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  • Healthcare Fraud Investigator

    Healthcare Support

    Investigator job in Rancho Cucamonga, CA

    Healthcare Fraud Investigator - Hybrid! HealthCare Support is actively seeking a Healthcare Fraud Investigator to join a respected health plan organization, that provides Medicare and Medi-Cal healthcare services to over 1.5 million members in Rancho Cucamonga, California. Schedule Monday - Thursday 8:00 am - 5:00 pm Onsite Tuesday - Thursday and remote on Mondays and Fridays Compensation $80,000 - $95,000 annually (depending on experience) Annual HEDIS Incentive: Up to 10% Annual Merit Increases: Up to 3% based upon individual performance Benefits Very low healthcare premiums ($35 - $100 depending on the plan!) 3 ½ weeks of PTO (18 days) & 11 Paid Holidays Fitness Reimbursement up to $125/a year and on-site fitness facility Tuition reimbursement after 1 year of employment 457(b) Retirement Plan - matches 3% of base salary CalPERS Retirement Plan (i.e., pension plan for all employees) - full vesting after 5 years Daily Responsibilities Assign oversight to daily revenue cycle operations including billing, AR, denials, and appeals Review coding and billing accuracy to ensure compliance and proper reimbursement Oversee a team of billing/RCM staff 4-5 and vendors Qualifications Bachelor's degree from an accredited institution required 5+ years relevant professional experience in fraud, waste, and abuse investigations, including Federal and State reporting requirements Experience working directly with a health plan , with full knowledge of Medi-Cal and Medicare Interested in this opportunity? Click Apply Now for immediate consideration, or reach out to our Recruiter, Melanie Williams with any questions: Call: ************** Email: ************************************** Schedule a Call: ************************ Healthcare Support Staffing, LLC is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law. Hybrid
    $80k-95k yearly 3d ago
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  • Private Investigator - Los Angeles, CA

    Delta Group 3.8company rating

    Investigator job in Los Angeles, CA

    Delta Group is a privately held, national investigative firm established in 1983 and headquartered in Buford, Georgia. As pioneers of unmanned surveillance technology, Delta Group's eRemote technology is an industry recognized product that continues to evolve and produce game-changing results. With more than 500 direct employees nationwide, our domestic footprint is large enough to matter and small enough to care. We pride ourselves on developing and retaining professional staff while maintaining diversity within our team. Our executive leadership team brings over 100 years of combined experience leading national carrier fraud divisions, state fraud prosecutorial offices, claims and program management divisions, and investigative operations. For over 41 years, our investigative resources have helped organizations reduce risk, improve profitability, and increase revenue within the insurance industry. Our expert employees are located throughout the United States, executing investigations for all types of claims including but not limited to, workers' compensation, liability, auto, property, disability, and corporate investigations, regardless of size. Come join our talented team and our commitment to people, innovation and results. As we say at Delta Group, we are “Big Enough to Matter, but Small Enough to Care!”. We strive to provide a work culture that maintains our roots as a family-owned business and partner with our employees to get the results our clients need! Position Description: We are currently seeking talented and experienced Private Investigators to join our growing team. This role involves ethical and professional investigative work on Workers' Compensation and Liability claims, primarily through surveillance and factual data collection. Details around field specific programs, and other perks can be discussed during the interview process. Job Responsibilities Conduct surveillance on Liability and Work Comp Insurance claims. Prolonged periods of sitting in a vehicle or other stationary positions during surveillance - up to 12 hours per day. Ability to travel to different locations for investigations, which may involve driving, walking, or using public transportation. Maintain visual focus during surveillance activities, often for extended periods. Ability to navigate various environments, including urban, rural, and indoor settings. Ability to review and dissect comprehensive reports, as well as Police reports. Ability to write a detailed surveillance report to Company Standards. Ability to review video in order to properly prepare reports. Ability to covertly document a Subject without being detected. Ability to search, locate and utilize Social Media throughout the investigative process. Ability to react quickly and use good judgement to scenarios that may arise during surveillance. Knowledge of pretexting is preferable. Ability to think outside the box. Required: Must be 18 years of age - unless otherwise stated by State Licensure Laws Associate degree or comparable field experience preferred Must pass background check Must pass a clean driving record Must be willing to obtain investigator licensing within your home state Diligent Compensation Package: $20-$30 per hour dependent on experience and geographical location Competitive Travel Rates Mileage Pay Lodging Cost Coverage Covert Video Pay Daily Report Writing Pay Overnight Stay Per Diem. Opportunity for Potential Quarterly Bonus Additional Pay for Holiday Work Licensure Reimbursement for Eligible States (for Delta-specific licenses only) Competitive Benefits We offer competitive benefits to our field investigation employees. Benefits include: Medical, dental and vision insurance Ancillary benefits to include short-term disability, long-term disability, accident, voluntary term and/or whole life insurance, critical illness and more! 401K eligible after 90 days! Field specific benefit programs The Delta Difference Supportive, dynamic, and collaborative work environment Dedicated Regional Field Supervisors with Investigative Experience Attentive Case Managers committed to client and investigator experience. Flexible Schedule The final job level and annual salary will be determined based on the education, qualification, knowledge, skills, ability, and experience of the final candidate(s), and calibrated against relevant market data and internal team equity. Delta Group is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex (including pregnancy, sexual orientation, gender identity / expression), national origin or ancestry, genetic information (including family medical history), physical or mental disability, protected veteran status, or any other characteristic protected under federal, state or local law, where applicable, and those with criminal histories will be considered in a manner consistent with applicable state and local laws.
    $20-30 hourly 60d+ ago
  • Supervisory Criminal Investigator

    Department of Defense

    Investigator job in Mission Viejo, CA

    Apply Supervisory Criminal Investigator Department of Defense Office of Inspector General Investigations Apply Print Share * * * * Save * This job is open to * Requirements * How you will be evaluated * Required documents * How to apply This position is located in the Department of Defense Office of Inspector General (DoD OIG). The incumbent of this position will work within the Office of the Deputy Inspector General for Investigations (DIG INV), Defense Criminal Investigative Service (DCIS). Summary This position is located in the Department of Defense Office of Inspector General (DoD OIG). The incumbent of this position will work within the Office of the Deputy Inspector General for Investigations (DIG INV), Defense Criminal Investigative Service (DCIS). Overview Help Accepting applications Open & closing dates 01/06/2026 to 01/13/2026 Salary $107,446 to - $139,684 per year Salary listed is Base Salary - Locality pay will be determined based on location. Pay scale & grade GS 14 Locations Phoenix, AZ 1 vacancy Long Beach, CA 1 vacancy Mission Viejo, CA 1 vacancy Oakland, CA 1 vacancy Show morefewer locations (8) Sacramento, CA 1 vacancy New Haven, CT 1 vacancy Atlanta, GA 1 vacancy Melville, NY 1 vacancy Syracuse, NY 1 vacancy Pittsburgh, PA 1 vacancy Charleston, SC 1 vacancy Seattle, WA 1 vacancy Remote job No Telework eligible Yes-as determined by the agency policy. Travel Required 25% or less - You may be expected to travel for this position. Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time Service Excepted Promotion potential 14 Job family (Series) * 1811 Criminal Investigation Supervisory status Yes Security clearance Sensitive Compartmented Information Drug test Yes Position sensitivity and risk Special-Sensitive (SS)/High Risk Trust determination process * National security Financial disclosure Yes Bargaining unit status No Announcement number IG-26-12858934-INV-INT Control number 853616200 This job is open to Help Federal employees - Competitive service Current federal employees whose agencies follow the U.S. Office of Personnel Management's hiring rules and pay scales. Federal employees - Excepted service Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency Vacancy is open to current DoD OIG employees only. Duties Help * Serves as the supervisor of Resident Agency (RA). * Ensures the timely performance of satisfactory quantity and quality of work, by reviewing, accepting, amending, or rejecting work products. * Develops budget and program planning documents for the Field Office Special Agent in Charge as required. * Analyzes all preliminary criminal or final investigative reports to ensure compliance with investigative directives, standards, and guidelines. * Serves as court witness and frequently testifies before grand juries, courts, or administrative hearings regarding the crime and evidentiary proofs ascertained through investigative efforts. Requirements Help Conditions of employment * U.S. Citizenship Required. * Position has been designated as Special Sensitive; incumbent is required to obtain and maintain a Top Secret/Sensitive Compartmented Information (TS/SCI) security clearance. * May require travel internationally and/or deployment to Southwest Asia. * Males born after 12/31/1959 must be registered or exempt from Selective Service (see ******************** * This is an Excepted Service position and an applicant receiving such an appointment does not acquire competitive civil service status. * This position requires a pre-employment physical exam and a pre-employment physical readiness test. A physical readiness test is required for the duration of employment. * This position requires qualifications to carry and use government-owned firearms as part of assigned duties (as a condition of employment you must maintain this qualification). * The applicant selected for this position must be able to qualify and maintain authorization to carry firearms including no current or previous domestic violence charges/convictions. * Employees are ineligible for this position if, at any time, they have been convicted of a misdemeanor crime of domestic violence, unless the conviction was expunged, set aside, or he/she received a pardon. * Incumbent will be required to work, or be available to work substantial amounts of unscheduled overtime duty based on the needs of the agency. * Compensation for this unscheduled overtime is in the form of a special form of premium pay fixed at 25 percent of the adjusted salary (basic and locality). * May be required to serve 1-Year Supervisory Probationary Period. * This position is considered a secondary law enforcement administrative position and is covered under the special retirement provision for secondary law enforcement positions. * If you have not previously successfully completed a trial or probationary period with the Federal Government in a similar position, you will be required to serve a two year trial period. * Requires the incumbent to possess and maintain a valid state driver's license. * This position requires employees to agree to a Mobility Agreement. Selectees will be required to sign the Mobility Agreement as a condition of employment. * Federal employees currently serving in the Competitive Service must acknowledge that they will voluntarily leave the Competitive Service by accepting an offer of employment in the Excepted Service. * May be required to submit a financial disclosure form (OGE-450) at time of appointment and annually. * Recruitment incentives WILL NOT be paid. * The incumbent must adhere to the DoD Standards of Conduct. Qualifications Applicants must demonstrate that they meet the Basic AND Minimum Qualification requirements as noted below. Basic Requirement: Medical Requirements The duties of positions in this series require moderate to arduous physical exertion involving walking and standing, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of finger, wrist, elbow, shoulder, hip, and knee joints is required. Arms, hands, legs, and feet must be sufficiently intact and functioning in order that applicants may perform the duties satisfactorily. Sufficiently good vision in each eye, with or without correction, is required to perform the duties satisfactorily. Near vision, corrective lenses permitted, must be sufficient to read printed material the size of typewritten characters. Hearing loss, as measured by an audiometer, must not exceed 35 decibels at 1000, 2000, and 3000 Hz levels. Since the duties of these positions are exacting and responsible, and involve activities under trying conditions, applicants must possess emotional and mental stability. Any physical condition that would cause the applicant to be a hazard to himself/herself, or others is disqualifying. In addition to meeting the basic requirement, you must also meet the specialized experience described below: Time in Grade: Applicants who have held a General Scheduled (GS) position for 52 weeks of Federal service at the next lower grade (or equivalent) Specialized Experience for GS-14: You must have at least 52 weeks of specialized experience at the GS-13 level in the Federal service or at an equivalent level. Specialized experience is defined as: demonstrated ability to supervise a criminal investigative office that investigates procurement and/or contract fraud; bribery/corruption; theft and/or illegal export of sensitive defense articles. And other complex fraud allegations involving DoD programs and operations; skill in criminal investigative techniques, rules of criminal procedures, laws and rules of evidence, search warrants and seizure and related issues in the conduct of investigations. This experience must have equipped the applicant with the particular knowledge, skills, and competencies to perform successfully the duties of the position. You must meet the minimum qualification requirements as stated in the Office of Personnel Management (OPM) Operating Manual, Qualification Standards for General Schedule Positions: ******************************************************************* All qualifications and time-in-grade (if applicable) requirements must be met by the closing date of this announcement. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g. professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Any appointment made under the provisions of this announcement is excepted from competitive civil service and may require the incumbent to serve a trial period. Position(s) may be filled by displaced Department of Defense (DoD) employees through the Priority Placement Program. This job opportunity announcement may be used to fill additional vacancies within 90 calendar days of the referral certificate issue date. Only resumes submitted according to the instructions on the job announcement listed at *************** will be considered. If applicable, you may apply under the appropriate Special Appointment Authority and be considered for non-competitive appointments. Please see link for definitions of the Special Appointment Authorities: *********************************************************************************** Incumbent must have successfully completed the Criminal Investigator Training Program at the Federal Law Enforcement Training Center (FLETC) in Glynco, Georgia, or another Federal equivalent criminal investigator training program, such as the FBI Special Agent training program or Military Criminal Investigative Organization equivalent. Tribal, State, and local law enforcement academy training does not meet this requirement. Education There is no substitution of education for experience at this grade level. Additional information This position is covered by the Domestic Violence Misdemeanor Amendment (30 Sep 96) of the Gun Control Act (Lautenberg Amendment) of 1968. Employees are ineligible for this position if, at any time, they have been convicted of a misdemeanor crime of domestic violence, unless the conviction was expunged, set aside, or he/she received a pardon. The applicant selected for this position must be able to qualify and maintain authorization to carry and use government-owned firearms including no current or previous domestic violence charges/convictions. This position is covered by the special retirement provisions for Federal Law Enforcement Officers (FLEO). Position is approved for Primary 6C coverage under the provision of Title, 5 USC, Sections 8336(c) and 8412(d). This position is considered a secondary law enforcement administrative position and is covered under the special retirement provision for secondary law enforcement positions. The applicant must meet all of the following special retirement requirements: (1) Has moved directly (without a break in service exceeding three days) from a rigorous position to a secondary position; (2) Has completed three years of service in a rigorous position; and (3) If the applicant has served in a secondary position continuously (without a break in service of more than three days) since serving in a primary position. If selected, applicants that meet qualification requirements, but do not meet special retirement coverage requirements, will be placed under the regular Federal Employee retirement coverage. Incumbent is required to submit to urinalysis to screen for illegal drug use prior to appointment and is subject to random drug testing for the duration of service with Department of Defense Office of Inspector General (DoD OIG). Current DoD civilian employees are not required to conduct drug testing if moving from one Testing Designated Position (TDP) to another TDP with no break in service, unless deemed appropriate on a case-by-case basis by the gaining Component. Permanent Change of Duty (PCS) expenses MAY be paid. Recruitment incentives WILL NOT be paid. This position requires the potential for up to 25% temporary duty travel (TDY). Other alternate "Conditions of Employment" This position is considered a secondary law enforcement administrative position and is covered under the special retirement provision for secondary law enforcement positions. May be required to serve 1-Year Supervisory Probationary Period. Expand Hide additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How you will be evaluated You will be evaluated for this job based on how well you meet the qualifications above. Once the announcement has closed, your resume and supporting documentation will be used to determine if you meet the qualifications listed on this announcement. If you are minimally qualified, your resume and supporting documentation will be compared to your responses on the assessment questionnaire to determine your level of experience. If you rate yourself higher than is supported by your application package, your responses may be adjusted and/or you may be excluded from consideration for this position. If you are found to be among the top qualified candidates, you will be referred to the selecting official for employment consideration. Your qualifications will be evaluated on the following competencies: * Communication * Criminal Investigation * Leadership * Planning and Evaluating Preview the assessment questionnaire here: ******************************************************** This is covered by the special retirement provisions for Federal Law Enforcement Officer (FLEO). Candidates without previous FLEO service must be under age 37. Employees subject to special retirement coverage for law enforcement officers must retire at age 57 upon completing 20 years of law enforcement service under the special retirement provisions for law enforcement officers. If these 20 years of service are not attained at age 57, mandatory retirement is required upon completion of 20 years of service. This requirement may be waived only for veterans. See OPM Retirement Handbook for further details. The Maximum Entry Age requirement may be waived for applicants eligible for veterans' preference. Applicants previously covered by 5 U.S.C. 8336(c) or 5 U.S.C 412(d) are not restricted from applying. Criminal History Inquiries- If you apply to this position and are selected, we will not ask about your criminal history before you receive a conditional job offer. If you believe you were asked about your criminal history improperly, contact the agency @ ******************************************* Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. Required documents Required Documents Help To apply for this position, you must provide a complete Application Package which includes: Resume:Your resume showing relevant experience and should include the following: where you worked, job title, series and grade, if applicable, duties and accomplishments, employer's name and address, supervisor's name and phone number, starting and end dates (Mo/Yr), hours per week and salary. DO NOT include the following information: Classified or government sensitive information; social security number; photos of yourself; personal information, such as age, sex, religious affiliation, etc.; or encrypted and digitally signed documents. Read more about what you should leave out of your resume at USAJOBS. PLEASE NOTE: Only resumes of 2 pages or less in length will be reviewed. Be sure your relevant experience is included in those two pages. (cover letter optional). * SF-50(s): If you are a current or former federal employees, you MUST submit a SF-50. If your SF-50 does not show you meet time-in-grade requirements or competitive status eligibility, you must submit additional SF-50s for verification. If you fail to provide the required documentation, by the closing date of this announcement, you will not receive consideration. * Performance Appraisal: Current Federal employees, MUST submit a copy of their most recent completed annual performance appraisal received within the past 18 months. The performance appraisal must include the final rating. If a completed performance appraisal does not exist, is incomplete or unavailable, you must submit an explanation as to why it is not available at the time of your application submission. Mid-year progress reviews will not be accepted. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating. How to Apply Help To apply for this position, you must provide a complete Application Package. See required documents above. Click 'Apply Online' to create an account or log in to your existing USAJOBS account. 1. Follow the prompts to complete the assessment questionnaire and upload required documents. 2. Please ensure you click the Submit My Answers button to submit your application. 3. Check application status by logging into your USAJOBS account, clicking Application Status, then More Information for this position. Return to an incomplete application by logging into your USAJOBS account and clicking Update Application in the vacancy announcement. You must re-select your resume and other documents from your USAJOBS account or your application will be incomplete. If you are unable to apply online, you must request an alternative application which is available from the Human Resources Office. Please contact KYRA GILSON at *********************~ to obtain an alternative application. Working for DoD OIG offers a comprehensive benefits package that includes paid vacation, sick leave, holidays, life insurance, health benefits and participation in the Federal Employees Retirement System. This position is covered by the special retirement provisions for Federal Law Enforcement Officers (FLEO). Position is approved for Primary 6C coverage under the provision of Title, 5 USC, Sections 8336(c) and 8412(d). If applicable, you may apply under the appropriate Special Appointment Authority and be considered for non-competitive appointments. Please see link for definitions of the Special Appointment Authorities: *********************************************************************************** Failure to submit a complete application package including any required documentation by the closing date of the announcement or at the time of application for announcements with an extended closing date, may result in an ineligible rating and loss of consideration. To verify that your application is complete, log into your USAJOBS account, select Application Status and More Information. The Details page will display the status of your application. It is the applicant's responsibility to verify that information entered, uploaded, or faxed is received, legible and accurate. HR will not modify answers submitted by an applicant. All applicants are encouraged to apply electronically. If you are unable to apply on-line, you may contact ************ for assistance. Agency contact information KYRA GILSON Email ********************* Address DoD OIG - DIG FOR INVESTIGATIONS 4800 Mark Center Drive Alexandria, VA 22350 US Next steps You will receive emails at various points in the evaluation process to notify you of: 1) receipt of your application; 2) after further evaluation, whether or not you are referred to the selecting manager for consideration and possible interview; and 3) the final disposition of your application when recruitment is complete. To check the status of your application or return to a previous or incomplete application, log into your USAJOBS account, select My Applications, and click on the more information link under the application status for this position. Fair and Transparent: The links below under Fair and Transparent are incorporated by reference. This Job Opportunity Announcement may be used to fill similar positions in other organizations with in the Department of Defense Office of Inspector General. Fair and transparent The Federal hiring process is set up to be fair and transparent. Please read the following guidance. Criminal history inquiries Equal Employment Opportunity (EEO) Policy Financial suitability New employee probationary period Privacy Act Reasonable accommodation policy Selective Service Signature and false statements Social security number request Required Documents Help To apply for this position, you must provide a complete Application Package which includes: Resume:Your resume showing relevant experience and should include the following: where you worked, job title, series and grade, if applicable, duties and accomplishments, employer's name and address, supervisor's name and phone number, starting and end dates (Mo/Yr), hours per week and salary. DO NOT include the following information: Classified or government sensitive information; social security number; photos of yourself; personal information, such as age, sex, religious affiliation, etc.; or encrypted and digitally signed documents. Read more about what you should leave out of your resume at USAJOBS. PLEASE NOTE: Only resumes of 2 pages or less in length will be reviewed. Be sure your relevant experience is included in those two pages. (cover letter optional). * SF-50(s): If you are a current or former federal employees, you MUST submit a SF-50. If your SF-50 does not show you meet time-in-grade requirements or competitive status eligibility, you must submit additional SF-50s for verification. If you fail to provide the required documentation, by the closing date of this announcement, you will not receive consideration. * Performance Appraisal: Current Federal employees, MUST submit a copy of their most recent completed annual performance appraisal received within the past 18 months. The performance appraisal must include the final rating. If a completed performance appraisal does not exist, is incomplete or unavailable, you must submit an explanation as to why it is not available at the time of your application submission. Mid-year progress reviews will not be accepted. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
    $107.4k-139.7k yearly 3d ago
  • Los Angeles, CA Private Investigator Trainee

    Lemieux & Associates LLC

    Investigator job in Los Angeles, CA

    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 Los Angeles, CA 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!
    $54k-99k yearly est. 12d ago
  • Private investigator

    USA Express Legal & Investigative Service Inc.

    Investigator job in Santa Ana, CA

    Job DescriptionLooking for private investigator or anyone is in training to become an investigator to handle field assignments for personal injury cases. Training will be provided. Immediate opening. We pay hourly rate plus IRS applicable mileage.
    $53k-96k yearly est. 2d ago
  • Private Investigator

    Digistream Investigations 3.5company rating

    Investigator job in Los Angeles, CA

    Private Investigator - DigiStream Investigations - Los Angeles, CA DigiStream Investigations, a fast-growing, national private investigation firm, seeks a talented addition to our investigation team in the Los Angeles area. This isn't your average desk job - being a Private Investigator means you'll have a career with excitement, travel, autonomy, and purpose. This role is meant for an individual with an adventurous and curious spirit, and the drive to provide our clients with the evidence they need to defend their cases. Work Schedule: Full-time, 40-55 hours per week average, 10-11 hours per day average, depending on travel distance to the case and back to your home (commute time in the company vehicle is "on the clock") Starting Hourly Pay Rate: $20 hourly (entry-level), frequent overtime Employee Benefits: Health, Dental, Vision, and Life insurance offered, and 401(k) retirement plan with 4% Company Match offered What you'll get: A foot in the door to the investigations/security/law enforcement fields Experience conducting covert investigations A job you'll love going to - no one day is the same Opportunities for growth within the company via our Investigator Promotion Track Unlike most PI companies, DigiStream provides full benefits, a company vehicle and paid travel Professional, hands-on training program developed over the course of 20 years Quarterly team-building events and comradery with fellow team members Sky is the limit! The skills you learn here can lead to jobs in: FBI / Law Enforcement ATF / US Border Patrol / State Crime Lab Law / Paralegal / Legal Assistant Security / Corporate Investigations Investigative Journalism What a day in the life of an investigator looks like: Monitoring, following, and videotaping subjects as they conduct their day-to-day activities Vehicle and foot pursuit of subjects while maintaining cover Activity varies from filming someone at a grocery story to filming them at a sports game Crafting pre-surveillance strategies based on the setup location and case details Detailed report writing on the activities observed/captured and submission of video evidence Regular communication with team leader on setup positions, activity and tactics Please check out this video to see how exciting this job can be! ******************************************* What you'll need to apply: High school diploma or GED Must be 21 years or older 50 hours per week on average (includes commute & drive time) Willingness to travel and stay overnight on remote assignments (as needed) Availability to work any day of the week, including weekends and holidays Ability to start work as early as 5:00 am daily with occasional work into the evenings Ability to pass DMV check & background check Confident driving skills No PI license required - we cover the licensure cost and guide you through the process Compensation/benefits: All full-time staff are currently earning: $50,000-$65,000+ range due to paid commute time Employee Benefits: Health, dental, vision, life insurance, and 401(k) with up to 4% company match Late model Company-provided surveillance vehicle (Toyota Highlander, Honda Odyssey) Equipment provided including video camera, laptop, tripod, fuel & maintenance card Entry-level starting pay is $20.00 per hour All staff earns daily overtime for commute time Get paid for your drive to work! Get paid time and a half to drive home! Cellphone Bill Reimbursement Paid travel to and from local and remote assignments (door to door) **Only apply if you have availability to work any of the 7 days of the week and can work a 5 day per week schedule with an average of 10 hours per day, including weekends and Holidays. You will be paid to commute to and from cases**
    $50k-65k yearly Auto-Apply 6d ago
  • Fraud Investigative Lead Supervisor

    Open 3.9company rating

    Investigator job in Los Angeles, CA

    Our roster has an opening with your name on it This role is responsible for leading and conducting comprehensive, complex investigations related to regulator concerns related to deposit fraud, play integrity, abuse, account takeovers, organized fraud, and other fraud specific investigations. This position will be a part of internal quality assurance testing as it relates to fraud processes along with preparing and presenting findings. This role is required to stay current on fraud trends and emerging threats and present case studies to the broader team on a recurring basis. As a Fraud Investigative Lead Supervisor, you will be contributing to state-specific reporting and regulatory-related fraud reviews. In addition to completing and leading investigations, this role will be responsible for overseeing direct reports, and managing tasks such as coordinating job rotations, providing regular and consistent feedback to direct reports, reporting significant findings and activity updates to the Fraud investigative Manager, goal coaching, and other supervisory tasks. This role may assist in designing, documenting, implementing, and monitoring of new procedures/services. Candidates for this role must pass the required licensing as mandated by various state gaming and racing regulatory bodies. Failure to be licensed or retain licensure will result in termination of employment. This position reports to the Fraud Investigative Manager. In addition to the specific responsibilities outlined above, employees may be required to perform other such duties as assigned by the Company. This ensures operational flexibility and allows the Company to meet evolving business needs. THE GAME PLAN Everyone on our team has a part to play Train and mentor Fraud Investigators and Fraud Prevention Analysts within our department Participate in quality assurance testing related to fraud prevention efforts Prepare investigation reports, summaries, and present findings Investigate and research allegations of fraud or abuse of system controls and communicate root cause findings Lead applicable state-specific regulatory fraud form reporting and regulator investigations Research, evaluate, and analyze information and intelligence to determine risk Aid in developing fraud mitigation strategies OSINT collection and analysis Collaborate with other departments within our organization, such as Security, Risk, Compliance, and other related teams Analyze past and current fraud trends and suspicious behavior tracking Continually learn and adapt to changing fraud trends and behavior Other tasks and projects as assigned by the leadership team THE STATS What we're looking for in our next teammate 3+ years of fraud experience in daily fantasy sports, online gaming or related industries 1+ years of leadership experience preferred Proficiency with SQL required Experience with digital payments and understanding of e-Commerce platforms Cybersecurity experience a plus Experience interacting with regulators and compliance a plus Prior experience using open-source intelligence Strong verbal and written communication skills Bachelor's degree in related field preferred Demonstrated aptitude for process execution, including identification of areas for improvement In-depth knowledge and understanding of common fraud trends and emerging threats Advanced knowledge of common fraud prevention strategies and systems Intermediate understanding of Check, ACH, Wire, Debit/Credit card, PayPal and other payment channel operating rules Effective communication, organizational, problem-solving, and analytical skills Passion for sports and/or gaming industry a plus Licensure: Must be able to pass required licensing as mandated by various state racing and gaming regulatory bodies ABOUT FANDUEL FanDuel Group is the premier mobile gaming company in the United States and Canada. FanDuel Group consists of a portfolio of leading brands across mobile wagering including: America's #1 Sportsbook, FanDuel Sportsbook; its leading iGaming platform, FanDuel Casino; the industry's unquestioned leader in horse racing and advance-deposit wagering, FanDuel Racing; and its daily fantasy sports product. In addition, FanDuel Group operates FanDuel TV, its broadly distributed linear cable television network and FanDuel TV+, its leading direct-to-consumer OTT platform. FanDuel Group has a presence across all 50 states, Canada, and Puerto Rico. The company is based in New York with US offices in Los Angeles, Atlanta, and Jersey City, as well as global offices in Canada and Scotland. The company's affiliates have offices worldwide, including in Ireland, Portugal, Romania, and Australia. FanDuel Group is a subsidiary of Flutter Entertainment, the world's largest sports betting and gaming operator with a portfolio of globally recognized brands and traded on the New York Stock Exchange (NYSE: FLUT). PLAYER BENEFITS We treat our team right We offer amazing benefits above and beyond the basics. We have an array of health plans to choose from (some as low as $0 per paycheck) that include programs for fertility and family planning, mental health support, and fitness benefits. We offer generous paid time off (PTO & sick leave), annual bonus and long-term incentive opportunities (based on performance), 401k with up to a 5% match, commuter benefits, pet insurance, and more - check out all our benefits here: FanDuel Total Rewards. *Benefits differ across location, role, and level. FanDuel is an equal opportunities employer and we believe, as one of our principles states, “We are One Team!”. As such, we are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, creed, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, or any other characteristic protected by state, local or federal law. We believe FanDuel is strongest and best able to compete if all employees feel valued, respected, and included. FanDuel is committed to providing reasonable accommodations for qualified individuals with disabilities. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please email ********************. The applicable salary range for this position is $78,000 - $97,000 USD, which is dependent on a variety of factors including relevant experience, location, business needs and market demand. This role may offer the following benefits: medical, vision, and dental insurance; life insurance; disability insurance; a 401(k) matching program; among other employee benefits. This role may also be eligible for short-term or long-term incentive compensation, including, but not limited to, cash bonuses and stock program participation. This role includes paid personal time off and 14 paid company holidays. FanDuel offers paid sick time in accordance with all applicable state and federal laws. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. #LI-Hybrid
    $78k-97k yearly Auto-Apply 31d ago
  • Compliance and Fraud Investigator- Toronto-Full Time- Perm- Non-Bilingual

    Serco 4.2company rating

    Investigator job in Ontario, CA

    Ontario, CA Customer Service 12895 Full-Time $66379.01 - $99569.56 Description & Qualifications** Description & Qualifications** If you enjoy working with the public in a high energy and dynamic environment - challenging and rewarding job opportunities await you at Serco Canada Join our team as a Compliance and Fraud Investigator, where you will be responsible for safeguarding compliance and identifying potential risks within testing services. Leveraging your analytical skills and attention to detail, you will oversee adherence to policies, support confidential investigations, and contribute to the development of strategies to ensure the operational integrity and ethical practices across all sites in Ontario. **SUMMARY/PURPOSE:** + Provide compliance and fraud/risk mitigation oversight of testing services at DriveTest Centres, across Ontario + Support and assist with confidential investigations into allegations of internal and external fraud and unethical activities, alongside Business Integrity Manager. + Supervise and ensure adherence to company guidelines and processes designed to ensure business integrity. + Monitor DriveTest Centres to ensure Driver Examiner and Driving Instructor compliance with defied business practices and standards + Identify and report areas of risk, and work with key stakeholders to propose and implement mitigating solutions + Ensure compliance with all Serco Canada Inc. policies and procedures, including but not limited to MTO Standards, Code of Conduct and Ethics, Serco Management System, PDR's, etc. + Responsible and accountable to meet the Project Agreement KPIs. + **This position will mostly work at the CAA off site truck location.** **KEY RESPONSIBILITIES:** + Monitor DriveTest Centre levels of compliance with policies and procedures with a focus on detecting and mitigating fraud and unethical activities in the workplace + Monitor employee adherence to processes by reviewing scorecards, reports and conducting in-vehicle audits + Perform data analytics to identify anomalies and potential areas of exposure. + Identify and mitigate Serco liabilities using fraud prevention and awareness processes. + Work with key internal stake holders, to review and implement new business initiatives and other special projects as assigned + Direct subordinate employees in performance of section tasks and responsibilities. + Perform hands on work in support of section service delivery objectives. + Accountable for performance management of subordinate employees, including authority to initiate corrective action in line with HR approval model. + Accountable to ensure all assigned deliverables and other reports are completed accurately and on time. + Accountable to ensure that standards for the accomplishment of short-term priorities are clearly articulated to staff and that resources are made available to achieve the standard. + Communicate key business objectives to front-line staff. + Visibly demonstrate Serco Values and work practices and ensure that all staff across the organization are practicing these Values daily. + Other related duties relevant to this position as may be required. + Comply with all regulations, policies and procedures pertaining to the operations including occupational health and safety, environmental, drug and alcohol, and quality. **Health & Safety, Environmental:** + Ensure compliance with all regulations, policies and procedures pertaining to the operations including occupational health and safety, environmental, and quality. + Responsible for the safety of all personnel, equipment, and facilities under the scope of this position, in accordance with Provincial, Serco and customer safety regulations and procedures. + Accountable for the implementation of plans to drive for results in the areas of safety, compliance, service delivery and cost. + Authority to stop work or service delivery for matters relating to H&Sand regulatory compliance risks. **General:** + Reliable vehicle required for local travel - travel estimated to be 25%. Ability and willingness to travel throughout Ontario, on occasion, required. + This position typically follows a Monday to Friday schedule; however, occasional Saturday work may be required based on business needs. Flexibility in availability is necessary to accommodate these requirements. **EDUCATION /CERTIFICATIONS:** + Post-Secondary education in a related field or possess a relevant combination of education + Possession of a valid Driver's License i.e.A, B, M, Z, is preferred; if not, the ability to obtain all classes of licenses will be considered **KNOWLEDGE and EXPERENCE** + 3-5+ years experience in a leadership capacity + Previous supervisory experience. + Experience in fraud mitigation, evaluation of fraud risk assessment and investigative work + Experience and understanding of contracts, SOW and labour agreements. + Specific years required in specific roles or special knowledge + Comprehensive understanding of concepts and principles within own discipline and knowledge of others. + Ability to evaluate risk and related mitigation strategies. + Communicates effectively - able to articulate ideas in a clear and persuasive manner. **SKILLS/Competencies (Interpersonal Communication, Financial, Managerial, Problem solving):** + Excellent computer skills in MS Office suite. + Strong project management skills with the ability to work on and track multiple projects simultaneously. + Effective communication skills and ability to work cross functionally within the organization. + Excellent collaborative leadership and organizational skills. + Strong degree of integrity and judgment. + Able to effectively delegate authority as required. + Willing to take ownership for the outcomes of projects within scope of responsibility. + Strong planning, coordination, execution and analytical skills. + Proven ability to meet deadlines and changing priorities. **Supervisory leadership skills:** 1. Capability in applying and ensuring consistent Performance Management practices (Coaching, Feedback, Expectations, Corrective Action). 2. Capability in working with Manager to ensure the overall development of direct reports. 3. Solid decision-making skills. 4. Team building aptitude, focus on productivity and collaboration. 5. Solid communication skills to appeal to broad audiences including managerial, direct reports, and cross-functional relationships. 6. Capability to influence others internally and externally, including senior leaders. 7. Presents with impact. This includes skillfully facilitating discussions and confidently expressing ideas and insights when appropriate. 8. Capability to exchange ideas and information effectively using tact and diplomacy when dealing with others. **Personal Attributes:** + Innovative, creative and agile. + Anticipates issues and opportunities and proactively responds. + Focuses on solutions; drives results; contributes ideas that will inform and support Manager with making tough decisions in ambiguous situations. + Maintains effective and sustainable teams of direct reports. + Highly accountable and motivated with a strong work ethic. **This position is contingent upon your ability to** **Pass Criminal Record Check (CPIC); Fingerprint Check.** To be successful in this role, you must have: + 3-5+ years experience in a leadership capacity + Previous supervisory experience. + Experience in fraud mitigation, evaluation of fraud risk assessment and investigative work + Experience and understanding of contracts, SOW and labour agreements. + Specific years required in specific roles or special knowledge + Comprehensive understanding of concepts and principles within own discipline and knowledge of others. + Ability to evaluate risk and related mitigation strategies. + Communicates effectively - able to articulate ideas in a clear and persuasive manner. **Employee hours vary based on customer demand and location's operating hours. **This position may require extended shift hours and possibly Saturday hours (depending on location) during certain periods of the year when Drive Test Centre volume is higher. _Serco Canada Inc. an equal opportunity employer that is committed to inclusive, barrier-free recruitment and selection processes. Consistent with our Values, Serco Canada is committed to providing equitable treatment to all with respect to barrier-free employment and accommodation without discrimination. Serco Canada will provide accommodation for applicants in all aspects of the hiring process. If you have an accommodation need, please contact Human Resources as soon as possible to make appropriate arrangements._ We thank all applicants for their interest. However, only candidates selected for an interview will be contacted. Serco Canada Inc. is an equal opportunity employer. **Company Overview** Serco Canada Inc. strives to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves the Canadian Federal and Provincial governments and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters. **Pay Transparency** Our Total Rewards package includes competitive pay, performance-based incentives, and benefits that promote well-being and work-life balance-so you can thrive both professionally and personally. Program availability may vary based on factors such as contract type, location, hire date, and applicable collective bargaining agreements. Salary range: The range for this position can be found at the top of the posting. This range is provided as a general guideline and represents a good faith estimate across all experience levels. Actual base salary will be determined by a variety of factors, including but not limited to, the scope of the role, relevant experience, job-related knowledge, education and training, key skills, and geographic market considerations. For roles available in multiple provinces, the range may vary to reflect differences in local labor markets. In addition to base salary, eligible positions may include other forms of compensation such as annual bonuses or long-term incentive opportunities. To review all Serco benefits please visit: ******************************************* . Serco complies with all applicable federal, provincial, and local leave laws This is a Canada-based role and this position is for an existing vacancy, unless stated otherwise in the job description. Please submit applications exclusively through Serco's external (or internal) career site. If an applicant has any concerns with job posting compliance, please send an email to: ******************** .
    $66.4k-99.6k yearly Easy Apply 6d ago
  • Mail Fraud Investigative Analyst

    KACE

    Investigator job in Los Angeles, CA

    Title: Mail Fraud Investigative Support Analyst Security Clearance: Moderate Background Investigation (MBI) Salary: Approximately $105,000 / annual Schedule: Due to the nature of law enforcement work and operation, position may require occasional support outside of core working hours, as well as intermittent weekend support, mission dependent. Travel: Travel may be required. About KACE: When you make the decision to join KACE, you are choosing to work alongside talented professionals that have one thing in common; the passion to make a difference! KACE employees bring their diverse talents and experiences to work on critical projects that help shape the nation's safety, security, and quality of life. The desire to have a career that is purposeful and forward thinking is woven into every KACE employee…it's The KACE Way. KACE employees are; purpose driven, forward focused, open-minded, trustworthy and invested. The KACE Way is our commitment to our employees, to our customers, and to our communities. Join KACE and make a difference! Job Summary: The Investigative Support Analyst provides task-specific investigative support to designated criminal and civil investigations in the Inspection Service field division offices. Essential Functions and Responsibilities: Analysis - Review and analyze business records; trace proceeds of illegal activity in order to prepare cash flow analysis; perform personal wealth analysis and related financial transactions; present findings in reports and presentations in non-technical terminology to various audiences. Research - Data-mine Postal records and other databases to indentify fraudulent activity; prepare reports documenting analytical results; disseminate research results to appropriate contact(s) in a timely manner. Planning and Preparation - Complete assigned tasks to ensure completion within required timeframes to support the criminal or civil investigation, as appropriate; assist Postal Inspectors with developing intelligence for criminal investigations; prepare initial investigative research; compile basic background information to include, but not limited to, researching all pertinent records and other data. Reporting Responsibilities - Responsible for documenting and reporting analytical results, creating graphic displays and reports that present clear and concise representations of the information analyzed; and disseminating data as required by the assigned task(s). Minimum Qualifications & Skills: Bachelor's Degree from an accredited college or university AND a minimum of ten years investigative experience planning, conducting and participating in complex financial investigations with a minimum of five years specialized experience in areas such as mail fraud, money laundering, organized crime, forfeiture or similar area of criminal activity. Demonstrated knowledge of federal statutes and the federal rules of criminal and civil procedure; Extensive experience in communicating orally and in writing to clearly explain steps and results in research and analysis using multiple mediums such as charts and reports; Extensive experience in conducting research using the Internet and other commercial/public databases; Demonstrated significant ability to analyze investigative results and present sound recommendations for additional investigative action; Extensive experience developing civil and/or criminal cases for presentation to the appropriate prosecution authority; Extensive experience identifying the appropriate analytical techniques and methods during an investigation; Demonstrated extensive ability to prepare complex criminal and/or civil investigations; Demonstrated extensive experience showing the ability to work independently; Demonstrated significant ability to prepare a final work product; Prior experience investigating complex financial investigations; Prior experience developing forfeiture in an investigation; Proficiency with the Microsoft suite of products, Adobe Acrobat Pro, i2, financial analytical software; Experience researching social media activity; Knowledge of FinCEN and Anti Money Laundering processes. Clearance: Applicants selected may be subject to a government background investigation and may be required to meet the following conditions of employment. Security Requirements/Background Investigation Requirements: Must be a U.S Citizen or Legal Permanent Resident. Favorable credit check for all cleared positions Successfully passing a background investigation including drug screening. Physical Requirements/Working Conditions: Standing/Walking/Mobility: Must have mobility to attend meetings with other managers and employees. Standing for prolonged and extended periods of time. Climbing/Stooping/Kneeling: 0% - 10% of the time. Lifting/Pulling/Pushing: 0% - 10% of the time. Fingering/Grasping/Feeling: Must be able to write, type and use a telephone system 100% of the time. Sitting: Sitting for prolonged and extended periods of time. This reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. Management may revise duties as necessary without updating this job description. For more information about the company please visit our website at ******************* KACE is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, disability or any other federal, state or local protected class.KACE complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to **************************.
    $105k yearly Auto-Apply 60d+ ago
  • Healthcare Fraud Investigator

    Contact Government Services

    Investigator job in Los Angeles, CA

    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 $85,000 - $105,000 a year 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.
    $85k-105k yearly 60d+ ago
  • Fraud Investigative Lead Supervisor

    Flutter Entertainment PLC

    Investigator job in Los Angeles, CA

    :" Our roster has an opening with your name on it This role is responsible for leading and conducting comprehensive, complex investigations related to regulator concerns related to deposit fraud, play integrity, abuse, account takeovers, organized fraud, and other fraud specific investigations. This position will be a part of internal quality assurance testing as it relates to fraud processes along with preparing and presenting findings. This role is required to stay current on fraud trends and emerging threats and present case studies to the broader team on a recurring basis. As a Fraud Investigative Lead Supervisor, you will be contributing to state-specific reporting and regulatory-related fraud reviews. In addition to completing and leading investigations, this role will be responsible for overseeing direct reports, and managing tasks such as coordinating job rotations, providing regular and consistent feedback to direct reports, reporting significant findings and activity updates to the Fraud investigative Manager, goal coaching, and other supervisory tasks. This role may assist in designing, documenting, implementing, and monitoring of new procedures/services. Candidates for this role must pass the required licensing as mandated by various state gaming and racing regulatory bodies. Failure to be licensed or retain licensure will result in termination of employment. This position reports to the Fraud Investigative Manager. In addition to the specific responsibilities outlined above, employees may be required to perform other such duties as assigned by the Company. This ensures operational flexibility and allows the Company to meet evolving business needs. THE GAME PLAN Everyone on our team has a part to play * Train and mentor Fraud Investigators and Fraud Prevention Analysts within our department * Participate in quality assurance testing related to fraud prevention efforts * Prepare investigation reports, summaries, and present findings * Investigate and research allegations of fraud or abuse of system controls and communicate root cause findings * Lead applicable state-specific regulatory fraud form reporting and regulator investigations * Research, evaluate, and analyze information and intelligence to determine risk * Aid in developing fraud mitigation strategies * OSINT collection and analysis * Collaborate with other departments within our organization, such as Security, Risk, Compliance, and other related teams * Analyze past and current fraud trends and suspicious behavior tracking * Continually learn and adapt to changing fraud trends and behavior * Other tasks and projects as assigned by the leadership team THE STATS What we're looking for in our next teammate * 3+ years of fraud experience in daily fantasy sports, online gaming or related industries * 1+ years of leadership experience preferred * Proficiency with SQL required * Experience with digital payments and understanding of e-Commerce platforms * Cybersecurity experience a plus * Experience interacting with regulators and compliance a plus * Prior experience using open-source intelligence * Strong verbal and written communication skills * Bachelor's degree in related field preferred * Demonstrated aptitude for process execution, including identification of areas for improvement * In-depth knowledge and understanding of common fraud trends and emerging threats * Advanced knowledge of common fraud prevention strategies and systems * Intermediate understanding of Check, ACH, Wire, Debit/Credit card, PayPal and other payment channel operating rules * Effective communication, organizational, problem-solving, and analytical skills * Passion for sports and/or gaming industry a plus * Licensure: Must be able to pass required licensing as mandated by various state racing and gaming regulatory bodies ABOUT FANDUEL FanDuel Group is the premier mobile gaming company in the United States and Canada. FanDuel Group consists of a portfolio of leading brands across mobile wagering including: America's #1 Sportsbook, FanDuel Sportsbook; its leading iGaming platform, FanDuel Casino; the industry's unquestioned leader in horse racing and advance-deposit wagering, FanDuel Racing; and its daily fantasy sports product. In addition, FanDuel Group operates FanDuel TV, its broadly distributed linear cable television network and FanDuel TV+, its leading direct-to-consumer OTT platform. FanDuel Group has a presence across all 50 states, Canada, and Puerto Rico. The company is based in New York with US offices in Los Angeles, Atlanta, and Jersey City, as well as global offices in Canada and Scotland. The company's affiliates have offices worldwide, including in Ireland, Portugal, Romania, and Australia. FanDuel Group is a subsidiary of Flutter Entertainment, the world's largest sports betting and gaming operator with a portfolio of globally recognized brands and traded on the New York Stock Exchange (NYSE: FLUT). PLAYER BENEFITS We treat our team right We offer amazing benefits above and beyond the basics. We have an array of health plans to choose from (some as low as $0 per paycheck) that include programs for fertility and family planning, mental health support, and fitness benefits. We offer generous paid time off (PTO & sick leave), annual bonus and long-term incentive opportunities (based on performance), 401k with up to a 5% match, commuter benefits, pet insurance, and more - check out all our benefits here: FanDuel Total Rewards. *Benefits differ across location, role, and level. FanDuel is an equal opportunities employer and we believe, as one of our principles states, "We are One Team!". As such, we are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, creed, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, or any other characteristic protected by state, local or federal law. We believe FanDuel is strongest and best able to compete if all employees feel valued, respected, and included. FanDuel is committed to providing reasonable accommodations for qualified individuals with disabilities. If you have a disability and need a workplace accommodation or adjustment during the application and hiring process, including support for the interview or onboarding process, please email ********************. The applicable salary range for this position is $78,000 - $97,000 USD, which is dependent on a variety of factors including relevant experience, location, business needs and market demand. This role may offer the following benefits: medical, vision, and dental insurance; life insurance; disability insurance; a 401(k) matching program; among other employee benefits. This role may also be eligible for short-term or long-term incentive compensation, including, but not limited to, cash bonuses and stock program participation. This role includes paid personal time off and 14 paid company holidays. FanDuel offers paid sick time in accordance with all applicable state and federal laws. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. #LI-Hybrid "}
    $78k-97k yearly 40d ago
  • Healthcare Fraud Investigator - Medicare

    Orchard 4.7company rating

    Investigator job in Los Alamitos, CA

    Job Description Healthcare Fraud Investigator - Medicare Los Alamitos, CA hybrid (OR) Work from Home in CA, AZ, ID, NV, OR, UT, or WA @Orchard LLC is retained by a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs. We have multiple lines of business including population health, utilization review, managed care organization quality review, and quality assurance for programs serving individuals with developmental disabilities. Our Client is also a national leader in fighting fraud, waste and abuse for large organizations across the country. In addition, our Foundation provides grant opportunities to those with programs for under-served communities. Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes. Essential Duties and Responsibilities: Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity. Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed. Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements. Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process. Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims. Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards. Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates. Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative processes. Education and /or Skills and Experience Required: Minimum Bachelor's Degree Minimum of 2-4 years experience in healthcare fraud investigation/detection; 5-7 years experience preferred Must possess prior experience in federal or state healthcare programs or a related field that demonstrates expertise in reviewing, analyzing, and making appropriate decisions related to fraud, waste and abuse. Preferred Skills/Experience: Certified Fraud Examiner or Accredited Healthcare Anti-Fraud Investigator Prior successful experience with CMS and OIG/FBI or similar agencies Medicare investigation experience strongly preferred If you match the requirements for this opportunity and believe you have the experience and talent to succeed in the role, we need to hear from you! Compensation for the role of Investigator will be determined based on experience and qualifications. The salary range is expected to be $64,000 - $80,000, plus benefits. Established in 2010, @Orchard LLC, also known as, Talent Orchard has an exceptional reputation, providing staffing solutions to time-sensitive, talent scarcity issues to deliver better talent management ROI. Our specialty lies in the critical area of program talent acquisition and resource management, not in one narrow skillset, but across many areas of technical and functional delivery. To learn more about our other exciting opportunities, visit our Jobs Page at ****** Orchard.com .
    $64k-80k yearly 3d ago
  • Fraud Investigator

    Blueprint30 LLC

    Investigator job in San Dimas, CA

    ADP is hiring a Senior Fraud, Client Svc & Prod Supt Consultant - Wisely Card Product in our Employee Financial Solutions organization. The Senior Fraud Analyst serves as a technical expert and investigative resource for the Wisely Card product. This role is responsible for in-depth analysis of complex fraud cases, advanced data analysis and reporting, and providing consultative support to internal teams and external partners. The ideal candidate will leverage strong Excel skills and investigative expertise to resolve issues, improve processes, and support operational excellence. Ready to #MakeYourMark? Apply now! WHAT YOU'LL DO: Responsibilities Conduct in-depth investigations of complex fraud cases, using advanced analytical and investigative techniques Utilize strong Excel skills for data analysis, reporting, and metrics to identify trends and support business decisions Assist with developing, implementing, and optimizing fraud rules (including Feedzai) in collaboration with vendors and internal stakeholders Provide second-tier support and subject matter expertise to internal teams and external partners Develop and maintain reports, dashboards, and presentations to communicate findings and recommendations Collaborate with vendors and internal stakeholders to optimize fraud prevention strategies and resolve issues Identify process gaps and propose solutions to enhance fraud detection and mitigation Support compliance initiatives, audits, and regulatory reporting as required Communicate effectively with senior leaders to provide updates and recommendations Mentor colleagues and share best practices in fraud investigation and analytics Act as a resource for project-oriented assignments and cross-functional initiatives TO SUCCEED IN THIS ROLE: Requirements This role is located in our San Dimas, CA office. We support a hybrid working arrangement (3 days in the office minimum with 2 days at home). 5+ years of experience in fraud investigation, risk management, or compliance Strong Excel skills and technical proficiency in data analysis and reporting Demonstrated expertise in investigative techniques and problem-solving Experience supporting internal and external stakeholders in a complex business environment Experience with fraud monitoring, fraud detection and interpretation. Experience with fraud rules development, and optimization, including Feedzai or similar tools. Excellent written and verbal communication skills, including the ability to communicate with Senior Leadership and cross-functional partners Ability to work independently and manage multiple priorities Proven ability to lead projects and drive operational changes Visionary mindset with the ability to anticipate issues, and implement system changes A college degree is great but not required. What's more important is having the skills to do the job. Other acceptable experiences could include: Experience noted above, OR Military Experience. We recognize and appreciate the unique talents and experiences Veterans bring to the table. We value the discipline, commitment, and problem-solving abilities you developed and are excited to provide an environment where you can continue to make a meaningful impact
    $47k-78k yearly est. 12h ago
  • Fraud Investigator

    Adpcareers

    Investigator job in San Dimas, CA

    ADP is hiring a Senior Fraud, Client Svc & Prod Supt Consultant - Wisely Card Product in our Employee Financial Solutions organization. The Senior Fraud Analyst serves as a technical expert and investigative resource for the Wisely Card product. This role is responsible for in-depth analysis of complex fraud cases, advanced data analysis and reporting, and providing consultative support to internal teams and external partners. The ideal candidate will leverage strong Excel skills and investigative expertise to resolve issues, improve processes, and support operational excellence. Ready to #MakeYourMark? Apply now! WHAT YOU'LL DO: Responsibilities Conduct in-depth investigations of complex fraud cases, using advanced analytical and investigative techniques Utilize strong Excel skills for data analysis, reporting, and metrics to identify trends and support business decisions Assist with developing, implementing, and optimizing fraud rules (including Feedzai) in collaboration with vendors and internal stakeholders Provide second-tier support and subject matter expertise to internal teams and external partners Develop and maintain reports, dashboards, and presentations to communicate findings and recommendations Collaborate with vendors and internal stakeholders to optimize fraud prevention strategies and resolve issues Identify process gaps and propose solutions to enhance fraud detection and mitigation Support compliance initiatives, audits, and regulatory reporting as required Communicate effectively with senior leaders to provide updates and recommendations Mentor colleagues and share best practices in fraud investigation and analytics Act as a resource for project-oriented assignments and cross-functional initiatives TO SUCCEED IN THIS ROLE: Requirements This role is located in our San Dimas, CA office. We support a hybrid working arrangement (3 days in the office minimum with 2 days at home). 5+ years of experience in fraud investigation, risk management, or compliance Strong Excel skills and technical proficiency in data analysis and reporting Demonstrated expertise in investigative techniques and problem-solving Experience supporting internal and external stakeholders in a complex business environment Experience with fraud monitoring, fraud detection and interpretation. Experience with fraud rules development, and optimization, including Feedzai or similar tools. Excellent written and verbal communication skills, including the ability to communicate with Senior Leadership and cross-functional partners Ability to work independently and manage multiple priorities Proven ability to lead projects and drive operational changes Visionary mindset with the ability to anticipate issues, and implement system changes A college degree is great but not required. What's more important is having the skills to do the job. Other acceptable experiences could include: Experience noted above, OR Military Experience. We recognize and appreciate the unique talents and experiences Veterans bring to the table. We value the discipline, commitment, and problem-solving abilities you developed and are excited to provide an environment where you can continue to make a meaningful impact
    $47k-78k yearly est. 12h ago
  • Fraud Investigator

    First Foundation Bank 4.6company rating

    Investigator job in Irvine, CA

    . Summary: This position is responsible for assessing various situations and identifying risks to related to fraud to the bank and its clients. The investigator works closely with various retail banking and operations teams to assist with fraud investigation and deterrence against First Foundation Bank. This role requires the ability to triage work assigned; conduct research utilizing various methods and provide clear and timely documentation of all findings. Must be analytical and focused with the ability to analyze documents and reports. Remains apprised of industry fraud trends, using knowledge and experience to detect instances of fraud and prevent bank loss. Duties and Responsibilities: Understands and complies with requirements of all laws and regulations applicable to the position Monitors fraud alert transactions through the Bank's transaction monitoring software to identify unusual or suspicious account activity and/or financial crime patterns related to ATM/Debit cards, credit cards, new accounts, checks, and loans Perform a series of reviews utilizing various tools and reports to identify potentially fraudulent activities on new/existing deposit and loan accounts Thoroughly research incidents and/or allegations and interact with other departments and other banks, companies, or local, state, and federal authorities when necessary Provide excellent customer service to clients impacted by fraud, ensuring we help as appropriate including detection of identity theft and elder financial abuse and related reporting Review of new accounts, negative balance accounts, ACH reports, Fiserv fraud notifications, and any suspicious activity on an existing account Assist in the preparation and completion of reports and case file documentation as required to ensure adherence to policies and procedures Utilize bank systems and resources to evaluate accounts and situations that may require unique treatment and a specialized approach Interview victims, witnesses, and/or suspects to obtain details of an incident Present case summaries to the management team as needed Analyze transactional data, assessing historical client activity to help make determinations of irregular activity Responsible for composing case narratives and completion of the initial Suspicious Activity Report (SAR) recommendation and justification Assist with editing and updating internal departmental procedures Provide training and guidance to new or less experienced team members Performs other duties as assigned Salary Range: The salary range budgeted for this position represents the Company's good faith minimum and maximum range for this role at the time of posting. The compensation offered to a candidate may vary depending on several factors, including a candidate's qualifications, skills, competencies, experience, and location. Geographic Location: Irvine, CA: $60,100 - $84,200 (Annually) Applicants must have current work authorization when accepting a First Foundation Inc. position. Currently, we cannot sponsor or take over the sponsorship of an Employment Visa. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Education and/or Experience: The successful candidate will possess a bachelor's degree or the equivalent combination of education and experience; 3+ years of direct experience in the Fraud Investigations field preferred. 5+ years of banking experience in retail, operations, compliance, or BSA setting is required. Skills: Working knowledge of current bank fraud investigative and interviewing techniques. Works independently to continuously monitor, review, analyze, detect, and prevent unauthorized or fraudulent activity. Strong written and verbal communication skills. Effective time management and organizational skills. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to sit for long periods; use hands to operate controls on a computer; reach with hands and arms for phone and computer work; and communicate on the phone wearing a headset for extended periods. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. This job description is subject to change at any time. First Foundation is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, and status as a qualified individual with a disability, sexual orientation, gender identity, or any other characteristic protected by law.
    $60.1k-84.2k yearly 6d ago
  • Supervisory Criminal Investigator

    Department of Defense

    Investigator job in Long Beach, CA

    Apply Supervisory Criminal Investigator Department of Defense Office of Inspector General Investigations Apply Print Share * * * * Save * This job is open to * Requirements * How you will be evaluated * Required documents * How to apply This position is located in the Department of Defense Office of Inspector General (DoD OIG). The incumbent of this position will work within the Office of the Deputy Inspector General for Investigations (DIG INV), Defense Criminal Investigative Service (DCIS). Summary This position is located in the Department of Defense Office of Inspector General (DoD OIG). The incumbent of this position will work within the Office of the Deputy Inspector General for Investigations (DIG INV), Defense Criminal Investigative Service (DCIS). Overview Help Accepting applications Open & closing dates 01/06/2026 to 01/13/2026 Salary $107,446 to - $139,684 per year Salary listed is Base Salary - Locality pay will be determined based on location. Pay scale & grade GS 14 Locations Phoenix, AZ 1 vacancy Long Beach, CA 1 vacancy Mission Viejo, CA 1 vacancy Oakland, CA 1 vacancy Show morefewer locations (8) Sacramento, CA 1 vacancy New Haven, CT 1 vacancy Atlanta, GA 1 vacancy Melville, NY 1 vacancy Syracuse, NY 1 vacancy Pittsburgh, PA 1 vacancy Charleston, SC 1 vacancy Seattle, WA 1 vacancy Remote job No Telework eligible Yes-as determined by the agency policy. Travel Required 25% or less - You may be expected to travel for this position. Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time Service Excepted Promotion potential 14 Job family (Series) * 1811 Criminal Investigation Supervisory status Yes Security clearance Sensitive Compartmented Information Drug test Yes Position sensitivity and risk Special-Sensitive (SS)/High Risk Trust determination process * National security Financial disclosure Yes Bargaining unit status No Announcement number IG-26-12858934-INV-INT Control number 853616200 This job is open to Help Federal employees - Competitive service Current federal employees whose agencies follow the U.S. Office of Personnel Management's hiring rules and pay scales. Federal employees - Excepted service Current federal employees whose agencies have their own hiring rules, pay scales and evaluation criteria. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency Vacancy is open to current DoD OIG employees only. Duties Help * Serves as the supervisor of Resident Agency (RA). * Ensures the timely performance of satisfactory quantity and quality of work, by reviewing, accepting, amending, or rejecting work products. * Develops budget and program planning documents for the Field Office Special Agent in Charge as required. * Analyzes all preliminary criminal or final investigative reports to ensure compliance with investigative directives, standards, and guidelines. * Serves as court witness and frequently testifies before grand juries, courts, or administrative hearings regarding the crime and evidentiary proofs ascertained through investigative efforts. Requirements Help Conditions of employment * U.S. Citizenship Required. * Position has been designated as Special Sensitive; incumbent is required to obtain and maintain a Top Secret/Sensitive Compartmented Information (TS/SCI) security clearance. * May require travel internationally and/or deployment to Southwest Asia. * Males born after 12/31/1959 must be registered or exempt from Selective Service (see ******************** * This is an Excepted Service position and an applicant receiving such an appointment does not acquire competitive civil service status. * This position requires a pre-employment physical exam and a pre-employment physical readiness test. A physical readiness test is required for the duration of employment. * This position requires qualifications to carry and use government-owned firearms as part of assigned duties (as a condition of employment you must maintain this qualification). * The applicant selected for this position must be able to qualify and maintain authorization to carry firearms including no current or previous domestic violence charges/convictions. * Employees are ineligible for this position if, at any time, they have been convicted of a misdemeanor crime of domestic violence, unless the conviction was expunged, set aside, or he/she received a pardon. * Incumbent will be required to work, or be available to work substantial amounts of unscheduled overtime duty based on the needs of the agency. * Compensation for this unscheduled overtime is in the form of a special form of premium pay fixed at 25 percent of the adjusted salary (basic and locality). * May be required to serve 1-Year Supervisory Probationary Period. * This position is considered a secondary law enforcement administrative position and is covered under the special retirement provision for secondary law enforcement positions. * If you have not previously successfully completed a trial or probationary period with the Federal Government in a similar position, you will be required to serve a two year trial period. * Requires the incumbent to possess and maintain a valid state driver's license. * This position requires employees to agree to a Mobility Agreement. Selectees will be required to sign the Mobility Agreement as a condition of employment. * Federal employees currently serving in the Competitive Service must acknowledge that they will voluntarily leave the Competitive Service by accepting an offer of employment in the Excepted Service. * May be required to submit a financial disclosure form (OGE-450) at time of appointment and annually. * Recruitment incentives WILL NOT be paid. * The incumbent must adhere to the DoD Standards of Conduct. Qualifications Applicants must demonstrate that they meet the Basic AND Minimum Qualification requirements as noted below. Basic Requirement: Medical Requirements The duties of positions in this series require moderate to arduous physical exertion involving walking and standing, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of finger, wrist, elbow, shoulder, hip, and knee joints is required. Arms, hands, legs, and feet must be sufficiently intact and functioning in order that applicants may perform the duties satisfactorily. Sufficiently good vision in each eye, with or without correction, is required to perform the duties satisfactorily. Near vision, corrective lenses permitted, must be sufficient to read printed material the size of typewritten characters. Hearing loss, as measured by an audiometer, must not exceed 35 decibels at 1000, 2000, and 3000 Hz levels. Since the duties of these positions are exacting and responsible, and involve activities under trying conditions, applicants must possess emotional and mental stability. Any physical condition that would cause the applicant to be a hazard to himself/herself, or others is disqualifying. In addition to meeting the basic requirement, you must also meet the specialized experience described below: Time in Grade: Applicants who have held a General Scheduled (GS) position for 52 weeks of Federal service at the next lower grade (or equivalent) Specialized Experience for GS-14: You must have at least 52 weeks of specialized experience at the GS-13 level in the Federal service or at an equivalent level. Specialized experience is defined as: demonstrated ability to supervise a criminal investigative office that investigates procurement and/or contract fraud; bribery/corruption; theft and/or illegal export of sensitive defense articles. And other complex fraud allegations involving DoD programs and operations; skill in criminal investigative techniques, rules of criminal procedures, laws and rules of evidence, search warrants and seizure and related issues in the conduct of investigations. This experience must have equipped the applicant with the particular knowledge, skills, and competencies to perform successfully the duties of the position. You must meet the minimum qualification requirements as stated in the Office of Personnel Management (OPM) Operating Manual, Qualification Standards for General Schedule Positions: ******************************************************************* All qualifications and time-in-grade (if applicable) requirements must be met by the closing date of this announcement. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g. professional; philanthropic; religious; spiritual; community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Any appointment made under the provisions of this announcement is excepted from competitive civil service and may require the incumbent to serve a trial period. Position(s) may be filled by displaced Department of Defense (DoD) employees through the Priority Placement Program. This job opportunity announcement may be used to fill additional vacancies within 90 calendar days of the referral certificate issue date. Only resumes submitted according to the instructions on the job announcement listed at *************** will be considered. If applicable, you may apply under the appropriate Special Appointment Authority and be considered for non-competitive appointments. Please see link for definitions of the Special Appointment Authorities: *********************************************************************************** Incumbent must have successfully completed the Criminal Investigator Training Program at the Federal Law Enforcement Training Center (FLETC) in Glynco, Georgia, or another Federal equivalent criminal investigator training program, such as the FBI Special Agent training program or Military Criminal Investigative Organization equivalent. Tribal, State, and local law enforcement academy training does not meet this requirement. Education There is no substitution of education for experience at this grade level. Additional information This position is covered by the Domestic Violence Misdemeanor Amendment (30 Sep 96) of the Gun Control Act (Lautenberg Amendment) of 1968. Employees are ineligible for this position if, at any time, they have been convicted of a misdemeanor crime of domestic violence, unless the conviction was expunged, set aside, or he/she received a pardon. The applicant selected for this position must be able to qualify and maintain authorization to carry and use government-owned firearms including no current or previous domestic violence charges/convictions. This position is covered by the special retirement provisions for Federal Law Enforcement Officers (FLEO). Position is approved for Primary 6C coverage under the provision of Title, 5 USC, Sections 8336(c) and 8412(d). This position is considered a secondary law enforcement administrative position and is covered under the special retirement provision for secondary law enforcement positions. The applicant must meet all of the following special retirement requirements: (1) Has moved directly (without a break in service exceeding three days) from a rigorous position to a secondary position; (2) Has completed three years of service in a rigorous position; and (3) If the applicant has served in a secondary position continuously (without a break in service of more than three days) since serving in a primary position. If selected, applicants that meet qualification requirements, but do not meet special retirement coverage requirements, will be placed under the regular Federal Employee retirement coverage. Incumbent is required to submit to urinalysis to screen for illegal drug use prior to appointment and is subject to random drug testing for the duration of service with Department of Defense Office of Inspector General (DoD OIG). Current DoD civilian employees are not required to conduct drug testing if moving from one Testing Designated Position (TDP) to another TDP with no break in service, unless deemed appropriate on a case-by-case basis by the gaining Component. Permanent Change of Duty (PCS) expenses MAY be paid. Recruitment incentives WILL NOT be paid. This position requires the potential for up to 25% temporary duty travel (TDY). Other alternate "Conditions of Employment" This position is considered a secondary law enforcement administrative position and is covered under the special retirement provision for secondary law enforcement positions. May be required to serve 1-Year Supervisory Probationary Period. Expand Hide additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How you will be evaluated You will be evaluated for this job based on how well you meet the qualifications above. Once the announcement has closed, your resume and supporting documentation will be used to determine if you meet the qualifications listed on this announcement. If you are minimally qualified, your resume and supporting documentation will be compared to your responses on the assessment questionnaire to determine your level of experience. If you rate yourself higher than is supported by your application package, your responses may be adjusted and/or you may be excluded from consideration for this position. If you are found to be among the top qualified candidates, you will be referred to the selecting official for employment consideration. Your qualifications will be evaluated on the following competencies: * Communication * Criminal Investigation * Leadership * Planning and Evaluating Preview the assessment questionnaire here: ******************************************************** This is covered by the special retirement provisions for Federal Law Enforcement Officer (FLEO). Candidates without previous FLEO service must be under age 37. Employees subject to special retirement coverage for law enforcement officers must retire at age 57 upon completing 20 years of law enforcement service under the special retirement provisions for law enforcement officers. If these 20 years of service are not attained at age 57, mandatory retirement is required upon completion of 20 years of service. This requirement may be waived only for veterans. See OPM Retirement Handbook for further details. The Maximum Entry Age requirement may be waived for applicants eligible for veterans' preference. Applicants previously covered by 5 U.S.C. 8336(c) or 5 U.S.C 412(d) are not restricted from applying. Criminal History Inquiries- If you apply to this position and are selected, we will not ask about your criminal history before you receive a conditional job offer. If you believe you were asked about your criminal history improperly, contact the agency @ ******************************************* Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. Required documents Required Documents Help To apply for this position, you must provide a complete Application Package which includes: Resume:Your resume showing relevant experience and should include the following: where you worked, job title, series and grade, if applicable, duties and accomplishments, employer's name and address, supervisor's name and phone number, starting and end dates (Mo/Yr), hours per week and salary. DO NOT include the following information: Classified or government sensitive information; social security number; photos of yourself; personal information, such as age, sex, religious affiliation, etc.; or encrypted and digitally signed documents. Read more about what you should leave out of your resume at USAJOBS. PLEASE NOTE: Only resumes of 2 pages or less in length will be reviewed. Be sure your relevant experience is included in those two pages. (cover letter optional). * SF-50(s): If you are a current or former federal employees, you MUST submit a SF-50. If your SF-50 does not show you meet time-in-grade requirements or competitive status eligibility, you must submit additional SF-50s for verification. If you fail to provide the required documentation, by the closing date of this announcement, you will not receive consideration. * Performance Appraisal: Current Federal employees, MUST submit a copy of their most recent completed annual performance appraisal received within the past 18 months. The performance appraisal must include the final rating. If a completed performance appraisal does not exist, is incomplete or unavailable, you must submit an explanation as to why it is not available at the time of your application submission. Mid-year progress reviews will not be accepted. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating. How to Apply Help To apply for this position, you must provide a complete Application Package. See required documents above. Click 'Apply Online' to create an account or log in to your existing USAJOBS account. 1. Follow the prompts to complete the assessment questionnaire and upload required documents. 2. Please ensure you click the Submit My Answers button to submit your application. 3. Check application status by logging into your USAJOBS account, clicking Application Status, then More Information for this position. Return to an incomplete application by logging into your USAJOBS account and clicking Update Application in the vacancy announcement. You must re-select your resume and other documents from your USAJOBS account or your application will be incomplete. If you are unable to apply online, you must request an alternative application which is available from the Human Resources Office. Please contact KYRA GILSON at *********************~ to obtain an alternative application. Working for DoD OIG offers a comprehensive benefits package that includes paid vacation, sick leave, holidays, life insurance, health benefits and participation in the Federal Employees Retirement System. This position is covered by the special retirement provisions for Federal Law Enforcement Officers (FLEO). Position is approved for Primary 6C coverage under the provision of Title, 5 USC, Sections 8336(c) and 8412(d). If applicable, you may apply under the appropriate Special Appointment Authority and be considered for non-competitive appointments. Please see link for definitions of the Special Appointment Authorities: *********************************************************************************** Failure to submit a complete application package including any required documentation by the closing date of the announcement or at the time of application for announcements with an extended closing date, may result in an ineligible rating and loss of consideration. To verify that your application is complete, log into your USAJOBS account, select Application Status and More Information. The Details page will display the status of your application. It is the applicant's responsibility to verify that information entered, uploaded, or faxed is received, legible and accurate. HR will not modify answers submitted by an applicant. All applicants are encouraged to apply electronically. If you are unable to apply on-line, you may contact ************ for assistance. Agency contact information KYRA GILSON Email ********************* Address DoD OIG - DIG FOR INVESTIGATIONS 4800 Mark Center Drive Alexandria, VA 22350 US Next steps You will receive emails at various points in the evaluation process to notify you of: 1) receipt of your application; 2) after further evaluation, whether or not you are referred to the selecting manager for consideration and possible interview; and 3) the final disposition of your application when recruitment is complete. To check the status of your application or return to a previous or incomplete application, log into your USAJOBS account, select My Applications, and click on the more information link under the application status for this position. Fair and Transparent: The links below under Fair and Transparent are incorporated by reference. This Job Opportunity Announcement may be used to fill similar positions in other organizations with in the Department of Defense Office of Inspector General. Fair and transparent The Federal hiring process is set up to be fair and transparent. Please read the following guidance. Criminal history inquiries Equal Employment Opportunity (EEO) Policy Financial suitability New employee probationary period Privacy Act Reasonable accommodation policy Selective Service Signature and false statements Social security number request Required Documents Help To apply for this position, you must provide a complete Application Package which includes: Resume:Your resume showing relevant experience and should include the following: where you worked, job title, series and grade, if applicable, duties and accomplishments, employer's name and address, supervisor's name and phone number, starting and end dates (Mo/Yr), hours per week and salary. DO NOT include the following information: Classified or government sensitive information; social security number; photos of yourself; personal information, such as age, sex, religious affiliation, etc.; or encrypted and digitally signed documents. Read more about what you should leave out of your resume at USAJOBS. PLEASE NOTE: Only resumes of 2 pages or less in length will be reviewed. Be sure your relevant experience is included in those two pages. (cover letter optional). * SF-50(s): If you are a current or former federal employees, you MUST submit a SF-50. If your SF-50 does not show you meet time-in-grade requirements or competitive status eligibility, you must submit additional SF-50s for verification. If you fail to provide the required documentation, by the closing date of this announcement, you will not receive consideration. * Performance Appraisal: Current Federal employees, MUST submit a copy of their most recent completed annual performance appraisal received within the past 18 months. The performance appraisal must include the final rating. If a completed performance appraisal does not exist, is incomplete or unavailable, you must submit an explanation as to why it is not available at the time of your application submission. Mid-year progress reviews will not be accepted. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
    $107.4k-139.7k yearly 3d ago
  • Los Angeles, CA Private Investigator Trainee

    Lemieux & Associates

    Investigator job in Los Angeles, CA

    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 Los Angeles, CA 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!
    $54k-99k yearly est. 10d ago
  • Private investigator

    USA Express Legal & Investigative Service

    Investigator job in Santa Ana, CA

    Looking for private investigator or anyone is in training to become an investigator to handle field assignments for personal injury cases. Training will be provided. Immediate opening. We pay hourly rate plus IRS applicable mileage. Compensation: $25.00 per hour
    $25 hourly Auto-Apply 60d+ ago
  • Healthcare Fraud Investigator

    Contact Government Services, LLC

    Investigator job in Los Angeles, CA

    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
    $47k-78k yearly est. Auto-Apply 60d+ ago
  • Fraud Investigator

    First Foundation Inc. 4.6company rating

    Investigator job in Irvine, CA

    . Summary: This position is responsible for assessing various situations and identifying risks to related to fraud to the bank and its clients. The investigator works closely with various retail banking and operations teams to assist with fraud investigation and deterrence against First Foundation Bank. This role requires the ability to triage work assigned; conduct research utilizing various methods and provide clear and timely documentation of all findings. Must be analytical and focused with the ability to analyze documents and reports. Remains apprised of industry fraud trends, using knowledge and experience to detect instances of fraud and prevent bank loss. Duties and Responsibilities: * Understands and complies with requirements of all laws and regulations applicable to the position * Monitors fraud alert transactions through the Bank's transaction monitoring software to identify unusual or suspicious account activity and/or financial crime patterns related to ATM/Debit cards, credit cards, new accounts, checks, and loans * Perform a series of reviews utilizing various tools and reports to identify potentially fraudulent activities on new/existing deposit and loan accounts * Thoroughly research incidents and/or allegations and interact with other departments and other banks, companies, or local, state, and federal authorities when necessary * Provide excellent customer service to clients impacted by fraud, ensuring we help as appropriate including detection of identity theft and elder financial abuse and related reporting * Review of new accounts, negative balance accounts, ACH reports, Fiserv fraud notifications, and any suspicious activity on an existing account * Assist in the preparation and completion of reports and case file documentation as required to ensure adherence to policies and procedures * Utilize bank systems and resources to evaluate accounts and situations that may require unique treatment and a specialized approach * Interview victims, witnesses, and/or suspects to obtain details of an incident * Present case summaries to the management team as needed * Analyze transactional data, assessing historical client activity to help make determinations of irregular activity * Responsible for composing case narratives and completion of the initial Suspicious Activity Report (SAR) recommendation and justification * Assist with editing and updating internal departmental procedures * Provide training and guidance to new or less experienced team members * Performs other duties as assigned Salary Range: The salary range budgeted for this position represents the Company's good faith minimum and maximum range for this role at the time of posting. The compensation offered to a candidate may vary depending on several factors, including a candidate's qualifications, skills, competencies, experience, and location. Geographic Location: * Irvine, CA: $60,100 - $84,200 (Annually) Applicants must have current work authorization when accepting a First Foundation Inc. position. Currently, we cannot sponsor or take over the sponsorship of an Employment Visa. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Education and/or Experience: * The successful candidate will possess a bachelor's degree or the equivalent combination of education and experience; 3+ years of direct experience in the Fraud Investigations field preferred. * 5+ years of banking experience in retail, operations, compliance, or BSA setting is required. Skills: * Working knowledge of current bank fraud investigative and interviewing techniques. * Works independently to continuously monitor, review, analyze, detect, and prevent unauthorized or fraudulent activity. * Strong written and verbal communication skills. * Effective time management and organizational skills. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. While performing the duties of this job, the employee is regularly required to sit for long periods; use hands to operate controls on a computer; reach with hands and arms for phone and computer work; and communicate on the phone wearing a headset for extended periods. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. This job description is subject to change at any time. First Foundation is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, and status as a qualified individual with a disability, sexual orientation, gender identity, or any other characteristic protected by law.
    $60.1k-84.2k yearly 30d ago

Learn more about investigator jobs

How much does an investigator earn in Whittier, CA?

The average investigator in Whittier, CA earns between $56,000 and $161,000 annually. This compares to the national average investigator range of $42,000 to $119,000.

Average investigator salary in Whittier, CA

$95,000
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