Fraud Examiner
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Job Summary
Supporting the SIU team, the full-time Fraud Examiner will conduct data analysis, manage agency requests for information, and assist with investigative tasks in a remote environment.
Key responsibilities
- Synthesize and analyze healthcare claims data and financial information using Excel
- Maintain an Agency Referral Log and obtain necessary information for legal department review
- Assist investigators with interviews and manage notes for the Marketing Incidents Committee Meeting
Required qualifications
- AA/AS degree from an accredited institution
- Intermediate/advanced Excel skills, including pivot tables and basic formulas
- Data analysis experience
- Prior experience in insurance claims investigation/audit or professional investigations
- Critical thinking and analytical skills
Complete Job Description
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