Job Summary
An insurance company is in need of a Telecommute Post Pay Senior Investigator.
Core Responsibilities Include:
- Reviewing claims data
- Conducting confidential investigations, document relevant findings and report any illegal activities
- Conducting in-person or telephonic interviews
Position Requirements Include:
- Conduct onsite provider claim and/or clinical audits
- 3 years of experience in a position investigating fraud, waste and abuse
- Experience communicating complex information via phone conversations and emails
- Intermediate proficiency with Excel including utilization of pivot tables, formulas, functions, etc
- 3 yrs of experience working in a government, legal, law enforcement, investigations, health insurance environment, etc
