claims investigator - full time

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siu investigator

siu investigator (mid-level) - california Jobs in Los Angeles

investigator

Advantage Investigations

<div><div>For the past 28 years, Advantage Investigations has been the Nation&rsquo;s only insurance defense investigation firm that invests in the operational capabilities necessary to produce consistent, high-quality results&mdash;ultimately helping our clients &quot;See What&rsquo;s True.&quot;</div><div></div><div> 
With over 200+ licensed private investigators Nationwide, Advantage uses strategic planning and technology to give our clients greater clarity on a claimant's daily activities. Providing Covert Surveillance, Claims Investigations, Net-Sweep Investigations, Remote Controlled Surveillance, and more, we&rsquo;re able to save our clients time and money on insurance fraud cases.</div><div></div> 
Advantage Investigations is seeking a Full-Time (will also consider PT) SIU/Claims Investigator in Los Angeles, CA/Surrounding Areas. The qualified candidate will be responsible for conducting investigations of auto, property, homeowner liability and worker&rsquo;s compensation insurance claims in support of client objectives and Company quality standards. As an SIU/Claims Investigator, you will be provided with a comprehensive training program, door to door pay, and mileage reimbursement at the IRS rate. This position requires daily travel within the investigator&rsquo;s area/territory.<div> 
Duties &amp; Responsibilities:</div><div><ul><li>
Conduct investigations of auto, property, liability, and worker&rsquo;s compensation claims</li><li>
Independently reviews the assignment, supporting documentation and all other case information prior to commencing the on-site assignment.</li></ul></div><ul><li>
Consults with the Manager on appropriate strategies for individual cases, before and throughout the investigative process.</li><li>
Locate subjects of the assigned investigation and conduct applicable case investigation, to include recorded statements and scene investigations etc.</li><li>
Creates and maintains written daily updates, supporting photos, audiotapes, diagrams, and final investigative reports for in a timely and professional manner</li><li>
Time management and communication skills</li><li>
Ability to handle confidential information and material</li></ul> 
Qualifications &amp; Requirements:<ul><li>
3 years claims investigative experience preferred</li><li>
3 years investigative experience required</li></ul><div><ul><li>
Bi-Lingual a plus</li></ul></div><ul><li>
Private Investigator License required in most states</li></ul><ul><li>
Full comprehension of case management systems</li><li>
Able to proactively conduct follow-ups as needed</li><li>
Good Oral and Written Communication Skills</li><li>
Proficient in computer technology &ndash; including Microsoft office type products, email, and the ability to produce quality, well-written reports</li><li>
Self-Starter/Disciplined work ethic with ability to ask relevant questions when needed, and work indecently</li><li>
Meet state mandated requirements to obtain and maintain a Private Investigator license multiple states</li><li>
Daily access to a reliable vehicle</li><li>
Valid Driver&rsquo;s License</li><li>
Ability to provide MVR (driving record)</li><li>
Pass Drug Screen</li></ul> 
Compensation: Investigators are paid door to door an hourly rate commensurate with experience within $25.00 to $30.00 an hour. Employees are paid on a bi-weekly basis. 
Company Benefits:<ul><li>
Door to Door hourly pay</li><li>
Mileage Reimbursement at IRS rate</li><li>
401k with match</li><li>
Flexible Schedule</li></ul> 
Advantage Investigations is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.</div>

SIU Investigator

CalStar Unlimited

CalStar Unlimited (CA PI# 187978), a growing private investigative firm focused on insurance investigations, is looking to hire an experienced AOE/COE Investigator based in the greater Los Angeles, California area.An AOE/COE Investigator will conduct compensability investigations for workers&rsquo; compensation claims. Typical activities will include conducting thorough recorded interviews with various subjects, canvassing locations to develop witnesses and/or information, obtaining photographic and video evidence, and securing necessary documentation from public and private sources, with all results being documented in a comprehensive written report. CalStar Unlimited has carved out a niche in the industry as being a high-quality, results-oriented investigative company, and we are looking for someone who can perform the above services at an above-average level.The position will be based in or near Los Angeles, and the service area will include various locations in Los Angeles County, as well as the surrounding counties. The wage for this position is based on experience and qualifications.The ideal candidate will possess the following characteristics:- One or more years of experience conducting AOE/COE investigations- An independent worker with integrity, a commitment to producing good work, and the ability to make sound decisions in the field- Effective oral communication skills and a personable demeanor, with the ability to solicit information from individuals of varying backgrounds- Excellent writing skills, with the ability to create reports that adhere to an established style and format.- Fluency in Spanish is desired, but not required.To be considered, please submit a resume explaining why you are an ideal candidate for the position.Job Types: Full-time, Part-timePay: From $29.00 per hourBenefits:<ul><li>Dental insurance</li><li>Health insurance</li><li>Vision insurance</li></ul>Work Location: Remote

Field (AOE/COE) Investigator

CoventBridge Group

<div>Overview:

Claims Investigator &ndash; Full Time
Los Angeles, CA 
Uncover the Truth. Protect the Integrity. Advance Your Career. 
At CoventBridge Group, every claim tells a story &mdash; and as a Claims Investigator, you&rsquo;ll be the one uncovering it. Using your investigative instincts, field experience, and attention to detail, you&rsquo;ll help clients get the answers they need and ensure claims are resolved with accuracy and fairness. 
Join a global leader in full-service investigations, where integrity meets action, and every day brings a new case &mdash; and a new challenge. 
At this time, CoventBridge is not considering candidates who require visa sponsorship, currently or in the future, including but not limited to H-1B, H-2B, E-3, TN, O-1, F-1 (OPT/CPT, or J-1 Visa Statuses.)
Responsibilities/ Requirements:

What You&rsquo;ll Do:
As a Claims Investigator, you&rsquo;ll combine analytical skill with real-world investigation techniques to uncover facts, document findings, and deliver objective results. You will:<ul><li>Conduct complex field investigations involving multiple claim types.</li><li>Submit daily updates summarizing your progress and observations.</li><li>Manage your time effectively to maintain client billable hour expectations.</li><li>Write detailed, professional statements and investigative summaries.</li><li>Deliver clear, client-ready reports that meet CoventBridge&rsquo;s quality standards.</li><li>Perform scene investigations, background checks, and courthouse research.</li><li>Operate safely and remain alert while driving during field assignments.</li></ul>
Your curiosity and persistence will turn each case into a story built on truth and evidence. 
What You&rsquo;ll Bring:
We&rsquo;re looking for investigators who are driven, professional, and dedicated to uncovering facts with accuracy and integrity.<ul><li>Hold a valid (state) Investigator license (or eligibility for licensure in surrounding states).</li><li>Demonstrate at least 1 year of field investigations experience, including face-to-face statements and report writing.</li><li>Travel across multiple states as needed to complete case assignments.</li><li>Investigate claims related to product, auto, general liability, Workers&rsquo; Compensation, disability, life insurance, and contestable death cases.</li><li>Adapt to variable schedules &mdash; including nights and weekends when required.</li><li>Maintain a reliable, fuel-efficient vehicle and required insurance coverage.</li><li>Equip yourself with a digital recorder, laptop (Windows OS), and necessary investigative tools.</li></ul> 
What You&rsquo;ll Need:
To qualify for this position, applicants must possess the following:<ul><li>A minimum of 3-5 years of Claims, SIU, or adjusting experience.
</li><li>An Associate&rsquo;s or Bachelor&rsquo;s degree in Criminal Justice or a related field.</li><li>Strong report writing skills.</li><li>Understand investigative processes, insurance law, and claim procedures.</li><li>Excel in report writing and typing (50+ WPM) with accuracy and attention to detail.</li><li>Thrive under pressure and maintain professionalism in sensitive situations.</li><li>Demonstrate self-motivation, accountability, and sound judgment.</li></ul>
Benefits:

Benefits
We believe great work deserves great rewards. Here&rsquo;s what you can expect when you join our team:<ul><li>Home-based work and flexible scheduling</li><li>Competitive pay with monthly vehicle allowance</li><li>Paid time off</li><li>Company fuel card and company-issued cell phone</li><li>Medical, Dental, Vision plans</li><li>Employer-paid Life, LTD, STD insurance</li><li>401(k) with company match</li><li>Travel and report writing compensation</li><li>Licensing fees paid by company</li><li>Paid ongoing career advancement training</li><li>Expense reimbursement with minimal out-of-pocket expenses</li></ul><div> 
The salary range for this role is $27-$30 per hour. This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the posted range, and the range may be modified in the future. An employee&rsquo;s pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, geographic location, performance, and business or organizational needs.</div><div> 
</div><div>Pursuant to the respective Fair Chance Ordinances of both Los Angeles and San Francisco, we will consider for employment qualified applicants with arrest and conviction records.</div> 
About Us:
CoventBridge Group is a global leader in full-service investigations providing: Surveillance, SIU and Compliance, Claims Investigation, Counter-Fraud Programs, Desktop Investigations, Social Media, Record Retrieval, Canvasses and Vendor Management programs. The company provides top tier data privacy and security practices, deploys robust case management technology customized to clients&rsquo; needs and delivers worldwide coverage via its 700+ employees and affiliates worldwide. 
CoventBridge is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, caste, disability, veteran status, and other legally protected characteristics and maintains a drug-free workplace. 
CoventBridge is committed to the full inclusion of all qualified individuals. As part of this commitment, CoventBridge will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact: Human Resources; 888-932-7364; humanresources@coventbridge.com. 
CoventBridge Group Inc. California License # PI27136</div>

Claims Investigator - Full Time

US Federal Trade Commission

Federal Trade Investigator

USAA

<div>Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values &ndash; honesty, integrity, loyalty and service &ndash; define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
We are looking for a SIU Investigator (mid-level). This is a Desk position. Within defined guidelines and framework, protects USAA and our members from potential fraudulent claims by investigating questionable, suspect claims activity in compliance with state insurance fraud-related laws and regulations and policies and procedures. The selected candidate will have a strong multi-line SIU investigation background.
This position is remote eligible. However, you must currently live in California.
What you'll do:<ul><li>
Applies knowledge and understanding of fraud schemes and investigation strategies on any questionable or suspect first or third part claims.</li><li>
Participates in the development of fraud prevention strategies.</li><li>
Applies knowledge of P&amp;C insurance industry products, services, and processes in investigating claims to include P&amp;C insurance policy contracts, coverages and internal claims handling process and procedures.</li><li>
Applies knowledge of state laws and regulations pertaining to insurance fraud in investigating claims.</li><li>
Collects evidence of potential fraud through field or remote interviews and thorough searches of investigative databases, internal resources, Internet resources, public records, and forensic tools.</li><li>
Makes recommendations within defined authority guidelines.</li><li>
Prepares and presents detailed and comprehensive verbal and written investigative reports summarizing the results of the investigation and recommended outcome.</li><li>
Develops and maintains external relationships with industry, law enforcement and other contacts involved in fraud investigation, detection, and prevention.</li><li>
May serve as a resource team member on specific matters through demonstrated skill or training.</li><li>
Assists with the delivery of fraud awareness training initiatives in a defined environment.</li><li>
Handles CAT duty responsibilities as business requires.</li><li>
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.</li></ul><h2 class="jobSectionHeader">
What you have:</h2><ul><li>
Minimum High School Diploma or General Equivalency Diploma (GED).</li><li>
2+ years claims adjusting experience, or P&amp;C SIU/Fraud Investigation experience OR 4+ years prior investigative law enforcement (to include military) or relevant fraud industry investigation experience.</li><li>
Proven investigatory skills.</li><li>
Experience obtaining statements from various parties to incidents, witnesses, and suspects.</li><li>
Ability to gather broad range of evidence and draw conclusions based on the objective details related to the applicability of fraud.</li><li>
Demonstrated ability to organize and prioritize workload, performing multiple tasks and devising solutions to problems.</li><li>
Familiarity with using computers and various software packages to enter and extract data for analysis from relevant data sources and systems.</li><li>
Knowledge of city, state and local regulations, legal concepts, understanding of contracts, case law, medical treatment, and medical terminology.</li></ul><h2 class="jobSectionHeader">
What sets you apart:</h2><ul><li>
SIU experience conducting low to complex P&amp;C fraud investigations OR a combination of Claims and Law Enforcement Investigations OR Military Investigative experience.</li><li>
Strong multi-line SIU experience</li><li>
 Designations such as CFE, CIFI, SCLA, ACLS, FCLS, LPCS, AIC, CPCU, CCLS, or other.</li><li>
US military experience through military service or a military spouse/domestic partner</li></ul>
Compensation range: The annualized range for this position is: $77,120 - $147,390. However, this is an hourly position.
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. 
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. 
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. 
For more details on our outstanding benefits, visit our benefits page on USAAjobs.com
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. 
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.</div>

SIU Investigator (Mid-level) - California

UCLA Health

<div><div>Description
The Department of Medicine, Division of Cardiology, is seeking a Research Nurse Coordinator to support cardiovascular clinical trials and innovative research initiatives. Under the direction of the Principal Investigator, this role performs independent nursing and advanced administrative duties to ensure the effective implementation and management of clinical research protocols. Responsibilities include seeing research participants, reviewing safety labs and adverse events, implementing investigational drug dose adjustments per protocol, and performing specialized clinical procedures such as electrocardiograms, spirometry, and cardiopulmonary exercise testing while monitoring vital signs.
This position supports a diverse portfolio of studies, including multicenter NIH and industry-sponsored trials, investigator-initiated research, and programmatic activities such as clinical databases and biorepositories. The Research Nurse Coordinator works closely with investigators, clinicians, research staff, and external partners to ensure regulatory compliance, patient safety, and efficient study operations while contributing clinical expertise to the advancement of cardiovascular research.
*This is a limited role which may convert to career.*
Hourly range: $70.59-$106.80</div><div>
Qualifications
<div>Required:</div><div></div><ul><li>
BSN or MSN &ndash; required</li><li>
Active California Registered Nursing License</li><li>
5 years of Cardiovascular Research experience</li><li>
ACLS, BCLS and PALS from the American Red Cross or American Heart Association &ndash; required</li><li>
Ability to complete a Nursing physical assessment</li><li>
Ability to conduct cardiopulmonary exercise testing</li><li>
Ability to complete research case report forms and other research-related documentation according to good clinical practice (GCP) standards and regulatory requirements</li><li>
Ability to follow research standard operating procedures and study protocols</li><li>
Working knowledge of HIPPA guidelines and Human Subjects Protection rights.</li></ul></div></div><div></div>

Research Nurse Coordinator (20% Limited)

<div><div>Description
Life-saving breakthroughs, innovative therapies, and next-generation technologies. Through vision, tenacity, and inspiration, UCLA Health&rsquo;s world-class researchers are redefining human health and patient care. Join us and live out your passion for discovery while making an incredible difference in the lives of people around the world.

The incumbent will support a wide range of clinical research activities under the guidance of the Principal Investigator. Responsibilities include managing human subject regulatory requirements&mdash;such as ARC and IRB submissions, tracking adverse events, ensuring FDA compliance, and coordinating DSMB activities. The role also oversees participant recruitment, screening, enrollment, and retention. Additional duties include organizing and analyzing study data, generating summary figures and tables, contributing to presentations and manuscripts, and reviewing and entering chart data into study databases. Prior research experience is preferred, and experience coordinating multi site clinical studies is highly beneficial. All work will be performed under the supervision of the Principal Investigator or senior scientific staff.

Salary: $31.21 - $50.21 hourly</div><div>
Qualifications
Required:<ul><li>
Excellent skills in computer and software operation 
</li><li>
Knowledge and experience using word processing, spreadsheet (Microsoft Word/Excel) 
</li><li>
Proven track record of working with high level of accuracy. 
</li><li>
Demonstrated ability to write clear, concise, and grammatically correct letters, memos, and emails. 
</li><li>
Excellent ability to perform a variety of duties with frequent interruptions and to work effectively under conditions of fluctuating workload. 
</li></ul><div>
Preferred: 
</div><div><ul><li>
Bachelor&rsquo;s Degree and/or equivalent combination of education and experience. 
</li><li>
Previous experience in data management of clinical research protocols, including the completion of case report forms and other study documents. 
</li><li>
Knowledge of health services or clinical research methodology and principles. 
</li><li>
Prior IRB experience and coordination of clinical studies desired. 
</li><li>
Experience working with a diverse research population. 
</li><li>
Knowledge of simple statistical analysis. 
</li><li>
Excellent scientific writing skills in order to write or edit correspondence, progress reports, and research papers 
</li><li>
Knowledge and experience using statistical analysis software 
</li><li>
Knowledge of basic statistical tests and procedures related to data management and selection of descriptive tests for summarizing data. 
</li><li>
Knowledge of the rules and regulations for Human Subject Protection and informed consent</li></ul></div></div></div><div></div>

Staff Research Associate II - VA

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