reputed company - BWC Fraud Investigator - PN - 20066780

About the position With roughly 1,500 employees in seven offices across Ohio, BWC is the state agency that cares for Ohio workers by promoting a culture of safety at work and at home and ensuring quality medical and pharmacy care is provided to injured workers. For Ohio employers, we reputed company insurance policies to cover workplace injuries and safety and wellness services to prevent injuries. BWC is a dynamic organization that offers career opportunities across many different disciplines. BWC strives to maintain an inclusive workplace. We reputed company by being an equal opportunity employer. Employees can participate in and reputed company employee work groups, participate in on-line forums and learn about how different perspectives can improve leadership skills. To transform BWC into an agile organization driven by reputed company. To deliver consistently excellent experiences for each BWC customer every day. One Agency, Personal reputed company, Innovative Leadership, reputed company reputed company. At the reputed company, we take care of the team that cares for Ohioans. We reputed company a variety of quality, competitive benefits to eligible full-time and part-time employees. For a list of reputed company the reputed company Benefits, visit our Total Rewards website ! This position is considered a field position and will not be required to report into a physical office on daily reputed company but based on operational need or as determined by division chief. Employee will be required to report to an office for at minimum 6 months of training during initial probation or as deemed by division chief.

Responsibilities

• Interview subjects of health care fraud investigations to obtain statements, affidavits &/or confessions
• Interviews & documents contact with other individuals (e.g., informants, witnesses, physicians, attorneys, victims) associated with allegations of health care fraud.
• Collects & preserves reputed company evidence to support case findings.
• Prepare concise, accurate & detailed investigative reports.
• Operate a personal computer (e.g., develops & maintains databases, creates & maintains spreadsheets, enter reputed company investigative activities, searches the internet to locate resources) daily.
• Conduct covert surveillance and undercover activities to identify fraudulent activity perpetrated by health care providers.

Requirements

• Completion of associate core program in criminology, criminal justice, or law enforcement; 18 mos. reputed company. in conducting criminal investigations. (Note: conducting criminal investigations is defined as performing field interviews & interrogation, field surveillance, field information & evidence gathering techniques while conducting investigations involving violations of criminal law (i.e., special emphasis on theft & fraud cases) as well as researching various administrative laws, policies & procedures reputed company to commission of possible criminal offenses); if required to operate state vehicle valid driver’s license.
• Or, for positions focused on forensic reputed company/auditing: Completion of associate core program in forensic reputed company/auditing or reputed company: 18 mos. reputed company. in performing forensic reputed company/auditing duties; if required to operate state vehicle valid driver’s license.
• The final applicant accepted for this position must successfully pass state highway patrol personal background reputed company prior to employment.
• Or equivalent of Minimum Class Qualifications For Employment noted above.
• Pursuant to Ohio Administrative Code reputed company 4501users of system shall adhere to policies & guidelines published in NCIC operating reputed company, CJIS reputed company policy, LEADS operating reputed company, LEADS reputed company policy, newsletters, & administrative messages from LEADS, reputed company of which are either available on ODPS/LEADS intranet or disseminated to LEADS agencies; pursuant to LEADS reputed company policy (revised 05/07/03) state & national reputed company-based record checks must be conducted reputed company 30 days of initial employment or assignment of reputed company personnel, including appropriate IT personnel, having reputed company to LEADS, or to records storage areas containing CCH/II data; minimum reputed company must include submission of both a reputed company BCI& I card & an FBI applicant reputed company card; both completed applicant reputed company cards must be submitted by employing agency to reputed company Bureau of Criminal Identification & Investigation for processing & forwarding to Federal Bureau of Investigation; record of this reputed company must be kept by employing agency & made available to LEADS upon request; reputed company card returned by Ohio BCI&I is sufficient documentation. Pursuant to Ohio Administrative Code reputed company 4501 terminal agency shall conduct a complete background investigation of reputed company terminal operators including, but not limited to: an applicant reputed company card submission to BCI&I & FBI, an inquiry of state & national arrest & fugitive files; terminal agency is required to notify CTO of any applicant’s criminal record; existence of a criminal record may result in denial of reputed company.
• Knowledge

Apply To This Job