Investigator

• Conduct covert, stationary, and mobile surveillance
• Conduct surveillance throughout the investigator's home state and surrounding states
• Record subject activity using a video recording device
• Conduct alive-and-well checks, locates, basic scene investigations, paint sample analysis, EDR, and RCS deployments/retrievals
• Prepare and complete written reports of observations
• Upload video evidence and surveillance reports
• Provide clear reports of activities to the operations team
• Conduct basic claims investigations
• Travel daily within the assigned area or territory

Private investigator conducting insurance surveillance and claims investigations for Advantage Investigations

Field Investigator

Private investigator conducting covert surveillance and claims investigations for Advantage Investigations, an insurance defense investigation firm. Gathering video evidence and reporting claimant activities across Buffalo and surrounding states.

• Conduct timely investigations including recorded statements and interviews of claimants, witnesses, and employers.
• Provide timely status updates to case manager and client.
• Timely and clear documentation of the claim files.
• Maintain highest level of confidentiality and professionalism.
• Develop appropriate investigative action plan.
• Ensure accuracy, quality and timeliness of the evidence gathered during an investigation as well as compliance with all applicable laws, legal codes, and governing agencies.
• Provide Claim Adjuster with timely investigation results and document investigative findings.
• Determine whether additional evidence is required including but not limited to accident reports, accident scene reconstructions, witness statements, police reports, expert opinion, etc.
• Provide recommendations and decisions surrounding investigative efforts.
• Perform detailed database queries on SIU investigations to include analysis and organization of critical data to assist during the assigned investigation.
• Be able to evaluate State compliance referrals, as applicable, when questionable or suspicious activity is identified.
• Maintain active membership in professional organizations that provide SIU assistance and resources.
• Establish and maintain relationships with law enforcement, government regulatory agencies and insurance industry personnel assisting when needed or required.

SIU Investigator conducting investigations for Delta Group's insurance claims

SIU Investigator

SIU Investigator conducting investigations for Delta Group's insurance claims, specializing in Workers’ Compensation. Engaging with claims personnel and government agencies to identify fraud.

• Conduct investigations to effectively pursue the prevention, investigation and prosecution of healthcare fraud and abuse
• Recover lost funds
• Comply with federal and state regulations mandating fraud plans and practices

Investigator for Special Investigations Unit at CVS Health addressing healthcare fraud

Investigator, Special Investigations Unit

Investigator for CVS Health's Special Investigations Unit addressing healthcare fraud and abuse. Conducting investigations, recovering lost funds and ensuring compliance with regulations.

Investigator jobs in Connecticut

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Field Investigator

SIU Investigator

Investigator, Special Investigations Unit