Job Summary

A healthcare insurance company has an open position for a Remote Healthcare Insurance Claim Investigator I.

Core Responsibilities of this position include:

• Investigating assigned cases
• Collecting, researching, and analyzing claim data
• Detecting fraudulent, abusive or wasteful activities/practices

Qualifications Include:

• BA/BS
• 2+ years related experience preferably in healthcare insurance departments
• Experience in departments such as Grievance and Appeals, Contracting or Claim Operations, law enforcement
• OR or any equivalent combination of education and experience
• Able to use appropriate system tools and databases for analysis of data and review