As an Anti-Fraud Special Investigator, you will partner with claims professionals, regulatory ... Conducts field as well as desk investigations of insurance claims referred to the Special ...
As an Anti-Fraud Special Investigator, you will partner with claims professionals, regulatory ... Conducts field as well as desk investigations of insurance claims referred to the Special ...
As an Anti-Fraud Special Investigator, you will partner with claims professionals, regulatory ... Conducts field as well as desk investigations of insurance claims referred to the Special ...
As an Anti-Fraud Special Investigator, you will partner with claims professionals, regulatory ... Conducts field as well as desk investigations of insurance claims referred to the Special ...
The agency's Fraud & Enforcement Division was established to ensure all Ohio insurance laws are ... The Division is responsible for conducting administrative and criminal investigations related to ...
The agency's Fraud & Enforcement Division was established to ensure all Ohio insurance laws are ... The Division is responsible for conducting administrative and criminal investigations related to ...
The agency's Fraud & Enforcement Division was established to ensure all Ohio insurance laws are ... As an Insurance Investigation Officer 1 within the Enforcement Unit, your key responsibilities ...
The agency's Fraud & Enforcement Division was established to ensure all Ohio insurance laws are ... As an Insurance Investigation Officer 1 within the Enforcement Unit, your key responsibilities ...
Entry-Level Investigator
Columbus, OH · On-site
$16/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... Want to get paid to learn how to investigate fraud and conduct covert surveillance in the real ...
Quick apply
Entry-Level Investigator
Columbus, OH · On-site
$16/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... Want to get paid to learn how to investigate fraud and conduct covert surveillance in the real ...
Entry-Level Investigator
Columbus, OH · On-site
$16/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... Want to get paid to learn how to investigate fraud and conduct covert surveillance in the real ...
Entry-Level Investigator
Columbus, OH · On-site
$16/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... Want to get paid to learn how to investigate fraud and conduct covert surveillance in the real ...
Entry-Level Investigator
Columbus, OH · On-site
$44K - $55K/yr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... Want to get paid to learn how to investigate fraud and conduct covert surveillance in the real ...
Entry-Level Investigator
Columbus, OH · On-site
$44K - $55K/yr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... Want to get paid to learn how to investigate fraud and conduct covert surveillance in the real ...
Accident Reconstructionist
Columbus, OH · On-site
$28.50 - $38.50/hr
We specialize in covert surveillance, claims investigations, NetSweep investigations, remote-controlled surveillance, and more -- saving our clients time and money on insurance fraud cases. Role ...
Quick apply
Accident Reconstructionist
Columbus, OH · On-site
$28.50 - $38.50/hr
We specialize in covert surveillance, claims investigations, NetSweep investigations, remote-controlled surveillance, and more -- saving our clients time and money on insurance fraud cases. Role ...
RCA Specialist (Pipeline) in Columbus
Columbus, OH · On-site
$24 - $26/hr
RCA/Fraud Investigation Specialist (Contract) Location: Columbus, OH (100% Onsite) Duration: 6 ... insurance and hospital indemnity), 401(k)-retirement savings, life & insurance, an employee ...
RCA Specialist (Pipeline) in Columbus
Columbus, OH · On-site
$24 - $26/hr
RCA/Fraud Investigation Specialist (Contract) Location: Columbus, OH (100% Onsite) Duration: 6 ... insurance and hospital indemnity), 401(k)-retirement savings, life & insurance, an employee ...
Investigator
Columbus, OH · On-site
$25 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Investigator
Columbus, OH · On-site
$25 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Investigator
Columbus, OH · On-site
$25 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Quick apply
Investigator
Columbus, OH · On-site
$25 - $35/hr
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Investigator
Columbus, OH · On-site
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Investigator
Columbus, OH · On-site
Ethos Risk Services is a leading insurance claims investigation and medical management company ... and fraud detection. At the forefront, we provide accurate data and actionable insights that ...
Surveillance Agent
Blacklick, OH · Remote
$22 - $32/hr
... and mobile investigations to assist in researching insurance fraud claims involving monetary ... Weekend work is required as needed for surveillance subjects * Keen observational skillset with ...
Quick apply
Surveillance Agent
Blacklick, OH · Remote
$22 - $32/hr
... and mobile investigations to assist in researching insurance fraud claims involving monetary ... Weekend work is required as needed for surveillance subjects * Keen observational skillset with ...
Surveillance Agent
Blacklick, OH · Remote
$22 - $32/hr
... and mobile investigations to assist in researching insurance fraud claims involving monetary ... Weekend work is required as needed for surveillance subjects * Keen observational skillset with ...
Quick apply
Surveillance Agent
Blacklick, OH · Remote
$22 - $32/hr
... and mobile investigations to assist in researching insurance fraud claims involving monetary ... Weekend work is required as needed for surveillance subjects * Keen observational skillset with ...
Special Investigator
Columbus, OH · On-site
... election fraud, suppression, and campaign finance violations, and increases awareness of SOS ... Unusual Working Conditions • Requires in-state travel, including evenings and weekends. Must ...
Special Investigator
Columbus, OH · On-site
... election fraud, suppression, and campaign finance violations, and increases awareness of SOS ... Unusual Working Conditions • Requires in-state travel, including evenings and weekends. Must ...
Special Investigator
Columbus, OH · On-site
$80 - $100/hr
... election fraud, suppression, and campaign finance violations, and increases awareness of SOS ... Requires in-state travel, including evenings and weekends. Must maintain a valid driver's license ...
New
Special Investigator
Columbus, OH · On-site
$80 - $100/hr
... election fraud, suppression, and campaign finance violations, and increases awareness of SOS ... Requires in-state travel, including evenings and weekends. Must maintain a valid driver's license ...
New
BMV Investigator
Columbus, OH · On-site
... fraud, abuse or other violations of ORC, OAC & BMV policy, file criminal charges & enforce Ohio ... Medical Coverage * Free Dental, Vision and Basic Life Insurance premiums after completion of ...
New
BMV Investigator
Columbus, OH · On-site
... fraud, abuse or other violations of ORC, OAC & BMV policy, file criminal charges & enforce Ohio ... Medical Coverage * Free Dental, Vision and Basic Life Insurance premiums after completion of ...
New
Special Investigator
Columbus, OH · Hybrid
... election fraud, suppression, and campaign finance violations, and increases awareness of SOS ... Unusual Working Conditions Requires in-state travel, including evenings and weekends. Must maintain ...
Special Investigator
Columbus, OH · Hybrid
... election fraud, suppression, and campaign finance violations, and increases awareness of SOS ... Unusual Working Conditions Requires in-state travel, including evenings and weekends. Must maintain ...
Program Manager -Compliance
Columbus, OH · On-site
MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare ... Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) also preferred.
Program Manager -Compliance
Columbus, OH · On-site
MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare ... Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) also preferred.
As Needed Field Investigator- Columbus, OH
Columbus, OH · On-site
$44K - $55K/yr
We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results. We are ...
Quick apply
As Needed Field Investigator- Columbus, OH
Columbus, OH · On-site
$44K - $55K/yr
We investigate all types of insurance claims including workers' compensation, suspected fraud, liability and aimed at mitigating expenses for our clients and delivering high-quality results. We are ...
Weekend Insurance Fraud Investigator information
See salary details
$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
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Full-time
Medical, Retirement
Posted 7 days ago
Job description
Work Model:Hybrid
Position type: Full time - salary
We're a team of employees passionate about delivering best-in-class customer service and driving innovation in claims management. Integrity, relationships, and excellence are at the heart of everything we do.
Our employees fully utilize their talents and bring their best selves to work. We believe who you are is just as important as what you do!
At Central, our Special Investigative Unit plays an essential role in protecting our policyholders, supporting fair claim outcomes, and preserving the integrity of the insurance process. We combine detailed analysis, field investigation, collaboration, and sound judgment to address complex and potentially fraudulent claims. As an Anti-Fraud Special Investigator, you will partner with claims professionals, regulatory organizations, industry contacts, and law enforcement while sharing your expertise through fraud and technical training. This is an opportunity to do meaningful investigative work, influence outcomes, and help strengthen fraud awareness across the organization.
Key Responsibilities of the Role
- Provides proactive customer service throughout the life of the file by appropriately setting expectations, building rapport, and responding to requests timely of both internal/external customers.
- Identifies and conducts thorough investigations of suspicious claims, review documentation and develop investigative actions
- Conducts field as well as desk investigations of insurance claims referred to the Special Investigative Unit from direct adjuster referral or by various analytic platforms
- Coordinates investigations with outside SIU contacts, the Department of Insurance Fraud Division, NICB, and various law enforcement agencies
- Initiates referrals when a suspicious or fraudulent activity has been identified
- Initiates referrals to State Insurance Department, Fraud bureaus and NICB when a suspicious or fraudulent activity has been identified.
- Develops and presents anti-fraud training programs within claims organization
- Ensures budgets are established and documented in claim file and all invoices reviewed and documented
- Creates monthly reports in a well-written manner, reflecting activity in specific region
- Complies with State Requirements for reporting questionable claims and documented within Case Manager
- Handles work comp files
- Handles bodily injury files
- Conducts claims fraud training and/or technical training
- Conducts own examination under oath (EUO)
- Handles major case overflow files
Required Qualifications
- Bachelor's Degree in related field and 2 years' experience with a law enforcement agency/SIU group and/or multi-line claims handling experience within the insurance industry
- Or 4 years' experience with a law enforcement agency/SIU group and/or multi-line claims handling experience within the insurance industry
- Possess prior experience in the investigation of insurance fraud
- Travel up to 10-20% for field work
Preferred Qualifications
- Successful completion of one or more professional designations: FCLS (Fraud Claims Law Specialist), CIFI (Certified Insurance Fraud Investigator, CFE (Certified Fraud Examiner)
Knowledge, Skills, and Abilities
- Solid knowledge of the claims/SIU policies and procedures; exhibits sound interpretation of policies & procedures in investigating and resolving claims
- Proficient in Microsoft Office (Word, Excel, Outlook, PowerPoint)
- Effective verbal and written communication skills
- Must perform well in high-energy, dynamic and team-oriented environments
- Effective organization and time management skills with the ability to work under pressure and adhere to project deadlines
- Excellent interpersonal skills with the ability to establish working relationships with individuals at varying levels within the organization
- Demonstrate integrity within a professional environment
- Ability to adapt to new situations and learn quickly
- Ability to conduct detailed investigations and complete all investigative steps
- Ability to understand Central Insurance's policies and processes
Total Rewards
Central establishes base pay based on several factors including labor market data and an evaluation of candidate qualifications relative to role requirements. Base pay is one component of a comprehensive total rewards package designed to support employees' financial, health, career, and retirement objectives. Central provides extensive health and wellness benefits to promote flexibility, work-life balance, and long-term financial security. For more information, see Central Insurance Benefits
Work Authorization
Central will only employ those who are legally authorized to work in the United States. This is not a position for which sponsorship will be provided. Individuals with temporary visas such as E, F-1(including those with OPT or CPT) , H-1, H-2, L-1, B, J or TN, or who need sponsorship for work authorization now or in the future, are not eligible for hire.
Equal Opportunity Employer
It is the policy of Central that all recruiting, hiring, training, compensation, overtime, job classification and assignment, facilities, promotions, transfers, employee treatment and all other terms and conditions of employment shall be maintained in a manner which will not discriminate against any person because of race, color, age, sex, national origin, ancestry, religion, marital status, military status, or disability. The applicant should respond to questions on this application in a way that will not divulge such information. #LI-AS1 #LI-Hybrid
About Central Insurance
Sourced by ZipRecruiter
Industry
Insurance services
Company size
501 - 1,000 Employees
Headquarters location
Van Wert, OH, US
Year founded
1876