause using appropriate tools.
Manage multiple investigations in different stages of the process to meet compliance deadlines and product release dates.
Reviews and approves investigations and CAPAs when required;
Collaborate with cross functional department to develop and track CAPA plans.
Prepares and issues change control as necessary.
Adherences and champions to all compliance regulations as required by regulatory agencies and per the Company's processes and procedures.
Ensures appropriate CAPAs are generated to increase compliance and prevent repeat occurrences of deviations.
Conducts trend analysis of compliance related metrics such as deviations and CAPAs.
Performs supplemental investigations and/or participates in project teams or assignment as necessary.
Support in agency, internal and/or client audits.
Other duties as assigned.
REQUIREMENTS
B.S in biological sciences or other relevant field of study.
Minimum 5 years' experience in QA in a life sciences company with a strong focus in the manufacturing and/or testing of biologics preferred.
Experience in authoring, reviewing, and /or approving cGMP/cGTP related documents (Investigation report, CAPA report, SOPs etc.) required.
Understanding of quality system applications, including the use of electronic applications for training, deviations, CAPA management, etc.
Familiar with FDA, ISO, and other regulatory agency guidelines.
Understanding of Good Manufacturing Practices (GMP), Good Documentation Practices (GDP) and Good Laboratory Practices (GLP) required.
Working knowledge and technical understanding of aseptic manufacture of biologics preferred.
Experience in both clinical and commercial manufacturing is preferred.
Experience in supporting health authority inspections and/or client audits preferred.
Competencies/Candidate Profile
Relevant computer skills (Microsoft Office, Outlook)
Detail-oriented and organized
Analytical and problem-solving skills
Good written and oral communication skills
Ability to multi-task and be adaptable
Flexible and able to adapt to company growth and evolving responsibilities
Ability to work independently and with a team
Strong Project Management and organization skills
Must be able adaptable, collaborative, accountable, and have a “can-do” pioneering spirit.
Must be able to work in a team-oriented environment.
Must be able to work occasional weekends, nights, and/or holidays as required/necessary.
May be exposed to infectious diseases transmittable through human blood, tissues, or bodily fluids.
Must be able to handle the standard moderate noise of the manufacturing facility.
Must be able to work in open floor plan environment and may work in close proximity to others.
Wheel-o-Vator available for use.
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
$53k-76k yearly est. 17d ago
Quality Assurance Investigator II
School for Adaptive and Integrative Learning Sail
Investigator job in Yonkers, NY
SAIL at Ferncliff Manor is seeking to hire an Internal Investigator with OPWDD experience to join our Quality Assurance team.
This position will be responsible for all aspects of the incident management process in accordance with NYCRR 14 Part 624, 625, 633 and 8 CRR-NY 200.15 regulations.
Annual Salary: $45,000.00
Education: Associates Degree Preferred
Benefits: Health /vision, Dental Insurance, 401k/401k match, and PTO
Essential Duties:
Conduct investigations regarding allegations of abuse and neglect and reportable significant incidents.
Prepare written investigative summary (utilizing the OPWDD required 149 form) with appropriate recommendations.
Enter all information related to investigation process and findings in Incident Reporting Management Application (IRMA) database.
Upload investigations to IRMA, and WSIR websites. May conduct new orientation and other trainings related to incident reporting and incident management as assigned.
Receive, and review all incidents and occurrences in OPWDD & SED programs.
Conduct new hire orientation and other trainings related to incident reporting and incident management as assigned.
Maintain a working knowledge of government and industry assurance codes and standards.
$45k yearly 60d+ ago
New York, Huntington Surveillance Investigator (27989)
ISG 4.7
Investigator job in Huntington, NY
About Us: Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related services. We provide comprehensive solutions that help our clients mitigate risk and enhance their operational integrity.
Surveillance Investigator Job Description:
ISG is currently seeking experienced and motivated individuals for Surveillance Investigator positions. The ideal candidate will possess a strong work ethic, be self-motivated, and excel in problem-solving while working as part of a team. Candidates must be able to work independently, demonstrate strong time management, and possess excellent communication skills. Flexibility in scheduling is essential, as hours may include early mornings, weekdays, weekends, and evenings.
Key Responsibilities as a Surveillance Investigator:
Conduct thorough investigations related to suspected fraud and misconduct.
Perform on-site mobile surveillance, maintaining discretion and professionalism.
Remain in the vehicle for extended periods (up to 8 hours or longer) while monitoring subjects.
Travel up to 2 hours one way per case as needed.
Document findings by writing detailed reports and uploading video evidence.
Collaborate with team members and report findings to management.
Maintain accurate records and documentation in compliance with company policies.
Qualifications
Surveillance Investigators must have the following qualifications:
Insurance Experience, Worker's Compensation, Auto, Liability, or similar SIU / Surveillance experience.
A reliable vehicle, computer, and cell phone.
A digital video camera with date and time stamp capability
Be proficient in web-based systems, and ability to write detailed reports.
Ability and willingness to travel as necessary.
Ability to work independently and complete cases successfully with little supervision.
We are hiring employees not subcontractors.
***Must be Eligible for Private Investigator Employee Registration***
Agency: 11000138986
$53k-80k yearly est. 11d ago
As Needed Field Investigator- Greenwich, CT
J T Becker & Co
Investigator job in Greenwich, CT
Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect for a licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results.
We are seeking a detail-oriented and proactive investigator to join our team. The ideal candidate will conduct a variety of investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within an assigned geographical area. Surveillance assignments require the investigator to obtain videotape documentation of the subject and for SIU assignments the investigator must complete the assignment as per the instructions given by the case manager.
Key Responsibilities:
Adhere to specific requirements of an assignment based upon the case manager's instructions
Review all case materials prior to conducting investigative activity
Complete video surveillance on identified individuals for the allotted amount of time and utilizes established investigative techniques to secure covert video footage
Conduct investigations such as securing recorded statements, scene inspections, activity checks and securing documents as assigned
Complete written notes on each case assignment in a timely manner
Submit all videotaped results, photographs, and digital recordings via e-mail by the next business day
Meet established deadlines set by the client
Communicate effectively with the assigning case manager with regularity regarding the progress of assignments
Ensure confidentiality of all information obtained
Requirements
Possess a valid state issued driver's license
Possess a current private investigator license (if applicable)
Must be dependable and able to meet deadlines
Must be a self-starter capable of working with limited supervision
Possess investigative tools (Laptop, Video Cameras, Digital Recorder, etc.)
Possess strong writing and verbal communication skills
Experience conducting surveillance as a field investigator
Experience completing SIU claim investigations
Possess a reliable vehicle
$31k-47k yearly est. 60d+ ago
Quality Control Analytical Compliance Investigator
Lynkx Staffing LLC
Investigator job in Saddle Brook, NJ
QC Analytical Compliance Investigator Lynkx Staffing LLC specializes in placing talented professionals in the Life Sciences, Biotechnology, Pharmaceutical and Medical Devices industries in New Jersey. Our client is seeking a QC Analytical Compliance Investigator to lead life-cycle investigations, including but not limited to deviations, environmental excursions, non-conformances, discrepancies, etc. to improve the processes by implementing corrective and preventative actions to ensure compliance.
Determine the causes and preventative actions of Deviations, Non-Conformances, OOS, OOT, field complaints and environmental excursion investigations.
Drive investigations to true root cause using appropriate investigation tools.
Benchmark industry standards to develop, advocate, and implement investigative and impact assessment tool sets.
Define and implement effective preventative actions to prevent recurrence.
Manage multiple investigations in different stages of the process to efficiently meet compliance deadlines and product release dates.
Collaborate with cross-functional teams to develop and track CAPA plans.
Identify and create appropriate trending rules that trigger corrective actions.
Analyze process data and evaluate trends to identify major improvement opportunities.
Effectively utilize change management approach.
Develop materials to train and educate personnel on writing problem statements and use of root cause analysis tools, discrepancy and deviation process.
Champion CAPA plans and implementation.
Provide communication plan for on-going deviations & CAPA's.
Effectively create and communicate CAPA plan to responsible parties.
Oversee timely completion of deviations, CAPAs, and Change Controls as necessary.
Ability to abide by quality standards.
REQUIREMENTS
BS in a Quality / Process related field.
Experience in GMP Operations and/or QA in Cell Therapies, Biotechnology or Bio-Pharma.
Root cause analysis experience in pharmaceutical or FDA regulated operation preferred.
Experience using e-Quality Management Systems preferred.
Relevant IT skills (able to work with Visio, Microsoft Project and Excel)
Ability to think strategically and tactically (detail-oriented)
Strong collaborative and influencing skills and ability to work well in a cross-functional, matrixed environment
Analytical and problem-solving skills
Strong written and oral communication skills
Flexible and able to adapt to company growth and evolving responsibilities
Integrity, accountability and strong dedication to regulatory compliance
Continuous improvement mindset
Ability to work effectively as a team and independently.
GMP Trained, Quality Systems Trained (Deviation/CAPA)
Working EnvironmentWhile performing the duties of this job, the employee may occasionally be exposed to infectious diseases transmittable through human blood, tissues, or bodily fluids and are expected to utilize universal precautions with all human specimens. Other exposures may include gases (nitrogen), or corrosive chemicals (Clorox, potassium hydroxide), or exposure to liquid nitrogen. The noise level in the work environment is moderately noisy. Physical RequirementsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Non-absorbent laboratory coats are required, as well as latex (or a non-latex substitute) gloves. When working with potentially hazardous materials that may spray, aerosol, or otherwise contact skin or mucous membranes, face shields or goggles must be worn. Heavy cryo-gloves must be used when working with liquid nitrogen. Other DutiesPlease note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
How much does an investigator earn in White Plains, NY?
The average investigator in White Plains, NY earns between $48,000 and $127,000 annually. This compares to the national average investigator range of $42,000 to $119,000.
Average investigator salary in White Plains, NY
$78,000
What are the biggest employers of Investigators in White Plains, NY?
The biggest employers of Investigators in White Plains, NY are: