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  • SIU Investigator (mid-level) - P&C (LA County) - Remote Work Flexibility (LOS ANGELES)

    Usaa 4.7company rating

    Remote special crimes investigator job

    Why USAA? Find out more about this role by reading the information below, then apply to be considered. At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values honesty, integrity, loyalty and service define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity We are looking for a SIU Investigator (mid-level). This is a Field position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. The selected candidate will have a strong Property SIU background and not just auto This role is remote eligible. However, you must currently live in the covered territory, which is Los Angeles County, California. This being a Field position a company car is provided and there is regular business travel. What you'll do: Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims. Participates in the development of fraud prevention strategies. Applies knowledge of P&C insurance industry products, services, and processes in investigating claims to include P&C insurance policy contracts, coverages and internal claims handling process and procedures. Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims. Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools. Makes recommendations within defined authority guidelines. Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome. Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention. May serve as a resource team member on specific matters through demonstrated skill or training. Assists with the delivery of fraud awareness training initiatives in a defined environment. Handles CAT duty responsibilities as business requires. Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures. What you have: High School Diploma or General Equivalency Diploma (GED). 2+ years claims adjusting experience, or P&C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience. Proven investigatory skills. Experience obtaining statements from various parties to incidents, witnesses, and suspects. Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud. Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems. Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems. Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology. What sets you apart: SIU experience conducting low to complex P&C fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military Investigative experience. Strong Property SIU experience Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other. US military experience through military service or a military spouse/domestic partner Compensation range: The annualized range for this position is: $77,120 - $147,390. However, this is an hourly position. Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. xevrcyc Remote working/work at home options are available for this role.
    $77.1k-147.4k yearly 1d ago
  • Criminal Investigator

    Jefferson County 3.7company rating

    Remote special crimes investigator job

    . Job Posting Closes at 11:59PM on: 12/24/25 Division: District Attorney Division Management Level: Individual Contributor Scheduled Weekly Hours: 40 Benefit Eligibility: This position is eligible for Standard Benefits which includes dental, medical, and vision insurance, paid time off and holidays, retirement matching, wellness programs, and tuition reimbursement. Description: The First Judicial District Attorney's Office is hiring a new Criminal Investigator. The Criminal Investigator is responsible for comprehensive investigative work to support prosecution activities of the District Attorney's Office. Collaborates with victims, law enforcement agencies, District Attorneys, defense counsel and team to achieve just outcomes, further the goals of the District Attorney and fulfill all statutory, constitutional and ethical obligations of an investigator. Anticipated Hire Range: $40.87 - $57.69 USD Hourly Compensation will be determined based on education, experience, and skills. Benefits: Jefferson County offers a generous benefits package that supports your personal and professional life. Benefits include medical, dental and vision insurance, paid time off and holidays, retirement matching, wellness programs, tuition reiambursement, flexible schedules, remote work options and more. For more information, click here for our Total Rewards summary. A Criminal Investigator is responsible for performing comprehensive investigative work to support prosecution activities of the District Attorney's Office. The following are duties assigned to the Criminal Investigator: Working closely with prosecutors in preparing criminal cases for trials, related hearings and testifying in court. Investigating alleged or suspected criminal violations of State laws to determine if there is sufficient evidence to recommend prosecution. Responsible for locating, contacting, and preparing state witnesses for trials, assisting various law enforcement personnel by providing investigative assistance and technical investigative support, assisting with training new investigators, making arrests and filing criminal cases. Other duties and responsibilities as assigned. Qualifications: Minimum Qualifications: Colorado POST Certification 5 years' experience in law enforcement including 3 years as a detective or investigator Associate degree in any discipline (experience may be substituted for education) Valid Colorado Driver's License within 30 days of hire Additional Job Information: Each applicant must be willing to submit to: Written testing Oral interviews Polygraph examination Background investigation to include a criminal, driving, reference, work, and credit history checks Psychological exam Applicants must be able to lawfully purchase and carry a firearm under Federal and State laws. Offer of employment contingent upon successful completion of criminal history, motor vehicle report, education verification, and/or references. Please note that supplemental questions requiring a written response will serve as a writing sample. Current Jefferson County employees must apply through their employee profile in Workday. In any materials you submit, you may redact or remove age-identifying information such as age, date of birth, or dates of school attendance or graduation. You will not be penalized for redacting or removing this information. About Us: At the First Judicial District Attorney's Office, we are committed to seeking fair and just outcomes for all members of our community through ethical prosecution and alternative resolutions. We work collaboratively with law enforcement to ensure those who victimize our most vulnerable members of society are held accountable. Our prosecution teams work collaboratively to support victims and ensure their voice is heard throughout the criminal legal system process. Our office is a nationally recognized leader in data transparency and data-driven practices in prosecution. We leverage technology, data analysis, innovative practices, and the use of alternative resolutions to ensure that justice is administered fairly and equitably. Our office culture is built around camaraderie and incorporating diverse perspectives in our day-to-day work. We are also committed to our team members' wellbeing outside of the workplace - we emphasize the importance of work-life balance, provide numerous resources to support health and personal development, and offer a comprehensive benefits package including substantial paid time off, generous holiday schedules, work from home flexibility, and a dog-friendly office. Education: Experience: Work Experience: Minimum five years Certifications: Languages: Category: District Attorney Post Certified
    $38k-51k yearly est. Auto-Apply 8d ago
  • Financial Crimes Investigator - Cryptocurrency/Blockchain

    Treliant 4.2company rating

    Remote special crimes investigator job

    Treliant is a global consulting firm serving banks, mortgage originators and servicers, FinTechs, and other companies providing financial services. 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 advisory and consulting, implementation, staffing and managed services solutions to the regulatory compliance, risk, financial crimes, and capital markets functions of our clients. Founded in 2005, Treliant is headquartered in Washington, DC, with offices across the United States, London, Belfast, and Łódź, Poland. For more information visit ***************** Treliant is committed to fostering a diverse, equitable and inclusive environment that values and embraces all races, religions, ages, abilities, gender, sexual orientations, ethnicities, languages, nationalities, political parties, socioeconomic groups and other characteristics that inform an individual worldwide view and experiences and systems of beliefs (“the principles”). We believe in championing every voice and ensuring everyone's full potential. We are looking for Financial Crimes Investigators with an expertise in blockchain and cryptocurrencies to join our team for remote, project-based opportunities. Responsibilities While the scope of each project may be different, your duties & responsibilities may include: Conduct thorough Blockchain Tracing investigations into potential financial crimes, including AML, fraud, and sanctions violations. Ensure clients meet regulatory and compliance standards by performing EDD/ CDD checks, KYC assessments and analyzing source of funds. Analyze cryptocurrency transactions and wallet addresses, leveraging blockchain explorers and analytics tools to track illicit activity or suspicious behavior. Draft and submit SARs to relevant authorities Identify and assess potential financial crime risks across all client portfolios, leveraging both traditional and crypto-related financial systems. Work closely with regulatory agencies, and financial institutions to ensure compliance with global anti-money laundering (AML) and counter-financing of terrorism (CFT) regulations. Investigate high-volume or high-value transactions, including cross-border transfers, to identify red flags or signs of illegal activities. Qualifications Strong education background; Bachelor's Degree preferred. 3+ years of experience in Financial Crime; either directly with a bank/financial institution or via a third party providing consulting services. Strong background in AML, CTF or Sanctions, with an understanding of the compliance and regulatory frameworks that apply. Familiarity with cryptocurrency blockchain tracing and blockchian technologies including investigating transactions on blockchain platforms and identifying risks associated with digital assets. Familiarity with blockchain forensics tools such as Chainalysis, Elliptic, or CipherTrace to trace and analyze crypto transactions. Knowledge of global regulatory frameworks for crypto - understanding of evolving cryptocurrency regulations, including FATF's Travel Rule, KYC/AML compliance for digital assets, and the legal landscape around crypto in different regions. Experience in developing risk mitigation strategies for crypto-based financial crimes, including fraud prevention and transaction monitoring in the crypto space. We are committed to being an Equal Opportunity Employer and want to build a diverse, inclusive and authentic workplace. If you are interested in working for Treliant but don't tick all the boxes, we encourage you to apply as you may be the perfect candidate for this or other roles. Benefits Primary Location: Remote Primary Location Salary Range: $50/hr - $60/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.
    $50 hourly Auto-Apply 60d+ ago
  • Experienced AML Investigator - Financial Crimes - Remote

    AML Rightsource 3.6company rating

    Remote special crimes investigator job

    Remote - Florida Remote - Georgia Remote - North Carolina Remote - Ohio Remote - Oklahoma Remote - Pennsylvania Remote - South Carolina Remote - Tennessee Remote - Texas Work Arrangement: This is a remote, work-from-home opportunity for candidates located in one our eligible states. The role includes three weeks of company-provided remote training. Please note: Remote work flexibility is not guaranteed long-term and may be subject to change based on company needs. (Candidates must currently reside in Arizona, Florida, Georgia, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, or Texas). About the Role: As a Senior AML Investigator, you'll work remotely to provide expertise in detecting suspicious financial activity, ensuring regulatory compliance, and performing quality control. You will lead investigations, supervise junior analysts, and collaborate with clients to manage financial crime risks. This role offers the opportunity to work independently while making key decisions in a fast-paced, dynamic environment. Key Responsibilities: Identify data anomalies and red flags related to money laundering, terrorist financing, fraud, and sanctions violations, escalating cases for second-level review as appropriate. Verify client identities to understand the nature and purpose of their relationship with the financial institution, ensuring compliance with Know Your Customer (KYC) procedures. Perform quality control (QC) tasks as needed. Assist with advanced responsibilities, including client communication, analyzing production data, and developing client-specific aids and training materials. Provide independent support to analysts with workflow items and administrative tasks as they arise. Submit written work for review by internal and client quality control teams, make necessary adjustments based on feedback, and apply insights to future work. Meet all designated deadlines and procedures to ensure accurate and timely completion of tasks. Contribute to a collaborative, team-oriented work environment. Comply with all relevant federal and state laws, regulations, and guidance, including Anti-Money Laundering (AML) requirements, as well as company policies, procedures, and client expectations. What You Bring (Minimum Qualifications) Bachelor's degree is required. At least 2-3 years of relevant AML/BSA experience. Must currently reside in Arizona, Florida, Georgia, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, or Texas Ability to thoroughly investigate potentially suspicious activities, analyze findings, and prepare detailed Suspicious Activity Reports (SARs) in compliance with regulatory requirements and clients' internal policies. Strong knowledge of financial or banking industries and related regulations and laws. Strong written and oral communication skills with the ability to produce narrative or written summaries clearly synthesizing recommendations and conclusions. Proven ability to consistently meet and exceed daily production goals, demonstrating strong time management skills, attention to detail, and the capacity to prioritize tasks effectively. Strong analytical, problem solving and organizational skills. Proficiency in Microsoft Excel, PowerPoint, and Word, with a demonstrated ability to quickly learn new technologies. Demonstrated experience in MS Excel, including pivot tables, macros, filtering, and sorting. Capable of multitasking, working independently, and collaborating as part of a team to establish cooperative and productive working relationships. Receptive to feedback and able to implement changes effectively. Quick learner with adaptability to new technologies and processes. Normal Working Hours and Conditions: Core hours are 8:00 am - 5:00 pm, with potential flexibility required based on operational needs across different time zones. About Us: We are AML RightSource, the leading technology-enabled managed services firm focused on fighting financial crime for our clients and the world. Headquartered in Cleveland, Ohio, and operating across the globe, we are a trusted partner to our financial institution, FinTech, money service business, and corporate clients. Using a blend of highly trained anti-financial crime professionals, cutting-edge technology tools, and industry-leading consultants, we help clients with their AML/BSA, transaction monitoring, client onboarding (KYC), enhanced due diligence (EDD), and risk management needs. We support clients in meeting day-to-day compliance tasks, urgent projects, and strategic changes. Globally, our staff of more than 7,000 highly trained analysts and subject matter experts is the industry's largest group of full-time compliance professionals. Together with our clients, we are Reimagining Compliance. Physical Requirements: Ability to sit or stand for long periods. Prolonged use of computers and office equipment. Occasional lifting, bending, and reaching required. AML RightSource is committed to fostering a diverse work environment and is proud to be an equal opportunity employer. We provide equal employment opportunities to all qualified applicants without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Recruitment Scam Alerts We're aware of an increase in recruitment scams where individuals falsely claim to represent AML RightSource. These scammers may ask for money or personal information by offering fake job opportunities through e-mail, text message or social media. Please verify the source of any job-related communications carefully. All official AML RightSource communications are conducted through "@amlrightsource.com" email addresses. If you encounter suspicious messages, do not respond.
    $35k-71k yearly est. Auto-Apply 6d ago
  • Financial Crimes Investigations Lead, Americas

    Stripe 4.5company rating

    Remote special crimes investigator job

    Stripe is a financial infrastructure platform for businesses. Millions of companies-from the world's largest enterprises to the most ambitious startups-use Stripe to accept payments, grow their revenue, and accelerate new business opportunities. Our mission is to increase the GDP of the internet, and we have a staggering amount of work ahead. That means you have an unprecedented opportunity to put the global economy within everyone's reach while doing the most important work of your career. About the team Stripe is both a technology company and a financial services company, and you will need to be comfortable straddling both of those worlds every day. The right person for the role will enjoy dealing with that puzzle, seeking creative solutions and moving quickly, often in the face of ambiguity. The right person for the role will also be comfortable getting their hands dirty by directly working on critical parts of the Americas financial crimes program, as well as being an effective people manager. The Financial Crimes, Compliance, and Risk Oversight (FinCRO) Investigations Management team is responsible for providing second line of defense (2LoD) financial crime risk oversight and coordination over casework, the management of user risk and other investigative oversight responsibilities for Stripe's global operations. The Investigations Management function will take part in local exams, field financial partner inquiries, and respond to law enforcement or other external inquiries. What you'll do We are looking for an Americas Financial Crimes Investigations Lead based in the US. This role focuses on leading a team of investigators and analysts conducting anti-money laundering (AML), counter-terrorist financing (CTF), sanctions, and other financial crimes and regulatory compliance investigations in support of Stripe's growing business. Responsibilities Lead a team of Financial Crime Analysts located across the Americas region (US, Canada, and Latin America) Provide guidance and support to the Americas team, in order to conduct a wide variety of analyses, potentially including: Investigations into money laundering, terrorist financing and other financial crimes and reporting of this activity through Suspicious Activity Reports (SARs) or Suspicious Transaction Reports (STRs) Conduct OFAC and BIS screening ("watchlist") and sanctioned jurisdictions screening (“keyword”) reviews, manually reviewing Stripe merchant accounts, and reviewing investigations work products, as part of Stripe's sanctions program Assessments of customer risks, including KYC and Due Diligence investigations for high risk customers, inclusive of Politically Exposed Persons (PEPs) Management of customer risk to Stripe, including the assessment of user retention and offboarding of users Assist the team in the investigation and response to requests for information from banking and financial partners, including the direct management of financial partner relationships Drive complex intelligence investigations and analytical workstreams, coordinating with Stripe's Complex and Major investigations teams Demonstrate sound judgment and an ability to navigate non-binary, high-risk decisions, and effectively communicate these decisions to the wider team Adhere closely to process while still constantly questioning assumptions, suggesting improvements, and following up implementation of those improvements Effectively and clearly communicate, including with other Stripes, Stripe's users, and Stripe's financial partners Demonstrate ownership of the Americas Financial Crimes program, and constantly seek improvements and accountability both within the team, as well as with our Financial Crimes Operations teams Who you are We're looking for someone who meets the minimum requirements to be considered for the role. If you meet these requirements, you are encouraged to apply. The preferred qualifications are a bonus, not a requirement. Minimum requirements 5+ years experience in investigations, operations, or advisory roles within financial crimes, AML, sanctions, risk, fraud, research, or a related field 2+ years experience leading financial crimes investigation teams of varying size and complexity Investigative expertise and strong knowledge of BSA, AML, US Patriot Act, and OFAC regulations Excellent research and writing skills Ability to synthesize large amounts of information, including transaction data Ability to work efficiently and independently in a fast-paced environment Ability to work cross-functionally with internal stakeholders Preferred qualifications ACAMS, ACAMS CGSS or ACSS Certification Familiarity with evaluating STRs and other regulatory reports to FINTRAC and Canadian Law Enforcement, as well as SAR reporting and regulatory requirements in Brazil. MS Excel experience SQL abilities Familiarity with MacOS and Google products Technical curiosity and an interest in evolving sanctions, AML, or regulatory compliance trends Foreign language fluency, including Spanish or Portuguese
    $76k-114k yearly est. Auto-Apply 1d ago
  • Special Agent

    Department of Homeland Security 4.5company rating

    Special crimes investigator job in Columbus, OH

    Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10). This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay. For more information on the Secret Service click here. Summary Joining the Secret Service as a Special Agent will allow you to perform critical protective and investigative assignments. The Special Agent position starts at a base salary of $48,371.00 (GL-07, step 1), with promotion potential to $117,034.00 (GS-13, step 10). This position is covered by Law Enforcement Availability Pay (LEAP) which is an additional compensation of 25% of the basic rate of pay. For more information on the Secret Service click here. Overview Help Accepting applications Open & closing dates 10/01/2025 to 12/31/2025 Salary $48,371 to - $117,034 per year Salary listed reflects the General Schedule (Base) table and, if applicable, will be adjusted to include the locality pay of the worksite location. Pay scale & grade GL 7 - 11 Locations MANY vacancies in the following locations: Anchorage, AK Birmingham, AL Mobile, AL Montgomery, AL Show morefewer locations (110) Little Rock, AR Phoenix, AZ Tucson, AZ Fresno, CA Los Angeles, CA Riverside, CA Sacramento, CA San Diego, CA San Francisco, CA San Jose, CA Santa Ana, CA Ventura, CA Denver, CO New Haven, CT Washington, DC Wilmington, DE Fort Myers, FL Jacksonville, FL Miami, FL Orlando, FL Tallahassee, FL Tampa, FL West Palm Beach, FL Albany, GA Atlanta, GA Savannah, GA Honolulu, HI Des Moines, IA Boise, ID Chicago, IL Springfield, IL Indianapolis, IN Wichita, KS Lexington, KY Louisville, KY Baton Rouge, LA New Orleans, LA Boston, MA Baltimore, MD Portland, ME Detroit, MI Grand Rapids, MI Saginaw, MI Minneapolis, MN Kansas City, MO Saint Louis, MO Springfield, MO Jackson, MS Billings, MT Charlotte, NC Greensboro, NC Raleigh, NC Wilmington, NC Omaha, NE Manchester, NH Atlantic City, NJ Newark, NJ Trenton, NJ Albuquerque, NM Las Vegas, NV Reno, NV Albany, NY Buffalo, NY Melville, NY New York, NY Queens, NY Rochester, NY Syracuse, NY White Plains, NY Cincinnati, OH Cleveland, OH Columbus, OH Dayton, OH Toledo, OH Oklahoma City, OK Tulsa, OK Portland, OR Harrisburg, PA Philadelphia, PA Pittsburgh, PA Scranton, PA San Juan, PR Providence, RI Charleston, SC Columbia, SC Greenville, SC Sioux Falls, SD Chattanooga, TN Knoxville, TN Memphis, TN Nashville, TN Austin, TX Dallas, TX El Paso, TX Houston, TX Lubbock, TX McAllen, TX San Antonio, TX Tyler, TX Waco, TX Salt Lake City, UT Norfolk, VA Richmond, VA Roanoke, VA Burlington, VT Seattle, WA Spokane, WA Madison, WI Milwaukee, WI Charleston, WV Remote job No Telework eligible No Travel Required 25% or less - Domestic and Foreign travel may be required. Relocation expenses reimbursed No Appointment type Term - The duration of this time limited Schedule B excepted appointment is 3 years and 120 days. Upon completion, you will either be converted to a career appointment in the competitive service or separated based on the expiration of the appointment. Work schedule Full-time Service Excepted Promotion potential 13 Job family (Series) * 1811 Criminal Investigation Supervisory status No Security clearance Top Secret Drug test Yes Position sensitivity and risk Critical-Sensitive (CS)/High Risk Trust determination process * Credentialing * Suitability/Fitness * National security Financial disclosure No Bargaining unit status No Announcement number SAB-26-Q1-CI Control number 847106700 This job is open to Help The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Clarification from the agency U.S. Citizens, Nationals, or those who owe allegiance to the U.S. Videos Duties Help Joining the United States Secret Service as a Special Agent offers a unique and rewarding career dedicated to serving the nation through our dual mission of criminal investigations and protection. Special Agents play a critical role in safeguarding the financial integrity of the United States and protecting its highest leaders, including the President, Vice President, and other designated individuals. Throughout their careers, Special Agents have the opportunity to work on diverse assignments across the country and around the globe, gaining unparalleled experience in both investigative and protective operations. Responsibilities include: * Conducting complex criminal investigations into financial crimes, including counterfeiting, cyber fraud, and other threats to the financial infrastructure of the United States. * Providing physical protection for the President, Vice President, their families, visiting foreign dignitaries, and other protectees, ensuring their safety in every environment. * Designing, planning, and implementing advanced security measures for National Special Security Events (NSSEs), such as presidential inaugurations, international summits, and other high-profile events. As a Special Agent, you will be part of an elite team committed to excellence, integrity, and service, with opportunities to serve at multiple duty stations both domestically and internationally. This dynamic and impactful career challenges you to rise to your fullest potential while making a difference for the nation. For more information about the Special Agent position, click here. Requirements Help Conditions of employment * U.S. Citizenship. * Possess a current valid driver's license. Must be REAL ID compliant. * Use your official name on your application as it appears on your valid government identification (i.e., REAL ID Driver's License, State ID, Passport). * Applicants must be 21 at the time of application and under 37 at the time of a conditional offer, unless they have prior federal law enforcement service under special retirement provisions. Veterans' preference applicants must receive a conditional offer before age 40. * Submit to a drug test prior to your appointment and random drug testing while you occupy the position. Disclose any prior drug use, attempted use, and/or experimentation. * Obtain a Top-Secret Clearance and retain it during your career. * This position requires an automatic credit check after initial qualifications are met. * Carry and use a firearm. Maintaining firearm proficiency is mandatory. You will be ineligible to occupy this position if at any time you have been convicted of a misdemeanor crime of domestic violence, unless you received a pardon, or your conviction was expunged or set aside. * Be available for assignment to any of the U.S. Secret Service Field Offices. Preferences are not guaranteed. * Candidates are required to complete intensive training at the Federal Law Enforcement Training Center (FLETC) in Glynco, GA, followed by specialized training at the James J. Rowley Training Center in Laurel, MD. Failure to pass the training program may result in separation from the Secret Service. * Sign a mobility agreement stating your willingness to accept assignments anywhere within the United States and overseas. * Certify that you have registered with the Selective Service System or are exempt from having to do so, if you are a male applicant born after December 31, 1959. * Possess uncorrected visual acuity of no worse than 20/100 binocular, possess corrected visual acuity of 20/20 or better in each eye.(Note: Lasik, ALK, RK, and PRK corrective eye surgeries are acceptable eye surgeries for special agent applicants. Applicants will be considered eligible for the special agent position provided specific visual tests are passed. The following are waiting periods for visual tests: Lasik-2 months after surgery, PRK-6 months after surgery, ALK and RK-one year after surgery). * Hearing loss, as measured by an audiometer, must not exceed 25 decibels (A.S.A. or equivalent I.S.O.) in either ear in the 500,1000 and 2000Hz ranges. Qualifications As a condition of employment for accepting this position, you may be required to serve a 2-year trial period during which we will evaluate your fitness and whether your continued employment advances the public interest. In determining if your employment advances the public interest, we may consider: * your performance and conduct; * the needs and interests of the agency; * whether your continued employment would advance organizational goals of the agency or the Government; and * whether your continued employment would advance the efficiency of the Federal service. Upon completion of your trial period your employment will be terminated unless you receive certification, in writing, that your continued employment advances the public interest. You are minimally qualified for the GL-07 Level (starting base salary $48,371) if you possess one of the following: * A bachelor's degree from an accredited college or university with superior academic achievement (S.A.A.) which is based on class standing, grade-point average, or honor society membership as described below. * Maintained a grade-point average of "B" (a GPA of 3.0 or higher) for all completed undergraduate courses, or those completed in the last two years of undergraduate study; OR * Rank in the upper one-third of your class in the college, university, or major subdivision; OR * Be a member of a national honor (other than freshman honor societies) recognized by the Association of College Honor Societies. Please submit a college transcript(s) showing your grade point average for all four years of undergraduate study, including all transferred courses. * NOTE: GPAs are rounded to one decimal place. For example, 2.95 will round to 3.0 and 2.94 will round to 2.9. If more than 10 percent of your undergraduate course work (credit hours) were taken on a pass/fail or similar basis, your claim must be based on class standing or membership in an honor society. * At least one full year of graduate level education (i.e., 18 semester hours); OR * At least 1 year of specialized experience in, or related to, the investigative methods, protective methods, and law enforcement techniques that provide the specific competencies to successfully perform the position's duties. Experience also includes exercising initiative; attention to detail; judgment in collecting, assembling and developing facts, evidence or other pertinent data; the ability to analyze and evaluate data or evidence to arrive at sound conclusions including applying new information; and the ability to partner with or lead others in the accomplishment of mission activities. You are minimally qualified for the GL-09 Level (starting base salary $53,945) if you possess one of the following: * A master's or equivalent graduate degree (such as LL.B. or J.D.) or two full years of progressively higher graduate education, in a related field, leading to such a degree from an accredited college or university; OR * Have at least 1 year of specialized experience equivalent to the GL-7 level such as experience applying law enforcement, protective, or investigative techniques in the performance of job duties; identifying problem areas and proposing and implementing solutions; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; and leading meeting or seminars on behalf of a professional or academic group; setting work priorities and allocating resources; partnering with other individuals from within and outside the organization; OR * A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of graduate level study. You are minimally qualified for the GS-11 Level (Starting base salary $63,163) if you possess one of the following: * Ph.D. or equivalent doctoral degree, or 3 full years of progressively higher-level graduate education leading to such a degree, or LL.M.; OR * Have at least 1 year of specialized experience equivalent to the GL-9 level such as experience in, or related to planning and conducting complex criminal investigations to determine violations of Federal laws and regulations; collecting and assembling facts to identify logical conclusion; gathering, analyzing, and evaluating evidence or data; conducting interviews and interrogations; making arrests; conducting searches and seizures; taking responsibility for own actions and those of team members to ensure the goals and deadlines for the team are met; partnering with or leveraging networks or relationships from outside the organization, experience managing complex projects including setting priorities and determining resource requirements; OR * A combination of specialized experience, as described above, and related graduate level education, beyond the first full year of doctoral level study. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional, philanthropic, religious, spiritual, community, student, social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience. Qualified applicants will only be referred at the highest grade level for which they qualify. Applicants must successfully pass Phase 1 assessments (see below) to receive a Conditional Job Offer. In addition, applicants must successfully pass Phase II (see below) to receive final consideration for employment. Phase I: * National Crime Information Center (NCIC) * Special Agent Entrance Exam (SAEE) * Applicant Physical Abilities Test * Interview Phase II: * Credit Check * Security Interview * Polygraph examination * Drug screening * Medical examination * Background investigation (a top-secret security clearance) The Secret Service follows stringent guidelines relating to illegal drug usage. An applicant's history is reviewed and a determination for employment is made according to our guidelines. For more information regarding the U.S. Secret Service drug guidelines, please click here to view our Drug Policy. As part of the application process the applicant will be required to complete the United States Secret Service Applicant Physical Abilities Test (APAT). It is a physical fitness assessment which consists of four components (push-ups, sit-ups, Illinois Agility Run and a 1.5 Mile Run). The APAT is designed to measure the current level of general physical fitness of an applicant, which serves as an indicator of an applicant's ability to safely complete a vigorous physical training program. It evaluates the applicant's ability to perform the physical tasks required on the job by measuring muscular and dynamic strength, endurance, flexibility, aerobic capacity and other factors related to physical aptitude. For more information about the APAT, please click here. General Medical Requirements: As determined by OPM the duties of this position require moderate to arduous physical exertion involving walking and standing, use of firearms, and exposure to inclement weather. Manual dexterity with comparatively free motion of fingers, wrist, elbows, shoulders, hips and knee joints is required. Arms, hands, legs and feet must function sufficiently in order for applicants to perform the duties satisfactorily. Additional information * Recruitment Incentive: Applicants may be eligible for a $40,000 recruitment incentive in accordance with regulatory requirements. The first installment of $15,000 will be paid following successful completion of Secret Service Criminal Investigator training. A second installment of $10,000 will be paid following one year of service post training and an acceptable performance rating. The final installment of $15,000 will be paid after a third year of service post training and an acceptable performance rating. Provision of these payments require the execution of a three-year Continued Service Agreement (CSA) with the agency. Newly hired employees who resign from the USSS prior to the expiration of the CSA will be required to repay the recruitment incentive. (NOTE: Eligibility is limited to "Newly appointed" Federal employees as defined by 5 CFR 575.102). Applicants selected for this position will be required to sign a CSA before being assigned to an initial training class. The CSA will commit the applicant to a specified period of employment with the Secret Service upon the successful completion of training. Applicants will be required to travel to all phases of the hiring process at their own expense. If a final job offer is extended, relocation expenses will not be authorized for first duty location. The Secret Service prohibits employees from having visible body markings (including but not limited to tattoos, body art and branding) on the head, face, neck, hand and fingers (any area below the wrist bone) (exception a single conservative and unobtrusive tattoo in the form of a ring is authorized on one finger). If you are deemed minimally qualified for this position, you will be required to complete an Optional Form 306, Declaration for Federal Employment, and to sign and certify the accuracy of all information in your application, prior to entering Phase 1 of the hiring process. False statements on any part of the application may result in withdrawal of offer of employment, dismissal after beginning work, fine, or imprisonment. Since the duties of this position are exacting and involve the responsibility for the safety of others under trying conditions, applicants must possess emotional and mental stability. Any condition that would hinder full efficient performance of the duties of this position or that would cause the individual to be a hazard to himself/herself or to others is disqualifying. There are also specific medical requirements for this position and any chronic disease or condition affecting the respiratory, cardiovascular, gastrointestinal, musculoskeletal, digestive, nervous, endocrine, lymphatic, nervous, genitourinary and other systems that would impair full performance of the duties of the position may also be disqualifying. Click here for more information. The Fair Chance to Compete for Jobs Act prohibits the Department of Homeland Security and its Components from requesting an applicant's criminal history record before that individual receives a conditional offer of employment. In accordance with 5 U.S. Code § 9202(c) and 5 C.F.R § 920.201 certain positions are exempt from the provisions of the Fair Chance to Compete Act. Applicants who believe they have been subjected to a violation of the Fair Chance to Compete for Jobs Act, may submit a written complaint to Equal ************************. Expand Hide additional information Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution. Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. How you will be evaluated You will be evaluated for this job based on how well you meet the qualifications above. We will review your resume and supporting documentation to ensure you meet the minimum qualification requirements. If you meet the minimum qualifications, you will receive a conditional job offer. You will automatically be considered for all grade levels to maximize your consideration for this position. The competencies needed to perform this job are: * Investigative methods * Protective methods * Law enforcement techniques * Exercising initiative * Attention to detail * Judgment and Problem Solving * Ability to analyze and evaluate data or evidence * Ability to partner with or lead others Interviews are required for this position. Failure to complete the interview may result in removal from further consideration. Your on-line application will be rated on the extent, quality, and relevance of the following: your experience, education and training, and competencies. All applicants are evaluated on competencies related to law enforcement methods and techniques, protective methods and techniques, investigative methods and techniques, initiative, attention to detail, learning, problem solving, partnering, planning and organizing, and leadership. All answers in the online process must be substantiated by your resume. Upon review your resume and transcripts need to support your answer choices. Overstating your qualifications and/or experience in your application materials or on the application questionnaire may result in your removal for consideration. Any Offers of employment made pursuant to this announcement will be consistent with all applicable authorities, including Presidential Memoranda, Executive Orders, interpretive U.S. Office of Personnel Management guidance and U.S. Office of Management and Budget plans and policies concerning hiring. These authorities are subject to change. DHS uses E-Verify, an Internet-based system, to confirm the eligibility of all newly hired employees to work in the United States. Click here to learn more about E-Verify, including your rights and responsibilities. Benefits Help A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits. DHS offers competitive salaries and an attractive benefits package, including health, dental, vision, life, and long-term care insurance; retirement plan; Thrift Savings Plan [similar to a 401(k)]; Flexible Spending Account; Employee Assistance Program; personal leave days; and paid federal holidays. Other benefits may include flexible work schedules; tuition reimbursement; transportation subsidies (government vehicle); uniform allowance; health and wellness programs; and fitness centers. DHS is committed to employee development and offers a variety of employee training and developmental opportunities. For more information, go to the DHS Careers website and select "Benefits." Disabled veteran leave will be available to any Federal employee hired on or after November 5, 2016, who is a veteran with a service- connected disability rating of 30 percent or more. Review our benefits Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered. Required documents Required Documents Help In addition to addressing the job opportunity announcement specific questions, you must also submit the following documentation: * Resume - Limit your resume to no more than two pages. The USAJOBS database will not allow an applicant to submit an application that includes a resume over two pages. In order to receive credit for experience contained in an uploaded resume, your employment history should show relevant work experience in detail and in month/year format (MM/YYYY), reflecting starting date and ending date, and include the number of hours worked per week. To learn how to format and submit a two-page resume, please visit the USAJOBS Help Center. * If you have earned a college degree, or if you are qualifying based on education or you are qualifying based on a combination of education and experience , or are claiming Superior Academic Achievement (overall grade point average of 3.0 or higher out of a possible 4.0 recorded on the unofficial college/university transcript) to qualify at the GL-07 level (as explained in the Qualifications section), you must submit a copy of your college/university transcript (unofficial is acceptable) which must show school name, student's name, credit earned, degree, and date awarded. Education must be obtained from an accredited institution recognized by the U.S. Department of Education. Education completed in foreign colleges or universities may be used to meet Federal qualification requirements if you can show that your foreign education is comparable to education received in accredited educational institutions in the United States. For example, specific courses accepted for college-level credit by an accredited U.S. college or university, or foreign education evaluated by an organization recognized for accreditation by the Department of Education as education equivalent to that gained in an accredited U.S. college or university. It is your responsibility to provide such evidence with your application. See Recognition of Foreign Qualifications for more information. Those with Foreign education, click here. * Are you a Veteran? Submit Member Copy 4 of your DD-214 (Certificate of Release or Discharge from Active Duty) or Statement of Service. If a DD-214 is not available, submit your Statement of Service from the Armed Forces that list the beginning and ending dates of active service, your rank, and confirm that you will be separated under honorable conditions. Those applying for 10-point preference must fill out the SF-15 (click here for the form) and provide the required documentation listed on the back of the form. Click here for more veterans' information. * Are you a current or former Federal Employee? Submit a copy of your SF-50, Notification of Personnel Action, showing your tenure code, position occupied and highest grade and step. In addition, if you have or had service in a Federal Law Enforcement position covered by law enforcement or firefighter retirement provisions, including early or mandatory retirement, the SF-50 must show the retirement code. An award SF-50 does not contain the required information. Also submit your performance appraisals and/or incentive awards. * The Office of Personnel Management (OPM) must authorize employment offers made to current or former political appointees. If you are currently, or have been within the last 5 years, a political Schedule A, Schedule C, Non-career SES or Presidential Appointee employee in the Executive Branch, you must disclose this information to the Human Resources Office. * Did you previously take the Special Agent Entrance Exam (SAEE)? Submit a copy of your SAEE results. If you are relying on your education to meet qualification requirements: Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education. Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
    $15k-117k yearly 60d+ ago
  • Contract Investigator - Columbus, OH

    Omniplex World Services Corporation, A Constellis Company

    Special crimes 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
  • Quality Investigator

    Cencora

    Special crimes investigator job in Columbus, OH

    Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today! Job Details PRIMARY DUTIES AND RESPONSIBILITIES: 1. Responsible for Quality Assurance Investigations at ABC and ensuring adherence to applicable GMP regulations and policies and procedures. 2. Produces written reports that summarize the investigation, root cause determination, corrective actions and recommended disposition of affected product. 3. Conducts complaint investigations and maintains records of customer complaints. 4. Works with Production/QA to initiate investigations and minimize production down time. 5. Assists with the development of appropriate corrective actions. 6. Works with quality management to determine appropriate disposition of affected product. 7. Maintains the Investigation/CAPA Database and other databases as required. 8. Assists on follow-up checks on the effectiveness of corrective actions. 9. Performs other duties as assigned. EXPERIENCE AND EDUCATIONAL REQUIREMENTS: 1. BS in relevant Science or Engineering discipline. 2. At least 3 years of experience in a cGMP regulated environment 3. Must have a working knowledge of pharmaceutical packaging records, process and equipment; and experience in quality assurance in the pharmaceutical industry. MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS: 1. Strong critical thinking and deductive reasoning skills. 2. Strong oral, written, communication, presentation and interpersonal skills. 3. Ability to interact with Regulatory Agencies, vendors and all levels of associates within the organization, including management and plant associates. 4. Knowledge of QA principles, concepts, systems industry practices and standards. 5. Ability to work independently. 6. Ability to handle a variety of tasks simultaneously. 7. Attention to detail. 8. Strong skill in computer operations, experience with MS Word and Excel, ERP and Ensur) What Cencora offers We provide compensation, benefits, and resources that enable a highly inclusive culture and support our team members' ability to live with purpose every day. In addition to traditional offerings like medical, dental, and vision care, we also provide a comprehensive suite of benefits that focus on the physical, emotional, financial, and social aspects of wellness. This encompasses support for working families, which may include backup dependent care, adoption assistance, infertility coverage, family building support, behavioral health solutions, paid parental leave, and paid caregiver leave. To encourage your personal growth, we also offer a variety of training programs, professional development resources, and opportunities to participate in mentorship programs, employee resource groups, volunteer activities, and much more. For details, visit ************************************** Full time Equal Employment Opportunity Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law. The company's continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory. Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call ************ or email ****************. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned Affiliated CompaniesAffiliated Companies: Amerisource Health Services, LLC
    $50k-89k yearly est. Auto-Apply 60d+ ago
  • AML/CFT Investigator

    Northwest Bancorp, Inc. 4.8company rating

    Special crimes investigator job in Columbus, OH

    The Anti-Money Laundering/Countering the Financing of Terrorism (AML/CFT) Investigator conducts preliminary transaction monitoring reviews or Customer/Enhanced Due Diligence (CDD/EDD) reviews for the purpose of identifying activity that is potentially suspicious and to ensure the Bank effectively understands customer risk and expected transactions according to Know Your Customer guidelines. The reviews are based on alerts generated through Northwest's automated transaction monitoring system in adherence to AML compliance functions and processes, determining when a review or investigation warrants escalation for SAR consideration, and documenting review details. This position acts with strong adherence to procedures associated with transaction monitoring, CDD, and the BSA. This individual provides subject matter expertise to others within and outside the Financial Crimes department, and moderate guidance and input for the transaction monitoring and CDD teams regarding adherence to AML compliance functions and processes. The AML/CFT Investigator will be responsible for performing triage investigations of transaction monitoring system generated alerts and referrals, including identifying root causes of the alert, sources and uses of funds, and potentially suspicious activity. They are also responsible for conducting investigations to identify potentially suspicious financial and/or fraudulent activity, to include money laundering, terrorist financing, fraud, and/or any other financial risks or crimes. In instances indicative of money laundering and/or other financial crimes, the specialist can prepare suspicious activity reports for filing. Essential Functions * Conduct suspicious activity reviews/investigations to identify patterns and trends consistent with money laundering and terrorist financing * Conduct comprehensive CDD/EDD reviews/investigations on high-risk customers including PEP, MSB, POATM, and NBFIs in accordance with CDD procedures * Complete documentation with the highest level of quality, accuracy and attention to detail in accordance with Northwest's procedures and regulatory guidelines * Perform detail analysis of transaction monitoring reviews and case investigations * Provide consultative AML/CFT guidance to various lines of businesses * Demonstrate knowledge of money laundering and terrorist financing typologies to recognize unusual/suspicious activity * Determine whether alerts should be escalated based on Northwest policies and procedures and a review of the facts * Collect, analyze, and safeguard sensitive information concerning the customers of Northwest * Effectively maintain customer and case files, records, and related documentation * Promptly notify supervisors of any instances of non-compliance with the AML, BSA, and OFAC regulations * Attend and present relevant AML/CFT information through various Northwest committees * Conduct research on applicable regulations to ensure sound decision-making * Research and improve report data Additional Essential Functions * Ensure compliance with Northwest's policies and procedures, and Federal/State regulations * Navigate Microsoft Office Software, computer applications, and software specific to the department in order to maximize technology tools and gain efficiency * Work as part of a team * Work with on-site equipment Additional Responsibilities * Handle other projects on request * Ensure total documentation and data integrity * Assist with training new employees, as needed * Prepare information during regulatory examinations, audit, compliance or other BSA reviews Safety and Health for those without supervisory duties * Abide by the rules of the safety and loss prevention program * Perform work tasks in a safe manner * Report any and all injuries to supervisor * Know what to do in case of an emergency QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education Bachelor's Degree or equivalent Work Experience 2 - 3 years ML/CFT, BSA, OFAC law and regulations 2 - 3 years Retail Banking or banking operations 2 - 3 years Other financial crimes related experience General Employee Knowledge, Skills, and Abilities * Ability to establish effective working relationships among team members and participate in solving problems and making decisions * Ability to present and express ideas and information clearly and concisely in a manner appropriate to the audience, whether oral or written * Ability to actively listen to what others are saying to achieve understanding, sharing information with others and facilitating the open exchange of ideas and information * Ability to establish courses of action for self to accomplish specific goals, develop and use tracking systems for monitoring own work progress, and effectively use resources such as time and information * Ability to make right decisions based on perceptive and analytical processes, practicing good judgment in gray areas Licenses and Certifications CAMS Certified Anti-Money Laundering Specialist Northwest is an equal opportunity employer. We are committed to creating an inclusive environment for all employees.
    $54k-91k yearly est. Auto-Apply 9d ago
  • Marketplace Investigator

    GDIT

    Remote special crimes 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 $71,445 - $96,661. 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
    $71.4k-96.7k yearly Auto-Apply 4d ago
  • Investigator

    Ethos Risk Services

    Remote special crimes investigator job

    Ethos Risk Services is continuing to expand our team of Private Field Surveillance Investigators! We are looking for Experienced Licensed Investigators to investigate fraud and conduct covert surveillance in the field (from your vehicle). Ethos Risk is one of the largest and most respected fraud investigations businesses in the US. Join us in uncovering the facts, keeping insurance costs from rising, and serving our clients in a fully remote position. Are you ready to join the best fraud investigation company in the industry? Apply now! Ethos Risk Services: What drives us At Ethos, you'll find more than just a job - you'll discover a purposeful career where your contributions make a lasting impact. Join us and become a trusted partner in insurance claims management and fraud investigations, delivering certainty and peace of mind to every client we serve. What does aN Experienced Surveillance Investigator do? As a Surveillance Investigator at Ethos Risk Services, you will conduct covert surveillance, review files, and draft detailed case reports. Working autonomously from your vehicle, you will capture video evidence of surveillance targets, collaborate with our Operations Managers, and ultimately improve the integrity of the health care and insurance industry. Join a team that celebrates high performers, values employees, and delivers results. What you need to be successful To qualify for this position candidates must possess: A valid private investigator license A valid driver's license A well-maintained / reliable vehicle (preferably with tinted windows) In this role you will use discretion, communicate with our Operations Managers regularly, and apply critical thinking skills while conducting surveillance and gathering evidence. Adaptability, attention to detail, and strong analytical capabilities are essential qualities for success at Ethos. Candidates who are self-motivated, resourceful, and able to maintain a high level of professionalism in various situations will thrive in this position. Work Schedule Most investigations will begin at 6AM and may require you to leave your home between 4-5AM. Candidates who are willing to work most weekends and holidays will be prioritized in the hiring process. Make your move If you think this position is a fit for what you are looking for, applying is a snap - just follow the instructions on this page. Good luck! Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic protected by law. A background check will be conducted, in accordance to the local state law and regulations.
    $60k-101k yearly est. 60d+ ago
  • Affirmative Civil Enforcement (ACE) Investigator

    Contact Government Services, LLC

    Remote special crimes 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- Miami, FL

    TWAY Trustway Services

    Remote special crimes 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 Miami 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 28d ago
  • Sub Investigator

    Care Access 4.3company rating

    Remote special crimes 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
  • SIU Investigator I (Hybrid)

    Caresource Management Services 4.9company rating

    Remote special crimes investigator job

    The Special Investigations Unit (SIU) Investigator I is responsible for comprehensive review, examination, and analysis of assigned allegations of healthcare fraud, waste and abuse (FWA) by medical professionals, facilities, and members. Specific responsibilities may fluctuate to align with department priorities and may include any of the following essential functions. Essential Functions: Support other departments to obtain information needed to support SIU investigative efforts Proactively use analytical skills to identify potential areas of FWA or areas of risk to FWA Provide case review progress and coordinate with SIU team members and management on recommendations for further actions and/or resolution Recommend and participate in development and implementation of internal SIU policies and procedures Assist in achieving and maintaining compliance with state and federal FWA compliance and other deadlines related to rules and regulations Assist with unit's efforts to increase fraud and abuse training and awareness to all employees, members, and providers Responsible for maintaining confidentiality of all sensitive investigative information Know and uphold the provisions of the Corporate Compliance Plan Perform any other job-related instructions as requested Investigative Case Triage Triage, examine, and analyze all assigned allegations of healthcare fraud, waste and abuse by medical professionals, facilities, and members Conduct assigned case triage with high level of autonomy and include data analysis, record review, cross-company discussions, member/provider interviews, and member/provider education Use concepts and knowledge of CPT, ICD, HCPCS, DRG, REV coding rules to analyze provider claim submissions Contact members, pharmacies, providers and third parties via telephone interview and/or letter to validate claim submissions and clarify allegation of FWA Perform data mining utilizing FWA detection software to identify aberrancies and outliers Research, comprehend and interpret various state specific Medicaid, federal Medicare, and ACA/Exchange laws, rules, and guidelines Collaborate with investigative team on appropriate support initiatives from triage activities Investigative Case Support Provide support of delegative vendor investigations Monitor SIU issued Corrective Action Plans, Settlement Agreements, and Restitutions Ensure that credible allegations of fraud and state suspensions are actioned appropriately across the organization Generate SIU metrics as required Ensure compliance and documentation to support regulatory requirements Generate and analyze data to support cases on stand-down, prepay, or AUDP and document financials in the case Submit deconfliction and permission requests to our market partners to ensure regulatory compliance and investigative efficiency Support triaging and managing the fraud reporting mechanisms, including case input into SIU case tracking software Support investigators in case development such as records requests/reviews, letter generation, and documentation Broker Case Support: Review allegations of inappropriate enrollment by brokers and coordinate with matrix partners to investigate and resolve these allegations Triage these cases, as appropriate, to the SIU for full investigation Waiver Case Support: Review of all Incident Management System (IMS) documents and other tips received through CareSource fraud reporting mechanisms to determine if the allegation requires further review. Responsible for referring suspected fraud to market regulators and presenting facts of the referral and initiating claims adjustments, when appropriate. Education and Experience: Associates Degree or equivalent years of relevant work experience in a healthcare-related field, law enforcement, or insurance is required Minimum of eighteen (18) months experience in medical coding, billing, auditing, data analytics, or related field is required Competencies, Knowledge, and Skills: Intermediate computer skills consisting of Microsoft Excel, Access, Outlook, Word, and Power Point. Ability to present issues of concern alleging schemes or scams to commit FWA Ability to work independently and as a member of a team to deliver high quality work Ability to support heavy workload and meet critical regulatory guidelines Strong attention to detail Effective communication skills both written and verbally Knowledge of Medicaid and Medicare preferred Strong knowledge of medical terminology, medical diagnostic, procedural terms, and medical billing Effective Listening and Thinking Skills Licensure and Certification: Certified Fraud Examiner (CFE) or Anti-Healthcare Fraud Investigator (AHFI) certification is preferred. If not currently certified, this certification should be attained within 1 year of hire date. 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 Compensation Range: $53,400.00 - $85,600.00 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
    $53.4k-85.6k yearly Auto-Apply 12d ago
  • Special Agent - Tribal Gaming

    State of Washington

    Remote special crimes investigator job

    Are you ready to take on a rewarding and challenging career? Don't miss out on this unique opportunity to work with our Tribal Gaming Unit, where you'll play an essential role in shaping the future of gaming. In this position, you'll work directly with tribal nations to ensure compliance with tribal-state compacts and state laws. You'll be at the forefront of making a meaningful impact in the gaming industry while upholding the values of professionalism, integrity, and dedication. To be eligible for this position, you must reside or be willing to reside in one of the following counties in Washington State: Okanogan, Ferry, Stevens, Pend Oreille, Chelan, Douglas, Lincoln, Spokane, Kittitas, Klickitat, Grant, Adams, Whitman, Yakima, Benton, Franklin, Walla Walla, Columbia, Garfield, and Asotin. Who We Are The Washington State Gambling Commission is a state accredited; limited-jurisdiction law enforcement agency whose mission is to protect the public by ensuring that gambling is legal and honest. We are the second oldest gambling agency in the country and the only statewide agency that licenses and regulates an estimated $3.5 billion gambling industry comprised of Tribal, commercial, and nonprofit businesses. What We Offer * Competitive salary and benefits package * Opportunities for professional development and growth * Collaborative and supportive work environment What We're Looking For: * Accountability & Independence: You will manage your own workload and be responsible for meeting critical deadlines-success in this role requires self-motivation and the ability to stay organized while multi-tasking. * Strong Communication & Relationship-Building Skills: Excellent interpersonal skills are essential as you will build trusting relationships with clients, stakeholders, and tribal partners within the tribal gaming sector. * Attention to Detail: You should take pride in delivering high-quality, detail-oriented work, ensure compliance and integrity * Collaboration: You should value and embrace a multicultural and inclusive environment, working in a way that reflects mutual respect, cooperation, and acceptance of diverse perspectives. Why Join Us? * Make a positive impact in an industry that continues to grow and evolve. * Work in a dynamic and supportive environment that values personal growth and professional development. If you're a driven individual with an interest in law enforcement, regulatory compliance, relationship-building, and making a difference in the gaming industry, this is your chance to take your career to the next level! As a Special Agent, you will work closely with Tribal Gaming Agencies to ensure that tribal casinos operate in compliance with tribal-state compacts and applicable gambling laws. Responsibilities include conducting onsite regulatory audits and investigations, reviewing record-keeping systems, and evaluating internal controls and game rules. You may also be asked to conduct or assist with criminal or administrative investigations and will participate in training and other special projects. You will be responsible for conducting regular inspections and will be assigned an agency vehicle for your travel needs. Required Education and Experience * High school graduation, GED, or equivalent education. * Two or more years of related experience in business, auditing, accounting, law enforcement, regulation, fraud, computer science, tribal gaming, or investigations. * Must be at least 21 years of age at time of hire. Must be Willing and Able to: * Carry and use a firearm and other issued equipment (handcuffs, cell phone, etc.) in a safe and appropriate manner while working. * Maintain firearm and use of force standards. * Travel overnight as necessary for off-site work, meetings, and training. * Work alone or in teams. * Work evening, weekends, hours other than 8 a.m. to 5 p.m., and extra hours when necessary to meet work objectives and deadlines. * Work indoors in a gambling environment, which may involve smoke filled and dirty areas, diverse populations, and intoxicated people. * Detain or arrest individuals. * Successfully complete the Washington State Criminal Justice Training Commission Basic Law Enforcement Academy (CJTC BLEA) within the first 18 months of employment* * Successfully complete the Gambling Commission's Use of Force training program within the first 45 days of employment * Pass a pre-hire Physical Ability Test if you are not a graduate of the Washington State Criminal Justice Training Center (CJTC) Basic Law Enforcement Academy (BLEA) or equivalent* * Undergo and able to pass an extensive background investigation, which includes a polygraph examination, criminal records check, credit check, and fingerprinting. * Undergo a post conditional offer psychological evaluation, medical examination, and drug test. * Note: This requirement may be met if you have prior experience or training as full-time, fully commissioned peace officer, or a limited jurisdiction, certified law enforcement officer for the State of Washington. We may give preference to candidates with the following qualifications and/or experience. * Proven experience conducting complex investigations. * Proven experience interpreting and applying complex rules, laws, and policies. * Demonstrated experience with financial auditing, financial record inspections, or financial record investigations. * Demonstrated experience with information technology working on or with computerized network systems. * Experience working in the gambling industry. * Exceptional communication and relationship building skills. * Successful completion of the WA State Basic Law Enforcement Academy (BLEA) or equivalent law enforcement academy (BLEEA) READY TO PURSUE THIS OPPORTUNITY? Applying to become a Special Agent can take up to six months or more. We value your time and interest and are committed to moving the process along as quickly as possible. 1. As a regulatory law enforcement agency, all our employees are required to meet the Special Requirements/Conditions of Employment 2. Complete an online application on careers.wa.gov ("Apply" button at top of this announcement). 3. Click on the Special Agent level that interests you to be taken to PST to begin the testing and exam process. NOTE: There are fees to take the written exam and PAT * Special Agent - Entry Level * Special Agent - Lateral (No testing required. Completed PHS required) Note: More information about the WSGC hiring process can be found here. IMPORTANT NOTES Special Agents working in the Tribal Gaming Unit are required to complete a basic law enforcement academy or equivalency. If you do not hold a current law enforcement certification you will be required to attend the Basic Law Enforcement Academy through the Washington State Criminal Justice Training Center. Prior experience and/or training as a fully commissioned peace officer, limited jurisdiction law enforcement officer for the State of Washington may substitute for this requirement. Include a minimum of three professional references within your online application. You must include a phone number and email for each. A professional reference is defined as an individual who has been paid to supervise your work and can attest to your work performance, technical skills, and job competencies. If you do not have any or sufficient professional references, include non-related professionals, such as educators or other professional associates. The Washington State Gambling Commission is an equal opportunity employer. Individuals with disabilities who need assistance with the application process or need this job announcement in an alternative format should provide contact information via email to ***********************. Applicants who are deaf or hard of hearing may call the Washington Relay Service by dialing 7-1-1 or **************. For questions regarding this recruitment announcement, email us at *********************** or call **************.
    $59k-70k yearly est. 1d ago
  • Part Time Private Investigator - Special Investigations Unit (SIU)

    Alpine Intel

    Remote special crimes investigator job

    Qualified candidates are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire damages, auto accidents, commercial claims, finding missing persons, courthouse searches, and other investigative tasks. For this position, you will also need to be fluent in writing, reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will be joining an incredible team of investigators and industry leaders. PRINCIPAL RESPONSIBILITIES: Complete recorded detailed interviews of those insured, claimants, witnesses, and others as identified. Complete scene investigations, including photographing. Conduct in-person visit of medical clinics. Complete neighborhood canvasses. Make sound judgments during the course of the investigation. Provide timely progress updates. Complete detailed investigative reports. WHO SHOULD APPLY: Candidates with at least five (5) years of investigations experience are strongly encouraged to apply. We are looking for people who are enthusiastic about investigations, those who thrive in a diverse work environment, and individuals who have a commitment to the very highest standards of honesty, integrity, and respect. POSITION QUALIFICATIONS: MUST have current and active Private Investigation License to be eligible for hire. Self-motivated, determined, and intuitive with a strong initiative and work-ethic. Ability to identify critical issues quickly and accurately. Demonstrate observational, organizational, and listening skills. Excellent oral and written communication. Fluent in Spanish language (writing, reading, speaking). Ability to work independently, as well as in a team. Flexible schedule working weekends, holidays, and possible evenings. Candidate must own a reliable computer, preferably a laptop, with access to high-speed internet and a scanner or fax machine. Must have strong computer and internet skills. Proficient with a digital camera. Must possess a valid driving license and own your reliable vehicle. Applicants must pass an extensive background check. Must be able to pass a drug test with negative results (except when undergoing documented medical treatment). College Degree preferred. COMPENSATION & REIMBURSEMENTS: Hourly Rate is commensurate with education and experience. Paid travel time and reimbursement for mileage, tolls, and other per diem items. READY TO APPLY? Please submit your FULL resume, including salary requirements.
    $52k-87k yearly est. 60d+ ago
  • Part Time Bilingual (Spanish) Private Investigator - Special Investigations Unit (SIU)

    The Robison Group 4.2company rating

    Remote special crimes investigator job

    Qualified candidates are interested in utilizing their investigative skills to conduct a variety of investigations on insurance related matters; such as auto and property theft, fire damages, auto accidents, commercial claims, finding missing persons, courthouse searches, and other investigative tasks. For this position, you will also need to be fluent in writing, reading and speaking Spanish. This is a remote opportunity for part-time employment in our Special Investigations Unit (SIU). As an SIU Investigator, you will be joining an incredible team of investigators and industry leaders. PRINCIPAL RESPONSIBILITIES: Complete recorded detailed interviews of those insured, claimants, witnesses, and others as identified. Complete scene investigations, including photographing. Conduct in-person visit of medical clinics. Complete neighborhood canvasses. Make sound judgments during the course of the investigation. Provide timely progress updates. Complete detailed investigative reports. WHO SHOULD APPLY: Candidates with at least five (5) years of investigations experience are strongly encouraged to apply. We are looking for people who are enthusiastic about investigations, those who thrive in a diverse work environment, and individuals who have a commitment to the very highest standards of honesty, integrity, and respect. POSITION QUALIFICATIONS: MUST have current and active Private Investigation License to be eligible for hire. Self-motivated, determined, and intuitive with a strong initiative and work-ethic. Ability to identify critical issues quickly and accurately. Demonstrate observational, organizational, and listening skills. Excellent oral and written communication. Fluent in Spanish language (writing, reading, speaking). Ability to work independently, as well as in a team. Flexible schedule working weekends, holidays, and possible evenings. Candidate must own a reliable computer, preferably a laptop, with access to high-speed internet and a scanner or fax machine. Must have strong computer and internet skills. Proficient with a digital camera. Must possess a valid driving license and own your reliable vehicle. Applicants must pass an extensive background check. Must be able to pass a drug test with negative results (except when undergoing documented medical treatment). College Degree preferred. COMPENSATION & REIMBURSEMENTS: Hourly Rate is commensurate with education and experience. Paid travel time and reimbursement for mileage, tolls, and other per diem items. READY TO APPLY? Please submit your FULL resume, including salary requirements.
    $52k-81k yearly est. 60d+ ago
  • Temporary Special Investigations Unit Investigator- Remote

    Pinnacle Health Systems

    Remote special crimes investigator job

    UPMC Health Plan has an exciting opportunity for a Special Investigations Unit Investigator position. This is a temporary position working Monday through Friday 8:00 a.m. to 4:30 p.m. This is a remote position. Under the direction of the manager, the Special Investigations Unit (SIU) Investigator is responsible for investigating assigned fraud, waste and abuse (FWA) cases, as well as researching and analyzing claims data in order to identify potential FWA. The SIU Investigator is also responsible for maintaining the FWA case system with accurate and detailed investigative activities related to assigned cases. This role includes supporting current SIU staff and manager with investigations and special projects. Responsibilities: * Maintain neat and organized files and electronic databases * Prepare letters, memos, and reports * Financial tracking * Understand and adhere to HIPAA privacy requirements * Proficiency with Microsoft Office products such as Word, Excel, Outlook and PowerPoint. * Perform other duties as assigned * Support all department personnel with duties including but not limited to investigations, audits, and regulatory referrals. * High School Diploma Strongly Preferred. * Post-secondary education is preferred. * One year of administrative support working experience is highly preferred. * Must have proficiency with Microsoft Office Suite: Excel, Word, Outlook and Powerpoint. * Must possess typing skills and working knowledge of word processing, electronic mail/calendar and spreadsheets. * Must possess the ability to learn and effectively use various software programs. * General knowledge and experience with office equipment such as copiers, multi-line phone systems, fax machines and paging systems Preferred Qualification: * Experience in investigations, claims, medical coding, auditing, compliance, risk management and/or data analysis required Licensure, Certifications, and Clearances: * Act 34 UPMC is an Equal Opportunity Employer/Disability/Veteran
    $39k-65k yearly est. 12d ago
  • On-call investigators (seasonal status)

    Ferrum College 3.7company rating

    Remote special crimes 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.
    $40k-46k yearly est. Easy Apply 60d+ ago

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