New Jersey Licensed Investigations Supervisor

Job Summary

Supervising a team of investigators within the Special Investigations Unit, the full-time New Jersey Licensed Investigations Supervisor will manage case prioritization, guide fraud case documentation, and coordinate with law enforcement while working remotely.

Key responsibilities

• Provide supervision and guidance to investigators on case management and effective investigation methods
• Coordinate with management on settlement terms related to health care fraud investigations
• Represent the company in legal proceedings and settlement negotiations pertaining to fraud cases

Required qualifications

• BA in criminal justice, business, or related discipline
• Minimum of 7+ years of experience in professional investigations related to economic or health insurance matters
• 2-3 years of experience managing staff preferred
• AHFI, CFE, CPC, or other relevant professional certification required; a Master's degree may be considered in lieu of certification
• In-depth knowledge of health insurance operations and NJ Criminal and Civil Law related to health insurance fraud