Investigator, Fraud Risk Management
Tasks
- Conduct interviews
- Detect and prevent fraud
- Develop investigation handling processes
- Identify trends and report issues
- Investigate fraud and abuse
- Maintain investigation databases and logs
- Participate in court and complaint cases
- Perform on-site audits
- Prepare documentation for plan sponsors and police
- Prepare investigation reports
- Recommend continuous improvement
- Research and organize documentation
- Respond to inquiries and escalations
Perks/Benefits
Skills/Tech-stack
Adobe Acrobat | Audit | Data analytics | Excel | Fraud Detection | Fraud investigation | Interviewing | Investigation planning | Lotus Notes | Medical terminology | Microsoft Outlook | Microsoft PowerPoint | Microsoft Word | Regulatory Compliance | Risk Management | Tableau
Education
Bachelor of Engineering | Bachelor of Science | Master of Science
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