Investigator Assistant

Investigator Assistant Location: 740 W Peachtree St. NW Atlanta, GA Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. Schedule: Monday - Friday 8:00am - 5:00pm The Investigator Assistant (US) will be responsible for providing administrative support to the investigative unit and performing research on data to assist in identifying cases of potential overpayment or abuse. How you will make an impact Collects, researches, and validates bills and claims data against relevant guidelines. Assists in preparation of statistical and financial analysis reports. Requests medical records and additional documentation required for investigation. Completes initial file set-up and tracks cases. Processes and tracks all incoming reimbursement checks. Assists in managing fraud hotline calls. Provides administrative support for investigative management and staff. Minimum Requirements Requires a HS diploma or equivalent and minimum of 1 year experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences Previous claims, healthcare, insurance, or SIU experience Strong attention to detail, organization , and documentation skills Ability to work effectively both independently and as part of a team. Previous law enforcement, investigative, or uniformed security experience preferred. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: FRD > Investigation Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. Benefits Merit increases Paid holidays Paid Time Off Incentive bonus programs (unless covered by a collective bargaining agreement) Medical Dental Vision Short and long term disability benefits 401(k) +match Stock purchase plan Life insurance Wellness programs Financial education resources Hybrid Workforce Strategy Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Diversity and Inclusion Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qu #J-18808-Ljbffr Elevance Health (Anthem)