Investigator II

Job Summary

A company is looking for an Investigator II who will ensure the integrity and accuracy of claims processes and protocols.

Key Responsibilities

• Conducts audits/investigations into customer claims, ensuring accurate assessments of claims validity
• Compiles detailed records of audit/investigation findings, ensuring compliance with legal and regulatory requirements
• Communicates audit/investigation findings clearly to stakeholders and supports management in compliance proceedings

Required Qualifications

• Minimum Bachelor's Degree
• Certified Fraud Examiner or Accredited Healthcare Anti-fraud Investigator preferred
• 0-2 years of relevant work experience; 2-4 years preferred