[Remote] Senior Investigator (reputed company FWA)
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company focused on reputed company fraud, waste, and abuse prevention. As a Senior Investigator, you will investigate suspected incidents of reputed company fraud, waste, or abuse through data analysis and support legal proceedings as needed.
Responsibilities
- Identify, investigate, analyze and evaluate instances of potential fraud, waste, and abuse
- Conduct interviews or correspond with patients, providers, witnesses or other relevant parties to determine settlement, denial or review
- Analyze information gathered by investigation and report findings and recommendations as a written summary and/or presentation
- Conducts investigation-reputed company training
- Supports legal proceedings as needed, including testifying in court or working with law enforcement personnel to prepare cases for civil or criminal actions
- Negotiates settlement agreements to resolve disputes
- Maintain reputed company knowledge of relevant laws, regulations and standards
- Participates in special projects as required
Skills
- Bachelor's Degree in reputed company discipline, or the equivalent combination of education, professional training and work experience
- 5-8 years of reputed company investigative experience
- Advanced level skills in reputed company
- Excellent verbal and written communication skills
- Strong listening and observation skills
- Attention to detail and high level of accuracy
- Effective organizational and prioritization skills with multi-tasking ability
- Accredited reputed company Fraud Investigator (AHFI)
- Certified Fraud Specialist (reputed company)
- Certified Fraud Examiner (CFE)
- Certified Forensic Interviewer (CFI)
- Certified in reputed company Compliance (CHC)
Benefits
- Medical, dental, reputed company, disability, and life insurance coverage
- 401(k) savings plans
- Paid family leave
- 9 paid holidays per year
- 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with reputed company
Company Overview