Healthcare Fraud Investigator (Fully Remote)

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.