fraud investigator

County Of Mendocino

<div><div><div><h2 class="jobSectionHeader"><b>The Position</b></h2></div>
<p></p><div><div><b>The list developed from this recruitment will be used for a limited period to fill open and promotional, regular full-time, and part-time positions, should they occur.</b></div><div></div><div><br>
Under general supervision, conducts investigations relating to suspected fraudulent receipt of aid; obtains and presents facts and evidence to support administrative action or prosecution; negotiates for and secures repayment of funds fraudulently obtained.</div><div></div><div><b><br>
Bilingual English/Spanish encouraged to apply. </b><i>Se buscan personas biling&uuml;es en ingl&eacute;s y espa&ntilde;ol. Para recibir una solicitud en espa&ntilde;ol, llame a Recursos Humanos al 234-6600.</i></div></div><p></p>
<div><h2 class="jobSectionHeader"><b>Job Requirements and Minimum Qualifications</b></h2></div>
<div><p><i>Duties may include, but are not limited to, the following:</i></p><ul><li>
Investigates cases of known or suspected violations of the law related to the fraudulent receipt of public assistance funds; and may investigate other violations of the law discovered during the course of the investigation.</li><li>
Traces and locates suspects and witnesses; interviews them to analyze and evaluate their testimony.</li><li>
Contacts and interviews individuals, employers, credit agencies, law enforcement agencies, tax agencies, and other public and private entities to secure and verify information.</li><li>
Interprets and explains the provisions of laws, rules, or regulations regarding welfare fraud as they pertain to the conduct of investigations and the ensuing court process.</li><li>
Conducts mobile surveillance, stationary surveillance, and field contacts for the purposes of obtaining information pertinent to welfare fraud investigations.</li><li>
Prepares case records files for trial; gathers, assembles, and ensures that all pertinent evidence, statements, and related information is in the case record.</li><li>
Prepares comprehensive investigative reports for oral or written presentation; prepares affidavits and other legal forms for administrative and/or legal action.</li><li>
Requests issuance of a complaint from the District Attorney&rsquo;s Office on cases showing evidence of fraud or other criminal activity; appears as a witness in court and in civil proceedings, such as fair hearings and Administrative Disqualification Hearings.</li><li>
Prepares charts, graphs, evidence logs, and courtroom exhibits in order to display or convey the chain of evidence to the court.</li><li>
Confers with defendants and attorneys in order to secure restitution of overpayments and fraudulently received funds.</li><li>
Authors and serves civil papers, criminal court orders and search warrants in connection with welfare fraud and related investigations.</li><li>
May make arrests on matters related to welfare fraud and other related crimes.</li><li>
Properly uses and safeguards firearms as defensive tools and for the protection of others.</li><li>
May instruct and assist subordinate investigators; may confer with eligibility staff regarding the preparation and processing of welfare fraud cases.</li><li>
Completes criminal history checks for criminal and civil investigations and when requested by Family, Youth, and Children Services.</li><li>
Performs related duties as required.</li></ul><br>
<b>
MINIMUM QUALIFICATIONS REQUIRED</b><br>
<br>
<b>SPECIAL REQUIRMENTS</b><br>
In accordance with California Government Code, Section 1029 - 1031, and the California Code of Regulations, Title 15, Section 131, Minimum Standards for Selection, each employee shall meet the following minimum standards: Be legally authorized to work in the United States under federal law and have no prior felony conviction nor be under current formal probation supervision. Candidates certified for employment must be willing to undergo and successfully complete an in-depth background investigation according to P.O.S.T. specifications, including a psychological evaluation, fingerprinting, criminal history check, and a medical examination.<br>
<br>
<b>Education and Experience:</b><br>
<b>Pattern 1:</b> One (1) year full-time experience performing duties in the Welfare Fraud Specialist classification in Mendocino County, or one (1) year of full-time experience performing duties equivalent to the Welfare Fraud Investigator I classification in an Interagency Merit System (IMS) or Approved Local Merit Systems (ALMS) county;<br>
<br>
OR<br>
<br>
<b>Pattern 2:</b> Three (3) years of full-time experience in performing investigative work which included locating, observing, and interviewing suspected persons and witnesses, writing detailed reports of case findings, and preparing and presenting evidence; Experience in a law enforcement field is highly desirable, and successful completion of thirty (30) semester units from an accredited college or university with course work in criminal investigation techniques and legal aspects of evidence is preferred but not required.<br>
<br>
<b>Licenses and Certifications:</b><br>
Valid Driver License<br>
Possession of a valid and current Regular Basic Course Completion Certificate issued by a POST-certified training institution; or successful completion of a POST-certified Requalification Course within the past 18 months; or successful completion of a Specialized Investigators&rsquo; Basic Course (SIBC) approved by the California Commission on Peace Officer Standards and Training.</div><p></p>
<div><h2 class="jobSectionHeader"><b>Knowledge, Skills, and Abilities</b></h2></div>
<div><p><b>Knowledge of</b>:</p><br>
<ul><li>
Investigative techniques and procedures, including identification, preservation and presentation of information that may be used as evidence in legal action.</li><li>
Public assistance programs, eligibility, laws, regulations and procedures.</li><li>
Legal rights of citizens who may have fraudulently applied for and/or obtained welfare benefits.</li><li>
Principles and techniques of interviewing.</li><li>
Arrest procedures, search warrant acquisition and execution.</li><li>
Report preparation and record keeping methods and techniques.</li><li>
Appropriate methods of surveillance, skip tracing methods, and other sources of information used in locating persons or obtaining facts.</li><li>
Basic court and legal procedures required to seek repayment of funds that are due to the County.</li><li>
Applicable federal, state, and local laws, codes and regulations.</li><li>
All computer applications and hardware related to performance of the function of the job.</li></ul><br>
<b>
Skill in:</b><br>
<ul><li>
Analyzing and interpreting written, numerical, and verbal data from various sources.</li></ul><ul><li>
Collecting, compiling, research, and presenting information and evidence in an effective manner.</li><li>
Effectively interviewing applicants, recipients, County employees, individuals and witnesses to obtain factual data pertaining to suspected welfare fraud.</li><li>
Analyzing, evaluating, and assessing witness statements, suspected violators and individuals&rsquo; financial status.</li><li>
Interacting with people in a courteous manner in person, on the telephone, by mail or e-mail communication.</li><li>
Assessing and managing difficult and hostile people or situations; or calling for intervention when appropriate.</li><li>
Establishing and maintaining cooperative working relationships with the public and staff.</li><li>
Reading, understanding, preparing, applying, presenting, and explaining complicated and detailed correspondence, reports, regulations, and policy directives.</li><li>
Testifying in court.</li><li>
Communicating clearly and concisely, both orally and in writing, using appropriate grammar and syntax.</li></ul><br>
<b>
Mental and Physical Abilities:</b><br>
<ul><li>
Ability to establish and maintain effective working relationships with others.</li><li>
Ability to interpret and translate pertinent legal requirements.</li><li>
Ability to assess individual&rsquo;s problems and to tactfully gather personal background information.</li><li>
Determine appropriate course of action in emergency situations.</li><li>
Evaluate and make appropriate recommendations and corrections on selected cases.</li><li>
Interact with disruptive and/or confrontational people.</li><li>
Interpret and explain regulations and policy directives.</li><li>
Apply the laws, rules, and regulations governing eligibility and grant determination for multiple public assistance programs and the case administration of these programs.</li><li>
Explain rules and programs so they can be understood by people of diverse socio-economic, cultural and educational backgrounds.</li><li>
Detect and evaluate potential fraudulent situations.</li><li>
Function effectively in a system with strict deadlines and constant changes.</li><li>
Work in a fast-paced, professional office environment and prioritize a wide range of duties with varying time requirements to ensure timely completion.</li><li>
Perceive the nature of sounds at normal speaking levels with or without correction, and to have the ability to receive detailed information through oral communication. Communicate to express or exchange ideas. Convey detailed or important instructions to others accurately, loudly, and/or quickly.</li><li>
Have close visual acuity, with or without correction, to prepare and analyze data and figures, to view a computer terminal, to read, etc. Positions in this class also require employees to have depth perception in order to operate a motor vehicle. Have the visual acuity to make observations of surroundings and must demonstrate color vision sufficient to distinguish colors in order to describe events in an accurate manner.</li><li>
While performing the essential functions of this job, the incumbent is regularly required to sit, use hands to finger, handle, or feel objects, to reach with hands and arms, and speak and hear.</li><li>
Work outdoors with exposure to intense noises, fumes, odors, pollens, dust, inadequate lighting, and unpleasant field conditions including rain, wind, cold or hot weather.</li><li>
Perform heavy work: exert up to 100 pounds of force occasionally, and/or up to 50 pounds of force frequently, and/or up to 20 pounds of force constantly to move objects.</li></ul></div><p></p>
<div><h2 class="jobSectionHeader"><b>Selection Procedure &amp; Other Important Information</b></h2></div>
<p></p><div><div><b>Important Application Information:</b></div><ul><li>
It is your responsibility to demonstrate through your application materials how you meet the minimum qualifications of the position/s for which you apply.</li><li>
You must complete all sections of the application. A r&eacute;sum&eacute; or other information you feel will help us evaluate your qualifications may be attached to your completed application, but will not be accepted in lieu of completing any part of the application. Blank applications that contain only a r&eacute;sum&eacute; or those that reference &ldquo;see r&eacute;sum&eacute;&rdquo; will be rejected as incomplete.</li><li>
Check your application before submitting to ensure it is complete and correct; no new or additional information will be accepted after the closing date.</li><li>
Inquiry will be made of your former and current employers; please provide the names and telephone numbers of supervisors on your application.</li><li>
You must provide the names and contact information of at least three (3) references (not relatives) that have knowledge of your job skills, experience, ability and/or character.</li><li>
Application materials are the property of Mendocino County and will not be returned.</li><li>
It is your responsibility to keep your NEOGOV profile updated, including any changes to your telephone number or address. Failure to do so may result in missed notification of exams or interviews.</li><li>
The exam process listed on this flyer is tentative. Mendocino County reserves the right to make necessary modifications to the examination plan. Such revisions will be in accordance with approved personnel standards. Should a change be made, applicants will be notified.</li><li>
The provisions of this job bulletin do not constitute an expressed or implied contract.</li></ul><div></div><div><b><br>
Examination Process: </b>All complete applications will be reviewed; incomplete applications will not be considered. Based on the number of qualified candidates, applicants meeting the job requirements and qualifications will be invited to participate in an oral examination (weight 100) or an unassembled exam, consisting of an evaluation of education and experience as stated on the application form. The examination process will test the knowledge and abilities described above. A minimum score of 70 must be attained for placement on the employment list.</div><div></div><div><b><br>
Special Testing:</b> The County of Mendocino is committed to the full inclusion of all qualified individuals. In accordance with the Americans with Disabilities Act (ADA) and California&rsquo;s Fair Employment and Housing Act (FEHA), if special accommodations for a disability or religious conviction are necessary at any stage of the application and/or testing process, please notify the Human Resources Department in advance at (707) 234-6600. Reasonable notice is required to allow adequate time for review and evaluation of your request.</div><div></div><div><b><br>
Special Requirements:</b> Employment in some County departments or positions may require the successful completion of a pre-employment criminal background, which may include fingerprinting, and/or a medical examination, which may include drug screening.</div><div></div><div><br>
This announcement is a synopsis of duties and requirements of this job. To review the complete classification specification and benefits, please see the HR website. Applications must be submitted to the Human Resources Department by the final filing date.</div><div></div><div><i><br>
The County of Mendocino participates in the E-Verify program to confirm employment eligibility. If hired, the information you provide on your Form I-9 will be used to verify your authorization to work in the United States.</i></div><div><i>
Learn more:</i></div><ul><li><i>
E-Verify Notice of Participation</i> (Download PDF reader)(Download PDF reader)</li><li><i>
Right to Work</i> (Download PDF reader)(Download PDF reader)</li></ul><div></div><div><b><br>
The County of Mendocino is an Equal Opportunity Employer</b></div></div></div></div><p></p>

Welfare Fraud Investigator

Dart Bank & Mortgage

<div><p><b>Job Summary</b></p><p>
</p><p>The Financial Crimes Compliance Fraud Investigator is responsible for conducting comprehensive and in-depth investigations into suspected fraudulent activity across the bank&rsquo;s products and services. This role is focused on the detection, analysis, prevention of fraud and mitigating losses, while ensuring compliance with the Bank Secrecy Act (BSA), USA PATRIOT Act, OFAC requirements, FinCen SAR Reporting requirements, internal fraud prevention policies and procedures and federal, and state laws.
</p><p></p><p><b>Job Duties</b></p><ul><li>
Conduct thorough investigations of escalated alerts and cases involving potentially fraudulent activity, including identity theft, account takeover, wire fraud, check fraud, digital/fintech payment fraud and other financial schemes.</li><li>
Evaluate the quality and completeness of initial reviews performed by analysts and determine whether escalation to case level is appropriate.</li><li>
Review and analyze escalated alerts, internal and external referrals, and third-party data to determine if activity is potentially fraudulent and warrant a case investigation.</li><li>
Ensure investigations are comprehensive, accurate, and conducted in line with internal policies, regulatory expectations, and industry best practices.</li><li>
Evaluate fraud cases to determine SAR filing needs based on regulatory standards and internal thresholds, ensuring timely, accurate, and well-documented justification and reports with comprehensive risk assessments and supporting records.</li><li>
Draft, review, and submit SARs in accordance with FinCEN guidelines and filing timelines, ensuring quality and accuracy in all submissions</li><li>
Utilize investigative tools and customer due diligence materials&mdash;including OSINT, risk scores, KYC profiles, and transaction history&mdash;to develop thorough case assessments and request additional information (RFI) as needed to complete investigation.</li><li>
Collaborate across departments to enhance fraud detection, implement prevention strategies, reduce future risk exposure, and improve fraud detection and investigative procedures.</li><li>
Collaborate cross-functionally with other FCC members and departments to enhance fraud prevention and mitigation initiatives and alert/case-handling efficiency.</li><li>
Stay current on regulatory changes, fraud trends, industry best practices, detection techniques, and emerging threats (e.g., digital fraud, synthetic identity, social engineering).</li><li>
Complete required training and proactively pursue continuing education related to fraud, AML, and financial crime risk management.</li><li>
Assist bank partners with fraud matters and as a resource.
</li><li>Serve as a subject matter expert and escalation point for fraud analysts and specialists.</li><li>
Adheres to all Federal and State laws and regulations, including the Bank Secrecy Act.</li><li>
Other duties as assigned.</li></ul><p>
</p><p><b>Qualifications</b></p><ul><li><b>
Education</b><ul><li>
High School Diploma or equivalent</li></ul></li><li><div><ul><li>
Bachelor&rsquo;s degree in finance, Criminal Justice, Business, or a related field or equivalent experience preferred.</li></ul></div></li><li><b>
Skills</b><ul><li>
Strong analytical and organizational abilities with attention to detail and the capacity to resolve complex case investigations.</li><li>
Exhibits sound and accurate judgment; supports and explains reasoning for decision; makes timely decisions</li><li>
Excellent written and verbal communication skills, with the ability to provide constructive feedback and clear documentation.</li><li>
Strong working knowledge of Fraud, BSA, AML, OFAC, FinCEN guidance, and OCC/FDIC regulatory expectations</li><li>
Proficiency in Microsoft Office (Word, Excel, PowerPoint, Outlook).
</li><li>Highly adaptable, positive, resilient, and open to new ideas. Able to effectively prioritize multiple concurrent projects</li><li>
Analytical and investigation ability to conduct research, brainstorm creative solutions.</li><li>
Ability to communicate effectively, in person and in writing.
</li><li>Possess the ability to work independently, without direct supervision and in a collaborative fast-paced, dynamic environment while maintaining high-quality standards and providing positive support to others</li><li>
Good math aptitude, with mathematical reasoning.</li><li>
Maintains confidentiality, sensitive to confidential materials and matters</li></ul></li><li><b>
Experience</b><ul><li>
Minimum of 3-5 years of experience in Financial Crimes, Fraud and BSA/AML investigations within a banking environment.
</li><li>Involvement in financial crimes professional organization(s), is preferred.</li><li>
Professional Certification (CFE, CFCI, CFCS, CAMS, or other compliance certification), is preferred.</li><li>
Proficiency with Fraud and AML case management and transaction monitoring systems.
</li><li>Experience with novel banking industries such as FinTech, BaaS, and Digital Banking, MRB, is preferred.
</li><li>Excellent analytical, communication, SAR and report-writing skills.</li><li>
Demonstrate strong attention to detail, problem-solving skills, and the ability to prioritize while handling sensitive information with integrity.</li></ul></li></ul><p>
</p><p><b>Essential Functions</b></p><ul><li>
Must be able to perform the essential functions of this position with or without reasonable accommodation.</li></ul><p>
</p><p><b>Supervised By</b></p><ul><li>
Fraud &amp; Identity Theft Program Manager</li></ul><p>
</p><p><b>Supervises</b></p><ul><li>
None</li></ul><p>
Dart Bank is a community bank, serving our community since 1925. We specialize in providing financial services, but we are passionate about serving the community and building real relationships with people. Dart Bank provides innovative financial services for both personal and business banking, consumer and mortgage loans, commercial loans and lines of credit, merchant credit card processing, investment services and more. Our array of products and services and our longstanding history within our communities shows we care about what matters most for our customers and we are there for them for the most important times in their lives. Dart Bank. For What Matters Most.
</p><p>We offer:
</p><ul><li>Medical Benefits
</li><li>Dental
</li><li>Vision
</li><li>401(K) Employee Stock Ownership Plan
</li><li>Paid vacation &amp; sick time
</li><li>Flexible scheduling
</li><li>Employee Assistance Program
</li><li>Dart Bank University
</li></ul><p><i>At Dart Bank you can expect to be surrounded by a team that will support you and invest in your growth in a quick-paced work environment where we deliver exceptional customer service. We are a local business that cares about our employees and our community.
</i></p><p>Dart Bank is committed to providing equal opportunity in employment, maintaining a diverse workforce, and prohibiting all forms of unlawful discrimination and harassment.
</p><p>All employment decisions, policies, and practices, in terms of the recruitment process and other conditions and privileges of employment, will comply with applicable federal, state, and local anti-discrimination laws. The Company seeks, employs, promotes, and compensates qualified individuals based on ability, as demonstrated by performance and other legitimate non-discriminatory factors, without regard to race, color, religion, national origin, citizenship, ancestry, sex (including sexual orientation, gender expression, and gender identity), age, physical or mental disability, pregnancy, genetic information, military status, veteran status, or any other protected status under federal, state (in Michigan: marital status, familial status, height, weight, and misdemeanor arrest record), or local law (individually and collectively, &ldquo;Protected Class&rdquo;). This employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the United States. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so that you can begin to resolve the issue before this employer can take any action against you, including terminating your employment. This employer can only use E-Verify once you have accepted a job offer and completed Form I-9.</p></div>

Financial Crimes Compliance Fraud Investigator

Capital One

<div>Fraud Risk Investigator<p></p><p>
Fraud Risk Services Investigators at Capital One are highly motivated Risk Management professionals with excellent fraud data analysis and investigative skills. Investigators have exposure across internal fraud monitoring functions and are comfortable with external participant reviews, working closely with internal and external teams to identify emerging fraud risks. This role supports root cause analysis efforts and translates fraud data into actionable insights that help identify risks, inform senior stakeholders, through recommendations of mitigation strategies.</p><p><b><br>
</b></p><p><b>Responsibilities:</b></p><ul><li><p>
Fraud Monitoring &amp; Analysis: Perform daily, weekly, and monthly triage and analysis of Global Fraud network data; this includes producing data for consultations and managing real-time responses to network-level fraud events</p></li><li><p>
Risk &amp; Compliance Management: Actively manage risk and participant-impacting issues, conduct investigations into participant and merchant metrics to ensure adherence to operational regulations</p></li><li><p>
Mitigation &amp; Strategy: Develop and deploy countermeasures to mitigate fraud losses and provide post-incident analysis to inform future product planning and mitigation strategies</p></li><li><p>
Operational Support: Provide 24/7 support for network-level fraud events on a rotating schedule, conduct participant outreach during incidents, and support both in-person and remote audits</p></li><li><p>
Stakeholder Engagement: Present KPI/KRIs to business partners and leadership, while providing analytical support during consultation meetings with various business units</p></li><li><p>
Continuous Improvement: Maintain up-to-date process documentation and stay current with industry trends and technological advancements</p></li></ul><p></p><p><b>
Basic Qualifications:</b></p><ul><li><p>
High School Diploma, GED or equivalent certification</p></li><li><p>
At least 4 years of fraud or investigation experience within the financial services industry</p></li><li><p>
At least 3 years of data analysis experience</p></li><li><p>
At least 2 years of experience supporting, partnering and interacting with internal business clients</p></li></ul><p></p><p><b>
Preferred Qualifications:</b></p><ul><li><p>
Experience working within the payments industry</p></li><li><p>
Technical proficiency with SQL or Tableau</p></li><li><p>
Experience presenting data and strategic insights to senior-level audiences</p></li></ul><p></p><p><b>
At this time, Capital One will not sponsor a new applicant for employment authorization for this position</b></p><p></p><p>
The minimum and maximum full-time annual salaries for this role are listed below, by location. Please note that this salary information is solely for candidates hired to perform work within one of these locations, and refers to the amount Capital One is willing to pay at the time of this posting. Salaries for part-time roles will be prorated based upon the agreed upon number of hours to be regularly worked.</p><p></p>
McLean, VA: $120,800 - $137,900 for Fraud Risk Investigator<br>
<p></p>
Columbus, OH: $109,900 - $125,400 for Fraud Risk Investigator<br>
<p></p>
Anytown, IL: $109,900 - $125,400 for Fraud Risk Investigator<br>
<p></p>
Riverwoods, IL: $109,900 - $125,400 for Fraud Risk Investigator<p></p><p><br>
Candidates hired to work in other locations will be subject to the pay range associated with that location, and the actual annualized salary amount offered to any candidate at the time of hire will be reflected solely in the candidate&rsquo;s offer letter.</p><p></p>
This role is also eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). Incentives could be discretionary or non discretionary depending on the plan.<p></p><p>
Capital One offers a comprehensive, competitive, and inclusive set of health, financial and other benefits that support your total well-being. Learn more at the Capital One Careers website. Eligibility varies based on full or part-time status, exempt or non-exempt status, and management level.</p><p></p>
This role is expected to accept applications for a minimum of 5 business days.<p></p>
No agencies please. Capital One is an equal opportunity employer (EOE, including disability/vet) committed to non-discrimination in compliance with applicable federal, state, and local laws. Capital One promotes a drug-free workplace. Capital One will consider for employment qualified applicants with a criminal history in a manner consistent with the requirements of applicable laws regarding criminal background inquiries, including, to the extent applicable, Article 23-A of the New York Correction Law; San Francisco, California Police Code Article 49, Sections 4901-4920; New York City&rsquo;s Fair Chance Act; Philadelphia&rsquo;s Fair Criminal Records Screening Act; and other applicable federal, state, and local laws and regulations regarding criminal background inquiries.<p></p><p>
If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation, please contact Capital One Recruiting at 1-800-304-9102 or via email at RecruitingAccommodation@capitalone.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.</p><p></p><p>
For technical support or questions about Capital One's recruiting process, please send an email to Careers@capitalone.com</p><p></p><p>
Capital One does not provide, endorse nor guarantee and is not liable for third-party products, services, educational tools or other information available through this site.</p><p></p><p>
Capital One Financial is made up of several different entities. Please note that any position posted in Canada is for Capital One Canada, any position posted in the United Kingdom is for Capital One Europe and any position posted in the Philippines is for Capital One Philippines Service Corp. (COPSSC).</p></div>

Fraud Risk Investigator

NYC Human Resources Administration

<p></p><div><div><div><div><div><div><h1 class="jobSectionHeader"><b>SENIOR INVESTIGATOR
</b></h1></div><div><div><div><div><ul><li>HRA/DEPT OF SOCIAL SERVICES
</li></ul></div></div><div><div>Posted On: 03/19/2026
</div></div><div><div><ul><li>Full-Time
</li></ul></div></div><div><div><div>Location
</div><div>MANHATTAN</div>
</div></div></div><div><div><div><ul><li>Exam May Be Required
</li></ul></div></div><div><div><div><div>Department
</div><div>Office Of Investigation-NM</div>
</div></div></div><p></p><div><div><div>Salary Range:</div>
<div>$59,359.00 &ndash; $68,263.00</div>
</div></div></div></div><div><div><p><b>Save</b></p>
</div></div></div></div></div></div><div><div><div><h2 class="jobSectionHeader"><b>Job Description</b></h2></div>
<div><div><div>APPLICANTS MUST BE PERMANENT IN THE FRAUD INVESTIGATOR CIVIL SERVICE TITLE
<br>
<br>
The DSS Accountability Office (DSS-AO) is responsible for protecting the integrity of social services programs administered by the New York City Department of Social Services (DSS) and ensuring that DSS complies with all statutory, regulatory, and contractual standards.<br>
<br>
Within AO, exists the Bureau of Fraud Investigations (BFI). They are mandated to conduct investigations of individuals and organized groups allegedly attempting or committing fraudulent acts against the social service programs administered by HRA/DSS. BFI has many sub-units. One is such units is the Investigation Division.<br>
<br>
The Investigation Division (ID) oversees and investigates several mandated NYS projects such as the Massachusetts Border Match, 1099 Match and the Bank Match, along with other internally generated projects. In addition, the division plays an active role in the timely investigation and resolution of BFI&rsquo;s quarterly PARIS Match and assists with the field visits for the Prison Match. ID continues to have an ongoing investigative partnership with the Office of Welfare Inspector General (OWIG) and New York City Housing Authority Inspector General (NYCHA IG).
<br>
<br>
BFI is recruiting for one (1) Fraud Investigator II to function as a Senior Investigator, who will:
<br>
<br>
<ul><li>Conduct complex investigations into allegations of fraud, waste, and/or abuse of social services benefits administered by HRA and the City of New York. Cases are received from unit supervisors and are generated from data mining, anonymous sources, and other match reports.</li></ul><br>
<ul><li>Perform fieldwork activity including interviews with clients, witnesses, and participants who are under investigation to verify documents and records and gather evidence to build solid cases against persons committing fraud. Conduct collateral interviews with employers, landlords, and other witnesses to secure information. Interact with other law enforcement agencies at Federal, State, and local levels as part of the investigative process.</li></ul><br>
<ul><li>Access numerous resources, such as the Welfare Management System (WMS), LexisNexis, HRA Viewer, ACRIS, ACCIS, and Data Warehouse to conduct research and obtain vital information relevant to the investigation.</li></ul><br>
<ul><li>Write detailed case notes and annotated reports summarizing chronological events and developments. Resolve allegations of fraud by making eligibility determinations or recommendations for continued assistance, case closings, or reduced assistance.</li></ul><br>
<ul><li>Perform extensive fieldwork activity including interviews, undercover operations, surveillance and interrogations.</li></ul><br>
<ul><li>Meet with Supervisor to discuss activities, concerns, and findings in investigations.</li></ul><br>
<ul><li>Liaise between HRA, AO/IREA, and local law enforcements. Represent and testify on behalf of HRA in court and at Fair Hearings.</li></ul><br>
<ul><li>Assist in the training of new investigative staff. May provide coverage for Supervisor on a rotating basis.</li></ul><br>
<ul><li>Perform other duties as needed.<br>
</li></ul><br>
<br>
Hours/Schedule: 9-5 Monday - Friday<br>
<br>
FRAUD INVESTIGATOR - 31113</div><p><b><br>
Minimum Qualifications</b></p><p><br>
1. A four-year high school diploma or its educational equivalent and three years of satisfactory, full-time experience, acquired within the United States in one or a combination of the following:
<br>
a . performing investigations involving criminal and/or fraudulent activities; or
<br>
b. evaluating credit histories; or
<br>
c. searching for assets; and/or
<br>
d. researching, compiling and/or locating evidence or information in order to build a case or uncover activities of a criminal, corrupt, unlawful or unethical nature involving public or private funds; or
<br>
2. An associate degree or 60 semester credits from an accredited college or university, including or supplemented by 12 semester credits from an accredited college or university in criminal justice, forensic auditing, forensic science, police science, criminology, criminal justice administration and planning, and/or law or a related field and one year of satisfactory, full-time experience as an investigator as described in &ldquo;1&rdquo; above; or
<br>
3. A baccalaureate degree from an accredited college or university; or
<br>
4. Education and/or experience equivalent to &ldquo;1&rdquo;, &ldquo;2&rdquo; or &ldquo;3&rdquo; above. Undergraduate college credit can be substituted for experience on the basis of 10 semester credits from an accredited college or university, for three months of full-time experience. However, all candidates must have at least a four-year high school diploma or its educational equivalent.
<br>
<br>
Clerical experience in an organization which investigates criminal or fraudulent activities is not acceptable.</p><p><b><br>
55a Program</b></p><br>
This position is also open to qualified persons with a disability who are eligible for the 55-a Program. Please indicate at the top of your resume and cover letter that you would like to be considered for the position through the 55-a Program.<br>
<p><b>
Public Service Loan Forgiveness</b></p><br>
As a prospective employee of the City of New York, you may be eligible for federal loan forgiveness programs and state repayment assistance programs. For more information, please visit the U.S. Department of Education&rsquo;s website at https://studentaid.gov/pslf/.<br>
<p><b>
Residency Requirement</b></p><br>
New York City residency is generally required within 90 days of appointment. However, City Employees in certain titles who have worked for the City for 2 continuous years may also be eligible to reside in Nassau, Suffolk, Putnam, Westchester, Rockland, or Orange County. To determine if the residency requirement applies to you, please discuss with the agency representative at the time of interview.<br>
<p><b>
Additional Information</b></p><div></div><p><br>
The City of New York is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination and harassment based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, veteran status, gender identity, or pregnancy.</p></div>
</div><div><div><p><b>
</b></p><p><b>Save</b></p>
</div></div></div></div><div><div><div><div><div><div><div>Job ID
</div><div>774503</div>
</div></div><div><div><div><div>Posted until
</div><div>05/17/2026</div>
</div></div></div><div><div><div><div>Title code
</div><div>31113</div>
</div></div></div><div><div><div><div>Civil service title
</div><div>FRAUD INVESTIGATOR</div>
</div></div></div><div><div><div><div>Title classification
</div><div>Competitive-1</div>
</div></div></div><div><div><div><div>Business title
</div><div>SENIOR INVESTIGATOR</div>
</div></div></div></div><div><div><div><ul><li><div>Experience Level: </div>Experienced (Non-Manager)
</li></ul></div></div><div><div><div><div>Job level
</div><div>02</div>
</div></div></div><div><div><div><div>Number of positions
</div><div>1</div>
</div></div></div><div><div><div><div>Work location
</div><div>375 Pearl Street</div>
</div></div></div><div><div><ul><li><div>Category: </div>Social Services
</li></ul></div></div></div></div></div></div><div><div><div><div><div>SENIOR INVESTIGATOR</div></div></div></div></div></div><p></p>

SENIOR INVESTIGATOR

Allied Universal Compliance and Investigations

<div><p>SIU Investigator</p><h2 class="jobSectionHeader"><b>
Overview</b></h2><p>
Company Overview:
</p><p>Advance Your Career in Insurance Claims with Allied Universal&reg; Compliance and Investigation Services. Allied Universal&reg; Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.</p><h2 class="jobSectionHeader"><b>
Job Description</b></h2><p>
Allied Universal&reg; is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.</p><p><br>
</p><ul><li><b>Private Investigator's license required prior to applying</b></li><li><b>
Must possess a valid driver's license with at least one year of driving experience</b></li></ul><br>
<p></p>
<p><b>RESPONSIBILITIES:</b>
</p><ul><li>Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability</li>
<li>Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance</li>
<li>Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed</li>
<li>Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct</li>
<li>Run appropriate database indices if necessary and verify the accuracy of results found</li>
<li>Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor</li></ul><p><b>
QUALIFICATIONS (MUST HAVE):</b>
</p><ul><li>Must possess one or more of the following:</li><li><ul><li>
Bachelor's degree in Criminal Justice</li>
<li>High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud</li></ul></li><li>
Ability to be properly licensed as a Private Investigator as required by the state where work Is completed</li>
<li>Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course</li>
<li>Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims</li>
<li>Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.</li>
<li>Proficient in utilizing laptop computers and cell phones.</li>
<li>Special Investigative Unit (SIU) Compliance knowledge</li>
<li>Ability to type 40+ words per minute with minimum error</li>
<li>Flexibility to work varied and irregular hours and days including weekends and holidays</li></ul><p><b>
PREFERRED QUALIFICATIONS (NICE TO HAVE):</b>
</p><ul><li>Military experience</li>
<li>Law enforcement</li>
<li>Insurance administration experience</li>
<li>Familiarity with California SIU regulations</li>
<li>One or more of the following professional industry certifications:</li><li><ul><li>
Certified Fraud Investigator (CFE)</li>
<li>Certified Insurance Fraud Investigator (CIFI)</li>
<li>Fraud Claim Law Associate (FCLA)</li>
<li>Fraud Claim Law Specialist (FCLS)</li>
<li>Certified Protection Professional (CPP)</li>
<li>Associate in Claims (AIC)</li>
<li>Chartered Property Casualty Underwriter (CPCU)</li></ul></li></ul><p><b>
BENEFITS:</b>
</p><ul><li>Medical, dental, vision, basic life, AD&amp;D, retirement plan and disability insurance</li>
<li>Seven paid holidays annually, sick days available where required by law</li>
<li>Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law</li></ul><h2 class="jobSectionHeader"><b>
Closing</b></h2><p>
Allied Universal&reg; is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
</p><p>If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.</p><h2 class="jobSectionHeader"><b>
Requisition ID</b></h2><br>
2026-1550758</div>

SIU Investigator

Devoted Health

<div></div><div><div>Job Description</div><div><i>
A bit about this role:</i></div><div></div><div>
Are you a highly analytical and experienced investigator with a passion for uncovering the truth and protecting vital healthcare resources? Our Special Investigations Unit (SIU) is looking for a skilled Investigator to join our dedicated team. In this crucial role, you'll be at the forefront of preventing, detecting, and responding to healthcare fraud, waste, and abuse (FWA), safeguarding our members and the integrity of the Medicare Fund. If you're driven by meticulous investigation, data-driven insights, and a commitment to justice, we encourage you to apply.</div><div></div><div><i>
Responsibilities and Impact will include:</i></div><div><br>
As an SIU Investigator, you'll be responsible for the full lifecycle of complex FWA investigations, acting as a subject matter expert and collaborating with various stakeholders. Your key responsibilities will include:</div><ul><li><div>
Lead Complex Investigations: Plan, organize, and execute specialized investigations into allegations of healthcare fraud, waste, and abuse. This includes handling intricate cases requiring advanced investigative knowledge and skills.</div></li><li><div>
Data-Driven Detection: Utilize advanced data mining and analysis techniques to identify aberrancies and outliers in claims, medical records, enrollment, and other healthcare transactions. You'll independently research FWA issues and employ cutting-edge investigative resources.</div></li><li><div>
Expert Guidance: Serve as a subject matter expert for other SIU Investigators, providing specialized knowledge and guidance to elevate team capabilities.</div></li><li><div>
Policy &amp; Strategy Development: Contribute to the development of robust policies and procedures related to FWA detection and investigation, as well as the annual SIU risk assessment and work plan.</div></li><li><div>
Thorough Documentation &amp; Reporting: Conduct comprehensive FWA investigations, ensuring complete and accurate case documentation and detailed investigative reports that adhere to SIU policies and standards.</div></li><li><div>
External Referrals &amp; Collaboration: Prepare comprehensive summary and detailed reports on investigative findings for referral to federal and state agencies, ensuring full compliance with regulatory requirements. You'll also actively participate in OIG Healthcare Fraud Workgroups.</div></li><li><div>
Stakeholder Engagement: Collaborate closely with internal stakeholders (e.g., FWA Monthly Workgroup, Market/Network, Credentialing Committee) to share updates on FWA schemes, coordinate recommendations, and facilitate fund recovery or other necessary actions.</div></li><li><div>
Provider Education: Conduct impactful provider education sessions as a direct response to investigation findings and audits.</div></li><li><div>
Liaison &amp; Point of Contact: Serve as a key point of contact for corporate and field inquiries regarding FWA, and participate in meetings with providers, business partners, regulatory agencies, and law enforcement.</div></li><li><div>
Training &amp; Development: Assist in developing and presenting engaging FWA training programs for internal and external audiences.</div></li></ul><div></div><div><i>
Required skills and experience:</i></div><ul><li><div>
Education: A Bachelor&rsquo;s Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent relevant work experience.</div></li><li><div>
Experience:</div></li></ul><ul><li><div>
Minimum of 3 years of dedicated experience in health insurance fraud investigation.</div></li><li><div>
Minimum of 5+ years experience as a detective or investigator for a law enforcement agency.</div></li><li><div>
Proven experience within Medicare and/or Medicaid programs, specifically with medical claim billing, reimbursement, audit, or provider contracting.</div></li><li><div>
Demonstrated experience with data analysis techniques.</div></li><li><div>
Experience with the Healthcare Fraud Shield platform is a significant plus.</div></li></ul><ul><li><div>
Exceptional Analytical Skills: Ability to interpret and dissect complex data sets, identifying patterns and anomalies indicative of FWA. Must have demonstrated experience with AI tools.</div></li><li><div>
Outstanding Communication: Excellent written and verbal communication skills are essential for clear report writing, compelling presentations, and effective stakeholder engagement.</div></li><li><div>
Integrity &amp; Detail-Oriented: A strong commitment to integrity and compliance, coupled with meticulous attention to detail in all aspects of investigations.</div></li><li><div>
Independent &amp; Collaborative: Proven ability to work independently, manage a diverse caseload of investigations, and thrive in a fast-paced environment, while also excelling in collaborative team settings.</div></li><li><div>
Strong Organizational Skills: Highly organized with the ability to manage multiple complex investigations simultaneously and effectively prioritize tasks.</div></li></ul><div></div><div><i>
Desired skills and experience:</i></div><ul><li><div>
Certified Fraud Examiner (CFE)</div></li><li><div>
Certified Professional Coder (CPC)</div></li></ul><div></div><div><br>
#LI-DS1<br>
#LI-Remote<br>
<br>
Salary range: $55,000 - $100,000 /year</div><div></div><div>
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.</div><div></div><div>
Our Total Rewards package includes:</div><ul><li><div>
Employer sponsored health, dental and vision plan with low or no premium</div></li><li><div>
Generous paid time off</div></li><li><div>
$100 monthly mobile or internet stipend</div></li><li><div>
Stock options for all employees</div></li><li><div>
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles</div></li><li><div>
Parental leave program</div></li><li><div>
401K program</div></li><li><div>
And more....</div></li></ul><div></div><ul><li><i>Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.</i></li></ul><div></div><div>
Healthcare equality is at the center of Devoted&rsquo;s mission to treat our members like family. We are committed to a diverse and vibrant workforce.</div><div></div><div>
At Devoted Health, we&rsquo;re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That&rsquo;s why we&rsquo;re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company &mdash; one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!</div><div></div><div>
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted&rsquo;s Code of Conduct, our company values and the way we do business.</div><div></div><div>
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.</div></div>
<br><p></p><div><div><div><div><div><div>We have been made aware of instances of fraudulent job postings and/or fraudulent recruiting activity by individuals purporting to represent Devoted Health. These fraudulent schemes often seek monetary contributions or payments from job seekers (such as for &ldquo;start up costs&rdquo; or &ldquo;equipment&rdquo;), or seek to collect sensitive personal information. These job postings and offers are NOT authorized by Devoted Health and Devoted is not responsible for fraudulent offers, personal information that you may have disclosed, or payments made to third parties purporting to represent Devoted. We have reported this matter and are cooperating with law enforcement agencies. Devoted Health will never ask for financial commitment or contribution from a candidate at any stage of the recruitment process.</div></div></div></div></div></div><div></div>

<div><p>SIU Investigator</p><h2 class="jobSectionHeader"><b>
Overview</b></h2><p>
Company Overview:
</p><p>Advance Your Career in Insurance Claims with Allied Universal&reg; Compliance and Investigation Services. Allied Universal&reg; Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference.</p><h2 class="jobSectionHeader"><b>
Job Description</b></h2><p>
Allied Universal&reg; is hiring a Special Investigations Unit (SIU) Investigator. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution.</p><p><br>
</p><ul><li><b>Job flexibility offering field work!</b></li><li><b>
Auto and travel allowances!</b></li><li><b>
Must possess a valid driver's license with at least one year of driving experience</b></li></ul><br>
<p></p>
<p><b>RESPONSIBILITIES:</b>
</p><ul><li>Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty and disability</li>
<li>Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance</li>
<li>Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed</li>
<li>Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct</li>
<li>Run appropriate database indices if necessary and verify the accuracy of results found</li>
<li>Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor</li></ul><p><b>
QUALIFICATIONS (MUST HAVE):</b>
</p><ul><li>Must possess one or more of the following:</li><li><ul><li>
Bachelor's degree in Criminal Justice</li>
<li>High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud</li></ul></li><li>
Ability to be properly licensed as a Private Investigator as required by the state where work Is completed</li>
<li>Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course</li>
<li>Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims</li>
<li>Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area.</li>
<li>Proficient in utilizing laptop computers and cell phones.</li>
<li>Special Investigative Unit (SIU) Compliance knowledge</li>
<li>Ability to type 40+ words per minute with minimum error</li>
<li>Flexibility to work varied and irregular hours and days including weekends and holidays</li></ul><p><b>
PREFERRED QUALIFICATIONS (NICE TO HAVE):</b>
</p><ul><li>Military experience</li>
<li>Law enforcement</li>
<li>Insurance administration experience</li>
<li>Familiarity with California SIU regulations</li>
<li>One or more of the following professional industry certifications:</li><li><ul><li>
Certified Fraud Investigator (CFE)</li>
<li>Certified Insurance Fraud Investigator (CIFI)</li>
<li>Fraud Claim Law Associate (FCLA)</li>
<li>Fraud Claim Law Specialist (FCLS)</li>
<li>Certified Protection Professional (CPP)</li>
<li>Associate in Claims (AIC)</li>
<li>Chartered Property Casualty Underwriter (CPCU)</li></ul></li></ul><p><b>
BENEFITS:</b>
</p><ul><li>Medical, dental, vision, basic life, AD&amp;D, retirement plan and disability insurance</li>
<li>Seven paid holidays annually, sick days available where required by law</li>
<li>Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law</li></ul><h2 class="jobSectionHeader"><b>
Closing</b></h2><p>
Allied Universal&reg; is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
</p><p>If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.</p><h2 class="jobSectionHeader"><b>
Requisition ID</b></h2><br>
2026-1555432</div>

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