Telecommuting Senior Investigator

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Mon, Mar 26, 2018

Job Category: Insurance, Investigations

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

An insurance company needs applicants for an opening for a Telecommuting Senior Investigator.

Candidates will be responsible for the following:

  • Utilizing information from claims data analysis, plan members, employees conduct confidential investigations and document relevant findings
  • Investigating and resolving instances of healthcare fraud and / or abusive conduct
  • Responding to requests for information and subpoenas from governmental agencies

Qualifications for this position include:

  • An intermediate level of knowledge with Local, State & Federal laws and regulations pertaining to insurance
  • 4 years of experience within the insurance claims industry
  • Associates Degree in the area of Criminal Justice or related field
  • A basic level of proficiency in MS Excel, MS Word and MS Access