We are on the lookout for a brilliant Fraud Investigator (Regulatory Compliance Analyst) to join our high calibre team at Collabera in Baltimore, MD.
Growing your career as a Full-Time Fraud Investigator (Regulatory Compliance Analyst) is a terrific opportunity to develop fundamental skills.
If you are strong in innovation, communication and have the right personality for the job, then apply for the position of Fraud Investigator (Regulatory Compliance Analyst) at Collabera today!
The role of the Special Investigations Unit (SIU) Investigator is to assist in the reduction and recuperation of losses through the detection, investigation, and resolution of low to medium levels fraud, waste, and abuse schemes, resulting in the savings and recovery of funds.
- Provide support for offsite audits/investigations and interviews when requested.
- Research provider/subscriber claims activity, operations manuals, data systems, medical policies, job duties and group benefit contracts to identify control deficiencies and non-compliance.
- Investigator will develop documentation to substantiate finding including formal reports, spreadsheets, graphs, audit logs, use of anti-fraud software and appropriately sourced reference materials.
- Must ensure audits and investigations are timely, effective and result in an overall achievement of unit goals.
- Independently conduct low to medium level investigations and provide support as part of an assigned team to all levels (low to medium) investigations of suspected fraud, waste, and abuse.
Benefits of working as a Fraud Investigator (Regulatory Compliance Analyst) in Baltimore, MD:
● Opportunity to Make a Difference
● Company offers career progression opportunities
● Generous Compensation