Fraud Investigator
$35.60 - $39.47/hr
... workers' compensation fraud, residency violations, conflicts of interest, and other violations of City policies, collective bargaining agreements, and applicable federal, state, and local laws. The ...
$35.60 - $39.47/hr
... workers' compensation fraud, residency violations, conflicts of interest, and other violations of City policies, collective bargaining agreements, and applicable federal, state, and local laws. The ...
$35.60 - $39.47/hr
... workers' compensation fraud, residency violations, conflicts of interest, and other violations of City policies, collective bargaining agreements, and applicable federal, state, and local laws. The ...
Boston, MA · On-site
$52K - $90K/yr
Fraud Investigations Manager Status ... Exempt Grade: 9E Pay Range: $52,000-$90,498 Actual compensation within the pay range will be ...
Boston, MA · On-site
$52K - $90K/yr
Fraud Investigations Manager Status ... Exempt Grade: 9E Pay Range: $52,000-$90,498 Actual compensation within the pay range will be ...
Boston, MA · On-site
$52K - $90K/yr
Fraud Investigations Manager Status ... Exempt Grade: 9E Pay Range: $52,000-$90,498 Actual compensation within the pay range will be ...
Boston, MA · On-site
$52K - $90K/yr
Fraud Investigations Manager Status ... Exempt Grade: 9E Pay Range: $52,000-$90,498 Actual compensation within the pay range will be ...
Richmond, VA · On-site
$61K - $74K/yr
Experience working in a fast-paced, dynamic environment, with strong prioritization skills and ... Compensation: This position will be eligible to participate in company bonus plan. The final salary ...
New
Richmond, VA · On-site
$61K - $74K/yr
Experience working in a fast-paced, dynamic environment, with strong prioritization skills and ... Compensation: This position will be eligible to participate in company bonus plan. The final salary ...
New
Silver Spring, MD · Hybrid
$69K - $108K/yr
Additional compensation may be possible based on experience and skills. We understand the need to ... Working knowledge of banking products such as checking accounts, wire transfer, ACH, credit/debit ...
Silver Spring, MD · Hybrid
$69K - $108K/yr
Additional compensation may be possible based on experience and skills. We understand the need to ... Working knowledge of banking products such as checking accounts, wire transfer, ACH, credit/debit ...
Richmond, VA · On-site
Experience working in a fast-paced, dynamic environment, with strong prioritization skills and ... We offer competitive compensation & benefits packages to keep you at your best: * Comprehensive ...
New
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Richmond, VA · On-site
Experience working in a fast-paced, dynamic environment, with strong prioritization skills and ... We offer competitive compensation & benefits packages to keep you at your best: * Comprehensive ...
New
Richmond, VA · On-site
$61K - $74K/yr
Experience working in a fast-paced, dynamic environment, with strong prioritization skills and ... We offer competitive compensation & benefits packages to keep you at your best: * Comprehensive ...
New
Richmond, VA · On-site
$61K - $74K/yr
Experience working in a fast-paced, dynamic environment, with strong prioritization skills and ... We offer competitive compensation & benefits packages to keep you at your best: * Comprehensive ...
New
Silver Spring, MD · On-site
$69K - $108K/yr
Additional compensation may be possible based on experience and skills. We understand the need to ... Working knowledge of banking products such as checking accounts, wire transfer, ACH, credit/debit ...
Silver Spring, MD · On-site
$69K - $108K/yr
Additional compensation may be possible based on experience and skills. We understand the need to ... Working knowledge of banking products such as checking accounts, wire transfer, ACH, credit/debit ...
Arlington, VA · On-site
$61K - $74K/yr
Experience working in a fast-paced, dynamic environment, with strong prioritization skills and ... We offer competitive compensation & benefits packages to keep you at your best: * Comprehensive ...
New
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Arlington, VA · On-site
$61K - $74K/yr
Experience working in a fast-paced, dynamic environment, with strong prioritization skills and ... We offer competitive compensation & benefits packages to keep you at your best: * Comprehensive ...
New
Marion, VA · On-site
$34K - $39K/yr
... local agency compensation plan. The Fraud Investigator I is distinguished from the Fraud ... effective working relationships with clients, associates, law enforcement, other agencies and ...
Marion, VA · On-site
$34K - $39K/yr
... local agency compensation plan. The Fraud Investigator I is distinguished from the Fraud ... effective working relationships with clients, associates, law enforcement, other agencies and ...
... local agency compensation plan. The Fraud Investigator I is distinguished from the Fraud ... effective working relationships with clients, associates, law enforcement, other agencies and ...
... local agency compensation plan. The Fraud Investigator I is distinguished from the Fraud ... effective working relationships with clients, associates, law enforcement, other agencies and ...
Richmond, VA · On-site
Working knowledge of bank products, services, bank systems and transaction types preferred * Strong ... Actual compensation will be determined based on factors including, but not limited to, the ...
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Richmond, VA · On-site
Working knowledge of bank products, services, bank systems and transaction types preferred * Strong ... Actual compensation will be determined based on factors including, but not limited to, the ...
Milford, OH · On-site
Contract Experience Required: 3+ Years Job Summary : We are seeking an experienced L1 Fraud Investigator to monitor, review, and investigate potentially fraudulent transactions, account activities ...
Milford, OH · On-site
Contract Experience Required: 3+ Years Job Summary : We are seeking an experienced L1 Fraud Investigator to monitor, review, and investigate potentially fraudulent transactions, account activities ...
Milford, OH · On-site
Contract Experience Required: 3+ Years Job Summary : We are seeking an experienced L1 Fraud Investigator to monitor, review, and investigate potentially fraudulent transactions, account activities ...
Quick apply
Milford, OH · On-site
Contract Experience Required: 3+ Years Job Summary : We are seeking an experienced L1 Fraud Investigator to monitor, review, and investigate potentially fraudulent transactions, account activities ...
Deer Park, TX · On-site
Working Conditions Exposure to potential hazardous conditions-robbery. Employees are to receive ... contracts. The organization maintains its status as an at-will employer. Employees can be ...
New
Deer Park, TX · On-site
Working Conditions Exposure to potential hazardous conditions-robbery. Employees are to receive ... contracts. The organization maintains its status as an at-will employer. Employees can be ...
New
Indianapolis, IN · On-site +1
$51K - $66K/yr
Working knowledge of the laws of search and seizure, standards of identification, collection and ... Deferred compensation account (similar to 401k plan) with employer match * Two (2) fully-funded ...
New
Indianapolis, IN · On-site +1
$51K - $66K/yr
Working knowledge of the laws of search and seizure, standards of identification, collection and ... Deferred compensation account (similar to 401k plan) with employer match * Two (2) fully-funded ...
New
San Jose, CA · On-site
$121K - $208K/yr
Responsibilities - Conduct investigations of policy violations, data leakage, fraud and financial ... Compensation may vary outside of this range depending on a number of factors, including a candidate ...
San Jose, CA · On-site
$121K - $208K/yr
Responsibilities - Conduct investigations of policy violations, data leakage, fraud and financial ... Compensation may vary outside of this range depending on a number of factors, including a candidate ...
Lincoln, NE · On-site
$25.61/hr
Previous experience working with medical claims payment and adjudication, performing financial ... Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has ...
Lincoln, NE · On-site
$25.61/hr
Previous experience working with medical claims payment and adjudication, performing financial ... Your paycheck is just part of your total compensation. Check out all that the State of Nebraska has ...
Syracuse, NY · On-site
$62K - $88K/yr
... competitive compensation, great benefits, and professional development and advancement ... Maintain a working understanding of how banking transactions move through operational systems ...
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Syracuse, NY · On-site
$62K - $88K/yr
... competitive compensation, great benefits, and professional development and advancement ... Maintain a working understanding of how banking transactions move through operational systems ...
Syracuse, NY · On-site
$62K - $88K/yr
... competitive compensation, great benefits, and professional development and advancement ... Maintain a working understanding of how banking transactions move through operational systems ...
Quick apply
Syracuse, NY · On-site
$62K - $88K/yr
... competitive compensation, great benefits, and professional development and advancement ... Maintain a working understanding of how banking transactions move through operational systems ...
$15.63 - $19.03
10% of jobs
$22.02 is the 25th percentile. Wages below this are outliers.
$19.03 - $22.44
17% of jobs
$22.44 - $25.85
18% of jobs
The median wage is $27.09 / hr.
$25.85 - $29.26
12% of jobs
$29.26 - $32.67
10% of jobs
$34.38 is the 75th percentile. Wages above this are outliers.
$32.67 - $36.08
15% of jobs
$36.08 - $39.49
7% of jobs
$39.49 - $42.90
3% of jobs
$42.90 - $46.31
3% of jobs
$46.31 - $49.72
3% of jobs
$49.72 - $53.13
1% of jobs
$15
$30
$53
| Aspect | Contract Worker Compensation Fraud Investigator | Workers' Compensation Claims Adjuster |
|---|---|---|
| Credentials | Typically requires certifications in fraud detection, investigations, or related fields; may include state licensing | Requires adjuster licenses, knowledge of insurance policies, and claims processing certifications |
| Work Environment | Investigates suspected fraud cases, often in the field or office, focusing on fraud detection | Handles claims processing, customer interactions, and policy evaluations, mainly in office settings |
| Employer & Industry | Employed by insurance companies, government agencies, or private investigators in the insurance industry | Employed by insurance carriers, third-party administrators, or self-insured employers |
The Contract Worker Compensation Fraud Investigator focuses on detecting and preventing fraudulent claims related to workers' compensation, requiring investigative skills and fraud-specific certifications. In contrast, the Workers' Compensation Claims Adjuster manages legitimate claims, evaluates coverage, and processes benefits. Both roles are essential in the workers' compensation industry but serve different functions within the claims process.
Cities with the most Contract Worker Compensation Fraud Investigator job openings:
The most popular types of Worker Compensation Fraud Investigator jobs are:
States with the most job openings for Contract Worker Compensation Fraud Investigator jobs include:
Pre-Employment Requirements Employment is contingent upon successful completion of all applicable pre-employment screenings and verification of eligibility to work in the United States, in accordance with applicable laws, civil service rules, and collective bargaining agreements. GENERAL STATEMENT OF DUTIES Under general direction, performs advanced professional investigative work involving allegations of employee misconduct, fraud, abuse, theft, ethics violations, misuse of City assets, procurement irregularities, payroll fraud, workers' compensation fraud, residency violations, conflicts of interest, and other violations of City policies, collective bargaining agreements, and applicable federal, state, and local laws. The Fraud Investigator is responsible for planning and conducting confidential administrative investigations; gathering and preserving evidence; interviewing complainants, witnesses, employees, contractors, and other involved parties; analyzing investigative findings; preparing comprehensive written reports; and presenting investigative conclusions and recommendations to City leadership.
Work requires the exercise of independent judgment, discretion, objectivity, and sound investigative practices. Performs related work as required. DUTIES AND RESPONSIBILITIES Conducts confidential administrative investigations involving allegations of employee misconduct, fraud, abuse, theft, ethics violations, conflicts of interest, residency violations, payroll and workers' compensation fraud, procurement irregularities, misuse of City assets, and other violations of City policies and applicable laws.
Plans and conducts investigations using accepted investigative practices. Interviews complainants, witnesses, employees, contractors, supervisors, and other involved parties; obtains written statements and supporting documentation. Collects, reviews, analyzes, and preserves documentary, financial, electronic, and physical evidence while maintaining proper chain of custody.
Reviews payroll, personnel, purchasing, financial, attendance, electronic communications, surveillance, GPS, and other records relevant to investigations. Prepares comprehensive investigative reports documenting findings, evidence, conclusions, and recommendations. Presents investigative findings to City leadership and coordinates investigations with legal counsel, law enforcement, regulatory agencies, and other governmental entities as appropriate.
Provides testimony during administrative hearings, arbitration proceedings, court proceedings, unemployment hearings, and other legal or administrative proceedings. Recommends improvements to internal controls, policies, and procedures to reduce fraud and organizational risk. Maintains strict confidentiality of investigative information and performs related work as assigned.
MINIMUM ENTRANCE REQUIREMENTS Bachelor's degree from an accredited college or university in Criminal Justice, Accounting, Finance, Public Administration, Business Administration, Human Resources, Law Enforcement, or a closely related field. Three to five years of progressively responsible professional experience conducting fraud investigations, administrative investigations, internal investigations, compliance investigations, internal auditing, human resources investigations, law enforcement investigations, or other closely related investigative work. Equivalent combinations of education, training, and experience that provide the required knowledge, skills, and abilities may be considered.
NECESSARY SPECIAL REQUIREMENT(S): Possession of a valid Michigan driver's license. SUPPLEMENTAL INFORMATION Thorough knowledge of modern investigative principles, practices, and techniques. Thorough knowledge of administrative investigations involving employee misconduct and fraud.
Knowledge of labor relations principles, collective bargaining agreements, employment law, and personnel practices. Knowledge of financial investigations and internal controls. Knowledge of evidence collection, documentation, preservation, and chain of custody requirements.
Knowledge of applicable federal, state, and local laws governing employment, public records, ethics, and fraud investigations. Ability to objectively investigate sensitive and confidential matters. Ability to analyze complex information, identify inconsistencies, and draw sound conclusions.
Ability to conduct effective interviews involving employees, management, complainants, and witnesses. Ability to prepare clear, concise, and comprehensive investigative reports. Ability to communicate effectively both orally and in writing.
Ability to establish and maintain effective working relationships with elected officials, department directors, employees, labor representatives, law enforcement agencies, and the public. Ability to maintain confidentiality and exercise sound professional judgment. Ability to testify effectively during administrative and judicial proceedings.
Ability to organize multiple investigations and meet deadlines with minimal supervision. Ability to successfully complete a comprehensive background investigation. Ability to obtain and maintain access to confidential investigative systems and records.
Must maintain strict confidentiality regarding investigative activities and information. Submitting an application does not guarantee that you will be contacted for further consideration. Applicants selected for an interview will be contacted directly by the hiring department.
Due to varying hiring timelines and recruitment processes, not all applicants may receive notification of the final hiring decision. Equal Employment Opportunity Statement The City of Flint is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, and gender identity), national origin, age, disability, genetic information, veteran status, or any other legally protected status.
Americans with Disabilities Act (ADA) Notice Applicants requiring reasonable accommodation to participate in the hiring or selection process should contact the Human Resources Department.
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Public administration
501 - 1,000 Employees
Flint, MI, US
1855