Special Investigator Jobs

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Combined Insurance, an ACE Group Company, is seeking an SIU Manager to join our fast-paced, high energy, growing company. We are proud of our tradition of success in the insurance industry of over 90 years. Come join our team of hard-working, talented professionals! JOB SUMMARY: Oversee the anti-fraud program, manage case referrals to the SIU and partner with claims management in the identificat...

There's never been a better time to join Blue Shield! Come join the hardest working, not-for-profit health plan in California and help deliver our mission to ensure all Californians have access to high-quality health care at an affordable price. Blue Shield of California was founded in 1939 by a group of physicians who believed that everyone should be able to afford a visit to their doctor. More t...

Position Description: Job Summary: The SIU (Special Investigative Unit) Associate will assist the Associate Director of Compliance and Regulatory Affairs and SIU Investigator in the execution and maintenance of the Navitus fraud, abuse and waste program, controls, and associated policies and procedures. The SIU Associate will initiate case files, gather necessary preliminary data to provide to S...

JOB SUMMARY The Special Investigator, Exam Matters is responsible for enforcement of the CFA, CIPM, and other designation program rules and regulations, Bylaws, Code, and Standards. The position is headquartered in Charlottesville, VA reports to the Manager, Professional Conduct Program. ESSENTIAL FUNCTIONS · Investigating alleged violations of the CFA Program (and other designation programs) r...

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Special Investigations Unit Investigator - Global Security & Military Affairs-150036781 Job Description JPMorgan Chase & Co. (NYSE: JPM) is a leading global financial services firm with assets of $2.4 trillion and operations worldwide. The Firm is a leader in investment banking, financial services for consumers, small business and commercial banking, financial transaction processing, asset manag...

Position Summary: Under the supervision of the Director of the Office of Special Investigations (OSI), the Confidential Investigator Unit Supervisor will be assigned to perform, with wide latitude for independent action and decision, highly confidential and sensitive investigations into allegations of corruption, misconduct, and/or other illegal, unethical, or improper activity by Department of Ed...

Job Description JPMorgan Chase & Co. (NYSE: JPM) is a leading global financial services firm with assets of $2.4 trillion and operations worldwide. The Firm is a leader in investment banking, financial services for consumers, small business and commercial banking, financial transaction processing, asset management and private equity. A component of the Dow Jones Industrial Average, JPMorgan Chase...

Primary Accountabilities Receives, logs, and thoroughly documents all incoming FWA complaints, incidents and leads. May assist in field operations to include surveillance as required. Prepares summary and/or detailed reports on investigative findings for referral to Federal and state agencies to include, but not limited to, the MEDIC, DOI, FBI, HHS-OIG, MFCU, and local law enforcement. Responsibl...

JPMorgan Chase & Co. (NYSE: JPM) is a leading global financial services firm with assets of $2.4 trillion and operations worldwide. The Firm is a leader in investment banking, financial services for consumers, small business and commercial banking, financial transaction processing, asset management and private equity. A component of the Dow Jones Industrial Average, JPMorgan Chase & Co. serves mil...

Senior Special Investigations Unit Investigator Summary: One of the most pressing issues facing insurance carriers is the identification and investigation of fraud. With industry loss estimates ranging from $80 billion to $100 billion a year [1] , insurance fraud is a growing concern in the insurance industry and for National Life Group. National Life Group maintains a robust Anti-Fraud Plan, and...

Senior Special Investigations Unit Investigator Summary: One of the most pressing issues facing insurance carriers is the identification and investigation of fraud. With industry loss estimates ranging from $80 billion to $100 billion a year[1], insurance fraud is a growing concern in the insurance industry and for National Life Group. National Life Group maintains a robust Anti-Fraud Plan, and i...

About Us AmeriHealth Caritas is growing! We are the nation’s leading provider of health care solutions for the underserved—a mission-driven organization that has helped people in need for 30 years. Our companies positively impact the lives of nearly 5 million individuals in 13 states. As we expand, AmeriHealth Caritas is seeking talented, passionate associates to join our team. Together we can b...

Job Description: Providence is calling a full-time Senior External Audit Investigator - Special Investigations Unit (SIU) for a day shift position to Providence Murray Business Center in Beaverton, OR. In this position, you will: Support the compliance related activities of the Special Investigations Unit (SIU) at the Health Plan. Assist the External Audit Manager with developing, implementing...

AMENDED (Those who previously applied need not re-apply) Position Summary: The Confidential Investigator will have wide latitude for independent action and decision, in the performance of highly confidential and sensitive investigations into allegations of corruption, misconduct, and/or other illegal, unethical, or improper activity by Department of Education employees. The Confidential Investig...

California State University, Fullerton is searching for a driven, proactive, fair-minded individual who is seeking a challenge. The Special Consultant Investigator works on special assignments for the Associate Vice President for Human Resources Diversity and Inclusion (HRDI). The duties include, but are not limited to, administrative studying, reviewing, analyzing and investigating allegations of...

Compliance Global Financial Crime Anti-Corruption- Investigative Support/Special Projects Senior Compliance Officer-150024992 Job Description Anti-Corruption Compliance - Investigative Support/Special Projects Sr. Compliance Officer JPMorgan Chase & Co. (NYSE:JPM) is a leading global financial services firm with assets of $2 trillion and operations in more than 60 countries. The firm is a leade...

SPECIAL INVESTIGATOR/ RPA 630-114 /ENFORCEMENT INVESTIGATIONS PROGRAM **This is a Designated Home Office Position** Under the supervision of Supervising Special Investigator (non-peace officer), the Special Investigator I (non-peace officer), conducts diverse administrative, civil and criminal investigations against the professional licensees of the Board of Registered Nursing (BRN), Department ...

Do you have experience in investigations at a private firm or in law enforcement? Are you looking for challenge with a great company? We're searching for Claim Special Investigators with the ability to handle multiple investigations in a fast paced environment. Responsibilities include the investigation of claims that may contain elements of fraud or claims otherwise deemed suspicious in nature. W...