Florida Licensed SIU Investigator

Job Summary

Investigating allegations of potential healthcare fraud and abuse, the full-time Florida Licensed SIU Investigator will conduct claims investigations, perform data analysis, and prepare reports, all while working remotely.

Key responsibilities

• Conduct investigations of potential waste, abuse, and fraud in healthcare claims
• Document case activities and refer issues to appropriate parties
• Perform data mining and analysis to detect aberrancies and develop queries for fraud detection

Required qualifications

• Bachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience
• 1+ years of experience in medical claim investigation, audit, analysis, or fraud investigation