Healthcare Claims Investigator
Insight Global
Senior Healthcare Claims Investigator
We're looking for a Senior Healthcare Claims Investigator to support a high volume of claims for a leading healthcare client. In this role, you'll lead complex fraud, waste, and abuse investigations by reviewing claims, patient records, and billing data to identify suspicious activity. You'll conduct interviews, gather evidence, and produce detailed reports while partnering with legal teams and external agencies to ensure compliance with regulatory requirements. You'll also analyze trends across cases, support audits, and act as a subject matter expert, helping guide investigation strategy and mentor junior team members.
Insight GlobalVacancy posted 3 days ago
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