Criminal Investigator jobs in Taunton, MA

Criminal Investigator conducts investigations of criminal cases. Analyzes collected data or evidence and prepares documentation for legal action. Being a Criminal Investigator conducts surveillance and interviews witnesses. Interfaces with various law enforcement agencies. Additionally, Criminal Investigator often requires prior experience working in or closely with law enforecement. May require a bachelor's degree or equivalent. Typically reports to a supervisor or manager. Criminal Investigator's years of experience requirement may be unspecified. Certification and/or licensing in the position's specialty is the main requirement. (Copyright 2024 Salary.com)

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SIU Investigator
  • Point32Health
  • Canton, MA FULL_TIME
  • Who We Are
    Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.
    We enjoy the important work we do every day in service to our members, partners, colleagues and communities. To learn more about who we are at Point32Health, click
    here
    .
    Job Summary
    Point32Health is currently seeking highly motivated individuals to join our organization as a nInvestigator within our Special Investigations Unit (“SIU”). The Investigator is an essential team member of the SIU, responsible for leading complex provider investigations related to fraud, waste and abuse, and developing action plans to address the investigative findings and prevent future loss. The Investigator works closely with other members of the SIU to set investigative priorities, develop effective investigative strategies and techniques, and recommend measures to address new and evolving schemes.
    Key Responsibilities/Duties – what you will be doing
    • Leading complex investigations, involving internal and external research, detailed data analyses, review of medical records, and interviews of members, providers, and other third parties.
    • Applying laws, regulations, plan policies and guidelines, contract provisions, coding rules, coverage rules, and industry standards to information gathered during the investigation.
    • Preparing reports of investigative findings and reporting investigative findings to providers.
    • Working with SIU management to educate providers, recover overpayments, take action to prevent future loss, and monitor provider activity post-investigation
    • Identifying root causes of fraud, waste and abuse and recommending internal and external corrective actions to address these root causes.
    • Recommending investigative priorities, strategies, and techniques.
    • Working with the analytics and intake team to develop and refine data mining to address new and evolving schemes.
    • Sharing expertise and promoting investigative best practices among SIU management and staff. Educating and collaborating with various business units to raise awareness of potential FWA concerns.
    • Performing out-of-the-box thinking, collaborate with others, and make a difference every day!
    Other duties as assigned by the Director.
    Qualifications – what you need to perform the job
    • Bachelor’s degree, preferably in a clinical or scientific field, business, accounting, computer science, or criminal justice.
    • 1-3 experience in health care or investigations
    • Certified Professional Coder (“CPC”); Certified Fraud Examiner (“CFE”) designation a plus.
    • Experience in audits/investigations (preferred).
    • Ability to produce clear, concise, and well-organized documents.
    Compensation & Total Rewards Overview
    As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.
    Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:
    • Medical, dental and vision coverage
    • Retirement plans
    • Paid time off
    • Employer-paid life and disability insurance with additional buy-up coverage options
    • Tuition program
    • Well-being benefits
    • Full suite of benefits to support career development, individual & family health, and financial health
    For more details on our total rewards programs, visit
    https://www.point32health.org/careers/benefits/
    Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity
    Point32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation. Our Diversity, Equity, Inclusion, Accessibility (DEIA) and Health Equity team's strategy is deeply connected to our core values and will evolve as the changing nature of work shifts. Programming, events, and an inclusion infrastructure play a role in how we spread cultural awareness, train people leaders on engaging with their teams and provide parameters on how to recruit and retain talented and dynamic talent. We welcome all applicants and qualified individuals, who will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.
  • 17 Days Ago

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Surveillance Investigator
  • Allied Universal
  • Foxboro, MA FULL_TIME
  • Allied Universal® Compliance and Investigations, North America’s leading expert insurance claim investigations, compliance and corporate governance company, provides rewarding careers that give you a ...
  • 13 Days Ago

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Surveillance Investigator
  • Allied Universal®
  • Foxborough, MA FULL_TIME
  • Surveillance Investigator Overview Allied Universal® Compliance and Investigations, North America's leading expert insurance claim investigations, compliance and corporate governance company, provides...
  • 14 Days Ago

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SIU Investigator
  • P32HS Point32Health Services Inc
  • Canton, MA FULL_TIME
  • Who We Are Point32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building...
  • 1 Month Ago

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SIU Investigator - Boston, MA
  • Advantage Surveillance LLC
  • Boston, MA FULL_TIME
  • Advantage Surveillance: Advantage Surveillance is the region’s only insurance defense investigation firm that invests in the operational capabilities necessary to produce consistent, high-quality resu...
  • 21 Days Ago

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Asset Protection Investigator
  • Walmart Plymouth
  • Plymouth, MA PART_TIME,FULL_TIME
  • Job Summary:We are seeking a dedicated and detail-oriented Asset Protection Associate to join our team. As an Asset Protection Associate, you will play a vital role in ensuring the safety and security...
  • 25 Days Ago

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0 Criminal Investigator jobs found in Taunton, MA area

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Attorney
  • United States Marine Corps
  • Boston, MA
  • The Marine Corps is currently hiring lawyers interested in earning their commission as an officer in the United States M...
  • 4/25/2024 12:00:00 AM

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Private Investigator
  • PhotoFax
  • Boston, MA
  • Job Description Job Description Salary: $22-$27 hourly BBostonPrivate Investigator - Company Vehicle Provided! PhotoFax,...
  • 4/25/2024 12:00:00 AM

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Law Enforcement Officer
  • Rhode Island Airport Corp.
  • Warwick, RI
  • Description Job Title: Law Enforcement Officer Shift: TBD Department: Airport Police Reports to: Sergeant, Lieutenant, C...
  • 4/24/2024 12:00:00 AM

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Service Planner II Rhode Island Public Transit Authority (RIPTA) To provide safe, reliable and [...]
  • Naacp Providence Branch
  • Providence, RI
  • The Rhode Island Public Transit Authority (RIPTA) is recruiting internally and externally for the position of Service Pl...
  • 4/24/2024 12:00:00 AM

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Manager - Cybersecurity Investigations
  • StoneTurn
  • Boston, MA
  • If you seek a fast-paced, people-first firm with a collaborative culture, StoneTurn may be the right place for you. Ston...
  • 4/23/2024 12:00:00 AM

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Lateral Patrol Officer
  • The City of East Providence, RI
  • East Providence, RI
  • LATERAL PATROL OFFICER Salary Range $57,644 - $68,862 (Depending on years of P.O.S.T. service) Recruitment Period - Marc...
  • 4/23/2024 12:00:00 AM

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Police Officer Transfer Opportunity
  • Town of Westwood
  • Westwood, MA
  • Police Officer Transfer Opportunity The Westwood Police Department is currently seeking qualified transfer candidates to...
  • 4/22/2024 12:00:00 AM

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Manager - Cybersecurity Investigations
  • Stoneturn
  • Boston, MA
  • If you seek a fast-paced, people-first firm with a collaborative culture, StoneTurn may be the right place for you. Ston...
  • 4/21/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 48.4 square miles (125.4 km2), of which 46.4 square miles (120.1 km2) is land and 1.7 square miles (4.4 km2), or 3.53%, is water. It is the third-largest city by area in Massachusetts, after Boston and Barnstable. Taunton has one major river, the Taunton River, along with its tributaries including the Mill River and the Three Mile River. The highest point in the city is near its southwest corner, with an elevation of 207 feet (63 m) above sea level. Prospect Hill, rising over Lake Sabbatia north of the downtown, has an...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Criminal Investigator jobs
$63,230 to $93,039
Taunton, Massachusetts area prices
were up 1.6% from a year ago

Criminal Investigator in Columbus, MS
An investigator may specialize in analyzing evidence and information from a crime scene, conducting interviews and searches, or performing surveillance.
November 14, 2019
While you may not need a college degree to become a criminal investigator, you will need law enforcement education and on-the-job training.
October 16, 2019
Criminal Investigator in Cincinnati, OH
On a daily basis, Criminal Investigators Obtain and verify evidence by interviewing and observing suspects and witnesses or by analyzing records.
November 13, 2019
Criminal Investigator in Gastonia, NC
Individuals who choose to become a criminal investigator are considered law enforcement professionals who participate in the process of solving crimes through their area of specialty.
October 30, 2019