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INVESTIGATOR JOBS LISTINGS

Special Investigator
USAA - Sacramento, CA
As a Special Investigator for USAA, you will provide specialized investigative and advisory services to Claims and Underwriting on questionable, suspect or fraudulent activity. You will develop and deliver fraud awareness training throughout USAA. In this role, you will work with law enforcement, fire and other related agencies to investigate potential fraud. more info

Fraud Investigator 2
SunTrust Banks - Orlando, FL
Responsible for functions relating to the prevention of losses to the bank including New Account Review, Usual Customer Transactions, Claims, and Deposit Fraud.  Identifies, researches and analyzes possible fraudulent activity on customer accounts. Also responsible for verifying account activity with customers over the phone in a fraud inbound/outbound call center environment. Work closely with loss prevention, fraud analysts and investigatorsto stay abreast of fraud trends. more info

SIU Medical Fraud Investigator
Travelers - Parsippany, NJ
Position dedicated to investigation of national (country-wide) medical fraud cases to achieve results in fraudulent payout reduction. Primarily responsible to conduct medical fraud investigations in complex, large, geographically dispersed cases with high exposure, etc. Forecasts needs from emerging trends in the medical fraud arena (e.g., NICB and industry alerts, leads from lines of business, etc.)   Works closely with resources outside of SIU (e.g., business partners, NICB, other insurance carriers) to maximize efficiency and performance of the program. Conducts technical training of non-dedicated medical fraud investigators to build technical capabilities to meet performance standards of the program. Provides constructive feedback and coaches as part of training efforts conducted.  May conduct file reviews for quality of investigation as part of this training effort. more info

Fraud Investigator
American International Group - Alpharetta, GA
Investigate allegations of insurance fraud including those involving insureds, claimants, attorneys, and medical providers. Develop appropriate investigative plans and resolve all identified leads. Pursue appropriate remedies through the criminal justice system and/or civil or administrative process. Comply with all state mandated reporting and immunity requirements. Two years successful experience in investigating complex criminal cases. Experience investigating white collar cirmes and medical fraud. more info

Fraud Investigator
Suntrust - Richmond, VA
SunTrust is currently seeking Fraud Investigator for our Richmond, Virginia office. This function will partner with SunTrust Mortgage Line of Businesses to research suspicious activity with closed loans. Will conduct comprehensive file reviews using various tools, such as Internet, MLCS, Fidelity, CoreLogic, FNC GAAR & other investigative tools as deemed appropriate. Provide recommended actions to the branch based on findings. Position is responsible for quickly referring concerns of wrong-doing to the fraud team manager & providing recommended action plans for resolution. more info

Private Investigator - Insurance Fraud
Combined Investigators - Atlanta, GA
Combined Investigators is a private investigative company specializing in insurance fraud claims. In business for 21 years, Combined is providing services in 10 southeastern states: Georgia, Florida, Alabama, Mississippi, South Carolina, North Carolina, Virginia, Maryland, Kentucky and Tennessee. We are looking for diligent, loyal and self-motivated investigators who can consistently perform successful surveillance and obtain quality video evidence. more info

Audit Investigator - Internal Fraud Prevention
Regence BlueCross - Idaho (Coeur d'Alene, Boise, Lewiston, Pocatello, Twin Falls); Oregon (Bend, Pendleton, Medford, Portland, Salem); Utah (Salt Lake City); Washington (Burlington, Seattle, Tacoma, Everett)
Audit, analyze, and investigate issues relating to internal fraud. Utilize audit and investigative skills to test the operational effectiveness of controls,investigate allegations of internal fraud, and identify and analyze areas of potential vulnerability. Identify issues for investigation, preserve evidence, interview witnesses, and make factual determinations, credibility assessments, and recommendations for outcome, under the direction of the Manager of Internal Fraud Prevention and Corporate integrity and sometimes in partnership with other key stakeholders. Track and manage cases; appropriately preserve work product; and work collaboratively with internal and external stakeholders in remedying vulnerabilities and responding to issues. May support Manager of Internal Fraud Prevention and Corporate Integrity in educational and fraud awareness and prevention activities. more info

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