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Claims investigator • rochester ny

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Investigator

Investigator

Ethos Risk ServicesRochester, NY, US
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Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actio...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Adult Care Facility Investigator - Clinical

Adult Care Facility Investigator - Clinical

Marion Edward & Associates, IncRochester, NY, US
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Marion Edwards is seeking Registered Professional Nurses (RN) or Licensed Practical Nurses (LPN) to conduct on-site recertification surveys and. Adult Care Facilities across the State of New York.Co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Specialist

Claims Specialist

ApTaskRochester, NY, US
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About Client : Company is a worldwide provider of legal services, serving law firms, corporations, financial institutions and government agencieshelping them streamline the administration of busines...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
SIU Investigator

SIU Investigator

Allied UniversalRochester, NY, US
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Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator.Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In rela...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Claims Adjuster

Claims Adjuster

MDA EdgeRochester, NY, US
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Benefits : Dental Insurance, Medical Insurance, Vision Insurance, Retirement, Paid Time Off.Job Summary : We are looking for a skilled professional with 2-4 years of experience in Worker's Compensati...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Junior Investigator

Junior Investigator

TradeJobsWorkforce14604 Rochester, NY, US
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As a Junior Investigator, you will be responsible for assisting investigative teams and supporting case work, including : assist lead investigator in gathering information.Duties and responsibilitie...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Humane Investigator

Humane Investigator

The Humane Society of Rochester and Monroe CoFairport, NY, US
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We're growing! Lollypop Farm is hiring for a full-time Humane Investigator.The Humane Investigator’s role is to investigate complaints alleging animal abuse and make arrests when appropri...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
SIU Investigator

SIU Investigator

VirtualVocationsRochester, New York, United States
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A company is looking for a Special Investigations Unit (SIU) Investigator - Remote.Key Responsibilities Develop and communicate investigative plans and evaluate evidence to support investigations...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Incident Management Investigator

Incident Management Investigator

Constructive Partnerships UnlimitedNew York, US
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United Cerebral Associations of New York State, Inc.Constructive Partnerships Unlimited is currently seeking a Incident Management Investigator to advocate for the rights of people receiving servic...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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SIU Investigator

SIU Investigator

NY StaffingRochester, NY, US
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Allied Universal Compliance and Investigation Services.Advance your career in insurance claims with Allied Universal Compliance and Investigation Services. We are the premier destination for a caree...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Quality Improvement Investigator- Relief

Quality Improvement Investigator- Relief

CDSWebster, NY, United States
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Provide quality incident investigations for all allegations within the agency.Ensures that appropriate recommendations are made to safeguard individuals and provide the highest quality of services....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
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Claims Auditor

Claims Auditor

Molina HealthcareRochester, NY, US
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Provides support for claims audit activities including identification of incorrect coding, abuse and fraudulent billing practices, waste, overpayments, and claims processing errors.Audits the adjud...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day
Quality Improvement Investigator- Relief

Quality Improvement Investigator- Relief

CDS Life TransitionsWebster, NY, United States
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Provide quality incident investigations for all allegations within the agency.Ensures that appropriate recommendations are made to safeguard individuals and provide the highest quality of services....serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
SIU Investigator

SIU Investigator

Allied Universal® Compliance and InvestigationsRochester, NY, US
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Advance Your Career in Insurance Claims with Allied Universal® Compliance and Investigation Services.Allied Universal® Compliance and Investigation Services is the premier destination for a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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Clinical Investigator

Clinical Investigator

MVP Health CareRochester, NY, United States
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At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a.This is the opp...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
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SIU Investigator

SIU Investigator

CenteneRochester, NY, US
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You could be the one who changes everything for our 28 million members.Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll ha...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
District Attorney Investigator

District Attorney Investigator

Monroe County, NYRochester, NY, United States
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Full Jobs List Full Exams List.District Attorney Investigator.Title : District Attorney Investigator.Salary : $54,114 - $72,912 annually. PURSUANT TO SECTION 211 of the New York State Retirement and S...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
New York, Rochester SIU Investigator

New York, Rochester SIU Investigator

Insight Service Group (ISG)Rochester, NY, United States
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Insight Service Group (ISG) is a national investigative services firm specializing in cost containment and anti-fraud related services. We are dedicated to maintaining the highest standards of integ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Surveillance Investigator

Surveillance Investigator

Command InvestigationsRochester, NY
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MUST be 18 years of age or older (21+ preferred).MUST have a registered and insured vehicle (van / SUV preferred).MUST have a smartphone and computer / laptop capable of uploading video (unlimited data...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Investigator

Investigator

Ethos Risk ServicesRochester, NY, US
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Job Description

Job Description

ABOUT US : Ethos Risk Services is a leading insurance claims investigation and medical management company, specializing in surveillance and fraud detection. At the forefront, we provide accurate data and actionable insights that translate into better decision-making for our clients.

JOB SUMMARY :

Our dynamic Ethos team is seeking an Experienced Field Investigator to conduct surveillance and investigative activities to identify potential fraudulent insurance claims. This role involves performing both stationary and mobile surveillance, obtaining video and photographic evidence, and preparing thorough, detailed reports for clients.

KEY RESPONSIBILITIES :

  • Case Preparation : Prepare for surveillance assignment by reviewing Ethos' preliminary reports and case information.
  • Field Surveillance : Perform covert surveillance from your vehicle by tracking and capturing high-quality video evidence of surveillance targets.
  • Report Writing : Draft detailed and court-ready investigative reports summarizing activity and key findings.
  • Documentation : Finalize case file by submitting case reports and uploading video footage via personal laptop at the end of the day.
  • Communication : Work closely with the field supervisor and operations teams, receiving regular guidance and mentorship.

REQUIREMENTS :

  • Previous Experience : Demonstrated proficiency in covert surveillance techniques, capturing high-quality video footage, and preparing thorough, well-organized investigative reports.
  • Driver's License : Valid driver's license and proof of automobile insurance.
  • Personal Vehicle : A well-maintained vehicle that is always reliable (preferably with tinted windows).
  • Surveillance Equipment : A handheld camcorder with high-quality zoom and a covert camera device. Use of stabilization equipment (gimbals, tripods, etc.) is strongly encouraged.
  • Technology : A reliable laptop, cell phone, and internet service are needed for communication and administrative tasks.
  • Private Investigator License : Active Private Investigator license or willingness to obtain one (where required by state).
  • WORKING CONDITIONS :

  • While we aim to keep assignments within a 2-hour drive of your residence, occasional further travel and overnight stays (covered by the company) may be required
  • Most surveillance cases start at 6 : 00AM. End time can vary depending on activity and a typical workday can vary from 3-12 hours.
  • Weekends / holidays are common workdays as claimants are more likely to be active.
  • This is an independent role often requiring long hours alone in your vehicle, regardless of weather conditions.
  • Must remain alert with no external distractions, ready to use videography equipment to document subjects.
  • Ethos Risk Services is an equal opportunity employer that does not discriminate on the basis of religious creed, sex, national origin, race, veteran status, disability, age, marital status, color or sexual orientation or any other characteristic.

    A background check will be conducted, in accordance to the local state law and regulations.

    Job Posted by ApplicantPro