Healthcare Fraud Investigator
Benefits
4w PTO
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Role Summary:
- Investigate suspected healthcare fraud and improper claims.
- Collaborate with law enforcement and providers on cases.
Key Responsibilities:
- Analyze claims and audit data to uncover fraud patterns.
- Prepare reports, evidence packages, and recommendations.
- Conduct interviews and site inspections for legal cases.
Requirements:
- At least three years in insurance investigations or auditing.
- Strong analytical, communication, and Excel/Access skills.
- Healthcare claims knowledge is highly desirable.
Unknown
This company protects the integrity of the healthcare system by investigating suspected fraud and improper claims. It operates in a collaborative, results-oriented environment where accuracy and clear communication are essential.