Insurance Fraud Investigator

5 days ago


Los Angeles, California, United States ORIGIN Careers Full time
Insurance Fraud Investigator

At Origin, we're seeking a skilled Insurance Fraud Investigator to join our team. As an Investigator, you'll play a critical role in uncovering and preventing insurance fraud.

Key Responsibilities:
  • Conduct thorough investigations into suspected fraudulent insurance claims.
  • Utilize investigative techniques such as surveillance, interviews, and evidence collection.
  • Assess claimants' backgrounds, verify incident details, and document findings.
  • Review claim files to identify fraudulent red flags and trends.
  • Obtain detailed recorded statements via phone and/or in person.
  • Evaluate, analyze, verify, and obtain material evidence relevant to the investigation.
  • Locate, extract, and review data from multiple sources and ensure accuracy in findings.
  • Ensure all investigative findings are properly and thoroughly documented in a timely manner.
  • Facilitate and maintain effective professional communication by providing best-in-class service to both internal and external customers.
Requirements:
  • Minimum 1 year of experience in private investigations.
  • Knowledge of insurance fraud and claims processes working with SIU teams.
  • Strong analytical skills to identify fraudulent activities.
  • Proficiency in conducting thorough investigations and executing investigative techniques.
  • Excellent written and verbal communication skills.
  • Willingness to travel.
What We Offer:
  • Competitive compensation.
  • 401(k) plan.
  • Dental insurance.
  • Health insurance.
  • Mileage reimbursement.
  • Travel reimbursement.
  • Career advancement opportunities.


  • Los Angeles, California, United States Allied Universal Inc Full time

    Job SummaryWe are seeking a highly skilled and experienced Insurance Fraud Investigator to join our Special Investigations Unit (SIU) team at Allied Universal Inc.Key Responsibilities:Independently investigate suspected fraudulent insurance claims for various coverage types, including workers' compensation, general liability, property, and casualty.Acquire...


  • Los Angeles, California, United States ORIGIN Careers Full time

    {"title": "Insurance Fraud Investigator", "content": "Investigate Insurance Claims with OriginAt Origin, we're seeking a skilled Insurance Fraud Investigator to join our team. As an Investigator, you'll be responsible for conducting thorough investigations into suspected fraudulent insurance claims. Your expertise will help us identify and prevent fraudulent...

  • Fraud Investigator

    7 days ago


    Los Angeles, California, United States County of San Mateo Full time

    Job SummaryWe are seeking a highly skilled and detail-oriented Fraud Investigator to join our team at the County of San Mateo. As a Fraud Investigator, you will conduct thorough investigations of suspected welfare fraud and violations of law in connection with various County programs.Key ResponsibilitiesConduct investigations of suspected welfare fraud and...


  • Los Angeles, California, United States ORIGIN Careers Full time

    Job SummaryOrigin is seeking a highly skilled Insurance Fraud Investigator to join our team. As an Investigator, you will be responsible for conducting thorough investigations into suspected fraudulent insurance claims. Your duties will include assessing claimants' backgrounds, verifying incident details, and documenting findings.Key...


  • Los Angeles, California, United States Vets Hired Full time

    About the job Fraud Investigation Specialist Benefits: Insurance: Comprehensive coverage options for medical, dental, vision, and life insurance plans.Retirement: Participation in the California Public Employee Retirement System (CalPERS).Vacation: Initial two weeks of paid vacation, increasing to three weeks after five years of continuous service.Paid...


  • Los Angeles, California, United States Department of Insurance Full time

    Job Description and DutiesJob Summary: We are seeking a highly skilled and experienced Special Investigator to join our team at the Department of Insurance. As a Special Investigator, you will be responsible for conducting investigations related to regulatory compliance and/or criminal investigations, including the enforcement of California and Federal laws...


  • Los Angeles, California, United States Oscar Health Full time

    About the RoleThe SIU Investigator, Senior Analyst will be responsible for investigating changes in aberrant behavior observed in claims and enrollment data. This role requires strong analytical skills and the ability to work independently to identify and resolve issues.Key ResponsibilitiesConduct investigations into known or suspected FWA with high...


  • Los Angeles, California, United States Armanino Full time

    About ArmaninoAt Armanino, we empower our professionals to take ownership of their careers and pursue challenges that align with their passions and interests. Our commitment to fostering a culture of growth and development has earned us a reputation as one of the Best Places to Work and a top 20 Largest Firm in the Nation.Job SummaryWe are seeking a highly...


  • Los Angeles, California, United States EmergencyMD Full time

    Job Title: Insurance Claims InvestigatorJob Summary:We are seeking a highly skilled and experienced Insurance Claims Investigator to join our team at EmergencyMD. As a Claims Investigator, you will be responsible for conducting thorough investigations into insurance claims to identify potential fraud and ensure that our clients receive fair compensation.Key...


  • Los Angeles, California, United States Department of Insurance Full time

    Job SummaryBackground Check and Fingerprinting RequiredAs a Special Investigator within the Investigation Division of the Department of Insurance, you will have the authority to exercise specific peace officer powers upon completion of required training.Reporting to the Supervising Special Investigator, you will be responsible for conducting thorough...


  • Los Angeles, California, United States Department of Insurance Full time

    Position OverviewREQUIRED: BACKGROUND CHECK AND FINGERPRINTING.As an Insurance Compliance Investigator within the Department of Insurance, you will be entrusted with specific law enforcement powers following the completion of necessary training.Under the supervision of the Lead Investigator, your primary responsibilities will include conducting thorough...


  • Los Angeles, California, United States Vets Hired Full time

    Job SummaryVets Hired is seeking a highly skilled and experienced Insurance Claims Investigator to join our team as a Special Investigative Unit Investigator. As a key member of our organization, you will be responsible for conducting thorough investigations of insurance claims, analyzing evidence, and developing recommendations to support our business...


  • Los Angeles, California, United States City National Bank Full time

    FRAUD MANAGEMENT SUPERVISORWHAT IS THE ROLE?This position oversees the functions of Investigations, Fraud Detection, and Loss Prevention. The supervisor is accountable for leading and nurturing the team responsible for scrutinizing fraudulent activities. The role involves directing the Fraud Detection unit, assessing and sampling KYC/EDD/Compliance...


  • Los Angeles, California, United States Premier America Credit Union Full time

    About Premier America Credit Union:At Premier America Credit Union, we are dedicated to fulfilling our mission of serving our members by facilitating their current needs and helping them achieve their future aspirations. Our team thrives on shared values of accountability, friendliness, and respect, while also emphasizing exceptional service, community...


  • Los Angeles, California, United States Allstate Insurance Company Full time

    Company OverviewAllstate Insurance Company is a leader in the insurance industry, dedicated to providing innovative solutions that meet the diverse needs of our clients. We specialize in a wide range of insurance products, including home, auto, and health insurance, delivered through a robust network of independent agents and direct-to-consumer...


  • Los Angeles, California, United States Feufo Inc Full time

    Job Title: Head of Fraud PreventionFeufo Inc is seeking a highly skilled Head of Fraud Prevention to lead our fraud prevention and risk assessment initiatives. The ideal candidate will be responsible for creating and implementing strategies and policies to prevent and detect fraud, ensuring alignment with organizational goals and legal requirements.Key...


  • Los Angeles, California, United States Department of Consumer Affairs Full time

    Job SummaryThe Department of Consumer Affairs is seeking a highly skilled and experienced Supervising Investigator to join our team. As a key member of our Health Quality Investigation Unit, you will be responsible for supervising a team of investigators and conducting complex and sensitive administrative and criminal investigations.Key...


  • Los Angeles, California, United States Allstate Insurance Company Full time

    Allstate Insurance Company is a leader in the insurance industry, committed to meeting the dynamic needs of our clients. We provide a wide range of insurance solutions, including home, auto, and health coverage, through a vast network of independent agents and direct consumer services.Position Overview:We are seeking a qualified MD Adjuster with experience...


  • Los Angeles, California, United States Armanino Full time

    About ArmaninoArmanino is a leading professional services firm that provides audit, tax, and consulting services to clients across various industries. Our team is dedicated to delivering exceptional results and building long-term relationships with our clients.Job SummaryWe are seeking a highly skilled and experienced Senior Manager to join our Financial...


  • Los Angeles, California, United States Acord (association For Cooperative Operations Research And Development) Full time

    Card Fraud Analyst Job DescriptionAt Acord, we are seeking a skilled Card Fraud Analyst to join our team. This role is responsible for preventing and detecting card fraud, as well as implementing effective risk management strategies to minimize exposure to potential fraudulent activities.Key Responsibilities:Prevent and detect suspicious card activity to...