Investigator

• Conducts investigations into fraud cases
• Coordinates investigative assets and conducts field investigations
• Analyzes fraud schemes and prepares for litigation
• Collaborates with external agencies for documentation gathering
• Provides training and support to other investigators

Investigator handling complex fraud cases for GEICO

Internal Major Case SIU Investigator

Investigator investigating large-scale fraud cases involving multiple jurisdictions for GEICO. Conducting analyses, collaborating with law enforcement, and providing support to other investigators.

• Reviews and analyzes information gathered from databases to investigate alleged financial violations committed by a person or organization, including misuse of funds, misconduct, and corruption
• Prepares investigative reports, presents findings to senior management and relevant stakeholders, and supports control partners by recommending corrective actions to prevent future incidents and improve organizational practices
• Coordinates investigations by providing direction to multiple investigators, identifying issues and control weaknesses, sharing potential recommendations for courses of action, and testifying in court proceedings as needed

Senior Investigator leading financial crime investigations at Bank of America

Senior Investigator

Senior Investigator leading financial crime investigations in diversified operations at Bank of America. Gathering information on financial violations and coordinating investigative tasks.

• Conduct investigations regarding allegations of abuse, neglect, abandonment and/or special conditions for children;
• Collect information through interviews with the children, parents, relatives, neighbors, and other parties associated with the case;
• Engage families, identify needs and determine the level of intervention needed to include voluntary services or court ordered dependency services;
• provide services linkages to agency and community resources based on needs assessment.
• Provide recommendations for development of case plan to Case Manager;
• Conduct initial/ongoing child Present and Impending Danger assessments;
• Develop with the family a signed Present Danger Plan and a signed safety plan for any identified threats and interventions;
• Arrange emergency placement for any child that cannot safely remain in the home;
• Notify state attorney, law enforcement, child protection team and other required individuals as appropriate;
• Schedule and gathers information for and participates in case staffings;
• Prepare appropriate reports/documentation in coordination with Children’s Legal Services and provides testimony in court;
• Maintain thorough documentation in the client records/appropriate information system(s) and maintains organized client files;
• Report indication of abuse, neglect and/or abandonment to the Florida Abuse Hotline;
• Establish and maintain cooperative working relationships with organizations and other agenices involved with child protective investigations such as community based providers, Children’s Legal Services, law enforcement, medical personnel, schools, and other community/agency resources;
• Ensure effective communication with deaf or hard-of hearing Customers or companions in accordance with the ADA and/or Section 504 and shall manage service records and report this data and any resources and/or training needs to their designated program point of contact.

Senior Child Protective Investigator ensuring child safety through investigation and support

Senior Child Protective Investigator

Senior Child Protective Investigator conducting investigations of child abuse and neglect. Collaborating with families and community resources to ensure children's safety and well-being.

• 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 on questionable claims for insurance partners

SIU Investigator

SIU Investigator conducting investigations on questionable claims for insurance partners. Requires strong investigative skills and ability to work independently.

• Leads thematic, complex investigative projects and conducts sensitive investigations through analysis of evidence and digital forensics
• Collaborates with human resources, legal, and other business partners for investigative outcomes
• Engages with external law enforcement agencies as required
• Provides mentorship and training ensuring compliance with company, legal, and regulatory requirements
• Acts as the lead on high profile complex investigations and supports executive leadership teams.

Senior Lead Insider Threat Investigator leading complex investigations at TD Bank

Senior Lead Insider Threat Investigator

Senior Lead Insider Threat Investigator at TD Bank leading thematic and complex investigations while collaborating with multiple business partners and law enforcement.

• The investigator will generate new investigations, and to continue with ongoing investigation and civil actions involving fraud in areas such as healthcare, contracting, and grants, as well as 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. These reports may include significant findings and conclusions, analyses of information located in electronic databases, presentations, recommendations for additional investigative actions and candid assessments of strengths and weaknesses of witnesses, documentary evidence, or other aspects of a case.
• 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 health care 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 relating to such evidence, or other legal matters under consideration, from appropriate primary and secondary sources. Performs analysis to clarify the target suspect's or organization's pattern of operations, to identify information relevant to the legal issues involved, and to 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 the extent necessary to make sound decisions on direction and scope of investigations. Determines proof required to affix responsibility for violations, and devise 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.

ACE Investigator conducting fraud investigations for Federal agency initiative

Civil Enforcement Investigator

ACE Investigator responsible for generating investigations and civil actions involving fraud. Collaborating with attorneys to support federal agency initiatives with investigative techniques.

Investigator jobs in Florida