Fraud Investigator
Company: VirtualVocations
Location: Vista
Posted on: May 14, 2025
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Job Description:
A company is looking for an Investigator for the Specialist
Investigations Unit.
Key Responsibilities
Perform target claim audits and distribute audit reports as
required
Conduct investigations including data analysis and provider office
inspections
Communicate audit findings to the Special Investigations Unit and
relevant regulatory entities
Required Qualifications and Education
Bachelor's degree preferred
1-2 years of experience in FWA investigating in a healthcare
operation
Knowledge of corporate investigative practices and medical
terminology
Leadership skills to effectively communicate with staff and
regulatory representatives
Preferred 3-5 years of experience in FWA investigating in a
healthcare operation
Keywords: VirtualVocations, Laguna Niguel , Fraud Investigator, Other , Vista, California
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