2+ YOEBachelor's degree and 2+ years of SIU investigation experience required; CIFI plus another insurance designation may substitute. Requires analytics, insurance knowledge, MS Office proficiency, and fluent English.
VRC Investigations: Provides investigative and insurance fraud detection services.
5+ YOERequires 5–10 years in private or SIU investigations, claims adjustment, law enforcement, military police, CID, or related fields; communication, analysis, Microsoft Office, valid driver's license, and travel required.
RGPNasdaq: RGP: Provides specialized consulting and on-demand talent for business transformation.
Experience in healthcare investigations, compliance, SIU, clinical auditing, utilization review, or medical record review; knowledge of medical necessity, fraud schemes, billing, claims review, and documentation standards.
Lemieux & Associates: National private investigative agency specializing in insurance claim support.
Complex SIU/claims investigation experience required; valid state driver's license, reliable vehicle, digital camera, Windows computer with Microsoft Word, strong computer and reporting skills; notary preferred; bilingual and criminal-justice degree preferred; willingness to travel.
Atlanta or Kennesaw or Covington or McDonough or California
FieldFull Time
Allied Universal: Provides security personnel, technology, and facility management services.
5+ YOEBachelor's in criminal justice or high school diploma plus 5 years law enforcement experience; 5 years complex insurance investigation or claims experience, driver's license, investigator licensing eligibility, and anti-fraud knowledge.
Insight Service Group: Provides investigative and clinical services for insurance claim management.
Insurance/SIU investigation experience required; must have reliable vehicle, computer, cell phone, digital video camera with timestamp, ability to travel, work independently, and provide driver history and required documentation for private investigator registration.
Missouri or Idaho or Arizona or Washington or Colorado or Texas or Nevada or California
$70k-$126k/yrRemoteFull Time
CenteneNYSE: CNC: Provides government-sponsored and commercial healthcare insurance programs and services.
5+ YOE5+ years healthcare fraud investigations with audit and risk analysis, knowledge of Medicare/Medicaid and managed care, ability to analyze laws/regulations, investigative interview and reporting skills; bachelor's degree preferred; AHFI/CFE preferred.
Advantage Investigations: Provides surveillance and investigative services for insurance defense and fraud.
5+ YOE5+ MgmtBachelor's degree preferred in criminal justice or related field; 5+ years managing claims investigations and investigative personnel. Requires strong communication, organization, attention to detail, and multitasking skills.
KemperNYSE: KMPR: Provides specialized auto, life, and health insurance services.
3+ YOE3 years of claims or professional investigation experience, knowledge of auto casualty claims, strong communication and time management, Microsoft Office proficiency, digital/document metadata familiarity, valid driver's license and clean driving record.
AVer InformationTaiwan Stock Exchange: 3669: Manufacturer of video conferencing and classroom technology equipment.
3+ YOEBachelor's degree, 3+ years sales experience in technology (education/public sector preferred), AV knowledge, K-12 relationships desirable, CRM (Salesforce) and Microsoft Office proficiency, willingness to travel.
Command Investigations: Provides surveillance and investigative services to the insurance industry.
1+ YOERequires 1–3 years of claims, SIU, adjusting, or field investigation experience; an associate or bachelor's degree in criminal justice or related field; investigator license or eligibility; strong report writing and computer skills.
Connecticut or Florida or Pennsylvania or Kansas or New York or New Jersey or Utah or Georgia or Arizona or Nevada or Kentucky or California or Texas or Oklahoma or United States or New Jersey
$54k-$146k/yrHybridFull Time
CVS HealthNYSE: CVS: Provides retail pharmacy, health insurance, and pharmacy benefit management services.
5+ YOERequires 5+ years in program or payment integrity, SIU, healthcare compliance, FWA, claims, or operations, including leadership or project lead experience; requires regulatory knowledge and strong analytical, communication, and project skills.
SCAN Health Plan: Providing Medicare Advantage plans and integrated healthcare for seniors.
10+ YOEBachelor's degree or equivalent; 10+ years compliance/FWA/special investigations experience in managed care or CMS; experience with regulators; AHFI/CFE/CHC or similar credentials preferred; ability to develop SIU strategy and lead teams.