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Claims investigator • scottsdale az

Last updated: 1 day ago
  • Promoted
SENIOR INVESTIGATOR

SENIOR INVESTIGATOR

Arizona Department of AdministrationPhoenix, AZ, US
Full-time +1
Legal / Investigations / Adjustment / Compliance.The mission of the Arizona State Board of Nursing is to protect and promote the welfare of public by ensuring that each person holding a nursing license o...Show moreLast updated: 24 days ago
  • Promoted
Physician Investigator

Physician Investigator

Axsendo ClinicalPhoenix, AZ, US
Full-time
The Role : Become a Physician Investigator within the Axsendo Clinical Research Network!.Here at Axsendo Clinical Research (ACR), we streamline the research process, empowering physicians to drive i...Show moreLast updated: 30+ days ago
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FIRE INVESTIGATOR

FIRE INVESTIGATOR

EFI Global, Inc.Phoenix, AZ, United States
Full-time
The 'Apply with SEEK option' will be utilized for International applicants, mainly Australia.If this does not apply to you please use the 'Apply' option. IF YOU CARE, THERE'S A PLACE FOR YOU HERE.EF...Show moreLast updated: 1 day ago
Investigator

Investigator

Ethos Risk ServicesPhoenix, AZ, USA
Full-time
Quick Apply
Ethos Risk Services is continuing to expand our team of.Experienced Licensed Investigators.Ethos Risk is one of the largest and most respected fraud investigations businesses in the US.Join us in u...Show moreLast updated: 30+ days ago
Fraud Investigator

Fraud Investigator

MUFGTempe, AZ
Full-time
Do you want your voice heard and your actions to count?.Discover your opportunity with Mitsubishi UFJ Financial Group (MUFG), the 7th largest financial group in the world.Across the globe, we’re 12...Show moreLast updated: 30+ days ago
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Claims Investigator - Experienced

Claims Investigator - Experienced

Command InvestigationsPhoenix, AZ, US
Full-time
Seeking experienced investigators with commercial or personal lines experience, with multi-lines preferred to include AOE / COE, Auto, and Homeowners. SIU experience is highly desired, but not require...Show moreLast updated: 9 days ago
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Senior Investigator

Senior Investigator

BCforwardPhoenix, AZ, US
Full-time
BCforward is currently seeking a highly motivated Senior Investigator for an opportunity in Phoenix, AZ 85007.Hybrid - Onsite training required, followed by remote work with occasional in-person me...Show moreLast updated: 19 days ago
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Background Investigator

Background Investigator

Arizona Department of Public SafetyPhoenix, AZ, US
Full-time
The Arizona Department of Public Safety is seeking experienced Background Investigators.Under general direction, the Background Investigator is responsible for completing confidential background in...Show moreLast updated: 5 days ago
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External Fraud Investigator

External Fraud Investigator

U.S. BankTempe, AZ, US
Full-time
Bank, we're on a journey to do our best.Helping the customers and businesses we serve to make better and smarter financial decisions and enabling the communities we support to grow and succeed.We b...Show moreLast updated: 4 days ago
Senior Investigator

Senior Investigator

SunSoft OnlinePhoenix, AZ, us
Full-time
Quick Apply
Seeking an experienced and highly motivated individual with Public Assistance Eligibility policy and program knowledge and investigation experience. The Senior Investigator will utilize methods empl...Show moreLast updated: 23 days ago
Surveillance Investigator

Surveillance Investigator

FrascoPhoenix, AZ
Full-time +1
Job Type Part-time Description.Eager to start your career in a growing industry? Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully paid investigator...Show moreLast updated: 30+ days ago
Private Investigator

Private Investigator

Lemieux & Associates LLCPhoenix, AZ, USA
Full-time +1
Quick Apply
Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU / Claims Investigators in the Phoenix, AZ or surrounding area.This is a part-t...Show moreLast updated: 30+ days ago
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SURVEILLANCE INVESTIGATOR

SURVEILLANCE INVESTIGATOR

Frasco, Inc.Phoenix, AZ, United States
Full-time +1
Eager to start your career in a growing industry? Get paid to learn the ropes of fraud investigation and real-world surveillance. Frasco offers fully paid investigator training to help you launch yo...Show moreLast updated: 1 day ago
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Transaction Monitoring Investigator

Transaction Monitoring Investigator

VirtualVocationsTempe, Arizona, United States
Full-time
A company is looking for a Transaction Monitoring Investigator.Key Responsibilities Monitor and act upon compliance-related alerts, reviewing potentially suspicious activity Investigate and esca...Show moreLast updated: 3 days ago
Surveillance Investigator

Surveillance Investigator

Allied UniversalPhoenix, AZ, US
Full-time
Allied Universal® is hiring a Surveillance Investigator.Surveillance Investigators perform discreet mobile and stationary surveillance of Claimant to confirm current activities and capabilities to ...Show moreLast updated: 30+ days ago
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Anti-Money Laundering Investigator

Anti-Money Laundering Investigator

Insight GlobalPhoenix, AZ, United States
Full-time
Insight Global is looking to hire on a Sr.AML Investigator for a large financial services client.This position plays a crucial role in safeguarding financial institutions again money laundering, te...Show moreLast updated: 7 days ago
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Background Investigator

Background Investigator

Tech Providers Inc.Phoenix, AZ, US
Temporary
Job Title : Background Investigator.Location : Phoenix, AZ 85003 (On-Site).Duration : 6+ month contract – Potential for Extension.Comp...Show moreLast updated: 18 days ago
SENIOR INVESTIGATOR

SENIOR INVESTIGATOR

Arizona Official Website of State of ArizonaPHOENIX
Full-time +1
Investigates complaints regarding alleged violations of the Nurse Practice Act.Investigates complex or sensitive allegations of legal or regulatory violations. interviews and collects evidence; exa...Show moreLast updated: 30+ days ago
  • Promoted
Criminal Investigator (Special Agent)

Criminal Investigator (Special Agent)

Immigration and Customs EnforcementPhoenix, AZ, US
Full-time +2
View Common Definitions of terms found in this announcement.These positions are located in the Department of Homeland Security, U. Immigration and Customs Enforcement, Homeland Security Investigatio...Show moreLast updated: 30+ days ago
  • Promoted
Damage Field Investigator

Damage Field Investigator

Project Resources GroupPhoenix, AZ, US
Full-time
Project Resources Group (PRG) is seeking a knowledgeable and driven professional to join our team as a.Cable & Telecom Damage Field Investigator. This role is ideal for someone who is self-motivated...Show moreLast updated: 8 days ago
People also ask
SENIOR INVESTIGATOR

SENIOR INVESTIGATOR

Arizona Department of AdministrationPhoenix, AZ, US
24 days ago
Job type
  • Full-time
  • Temporary
Job description

SENIOR INVESTIGATOR

Job No : 524416

Work Type : Full-time

Location : REMOTE OPTIONS, PHOENIX

Categories : Legal / Investigations / Adjustment / Compliance

ARIZONA BOARD OF NURSING

The mission of the Arizona State Board of Nursing is to protect and promote the welfare of public by ensuring that each person holding a nursing license or certificate is competent to practice safely. The Board fulfills its mission through the regulation of the practice of nursing and the approval of nursing education programs. The mission, derived from the Nursing Practice Act, supersedes the interest of any individual, the nursing profession, or any special interest group.

SENIOR INVESTIGATOR

Job Location :

1740 West Adams Street

Phoenix, Arizona 85007

Posting Details :

Hourly Pay Range : $17.68 - $24.70

Grade : 19

This position will remain open until filled

Job Summary :

Investigates complaints regarding alleged violations of the Nurse Practice Act. Investigates complex or sensitive allegations of legal or regulatory violations; interviews and collects evidence; examines and analyzes records and files; reviews and detects improprieties; determines and selects pertinent information and records for support of investigation; determines if a violation has occurred and recommends actions; researches and obtains investigative evidence and composes detailed investigative reports.

Prepares cases for administrative review / action, prepares consent agreements for use in administrative proceedings. Presents cases at Board Meetings and testifies in administrative hearings as official witness.

Job Duties :

  • Investigates complaints regarding alleged violations of the Nurse Practice Act and apply knowledge throughout the investigatory process to determine violations and risks to public safety. Investigates complex or sensitive allegations of legal or regulatory violations; interviews and collects evidence; examines and analyzes records and files
  • Extracts and analyzes information from statutes, legal documents, evaluations, healthcare and employment related records; interviewing and eliciting information in an investigation, and writing detailed investigatory reports with findings of fact, citation of suspected violation / s of the Nurse Practice Act, and disciplinary recommendation for Board action. Applies and interprets Federal, State and agency laws, rules, regulations, and policies regarding nursing practice and complex investigations. Applies and interprets civil, criminal, or regulatory laws of a complex nature
  • Prepares cases for administrative review / action, prepares consent agreements for use in administrative proceedings. Presents cases at Board Meetings and testifies in administrative hearings as official witness. Work with applicable staff to refer criminal actions to appropriate law enforcement entities
  • Prepares and issues subpoenas to obtain or inspect pertinent information (police reports, medical records, personnel records, etc.) and have information sent to the Board office. Prepares Interim Orders requesting licensees consider voluntarily participating based on prior actions taken by the Board, and thereafter, presenting to the board for final determination. Gathers, compiles, and preserves detailed evidence. Reviews and detects improprieties; determines and selects pertinent information and records for support of investigation; determines if a violation has occurred and recommends actions; researches and obtains investigative evidence and composes detailed investigative reports. Enters relevant case information and documents into the database to track and monitor open cases to ensure accurate status, and timely resolution of complaints
  • Other duties as assigned as related to the position

Knowledge, Skills & Abilities (KSAs) :

Knowledge :

  • Requires knowledge in the area of nursing practice, terminology, and meaning of the Nurse Practice Act
  • Methods, techniques and principles for writing investigative reports
  • Methods and techniques / principles for conducting investigations
  • Skills :

  • Excellent written and oral communication skills, and the ability to objectively obtain and analyze information, knowledge, and applicability of the Nurse Practice Act
  • Interpersonal relations, as applied to interaction with respondents, complainants, employers, other state boards of nursing
  • Skills in extracting and using information from statutes, legal documents, evaluation forms, and related records
  • Basic computer operations skills, including working with Word and Google documents
  • Interviewing and eliciting information in an investigation
  • Organization, prioritization, and follow through
  • Ability :

  • Ability to work well with others; prioritize, plan, analyze, coordinate and manage a caseload
  • Maintain objectivity; produce timely and accurate reports and documentation
  • Presenting cases in a Board meeting or hearing
  • Selective Preference(s) :

  • Experience with investigations, substance abuse, social work, and or legal testifying preferred
  • Pre-Employment Requirements :

  • Employees who drive on state business are subject to driver's license record checks, must maintain acceptable driving records and must complete any required driver training (see Arizona Administrative Code R2-10-207.12.)
  • Requires possession of and ability to retain a current, valid state-issued driver's license appropriate to the assignment
  • If this position requires driving or the use of a vehicle as an essential function of the job to conduct State business, then the following requirements apply : Driver's License Requirements.

    Benefits :

    The State of Arizona offers a comprehensive benefits package to include :

  • Optional employee benefits include short-term disability insurance, deferred compensation plans, and supplemental life insurance
  • Life insurance and long-term disability insurance
  • Vacation with 10 paid holidays per year
  • Health and dental insurance
  • Retirement plan
  • Sick leave
  • Learn more about the Paid Parental Leave pilot program here. For a complete list of benefits provided by The State of Arizona, please visit our benefits page

    Retirement :

  • Positions in this classification participate in the Arizona State Retirement System (ASRS)
  • Please note, enrollment eligibility will become effective after 27 weeks of employment
  • Contact Us :

  • If you have any questions please feel free to contact [email protected] for assistance
  • Advertised : 09 Feb 2024 US Mountain Standard Time

    Applications close :

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