Job Summary
A healthcare and health insurance company is seeking a Telecommute Senior Healthcare Investigator.
Must be able to:
- Act as a subject matter with identifying, communicating and recovering losses as deemed appropriate
- Respond to requests for information and subpoenas from governmental agencies
Skills and Requirements Include:
- Conduct onsite provider claim and / or clinical audits
- 4 years of experience within the insurance claims industry
- Associates Degree in the area of Criminal Justice or related field
- An intermediate level of knowledge with Local, State & Federal laws and regulations pertaining to insurance
- A basic level of proficiency in MS Excel, MS Word and MS Access