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Telecommute Certified Fraud Investigator I or II

Company: VirtualVocations
Location: Anaheim
Posted on: May 8, 2022

Job Description:

A health insurance company is filling a position for a Telecommute Fraud Investigator I or II.

Core Responsibilities of this position include:
Using appropriate system tools and databases for analysis of data and review of professional and facility claims
Preparation of statistical/financial analyses and reports to document findings
Being responsible for identifying and developing enterprise-wide specific healthcare investigations
Must meet the following requirements for consideration:

Requires a BA/BS and minimum of 2 or 3 years related experience
Fraud certification from CFE, AHFI, AAPC or coding certificates
Knowledge of Plan policies and procedures in all facets of benefit programs
Health insurance, law enforcement experience
Able to assist in training of internal and external entities if needed
Able to establish rapport and on-going working relationship with law enforcement

Keywords: VirtualVocations, Anaheim , Telecommute Certified Fraud Investigator I or II, Other , Anaheim, California

Click here to apply!

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