Covert Field Investigator: Fraud & Claims
Meridian Investigative Group, Inc.
A leading investigative agency seeks a skilled investigator for field surveillance specializing in worker’s compensation and insurance fraud. The role demands strong communication skills, legal knowledge, and technical proficiency in using investigative equipment. Ideal candidates will hold a valid Private Investigator license and have at least two years of relevant experience. Expect significant work travel and varied working conditions. #J-18808-Ljbffr Meridian Investigative Group, Inc.
- Description JOB PURPOSE Conduct covert field surveillance with an emphasis on worker’s compensation fraud and insurance fraud. DUTIES AND RESPONSIBILITIES Reasonable... ...of subjects. Prepare and file comprehensive investigative reports using the information that was...FraudHourly payPart timeNight shiftAfternoon shift
- ...Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations... ...Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior... ...policies and the components of fraud to determine If claims warrant reporting...ClaimsFraud
- • Reviewing and listening to escalated calls to include calls containing disputes, complaints, claims of fraud or other escalated matters. • Accurately documenting files with appropriate internal and client required coding to reflect the status of an account and to escalate...ClaimsFraud
- ...Investigator II, Virginia Medicaid Hybrid: This role requires associates to be in-office 1-2 days... ...of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. How you will make an impact: Claim...ClaimsFraudTemporary workWork at officeLocal area2 days per week1 day per week
- ...Services is a leading insurance claims investigation and medical management... ...specializing in surveillance and fraud detection. At the forefront,... ...is seeking an Experienced Field Investigator to conduct... ...Field Surveillance: Perform covert surveillance from your vehicle...FraudLocal areaNight shiftWeekend work
$143.4k - $179.2k
...securing treatment approvals, patient tracking, claim submission, reconciliation management,... ...related to anti-kickback statutes, fraud and abuse, off-label promotion, and OIG guidance... ...here? ~ Bachelors Degree in related field. MBA or MPH preferred. ~8 plus years of...ClaimsFraudFull timeWork at officeNight shift- ...Overview Surveillance Investigator - Part Time Norfolk,... ...discreet, vehicle-based field investigations to help uncover insurance fraud and deliver trusted... ...is willing to purchase covert camera, digital video camera... ..., SIU and Compliance, Claims Investigation, Counter-...ClaimsFraudPart timeRemote workWorldwideNight shiftWeekend work
- ...involving inpatient and outpatient facility claims, including itemized bill line validation... ...high-risk issues (e.g., suspected fraud indicators, repeated noncompliance with requirements... ...~ Requires a BA/BS degree in a related field and a minimum of 7 years reimbursement...ClaimsFraudWork at officeDay shift2 days per week1 day per week
- ...payment review, post‑payment recovery, SIU investigations, and provider fraud and billing scheme identification... ...health, business, or a related field Minimum of 5 years of hands‑on experience... ...patterns, billing scheme identification, claims analysis, and SIU case management...ClaimsFraudWork at officeRemote workShift work
- ...a Construction Manager, Project Manager, Field Engineer or Quality Control Manager (QCM)... ...control Provide technical support for claims/disputes/terminations processing,... ...any known or perceived vulnerability to fraud associated with contract/order performance...ClaimsFraudContract workFor contractorsFor subcontractorWork at officeLocal areaImmediate startShift work
- ...monitor complaints from participants, investigate fraud reports and determine continued program... ...dispute resolutions, property damage claims; and program research assignments. Participates... ...Business Administration, or a related field. Two to four years of progressively...ClaimsFraudFull timeInterim roleWork at officeLocal area
$80.09k - $101.66k
...including shrink control, e-commerce fraud, and management of AP/S staff... ...the overall Corporate Investigations team. Duties and... ...Assists NEXCOM corporate and field management in planning, developing... ...needed to investigate and resolve claims of missing merchandise, and...ClaimsFraudFor contractors$110k - $180k
...Stay vigilant for suspicious activities by individuals falsely claiming to be Arcadis’ recruiters. Arcadis will never ask you for payment... ..., email us at ******@*****.***** with “Suspected Fraud” in the subject line. Reminder: No unsolicited submissions. Direct...ClaimsFraudFull timePart timeWork at officeLocal area$25k
...Evaluate AI-generated auto insurance claims decisions for accuracy, coverage correctness... ...not keyword matching; Write and grade fraud-flagging scenarios using structured reason... ...Finance, Business, Insurance, or related field — or equivalent professional experience;...ClaimsFraudHourly payPermanent employmentTemporary workPart time10 hours per week- ...Loss Prevention Investigator A Loss Prevention (LP) Investigator investigates, prevents, and reduces, internal and external inventory theft, fraud, and security breaches in retail or corporate environments. They utilize surveillance (CCTV or plainclothes), conduct undercover...FraudLocal area
- ...and manual billing to Third Party Payers in a timely, proficient fashion and maintaining the PayerPath system. Review all manual claim forms for accuracy prior to the claim submission. Understand the required attachments to claims, as they relate to CPT,ICD10 and...Claims
- ...Representative Responsible for monitoring loan accounts, collecting payments on past due bills, monitoring insurance total loss claims, and other customer services requests as needed. Essential Responsibilities: Monitor daily past due account reports/queues...ClaimsWork at office
$18 per hour
...secure and lead through crisis events. They protect profitable sales by mitigating shortage risks, preventing, and resolving theft and fraud to ensure product is available for our guest. They also build relationships inside and outside of Target, including store leaders...FraudHourly payLocal areaFlexible hoursShift workNight shiftDay shift- ...you'll be responsible for selling policies to clients, handling claims, and keeping track of policy renewals. Our ideal candidate will... ...an Insurance Agent ~ BA/BS in business, economics, or related field preferred ~ Appropriate insurance licensing where required by...ClaimsWork at office
- We are currently seeking a Part Time Private Investigator - Special Investigations (SIU) to join our growing team in Virginia Beach, VA.... ...and property theft, fire damages, auto accidents, commercial claims, finding missing persons, courthouse searches, and other investigative...ClaimsPart timeFlexible hoursWeekend workAfternoon shift
- ...contract (1099) position. · Conducts prompt, thorough and fair investigations by obtaining relevant facts to determine coverage, origin, and... .... · Keeps the client and the insured informed about the claim status with clear, timely and accurate written/oral...ClaimsContract work
- ...Additionally, the position includes assisting patients with financial options, negotiating payment plans, advocating for insurance claim resolutions, and tracking payment compliance while contributing to reports and special projects aimed at improving financial processes...ClaimsWork at office
$50k - $65k
...customers with policy changes and inquiries. Process insurance claims and follow up with customers on claim status. Coordinate with... ...skills. Previous experience in insurance or a related field preferred. Compensation: $50,000.00 - $65,000.00 per year...ClaimsFor contractorsWork at office$500 per month
...protection of Navy Exchange assets through investigative strategies and the auditing of controls... ...techniques, including overt and covert, Closed Circuit Television systems. - Consistent... ...other suspected incidents of fraud, waste and abuse, as directed. -Prepares...FraudWork at officeRelocation package$16.5 per hour
...condition of employment, applicants will be subject to a background investigation in accordance with all federal, state, and local laws.... ...Smart Tools: Access to our exclusive technology to view and claim additional shifts to earn more. Career Growth: Get paid training...ClaimsFull timeLocal areaShift work$7,000 - $9,000 per week
...Bills: Your fixed weekly note includes your truck, Cargo/Liability insurance, ELD, registration, and all state permits (IFTA/NY).Zero risk. Total transparency. Higher payouts. Contact us today to claim your truck!1099 PositionNo Health Benefits Offered at this time....Claims$17 per hour
...condition of employment, applicants will be subject to a background investigation in accordance with all federal, state, and local laws.... ...Smart Tools: Access to our exclusive technology to view and claim additional shifts to earn more. Career Growth: Get paid training...ClaimsFull timeLocal areaShift work- ...settlement demands Assisting attorneys with case preparation and investigation Scheduling appointments and coordinating case-related... ...lost a family member and you want to pursue a wrongful death claim. Company Description The firm’s mission is to help those injured...ClaimsWork at office
- The Robison Group is currently seeking a Part Time Private Investigator to join our team in Virginia Beach, VA. The ideal candidate will... ...involves conducting a range of investigations related to insurance claims, documenting findings, and providing detailed reports. With...Part timeFlexible hours
- ...dedicated to serving the nation through our dual mission of criminal investigations and protection. Special Agents play a critical role in... ...investigations into financial crimes, including counterfeiting, cyber fraud, and other threats to the financial infrastructure of the...Fraud
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