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
