Auditor/Investigator I

To ensure the integrity and accuracy of claims processes, the full-time hourly Auditor/Investigator I will conduct audits and investigations into customer claims, utilizing analytical skills to assess validity and identify potential fraud, waste, and abuse in a remote work environment. Key responsibilities Conduct routine audits and investigations into customer claims to ensure accurate assessments of claims validity Compile detailed records of findings and communicate audit results to stakeholders, managing expectations effectively Implement strategies to identify and prevent fraudulent activities, ensuring compliance with legal and regulatory standards Required qualifications Minimum Bachelor's Degree required 0 - 2 years of relevant experience required; 2 - 4 years preferred Certified Fraud Examiner or Accredited Healthcare Anti-Fraud Investigator preferred