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LEAD INVESTIGATOR: 1099
Kentech Consulting Inc. 3.9
Remote private investigator job
Job DescriptionKENTECH Consulting Inc. is an award-winning background technology screening company. We are the creators of innovative projects such as eKnowID.com, the first consumer background checking system of its kind, and ClarityIQ, a high-tech and high-touch investigative case management system.
MISSION
We're on a mission to help the world make clear and informed hiring decisions.
VALUE
In order to achieve our mission, our team embodies the core values aligned with it:
Customer Focused: We are customer-focused and results-driven.
Growth Minded: We believe in collaborative learning and industry best practices to deliver excellence.
Fact Finders: We are passionate investigators for discovery and truth.
Community and Employee Partnerships: We believe there is no greater power for transformation than delivering on what communities and employees care about.
IMPACT
As a small, agile company, we seek high performers who appreciate that their efforts will directly impact our customers and help shape the next evolution of background investigations.
KENTECH Consulting Inc. is seeking a highly skilled and detail-oriented Background Investigator to conduct impartial, fact-based pre-employment investigations for municipal government agencies. This role requires strong investigative skills, excellent research abilities, and a commitment to maintaining accuracy and confidentiality.
As a remote investigator, you will analyze applications, conduct interviews, research public records, and compile detailed reports. If you have a background in journalism, criminal investigations, or investigative reporting, this is an excellent opportunity to apply your skills in a fast-paced and high-impact environment.
Key Responsibilities
Conduct pre-employment investigations on law enforcement and government candidates.
Research and analyze applications, employment records, criminal histories, and public records to verify candidate qualifications.
Conduct in-depth interviews through phone or virtual platforms to gather insights.
Execute criminal background checks and civil lawsuit verifications using public records.
Identify gaps or inconsistencies and determine the best approach to obtain accurate information.
Prepare comprehensive investigative reports with a high level of accuracy and clarity.
Maintain professional and timely communication with clients and agency stakeholders.
Organize information and manage caseloads efficiently to meet deadlines.
Qualifications and Experience
College degree in Journalism, Criminal Justice, Political Science, Pre-Law, Paralegal, or a related field.
Five or more years of investigative or related experience, including journalism, investigative reporting, or criminal investigations.
Strong interviewing skills for both remote and in-person interviews.
Strong analytical and writing skills with the ability to interpret findings and deliver clear reports.
Proven ability to handle confidential information with professionalism and discretion.
Proficiency in Google Docs, Excel, and investigative tools or software.
Ability to pass a Security Clearance to obtain a Permanent Employee Registration Card (PERC) or already possess one.
Ability to complete a minimum of five cases per week.
Key Soft Skills
Attention to detail with a focus on accuracy and clarity.
Ethical integrity and the ability to conduct unbiased investigations.
Clear and professional communication across interviews, reporting, and client interactions.
Strong investigative mindset with the ability to identify gaps and analyze findings.
Effective time management and the ability to handle multiple cases while meeting deadlines.
Compensation and Benefits
1099: 200 dollars per case.
Apply Now
If you are a meticulous investigator with a strong analytical mindset, we would love to hear from you.
KENTECH Consulting Inc. is an equal opportunity employer. We celebrate diversity and remain committed to fostering an inclusive workplace.
This is a remote position.
$45k-77k yearly est. 27d ago
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Jr Private Investigator
Premier Business Support 4.0
Remote private investigator job
At Quality Claims Management Corp. and our affiliate companies, we have years of expertise in representing financial institutions across a wide range of banking law matters, and we're looking for passionate, driven candidates to join our dynamic team! With offices in Arizona, Arkansas, California, Colorado, Nebraska, Nevada, New Mexico, Oregon, Texas, and Washington, we offer opportunities across multiple locations.
Our workplace is more than just a job - it's a supportive, collaborative environment where your contributions truly matter. You'll be part of a team that values hard work, creativity, and dedication, while enjoying a strong sense of community. We offer performance-based bonuses, competitive compensation, and a range of incentives that reward your success. Plus, with generous benefits, enhanced employer contributions, and paid time off, we prioritize your well-being and work-life balance.
Summary: Quality Claims is looking for a Junior PrivateInvestigator to work with our investigative team. Qualified candidates are not required to be individually licensed but must be able to successfully complete the background screening necessary to become an investigator. This position provides hands-on training and experience in working actual case assignments for a privateinvestigative agency. The candidate will perform investigations to include skip tracing, background investigations, locating subjects evading service of process, surplus funds investigations, and locating mobile assets.
Key Responsibilities:
Collect information, documentation, and physical evidence associated with investigations
Perform online research and genealogy research
Obtain records online or through state and local agencies
Interview subjects and extract information
Draft formal investigative reports and emails
Identify and compile supporting documents
Calculate billable hours worked and prepare invoices
Enter notes and update files
Source local investigators and process servers (nationwide) for in-personal interviews and personal service
Provide other direct assistance to investigative staff throughout the investigative process
May perform other duties as assigned to support department goals.
May occasionally work extended hours based on operational needs.
Experience and Skills:
Strong written and verbal communication skills
Ability to connect with people
An inquisitive nature/ability to solve puzzles
Strong analytical skills
Strong online research skills (including social media)
Familiarity with Microsoft suite of products
Qualifications:
Bachelor's degree in a relevant field or 1 year of investigative experience
Bi-lingual (Spanish & English) preferred
Work Schedule:
This is a 100% office position requiring your physical presence Monday through Friday, with business hours from 8:00 AM to 5:00 PM.
Salary Range:
The salary for this position typically ranges from $21-$23/hour, depending on qualifications, experience, and other factors. Please note that the final offer may differ based on the candidate's specific qualifications, skills, and experience, as well as internal equity and business needs.
Benefits:
Quality Claims Management Corp. and affiliated companies promote work/life balance with a robust wellness program, PTO, remote work, and flexible schedules (when available). Full-time employees become eligible for benefits following a 30-day waiting period, with benefit offerings that include medical, dental, vision, life, AD&D, EAP, STD, and LTD. Additionally the firm provides parental leave for both primary and non-primary caregivers as well. Also available are voluntary income protection benefits such as supplemental life, accident, critical illness, and short and long-term care insurances, as well as a 401(k)-retirement plan with a company match. Part-time employees may have access to some of these benefits, which may be on a pro-rated basis.
Security Requirement:
While performing the duties of this job, the employee is required to ensure the security and confidentiality of all sensitive information, including but not limited to threats or hazards to the security or integrity of sensitive information that could result in any harm or inconvenience to any customer, employee or company.
Work Environment:
A corporate office environment with a professional setting, characterized by a quiet to moderate noise level. Employees may work in individual or shared workspaces, with standard office equipment such as computers, printers, and telephones. Occasional meetings, collaborative discussions, and business activities may contribute to variations in noise levels.
Next Steps:
Ready to take the next step? Apply now and be part of our thriving team!
************************************************************************************************************************ Id=**********673_2&lang=en_US
Notices:
The above information on this job description is designed to indicate the general nature and level of work performed by incumbents. Other duties and responsibilities not specifically described may be assigned from time to time, consistent with the knowledge, skills, and abilities of the incumbent.
Quality Claims Management Corp. is an Equal Opportunity Employer. We are committed to providing a work environment free from discrimination and harassment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
Qualified applicants with a criminal history will be considered pursuant to the San Diego County Fair Chance Ordinance, the California Fair Chance Act, and other applicable state or local laws. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made. After making a conditional offer and running a background check, if there are concerns about a conviction directly related to the job, you will be given the chance to explain the circumstances, provide mitigating evidence, or challenge the accuracy of the background report. For more information about the Fair Chance Ordinance, visit the San Diego County Office of Labor Standards and Enforcement webpage.
As part of our commitment to maintaining a lawful and compliant workforce, we participate in the E-Verify program. All candidates who accept a job offer will be required to complete the E-Verify process to verify their employment eligibility in the United States.
Applications will be accepted until 02/28/2026.
$21-23 hourly 21d ago
Contract Investigator - Columbus, OH
Omniplex World Services Corporation, A Constellis Company
Private investigator job in Columbus, OH
OMNIPLEX World Services Corporation is seeking talented individuals committed to excellence, honesty, and integrity to join our team. We are a trusted provider of high quality background investigations programs to Department of Homeland Security (DHS) and the intelligence community at locations throughout the United States. OMNIPLEX is seeking to fill immediate and upcoming openings for Contract Investigators. A Contract Investigator works for us on an as needed basis and no hours are guaranteed. We prefer Contractors to be available to work a minimum of ten hours per week where work is available. Candidate must be willing to travel within a 35-50 mile radius from city location.
Candidate must be local to Columbus, OH
QUALIFICATIONS:
U.S. Citizenship;
H.S. Diploma or equivalent;
Minimum of 1 year of specialized Federal Background investigative experience within the last 5 years;
Must have some FIS Experience;
Reliable personal vehicle, valid driver's license, and satisfactory driving record;
Willing to travel on temporary duty assignments as needed (by car or plane);
Successfully pass background checks and all required training;
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists;
Ability to interpret a variety of instructions furnished in oral, written, diagram, or schedule form;
Ability to read, analyze, and interpret professional journals, technical procedures, or governmental regulations;
Ability to write reports and business correspondence;
Ability to work in a MS Window based operating environment, including proficiency with Microsoft Office (Word, Excel, PowerPoint), Internet and E-mail;
Current (within the last 2 years) Single Scope Background Investigation (SSBI) or active Secret level security clearance based on an SSBI and able to obtain the required security clearance.
Job Duties and Responsibilities:
Conduct in-person, one-on-one subject interviews to obtain factual information about the individual's background and character, in accordance with agency guidelines and instructions.
Obtain factual information from a variety of personal and record sources to produce a report of investigation that contains all pertinent facts of an individual's background and character in accordance with agency guidelines and instructions.
Travel throughout the geographic area of responsibility to conduct investigations at various places of employment, residence, and education institutions as cases are assigned.
Must be willing to travel in and around assigned location within 30-50 miles (or more) as needed
Engage in dialogue on a regular basis with managers and representatives at contractor facilities, various U. S. Government organizations, and law enforcement agencies to develop and maintain effective and cooperative working relationships.
Adapt to changing situations and environments as they occur and be able to interact with people from all walks of life and socioeconomic levels.
Demonstrate strong verbal and written communications skills and exhibit professional demeanor in all situations.
Work load based on availability of cases in geographic area.
Some voluntary, temporary duty assignments in other areas of the country (typically 2-4 weeks at a time) are possible.
Other duties as required.
Desired Experience and Education:
Background Investigator Training that meets the National Training Standards (NTS)
Prior background investigations experience supporting government contracts.
Associate or Bachelor degree in Criminal Justice or a related field.
Current Top Secret clearance
WORKING CONDITIONS:
Work is typically based in the investigator's home office as well as in the investigator's personal vehicle traveling to various field locations to conduct interviews. Coverage area varies and could include some extended drives. Work hours vary depending on availability of leads and do not always fall within normal business hours, to include potential weekend hours or third-shift appointments.
PHYSICAL REQUIREMENTS:
Requires intermittent standing, writing/typing, walking, sitting, and driving throughout the workday, and may include for multiple hours.
$50k-89k yearly est. 60d+ ago
FL Licensed Teleradiologist | Part time or Full time | 7/7 or 7/14 | Private FL Group
Medatlantic Healthcare Solutions LLC
Remote private investigator job
Job Description
Physician-Owned Private Radiology Group
Exclusive Remote Evening Teleradiology Opportunities 7on/7off -OR 7on/14 off
(Partner with a top-tier, physician-owned private practice)
We are proud to exclusively represent one of the most respected independent radiology groups in the country in their search for additional ABR-certified/eligible diagnostic radiologists for 100% remote evening hospital-based coverage.
This is true private-practice teleradiology with outstanding compensation, real benefits, and the flexibility most large telerad companies simply can't match.
Position Highlights
100% Remote | work from anywhere in the U.S.
Hospital-focused ED & inpatient support (no freestanding imaging center plain films)
Modalities: Heavy CT/US/XR, limited NM & MR
Very reasonable volume: ~85 wRVUs per 8-hour shift
PowerScribe 360 voice recognition universally deployed
Full home workstation provided + in-house IT and 24/7/365 dedicated physician communication team
Occurrence-based malpractice with A-rated carriers (tail | remote premiums significantly lower than typical telerad carriers)
Schedule Options & Compensation:
1 week on / 2 weeks off → Evening shift (3p-11p EST): $475K+ base + full benefits + sign-on bonus
1 week on / 2 weeks off → Evening shift (1p-12a EST): $475K+ base + full benefits + sign-on bonus
1 week on / 2 weeks off → Evening shift (6p-2a EST): $500K+ base + full benefits
1 week on / 1 week off: Compensation increased proportionally + base + full benefits
5 day a week Full time Custom schedules available (e.g., Wed-Sun, Sat-Wed, etc.) with competitive guaranteed salary
Employment Options
W2 employed or 1099
Comprehensive W2 Benefits
100% paid single health insurance
Long-term disability + life insurance
401(k) with guaranteed and a percentage to safe harbor contribution + profit-sharing
Generous CME allowance
Workstation, monitors, and all IT support provided
Qualifications:
ABR or AOBR
FL license or willingness to be provided a FL license from the group
Must be able to commit to one of the shift times above
This is an exceptional opportunity to join a stable, physician-first private group offering true 1-on-2-off scheduling, top-tier earning potential, and hospital-level case mix... all from the comfort of home.
Interested candidates, please submit your CV and availability/preferred schedule to the recruiter link below. All inquiries are strictly confidential.
Apply Here -or- email: *************************
Ref: RemoteEvening2025
$27k-45k yearly est. 12d ago
AML Investigations Lead SAR Factory -FinTrust Connect Talent Community -Remote US
Fintrust Connect
Remote private investigator job
Fraud Analytics Lead Talent Community FinTrust Connect United States Remote
For more Job Opportunities follow FINTRUST CONNECT here FinTrust Connect on LinkedIn
Share Your Resume and Build Your Future!
We are thrilled to invite you to join our exclusive Talent Community.
Are you looking for your next career opportunity
Look no further. Join our Talent Network today. By sharing your resume with us, you will be added to our database and considered for future roles with leading banks and fintechs. Whether you prefer flexible work arrangements, remote opportunities, or on site environments, we have options for you.
Take the first step toward a brighter future. Share your resume with us today.
As a Fraud Analytics Lead you will design rules and machine learning strategies that lower losses without hurting good customer approvals. You will tune controls across account opening and payments and card and ACH and real time rails and partner with operations to move fast on emerging patterns.
Requirements
7 to 10 years in fraud analytics for a bank or fintech with measurable loss reductions
Hands on rule and model tuning in one or more platforms Feedzai NICE Actimize IFM SAS Fraud Sift Forter Kount ThreatMetrix Ekata Riskified Stripe Radar
Strong SQL and Python and experience with feature stores and real time scoring Kafka or Kinesis and Spark or Flink
Knowledge of RTP and FedNow and ACH and card fraud patterns and first party and third party and mule activity
Experience with step up controls device and behavior signals velocity limits MFA and SCA
Familiarity with Reg E and network dispute flows and chargeback life cycle
Clear documentation and dashboards for executives and auditors
Responsibilities
Own fraud strategy across the funnel identity proofing account creation login payment dispute
Build and maintain rule sets and ML models and scorecards run A B tests and champion challenger designs
Engineer high signal features device fingerprint geovelocity merchant and counterparty risk historical exposure
Monitor loss and approval and false positive tradeoffs daily adjust thresholds with safe guards
Partner with operations on playbooks and queues and investigator feedback loops
Lead rapid response to fraud spikes and scams and mule rings with clear comms and actions
Produce evidence and reporting for regulators and networks and audit
Coach analysts and evolve documentation and runbooks
Outcomes we track
Fraud loss rate reduced 20% to 40% in 90 days with approval rate stable or better
Chargebacks reduced 20% with recovery rate improved
Precision and recall within policy bands with documented before and after
Alert aging over 2 business days under 5%
Documentation completeness at 100% with reproducible queries and code
Compensation and terms
Consultant pay $50 to $120 per hour based on rail coverage and tool depth
Contract Remote US W2 or 1099
Multiple openings for a national bench and pod builds
How to apply
Apply on our site FinTrust Careers
Prefer email send your resume to ************************** with subject [Apply] Fraud Analytics Lead Remote US
Stay in the loop follow FinTrust Connect on LinkedIn and our social channels
FinTrust Connect is an equal opportunity employer.
Keywords
Fraud Analytics, Fraud Strategy, First Party Fraud, Third Party Fraud, Account Opening, Account Takeover, Money Mule, Bust Out, Transaction Fraud, RTP, FedNow, ACH, Card Fraud, Chargebacks, Disputes, Unauthorized Returns, Device Intelligence, Behavioral Biometrics, Velocity Rules, Step Up Authentication, MFA, SCA, Rules Engine, Machine Learning, Scorecards, Feature Store, Real time Scoring, Kafka, Kinesis, Spark, Flink, SQL, Python, Feedzai, NICE Actimize IFM, SAS Fraud, Sift, Forter, Kount, ThreatMetrix, Ekata, Riskified, Stripe Radar, Precision, Recall, False Positive Rate, Alert Aging, Loss Analytics, Dashboarding, Examiner Evidence, Reg E, UCC 4A, PCI DSS, Remote
$55k-98k yearly est. Easy Apply 45d ago
Marketplace Investigator
GDIT
Remote private investigator job
Type of Requisition:
Regular
Clearance Level Must Currently Possess:
None
Clearance Level Must Be Able to Obtain:
None
Public Trust/Other Required:
None
Job Family:
Intelligence Operations and Analysis
Job Qualifications:
Skills:
Evaluate Information, Microsoft Office 365, Research Analysis
Certifications:
None
Experience:
3 + years of related experience
US Citizenship Required:
No
Job Description:
Marketplace InvestigatorThe Affordable Care Act (ACA) requires every state to establish a health insurance exchange (also called Health Insurance Marketplace) to facilitate the purchase of health insurance for individuals and small businesses. Through the Center of Program Integrity (CPI), the Centers for Medicare & Medicaid Services (CMS) has strong oversight and internal controls to protect consumers enrolled in the Marketplaces and safeguard taxpayer dollars. CMS develops and enforces rules for insurance agents, brokers, and others who assist with FFM enrollments. The Marketplace Program Integrity Contract (MPIC) is designed to support this oversight. Through research, investigation, and data analysis, the desired outcomes of the MPIC efforts are to prevent, detect, and resolve noncompliance with Marketplace rules, requirements, and laws; recommend administrative actions to CMS; and recommend referrals to law enforcement if potential fraud and abuse is identified.HOW YOU WILL MAKE AN IMPACT:Conducts analysis, research, and outreach in support of an MPIC Team. Research includes review of documents and data; outreach includes interaction with consumers, insurance agents/brokers, and other agencies; analysis includes applying regulations to findings and analysis of data, including enrollment data related to consumer and Agent/Broker activity within the health insurance exchange. Completes and/or supports the preparation of comprehensive reports on the results of analysis and other work completed by team members. Conducts other data analysis and documentation support as needed.Will focus on reviewing documents provided by agent/brokers in response to Marketplace registration/agreement suspension or termination and preparing recommendation based on review conducted.
Work collaboratively within a team of ACA policy subject matter experts (SMEs) and data analysts.
Actively participate in the development of lead and investigation workflows and required data capture within a case management system.
Strictly follow approved Standard Operating Procedures (SOPs) for conducting investigations and provide input into recommendations for SOP updates as needed.
Prioritize, evaluate, and analyze information for potential fraud, waste, and abuse (FWA) using data related to consumer enrollments into qualified health plans and/or the associated agents/brokers' compliance with regulations.
Analyze and evaluate enrollment data related to consumer and Agent/Broker activity within the Marketplace.
As needed, initiate and develop an Investigative Plan of Action (IPOA) and with CMS approval, implement the plan with the support of investigative staff into the potential FWA behavior using various investigative techniques.
As needed, initiate and develop a Case Summary report, which summarizes investigative findings.
As needed, make administrative recommendations to CMS based on case summary findings.
Within a case management and tracking system, comprehensively document in detail all lead and investigative activity.
As needed, conduct interviews with complainants and/or consumers and with CMS approval correspond with agents/brokers or other government agencies using CMS-approved template
Actively support preparation of comprehensive reports on the status of leads and investigations as required by CMS.
As needed, assist in ad-hoc educational and outreach sessions with partners, e.g., CMS, law enforcement, Agent/Brokers, Navigators, etc.
Safeguard PII and PHI
Infrequent travel may be required
WHAT YOU'LL NEED TO SUCCEED
Bachelor's degree or equivalent experience in healthcare field that includes 2-4 years' ACA and/or Medicaid-Medicare experience
2+ years' experience with and/or understanding of ACA policies and regulations related to consumer enrollments requirements and Agent/Broker and Navigator responsibilities
Frequent work with workgroups to successful completion of goals and milestones
Experience reviewing complex data reports
Highly organized, ability to multi-task, and meet deadlines
Proficient in computer skills, for example Microsoft Office-Word, Excel
Requires only limited oversight to conduct work
Strong inter-personal and communications skills, both written and oral
Experience in conducting telephonic and in-person interviews
Ability to conceptualize, solve problems, and draw conclusions
Value-Add Experience - Preferred Skills
Experience with FWA claims and investigations
Location:
Remote
Residency/background:
Must be able to pass a CMS background check, which requires residency in the U.S. for 3 of the last 5 years.
GDIT IS YOUR PLACE:
401K with company match
Comprehensive health and wellness packages
Internal mobility team dedicated to helping you own your career
Professional growth opportunities including paid education and certifications
Cutting-edge technology you can learn from
Rest and recharge with paid vacation and holidays
#GDITHealth#healthcarefraud#CMSThe likely salary range for this position is $72,877 - $98,599. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
Scheduled Weekly Hours:
40
Travel Required:
Less than 10%
Telecommuting Options:
Remote
Work Location:
Any Location / Remote
Additional Work Locations:
Total Rewards at GDIT:
Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.Join our Talent Community to stay up to date on our career opportunities and events at
gdit.com/tc.
Equal Opportunity Employer / Individuals with Disabilities / Protected Veterans
$72.9k-98.6k yearly Auto-Apply 8d ago
Affirmative Civil Enforcement (ACE) Investigator
Contact Government Services, LLC
Remote private investigator job
Affirmative Civil Enforcement (ACE) InvestigatorEmployment Type: Full-Time, Experienced Department: Legal Services CGS is seeking an experienced ACE Investigator with extensive knowledge and skills in investigative techniques and fraud detection to provide assistance for a large Federal agency initiative.
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.
Skills and attributes for success:- The investigator will generate new investigations, and to continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as other fraud and abuse of federal public funds and programs.
- Regularly meets with the ACE attorneys and with designated agency personnel for the purpose of generating fraud investigations.
- Performs a variety of ancillary investigations-related services in direct support of any assigned fraud- Utilizes electronic databases such as public records, property records, business records, and other government-maintained databases, to identify documents, witnesses and other physical evidence.
- Prepares reports on progress of investigations for use by AUSAs and supervisory attorneys.
These reports may include significant findings and conclusions, analyses of information located in electronic databases, presentations, recommendations for additional investigative actions and candid assessments of strengths and weaknesses of witnesses, documentary evidence, or other aspects of a case.
- Examines books, ledgers, payrolls, cost reports, billing statements, invoices, correspondence, computer data, and other records pertaining to the transactions, events, or allegations under investigation.
- Performs sophisticated analyses of large-scale hard-copy and electronic data, such as health care claims data, financial transaction data, accounting records, or bank records to develop investigative leads and to determine their potential relevance to the allegations at issue.
- Gathers and analyzes facts including witness statements, timelines, and scientific or technical data for the purpose of advancing investigative objectives.
Establishes and verifies relationships between facts and evidence obtained or presented to confirm authenticity of documents, to corroborate witness statements, and to otherwise build proof necessary for successful litigation or settlement.
- Develops and analyzes evidence and collects information relating to such evidence, or other legal matters under consideration, from appropriate primary and secondary sources.
Performs analysis to clarify the target suspect's or organization's pattern of operations, to identify information relevant to the legal issues involved, and to recommend valuable approaches to the AUSAs or other members of the investigative team.
Develops and refines proof required to assist in determining legal responsibility for violations.
- Assists ACE AUSAs with in-person and/or telephonic interviews of witnesses, depositions, and sworn witness examinations.
- Assists with the preparation and service of subpoenas for documentary materials, interrogatory answers, or witness testimony in connection with ACE investigations.
- Develops an understanding of all applicable federal, state, or local laws to the extent necessary to make sound decisions on direction and scope of investigations.
Determines proof required to affix responsibility for violations, and devise methods for obtaining, preserving, and presenting evidence to the greatest effect.
- Assists with determining the most efficacious methods for planning, scheduling, and conducting investigations, and identifies any resources that may be required.
- Performs other related ACE investigator duties as assigned and within scope.
- Attends meetings and trainings as may be required and appropriate.
Qualifications:- Computer Skills: Applicant shall have the ability to use MS Word, MS Excel, MS Outlook, MS Access, and other databases as well as Adobe Acrobat Professional.
Experience with working on document review/management platforms such as Relativity, with analyzing spreadsheets of claims data, and with utilizing docketing software is a plus.
- Ability to review and understand the import of a wide variety of documents, both legal and non-legal, including Motions and Briefs.
- Ability to think independently and to develop investigative strategies in response to the needs of a specific case.
- Communication skills are extremely important.
Applicant shall work and interact professionally and effectively with all levels of staff.
- Ability to meet established deadlines and work as a team player in a professional office.
- Skill in meeting and dealing with people in a courteous and tactful manner.
Our Commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources.
We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client's specific needs.
We are committed to solving the most challenging and dynamic problems.
For the past seven years, we've been growing our government-contracting portfolio, and along the way, we've created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work.
Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come.
We care about our employees.
Therefore, we offer a comprehensive benefits package.
- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer.
Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Join our team and become part of government innovation! Explore additional job opportunities with CGS on our Job Board:*******************
com/join-our-team/For more information about CGS please visit: ************
cgsfederal.
com or contact:Email: info@cgsfederal.
com #CJ
$54k-93k yearly est. Auto-Apply 60d+ ago
SIU Investigator- Orlando, FL
TWAY Trustway Services
Remote private investigator job
Our Company
At AssuranceAmerica, we are more than a unique blend of insurance assets. We believe in creating a culture where every associate has the opportunity to learn and grow. We strive to create a work environment to meet associate needs and we are determined to achieve excellence in everything we do.
This is an opportunity to join a dynamic team in a company that is a leader in the non-standard auto insurance space and functions with a small company, entrepreneurial style. This position will require someone with an understanding that one needs to have a “roll up your sleeves” attitude to help make things happen.
Job Summary
The SIU Investigator is responsible for conducting thorough investigations throughout the 10 states in which we conduct business. The Investigator is responsible for analytical review of suspicious claims utilizing various investigative methods and techniques. The investigator must evaluate relevant information essential in resolving suspicious and complex investigations. This position requires demonstrated effectiveness in the understanding and application of legal and claim principles. The SIU Investigator works under minimal supervision outside the office and would have access to transportation.
Only candidates located in the Orlando area will be considered. This is a field position. Please note a company car provided.
Job Responsibilities
Supports Claims Department operations in the research and investigation of suspicious or questionable property damage and injury claims
Conducts recorded statements and Examinations Under Oath as required
Completes field work as required.
Documents claim files and communicates in writing as required
Provides office training to ensure recognition of potentially suspicious or fraudulent files in the branch
Reports suspicious claims to the department of insurance as required by statute
Must ensure compliance with industry and company policies
Must understand regulatory / statutory requirements; develops and maintains knowledge of changes in law both at state and national levels
Properly utilizes our claims and other various systems
Attends industry meetings for communication trends
Completes individual monthly Investigator report to manager
Attends and participates in team meetings
Participates in roundtable meetings
Actively affiliates and maintains network of SIU, claims, law enforcement, attorney and related contacts to ensure investigation methods are current and proper operating procedures are utilized
Responsible for meeting individual goals and objectives
Maintains consistent, fair and diplomatic interactions with co-workers
Performs other duties as assigned by SIU Manager
Job Qualifications
Formal Education & Certification
Undergraduate College Degree or equivalent work experience will be considered.
Knowledge & Experience
5 years of special investigation experience required. Casualty and PIP claims, as well as medical clinic investigations will be highly preferred. Claims and Property Damage investigations experience will be required.
Skills & Competencies
Must be able to work in a fast-paced, paperless/automated production environment.
Excellent PC skills are required.
Excellent communication/interpersonal skills and ability to work with all levels within the organization and deal tactfully and diplomatically with public and outside authorities.
Must be able to work as a team player throughout the company.
Ensures that the highest degree of professionalism and integrity is maintained, and that decisions are made within the scope of what is fair, reasonable and appropriate according to applicable law and industry standards.
Must have the ability to travel when necessary.
Bilingual preferred.
Florida Adjuster's license is required prior to employment start date.
$54k-93k yearly est. Auto-Apply 41d ago
Sub Investigator
Care Access 4.3
Remote private investigator job
Care Access is working to make the future of health better for all. With hundreds of research locations, mobile clinics, and clinicians across the globe, we bring world-class research and health services directly into communities that often face barriers to care. We are dedicated to ensuring that every person has the opportunity to understand their health, access the care they need, and contribute to the medical breakthroughs of tomorrow.
With programs like Future of Medicine, which makes advanced health screenings and research opportunities accessible to communities worldwide, and Difference Makers, which supports local leaders to expand their community health and wellbeing efforts, we put people at the heart of medical progress. Through partnerships, technology, and perseverance, we are reimagining how clinical research and health services reach the world. Together, we are building a future of health that is better and more accessible for all.
To learn more about Care Access, visit *******************
How This Role Makes a Difference
The Sub-Investigator will be responsible for regional travel mixed with remote tele-medicine work to support our clinical research. Care Access is looking for Nurse Practitioners or Physicians Assistants to support clinical trial related activities in states throughout the USA.
How You'll Make An Impact
* Work closely with the Principal Investigator to oversee the execution of study protocols, delegating study related duties to site staff, as appropriate, and ensuring site compliance with study protocols, study-specific laboratory procedures, standards of Good Clinical Practice (GCP), Standard Operating Procedures (SOPs), quality (QA/QC) procedures, OSHA guidelines, and other state and local regulations as applicable
* Attends and participates in meetings with the director, other managers, and staff as necessary
* Complies with regulatory requirements, policies, procedures, and standards of practice
* Read and understand the informed consent form, protocol, and investigator's brochure
* Be available to see subjects virtually or in-person as dictated by project design, answer their questions, and resolve medical issues during the study visit
* Sign and ensure that the study documentation for each study visit is completed
* Perform all study responsibilities in compliance with the IRB approved protocol
* Review screening documentation and approves subjects for admission to study
* Review admission documentation and approves subject for randomization
* Provide ongoing assessment of the study subject/patient to identify Adverse Events
* Ensure that serious and unexpected adverse events are reported promptly to the Pl
* Review and evaluates all study data and comments to the clinical significance of any out of range results
* Perform physical examinations as part of screening evaluation and active study conduct
* Provide medical management of adverse events as appropriate
The Expertise Required
* Excellent working knowledge of medical and research terminology
* Excellent working knowledge of federal regulations, good clinical practices (GCP)
* Ability to communicate and work effectively with a diverse team of professionals
* Strong organizational skills: Able to prioritize, support, and follow through on assignments
* Communication Skills: Strong verbal and written communication skills as evidenced by positive interactions with coworkers, management, clients and vendors
* Team Collaboration Skills: Work effectively and collaboratively with other team members to accomplish mutual goals. Bring positive and supportive attitude to achieving these goals
* Strong computer skills with demonstrated abilities using clinical trials database, IVR systems, electronic data capture, MS word and excel
* Ability to balance tasks with competing priorities
* Critical thinker and problem solver
* Curiosity and passion to learn, innovate, able to take thoughtful risks and get things done
* Friendly, outgoing personality; maintain a positive attitude under pressure
* High level of self-motivation and energy
* Ability to work independently in a fast-paced environment with minimal supervision
* Must have a client service mentality
Certifications/Licenses, Education, and Experience:
* Nurse Practitioner or Physician Assistant with 5+ years of clinical experience
* Currently licensed in good standing in one or more states listed above
* A minimum of 1 year of relevant work experience as Sub-Investigator (preferred) in a Clinical Research setting
How We Work Together
* Location: This role is 100% on-site at our Memphis, TN clinic.
* Travel: This is a remote position with less than 10% travel requirements. Occasional planned travel may be required as part of the role.
* Physical demands associated with this position Include: The ability to use keyboards and other computer equipment.
Benefits & Perks
* Paid Time Off (PTO) and Company Paid Holidays
* 100% Employer paid medical, dental, and vision insurance plan options
* Health Savings Account and Flexible Spending Accounts
* Bi-weekly HSA employer contribution
* Company paid Short-Term Disability and Long-Term Disability
* 401(k) Retirement Plan, with Company Match
Diversity & Inclusion
We work with and serve people from diverse cultures and communities around the world. We are stronger and better when we build a team representing the communities we support. We maintain an inclusive culture where people from a broad range of backgrounds feel valued and respected as they contribute to our mission.
We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to, and will not be discriminated against on the basis of, race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.
Care Access is unable to sponsor work visas at this time.
If you need an accommodation to apply for a role with Care Access, please reach out to: ********************************
$56k-95k yearly est. 60d+ ago
Investigator
Delaware County, Oh 4.5
Private investigator job in Delaware, OH
Individual is an Investigator, responsible for conducting criminal investigations and to pursue prosecution of the offenders of felonies and/or other crimes against person(s), property, or the State of Ohio. To possess the skills, knowledge and physical ability to successfully carry out the required duties set forth. Physical presence is necessary in the office. Regular, predictable and prompt attendance is needed. The investigator represents the Prosecuting Attorney and the State of Ohio in court, in the community, to law enforcement, to victims, to witnesses, and the general public.
Equipment:
Ability to operate normal office equipment such as computer, copier, fax
machine, telephone, calculator, paper shredder, motor vehicle, and other equipment necessary to perform duties. Knowledge of apple devices such as an iPad with recording application, camera, cell phone and electronic recording devices. Good understanding of and ability to use Microsoft Office (Word, Excel, Outlook and Power Point) and Internet (Explorer and Chrome).
Critical skills/expertise:
* Knowledge of the Ohio Revised Code, criminal case law, and criminal procedure.
* Ability to communicate effectively, both orally and in writing.
* Superior interpersonal skills, including the ability to deal with other people possessed of widely varied levels of education and competence.
* Demonstrates integrity and reliability, and ability to maintain confidentiality.
* Ability to evaluate risks and exercise sound judgment, making decisions in complex and sometimes ambiguous situations that carry significant implications for the citizens of Delaware County.
* Ability to work under pressure and to capably interact with co-workers and other members of various departments and agencies.
* Ability to develop reports and visual aids that are: concise, accurate and complete for court.
* Possesses the ability and knowledge of appropriate elements of criminal offenses, and to determine the perpetrator's method and motive.
* Ability and knowledge to transition from an interview technique to an interrogation technique.
* Ability and knowledge to audit complex financial transactions and investigate fraud abuse.
* Ability and knowledge to make logical and practical decisions independently with little, or no, supervision.
* Ability to evaluate credibility and reliability of suspects, victims, and witnesses.
Educational and Licensing requirements:
Completion of a secondary education or equivalent plus certification from the Ohio Peace Officers Training Council plus (3) year related work experience. Work may involve confrontational situations on a regular basis. Investigator must be able to quickly react, handle and defuse potentially threatening situations. Must possess a valid Ohio driver's license, have an acceptable driving record and maintain a clean criminal record.
* Assists Prosecutors with their preparation and presentation in court
* Aids in the collection of documents or records, photos or x-rays, evidence of fact or physical properties, that are necessary to prove matters of criminal nature
* Conducts interviews and/or take sworn statements from victims and witnesses and possibly offenders
* Collects evidence and develop audio/video aids for court
* Analyzes complex white collar crime cases
* Testifies in court
* Follows-up leads from local law enforcement to collect additional information and/or evidence in preparation for trial of criminal cases
* Prepares Memorandum of Interviews and/or Summaries of Investigation
* Develops and follow-up on intelligence reports
* Conducts background investigations of suspects and/or defendants; co-defendants; and/or candidates for the Diversion Program
* Utilizes data basis programs restricted to Law Enforcement
* Attends intelligence meetings and/or informational meetings and coordinate investigation with local law enforcement agencies
* Conducts specialized and generalized investigations
* Serves subpoenas to victims; witnesses; or various institutions
* Serves notices of Indictment to Offenders
* Transports victims and witnesses to/from court
* Other duties as assigned by the Prosecuting Attorney
Reporting:
Individual reports directly to the Criminal Chief, Executive Administrator and the Prosecuting Attorney. The individual exercises independent judgment with direction.
$38k-51k yearly est. 8d ago
SIU Investigator
Healthcare Fraud Shield
Remote private investigator job
Job DescriptionDescriptionHealthcare Fraud Shield, a leader in healthcare fraud prevention and payment integrity solutions, is looking for a talented Coder or Clinical Coder/Fraud Investigator to join our team. Key Responsibilities
Work with SIU Team (Clinical Reviewers, CPCs, Investigators, Analysts-including performing quality check on work, assisting in research, discuss to make appropriate coding determinations as needed)
Analyze and interpret patient medical records (behavioral related and other specialties) pertaining to FWA investigations as needed
Compare to information submitted on the claims in order to determine amount and nature of billable services as needed
Determines appropriateness of billing and reimbursement as needed
Documents findings for each claim line in a spreadsheet as needed
Summarize findings in a written report as needed
Abstracts CPT, HCPCS, Revenue Codes, DRG codes, and ICD-9/ICD-10 from medical records as needed
Responsible for maintaining current knowledge of coding guidelines and relevant federal and/or state regulations as needed
Perform data analysis and lead generation/data mining of client data as needed
Conduct various aspects of FWA investigations as needed
Provide Subject Matter Expertise and SIU support to clients as needed
Comply with Privacy and Security standards
Understands and complies with all company Privacy and Security standards
Employee may not use or disclose any protected health information, except as otherwise permitted, or required, by law
Other duties as needed
Skills, Knowledge and Expertise
Knowledge of medical terminology
Knowledge of coding including CPT, HCPCS, Revenue Codes, DRG Codes, and ICD-10
Knowledge of specialty medical practices
Must be detail oriented
Ability to communicate effectively both verbally and in writing
Strong listening skills
Independent
Responsible
Self-disciplined
Ability to meet defined performance and production goals
Strong computer skills
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management
CERTIFICATE/LICENSE
Certified Professional Coder - (CPC ) through governing body AAPC or equivalent certification
Minimum of one year of coding and/or billing experience is required.
Benefits
Medical, Dental & Vision insurance
401(k) retirement savings with employer match
Vacation and sick paid time off
7 paid holidays & 2 floating holidays
Paid maternity/paternity leave
Disability & Life insurance
Flexible Spending Account (FSA)
Employee Assistance Program (EAP)
Professional and career development initiatives
Remote work eligible
REMOTE WORK REQUIREMENTS
Must have high speed Internet (satellite is not allowed for this role) with a minimum speed of 25mbs download and 5mbs upload.
Healthcare Fraud Shield is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
$47k-84k yearly est. 4d ago
SIU Investigator III (Must live in MA or surrounding states)
Caresource 4.9
Remote private investigator job
The Special Investigations Unit (SIU) III is responsible for investigating and resolving high complexity allegations of healthcare fraud, waste and abuse (FWA) by medical professional, facilities, and members. Researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. Serves as a subject matter expert for other investigators. Qualified candidates must live in Massachusetts or surrounding states.
Essential Functions:
Develop, coordinate and conduct strategic fact-driven investigative projects including business process review, execution of investigative activities, and development of investigation outcome recommendations
Manage the development, production, and validation of reports generated from detailed claims, eligibility, pharmacy, and clinical data and translate analytical findings into actionable items
Manage strategic investigative plan and drive investigative outcome for the team
Ensure quality outcomes for investigative team through auditing and oversight
Prioritize, track, and report status of investigations
Report identified corporate financial impact issues
Use concepts and knowledge of coding guidelines to analyze complex provider claim submissions
Research, comprehend and interpret various state specific Medicaid, federal Medicare, and ACA/Exchange laws, rules and guidelines
Identify, research and comprehend medical standards, healthcare authoritative sources and apply knowledge to investigative approach
Collaborate with data analytics team and utilize RAT STATS on Statistically Valid Random Sampling
Coordinate and conduct on-site and desk audits of medical record reviews and claim audits
Manage and decision claims pended for investigative purposes
Maintain a working knowledge of all state and federal laws, rules, and billing guidelines for various provider specialty types
Prepare and conduct in-depth complex interviews relevant to investigative plan
Execute and manage provider formal corrective action plans
Participate in meetings with operational departments, business partners, and regulatory partners to facilitate investigative case development
Participate in meetings with Legal General Counsel to drive case legal actions, formal corrective actions, negotiations with recovery efforts, settlement agreements, and preparation of evidentiary documents for litigation
Present, support, and defend investigative research to seek approval for formal corrective actions
Establish and maintain relationships with Federal and State law enforcement agencies, task force members, other company SIU staff and external contacts involved in fraud investigation, detection and prevention
SME in the designated market and ability to apply external intelligence to their analysis and case development
Develop and present internal and external formal presentations, as needed
Attend fraud, waste, and abuse training/conferences, as needed
Support regulatory fraud, waste, and abuse reports to federal and state Medicare/Medicaid agencies
Manage and maintain sensitive confidential investigative information
Maintain compliance with state and federal laws and regulations and contracts
Adhere to the CareSource Corporate Compliance Plan and the Anti-Fraud Plan
Assist in Federal and State regulatory audits, as needed
Perform any other job-related instructions, as requested
Education and Experience:
Bachelor's Degree or equivalent years of relevant work experience in Health-Related Field, Law Enforcement, or Insurance required
Master's Degree (e.g., criminal justice, public health, mathematics, statistics, health economics, nursing) preferred
Minimum of five (5) years of experience in healthcare fraud investigations, medical coding, pharmacy, medical research, auditing, data analytics or related field is required
Competencies, Knowledge and Skills:
Intermediate proficiency level in Microsoft Office to include Outlook, Word, Excel, Access, and PowerPoint
Effective listening and critical thinking skills and the ability to identify gaps in logic
Strong interpersonal skills, high level of professionalism, integrity and ethics in performance of all duties
Excellent problem solving and decision making skills with attention to details
Background in research and drawing conclusions
Ability to perform intermediate data analysis and to articulate understanding of findings
Ability to work under limited supervision with moderate latitude for initiative and independent judgment
Ability to manage demanding investigative case load
Ability to develop, prioritize and accomplish goals
Self-motivated, self-directed
Strong written skills with ability to compose detailed investigative reports and professional internal and external correspondences
Presentation experience, beneficial
Knowledge of Medicaid, Medicare, healthcare rules preferred
Background in medical terminology, CPT, HCPCS, ICD codes or medical billing preferred
Complex project management skills preferred
Display leadership qualities
Licensure and Certification:
One of the following certifications is required: Accredited Healthcare Fraud Investigator (AHFI) or Certified Fraud Examiner (CFE)
Certified Professional Coder (CPC) is preferred
NHCAA or other fraud and abuse investigation training is preferred
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Occasional travel (up to 10%) to attend meetings, training, and conferences may be required
Compensation Range:
$70,800.00 - $113,200.00
CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Salary
Organization Level Competencies
Fostering a Collaborative Workplace Culture
Cultivate Partnerships
Develop Self and Others
Drive Execution
Influence Others
Pursue Personal Excellence
Understand the Business
This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-SD1
$70.8k-113.2k yearly Auto-Apply 14d ago
AML Investigator
Treliant 4.2
Remote private investigator job
Treliant is an essential consulting firm serving banks, mortgage originators and servicers, fintechs, and other companies providing financial services globally. We are led by practitioners from the industry and the regulatory community who bring deep domain knowledge to help our clients drive business change and address the most pressing compliance, regulatory, and operational challenges.
We provide data-driven, technology-enabled consulting, implementation, staffing, and managed services solutions to the regulatory compliance, risk, credit, financial crimes, and capital markets functions of our clients.
Founded in 2005, Treliant is headquartered in Washington, DC, with offices across the United States, Europe, and Asia.
Treliant is committed to fostering a diverse, equitable and inclusive environment that values and embraces all races, religions, ages, abilities, genders, sexual orientations, ethnicities, languages, nationalities, political parties, socioeconomic groups and other characteristics that inform an individual's worldview, experiences and system of beliefs (“the principles”). We believe in championing every voice and ensuring everyone's full potential.
Treliant is hiring experienced AML/BSA Analysts and Investigators for project-based client engagements. All work will be 100% remote.
Responsibilities
While the scope of each project may be different, your duties & responsibilities may include:
Review and independently assess cases derived from Anti-Money Laundering (AML)/Bank Secrecy Act (BSA) suspicious activity monitoring and Economic Sanctions/Office of Foreign Assets Control (OFAC) screening conducted by Treliant or client.
Review and independently assess Customer Due Diligence (CDD) and Enhanced Due Diligence (EDD) cases derived from customer profile monitoring to ensure complete and accurate Know Your Customer (KYC) profiles and Customer Identification Program (CIP) requirements.
Utilize transaction monitoring and case management systems (as available), vendor solutions, and open source tools to conduct investigations.
Compare observed activity with client KYC and expected activity profiles for potentially suspicious transactions or behaviors.
Prepare observations from review and analysis through compiling of review notes, documentation and resolution.
Interact with client compliance and operational staff, customer service areas and management in conducting reviews.
Determine whether activity should be escalated for further review based on alert reviews.
Determine whether suspicious activity reports (SARs) should be filed based on case investigations.
Manage of weekly case load in a timely fashion in accordance with Treliant's Service Level Agreement (SLA's).
Meet weekly time-keeping and reporting requirements vis-à-vis client and Treliant.
Communicate professionally, transparently, and in a timely fashion regarding weekly scheduling to client and/or Treliant Supervisors.
Qualifications
Knowledge of government regulatory requirements and expectations for identifying unusual or suspicious activity in connection with financial transactions, related to economic sanctions (e.g., OFAC), and the requirements to file suspicious activity reports.
Five (5) years of experience conducting AML/BSA and/or Economic Sanctions/OFAC investigations at financial institutions.
Strong analytical skills derived from previous experience in a Financial Intelligence Unit (FIU) or similar investigative setting including former law enforcement.
Strong written and verbal communication skills a must to work effectively with all levels of consultants and client staff.
Ability to work well with others as well as independently and with minimal supervision.
Strong organizational and time management skills and ability to handle multiple tasks/projects simultaneously.
Proficient in various software applications including Excel, Word, PowerPoint, email, banking systems and transaction monitoring/case management software (e.g., Mantas, Actimize, Fircosoft, Fiserve AML Manager, PRIME Compliance Suite).
Experience conducting and interpreting Lexis Nexis and Negative News Searches.
Experience writing SAR and alert/case narratives summarizing the results of investigations and selecting requisite supporting documentation.
Experience with historical transaction analyses (i.e., “lookbacks”) preferred, including conducting flow of funds analysis and compiling associated supporting documentation.
Prior consulting experience preferred.
Benefits
Primary Location:
Remote
Primary Location Salary Range:
$25/hr - $65/hr
Treliant offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefit package that reflects our commitment to creating a diverse and supportive workplace. In addition to a competitive base salary, candidate is eligible for incentive pay as well as a full range of health benefits, vacation plan, and 401k plan.
If you want to be part of a dynamic team of professionals, we invite you to join the team at Treliant. We invest in people, and challenge you to advance your career while achieving your aspirations and goals. Here at Treliant, we pride ourselves on our collaborative team culture, where we embrace diversity of thought and innovation. If you strive for excellence and seek an inclusive environment apply on line treliant.com and follow us on LinkedIn.
Right to Work
Treliant is not in the position to provide sponsorship for this current position and so applicants must be able to work in the United States without requiring sponsorship.
Please note,
Treliant receives a high volume of applications for all roles. While we will endeavor to respond to all applicants, this is not always possible. Should you not receive a response to your application within 2 weeks, it is likely that you will have been unsuccessful on this occasion. However, we would like to retain your details on our systems and may contact you should another potentially suitable vacancy arise.
Treliant LLC is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, sexual orientation, genetic information, religion, age, disability, or military status in employment or provision of services. When contacted for an interview, an applicant who requires special accommodations due to a disability should notify the office so that proper arrangements can be made.
$25 hourly Auto-Apply 60d+ ago
Experienced Background Investigator
Fraud Fighters, Inc.
Remote private investigator job
PRODIGY INVESTIGATIONS OFFERS TOP PAY FOR SUPERIOR RESULTS!
We are seeking e xperienced Background Investigator candidates throughout the country. This is a remote position.
Over the past 43 years, Prodigy Investigations has saved employers and insurance carriers 100's of Millions of Dollars . More than 50,000 employers have trusted Prodigy Investigations to solve big problems fast, close claims quicker, and save more money. Prodigy Investigations is the best choice to refute fraudulent claims.
Job duties include, but are not limited to: setup new surveillance cases in database, conduct pre-surveillance research, research locations, backgrounds, and social media profiles, assistance with claims investigations, locates, online investigations, court research, and report writing. This is a fun, dynamic, and exciting career! Every day is unpredictable.
Job Duties include:
Internet research
Social media investigations
Locates
Vehicle identification
Asset Investigations
Pre Surveillance Planning
Develop address histories
New surveillance investigations intake
Data entry
Driving records
License plate searches
Pre-employment background checks
Court research & public records requests
Freedom of Information Act requests
Report writing
Open Source Intelligence (OSINT)
Background Investigator - Independent Contractor/1099
Federal Background Investigations Division
1FORCE is currently seeking to engage with experienced Contractors and federally credentialed Background Investigators to conduct personnel security background investigations in a contractor capacity in support of our client's contracts with the federal government. We have work nationwide and if you currently hold credentials on a federal personnel security background investigations contract (or have held government credentials in the last 2 years), we want to partner to provide immediate, weekly work opportunities.
DUTIES & RESPONSIBILITIES:
Complete record searches.
Conduct face-to-face interviews to elicit information about applicants seeking federal positions, contract positions or positions within the military.
Obtain factual information from a variety of personal and record sources to produce a report of investigation, containing all pertinent facts, of an individual's background and character, in accordance with agency guidelines and instructions.
Investigators work from home, set their own schedules, and work independently.
Self-motivated, highly independent, and prepared to work non-traditional hours (i.e., evenings and weekends).
POSITION REQUIREMENTS:
Federally credentialed and experienced investigators will have met the background investigations national training standards and have 12 months or more of consecutive experience performing executive branch investigations.
Superior organizational and time management skills.
Excellent communication skills in both oral and written formats.
Strong computer and typing skills for composing narrative reports of investigation in FWS and utilizing PIPS or other federally supported case management/reporting system.
Sufficient E&O liability, car insurance and personal insurance.
**All candidates must be a US Citizen and be able to obtain a TOP SECRET level security clearance.
$40k-59k yearly est. 60d+ ago
As Needed Field Investigator- Columbus, OH
J T Becker & Co
Private investigator job in Columbus, OH
Becker & Company is seeking skilled and experienced Field Investigators to join our team on an "as needed" basis. This role is perfect for a licensed investigator looking for flexible hours while providing expert investigative services. We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results.
We are seeking a detail-oriented and proactive investigator to join our team. The ideal candidate will conduct a variety of investigations, including Surveillance and Special Investigations Unit (SIU) assignments, within an assigned geographical area. Surveillance assignments require the investigator to obtain videotape documentation of the subject and for SIU assignments the investigator must complete the assignment as per the instructions given by the case manager.
Key Responsibilities:
Adhere to specific requirements of an assignment based upon the case manager's instructions
Review all case materials prior to conducting investigative activity
Complete video surveillance on identified individuals for the allotted amount of time and utilizes established investigative techniques to secure covert video footage
Conduct investigations such as securing recorded statements, scene inspections, activity checks and securing documents as assigned
Complete written notes on each case assignment in a timely manner
Submit all videotaped results, photographs, and digital recordings via e-mail by the next business day
Meet established deadlines set by the client
Communicate effectively with the assigning case manager with regularity regarding the progress of assignments
Ensure confidentiality of all information obtained
Requirements
Possess a valid state issued driver's license
Possess a current privateinvestigator license (if applicable)
Must be dependable and able to meet deadlines
Must be a self-starter capable of working with limited supervision
Possess investigative tools (Laptop, Video Cameras, Digital Recorder, etc.)
Possess strong writing and verbal communication skills
Experience conducting surveillance as a field investigator
Experience completing SIU claim investigations
Possess a reliable vehicle
$28k-41k yearly est. 60d+ ago
Licensed Covert Surveillance Investigator - Part Time - Columbus, OH
Meridian Bank 4.6
Private investigator job in Columbus, OH
JOB PURPOSE
Conduct covert field surveillance with an emphasis on worker's compensation fraud and insurance fraud.
DUTIES AND RESPONSIBILITIES
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Conduct covert field surveillance via both stationary and mobile surveillance.
Obtain professional quality video and photographic documentation of subjects.
Prepare and file comprehensive investigative reports using the information that was collected from surveillance investigations.
Upload video, photographs, audio files, and documents into the case management system.
Conduct scene investigations, interviews, recorded statements, etc.
Prepare written and recorded Statements from in-person interviews.
Provide legal testimony.
Other duties as assigned
Requirements
SKILLS AND QUALIFICATIONS
Minimum two years experience working as an investigator.
Ability to conduct covert field surveillance assignments.
Ability to communicate effectively, both orally and in writing.
Ability to gather data, compile information, and prepare reports.
Ability to provide legal depositions and testimony.
Ability to gather and organize evidence.
Ability to investigate and analyze information.
Knowledge of legal documentation procedures and requirements.
LICENSES /CERTIFICATIONS REQUIREMENTS
Valid state-issued driver's license.
Current auto insurance.
MUST possess a PrivateInvestigator license in the state where work is performed.
REQUIRED EQUIPMENT
A reliable vehicle.
Smartphone with access to the app store. Android OS7 or higher, Apple iOS 11 or higher.
Laptop computer with Microsoft Word, Windows, and wireless Internet connection.
Digital video camera with upload capability and accurate time and date stamp.
Covert camera.
WORKING CONDITIONS
As an hourly, non-exempt status employee, your job may require extended work hours and significant work travel. This includes occasional overnight travel, weekend and/or evening work, and working on holidays.
The worker is subject to inside environmental conditions: Protection from weather conditions but not necessarily from temperature changes.
The worker is subject to outside environmental conditions: No effective protection from weather.
The worker is subject to both environmental conditions: Activities occur inside and outside.
PHYSICAL REQUIREMENTS
The physical demands described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk and hear. The employee is frequently required to stand, walk, stoop, kneel, crouch, or crawl.
The employee must regularly lift and/or move up to 10 pounds and frequently lift and/or move up to 50 pounds.
Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Work involves individuals to stay seated/sedentary for long periods of time.
Work involves moderate exposure to unusual elements, such as extreme temperatures, exposure to the sun, and various days and hours of scheduled work.
Salary Description Up to $30.00 per hour based on experience
$30 hourly 60d+ ago
Surveillance Investigator
Security Director In San Diego, California
Private investigator job in Columbus, OH
Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.
Job Description
Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim.
Pay Rate: $20 - $22 / hr
PrivateInvestigator's license required prior to applying
Must possess a valid driver's license with at least one year of driving experience
RESPONSIBILITIES:
Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability
Utilize various surveillance techniques and equipment to monitor subjects covertly
Document and report observations, activities, and any relevant information in a clear and concise manner
Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts
Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations
QUALIFICATIONS (MUST HAVE):
High school diploma or equivalent
Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course
Prior educational or professional exposure to witness interviews or video monitoring
Prior educational or professional incident reporting and/or investigations experience
Flexibility to work varied and irregular hours/days including weekends and holidays
Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors
Proficient in utilizing laptop computers, video cameras and cell phones
Capable of maintaining focus and multitasking effectively in a dynamic environment
Demonstrated ability to manage stressful situations with composure and professionalism
Ability to work in a very independent environment
PREFERRED QUALIFICATIONS (NICE TO HAVE):
Associate's Degree or higher, preferably in Criminal Justice
Security/Loss Prevention experience
Military experience
Law enforcement experience
Prior insurance investigations experience
BENEFITS:
Medical, dental, vision, basic life, AD&D, and disability insurance
Enrollment in our company's 401(k)plan, subject to eligibility requirements
Seven paid holidays annually, sick days available where required by law
Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law
Closing
Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: ***********
If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices.
Requisition ID 2025-1501251
$20-22 hourly Auto-Apply 6d ago
Specialist, Investigations Expert, VAWC
Ijm
Remote private investigator job
Specialist, Investigations Expert, VAWC Who We Are
International Justice Mission (IJM) is the global leader in protecting vulnerable people from violence around the world. Our team of over 1,200 professionals are at work worldwide in over 30 offices. Together we are on a mission to rescue millions, protect half a billion, and make justice unstoppable.
We are a global community that cares for one another. We believe that the way we work is as important as the results we achieve. We provide professional excellence with joy and celebration to all those we serve.
The Need
For over 25 years, IJM has pioneered the work to protect vulnerable people from violence. 9 out of 9 times in the last decade, IJM's Justice System Strengthening Projects have reduced slavery and violence between 50 and 85% for very large populations of people in poverty. As we grow to expand our impact to protect 500 million people from violence, we are seeking a Specialist, Investigations Expert, Violence Against Women and Children (VAWC).
This role will be instrumental in building the capacity of IJM staff and local justice actors and collaborating with IJM's legal and aftercare teams to ensure comprehensive victim protection and perpetrator accountability. This position requires a commitment to IJM's mission and values, exceptional investigative acumen, strategic vision, cross-cultural sensitivity, and the ability to operate effectively in challenging contexts.
This position is hybrid (onsite Tuesdays and Thursdays) for candidates based in the Washington, DC area, or remote for non-local candidates within the U.S. We will also consider applicants located in Colombia, Guatemala, or Peru, where IJM has operations. Candidates must have valid work authorization in one of these countries.
Please note:
There is a strong preference for candidates based in the Washington, DC area but will consider candidates remotely in the US.
Spanish language proficiency is highly preferred but not required.
Responsibilities:
Strategic Leadership & Program Development
Contribute to the development and implementation of IJM's VAWC strategy in Latin America and Africa, aligning with global objectives.
Identify opportunities for strategic partnerships with law enforcement agencies, government bodies, and non-governmental organizations (NGOs) to enhance investigative impact and systemic change.
Provide expert advice and guidance on complex VAWC investigations, ensuring best practices are applied and ethical standards are maintained.
Investigative Casework & Oversight
Support critical VAWC investigations, advising about evidence collection, witness interviews, suspect identification, and case building.
Mentor and oversee the work of IJM ILED, ensuring high-quality investigative outcomes.
Develop and manage investigative budgets and resources for assigned cases and projects.
Ensure compliance with IJM's investigative protocols, legal requirements, and victim-centered approaches.
Capacity Building & Training
Support the LATAM and Africa Regions in designing and delivering specialized training programs for local law enforcement and justice officials on VAWC investigation techniques, forensic evidence, victim interviewing, and trauma-informed approaches.
Provide, with the national projects, ongoing mentorship and technical assistance to partners to strengthen their capacity to independently investigate and prosecute VAWC crimes.
Foster collaborative relationships with regional actors to promote systemic reform and effective responses to VAWC.
Advocacy & Communications
Represent IJM at global forums, advocating for improved VAWC legislation, policies, and practices.
Contribute to IJM's external communications by providing insights and case studies to raise awareness and support for VAWC initiatives.
Prepare detailed investigative reports and presentations for internal and external stakeholders.
Qualifications:
Bachelor's degree in Criminal Justice, Law Enforcement, International Relations, Human Rights, or a related field.
Master's degree or equivalent advanced training in criminal investigation, law, or related discipline preferred.
Minimum of 10 years of professional experience in criminal investigations, with a significant focus on complex cases involving sexual violence, child abuse, intimate partner violence and homicide.
Extensive experience working within law enforcement agencies (police, intelligence, or similar) at a senior level, with demonstrated leadership in investigations.
Experience working with civil society organizations who work with justice systems or in communities to create safe environments.
Proven experience in training and mentoring other investigators or law enforcement personnel.
Experience working in Latin America, Africa or other developing contexts, with a strong understanding of cultural nuances and justice system challenges.
Fluency in Spanish and English (written and spoken) is required.
Exceptional investigative and analytical skills, with the ability to gather, interpret, and synthesize complex information.
Strong legal knowledge related to criminal justice, human rights, and VAWC legislation.
Excellent communication, interpersonal, and cross-cultural negotiation skills.
Proficiency in case management software and investigative tools.
Ability to work independently and as part of a multidisciplinary team in a fast-paced, high-stress environment.
Critical Qualities:
Demonstrates humility, patience, gentleness, kindness, self-control in all aspects of work, and is a servant leader.
Self-starter with strong initiative.
Disciplined with priorities.
Strong interpersonal skills and self-awareness.
Exceptional verbal and written communication.
Exceptional trainer and public speaker.
Flexible, collaborative and eager to support others.
Effective team player who fosters collaborative environment.
Adept at creative problem solving.
Application Process:
Upload Resume, Cover Letter & required documents in one PDF document.
What does IJM have to offer?
Comprehensive Medical/Dental/Vision benefits
Monthly commuter and parking benefits in the DC metro area
Retirement benefit options
Paid leave starting at 23 days
12 holidays (plus early release the day prior)
Daily, quarterly, and annual community spiritual formation
Robust staff care resources
IJM holds strict safeguarding principles and a zero tolerance to violations of the Safeguarding Policy, Protection against Sexual Exploitation, Abuse and Harassment Policy, and Code of Ethics. Candidate selection is based on technical competence, recruitment, selection and hiring criteria subject to assessing the candidate's value congruence and thorough background, police clearance, and reference check processes.
At IJM, we're committed to building a diverse workforce through fair and equitable employment practices. IJM encourages people of any race, color, age, sex, marital status or political ideology to apply for employment. While we welcome everyone into this work, we truly believe that the work we are doing is God's work, not our own, and practice spiritual disciplines together daily. That's why we legally require under SEC. 2000e-1 [Section702] of Title VII of the Civil Rights Act of 1964 that all employees practice a mature orthodox Christian faith, as defined by the Apostles' Creed.
IJM requires a background check, police clearance and thorough review of references with an employment offer and/or employment contract.
$39k-64k yearly est. Auto-Apply 22d ago
On-call investigators (seasonal status)
Ferrum College 3.7
Remote private investigator job
Toggle accordion tab Primary Purpose Ferrum College seeks impartial, experienced On-Call Investigators to conduct timely, thorough, and objective investigations into alleged violations of College policies, including Title IX, harassment, discrimination, and workplace misconduct. These positions exclude investigations under the Student Code of Conduct, which are managed by the Division of Student Affairs, though collaboration with that office may be required. On-call investigators report directly to the Title IX Coordinator and work in close coordination with the College's General Counsel and Office of Human Resources, depending on the nature of the complaint.
This is an as-needed, hourly position based on institutional caseloads.
Key Responsibilities
* Conduct prompt, impartial investigations into complaints involving Title IX, discrimination, harassment, and other policy violations (excluding Student Code of Conduct cases).
* Interview complainants, respondents, and witnesses in a respectful, trauma-informed, and procedurally sound manner.
* Gather, analyze, and organize relevant documentation and evidence.
* Ensure compliance with federal and state regulations, institutional policies, and due process protections throughout the investigation process.
* Maintain accurate and comprehensive records of interviews, evidence, communications, and findings.
* Prepare well-written, thorough investigation reports detailing timelines, evidence, and factual findings.
* Maintain strict neutrality and avoid conflicts of interest.
* Participate in trainings related to Title IX, civil rights, FERPA, and trauma-informed practices as required.
* Collaborate as needed with the Offices of Human Resources, General Counsel, and Student Affairs to ensure institutional coordination.
* Maintain confidentiality and professionalism in all aspects of the work.
Minimum Qualifications
* Bachelor's degree from an accredited institution.
* Relevant investigative experience in law, compliance, human resources, higher education, or a related field.
* Working knowledge of Title IX, civil rights law, and investigatory best practices.
* Strong writing, documentation, and interpersonal skills.
* Commitment to neutrality, due process, and confidentiality.
* Must complete a background check.
Preferred Qualifications
* Master's degree or J.D. in Law, Higher Education, Human Resources, Criminal Justice, or related field.
* Title IX Investigator Certification or similar professional training.
* Experience conducting investigations in a college/university setting.
* Familiarity with FERPA, VAWA, Clery Act, and other federal compliance requirements.
Additional Information
* This is a part-time, on-call position with hours determined by the institution's needs.
* Investigators may work remotely or on-site, depending on the specific case and institutional needs.
* Ferrum College is committed to fostering a safe and respectful environment and encourages applicants who reflect the communities we serve.
Other Preferences:
Don't meet every single requirement? Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Ferrum, we are committed to creating a diverse, inclusive, and authentic workplace. If you are excited about this role but your experience doesn't perfectly align with every qualification in the job description, we encourage you to apply anyway. You may be the ideal candidate for this role or other positions on campus.
Interested candidates should submit a resume along with the names and telephone numbers of three references to ****************** or mail to Human Resources, Ferrum College, P.O. Box 1000, Ferrum, VA 24088. Background check required.
This institution is an equal opportunity provider and employer.
All applicants must complete the online Ferrum College Employment Application by clicking here.