Affirmative Civil Enforcement (ACE) Investigator
Contact Government Services, LLC
Affirmative Civil Enforcement (ACE) Investigator Employment Type: Full‑Time, Experienced Department: Legal Services Responsibilities The investigator will generate new investigations and continue ongoing investigations and civil actions involving fraud in areas such as healthcare, contracting, grants, and 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. 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 healthcare 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 related to such evidence or other legal matters from appropriate primary and secondary sources. Performs analysis to clarify the target suspect’s or organization’s pattern of operations, identify information relevant to the legal issues involved, and 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 make sound decisions on direction and scope of investigations. Determines proof required to affix responsibility for violations and devises 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: ability to use MS Word, MS Excel, MS Outlook, MS Access, and other databases as well as Adobe Acrobat Professional. Experience with document review/management platforms such as Relativity, analyzing spreadsheets of claims data, and utilizing docketing software. 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. Strong communication skills; ability to 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. Benefits 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. #J-18808-Ljbffr Contact Government Services, LLC
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$46.99k - $112.2k
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...Alliance for Career Enhancement is seeking a dedicated professional to handle investigations into healthcare fraud, waste, and abuse, focusing on complex cases and cooperation with law enforcement. This full-time position requires a bachelor's degree, with 3 years of...Full time- ...and driving a shrink-elimination culture while protecting associates, customers, and company assets. You will prepare detailed case reports, preserve evidence, interact with law enforcement, and may testify in legal proceedings as required, reporting #J-18808-Ljbffr...
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- ...provided We are currently seeking an experienced SIU Field Investigator to join our Texas Claims Department, working and traveling primarily... ..., hands-on experience in insurance fraud investigations Law enforcement investigative experience is a plus Proven ability to identify...Work experience placementWork at officeRelocation
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$25.74 per hour
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...experienced, self-determined, and highly motivated SURVEILLANCE INVESTIGATORS who would like to join our team of professionals in our... ...successful candidate will have related experience as either: Law enforcement Process Server Security Honorably discharged from any...Bi-weekly payHourly payWork at office- ...Career in Insurance Claims with Allied Universal® Compliance and Investigation Services. Allied Universal® Compliance and Investigation... ...concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts...Work experience placementWork at officeLocal area
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