Bilingual Junior Healthcare Fraud Investigator

Responsibilities Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies Support on-site inspections and patient/provider interviews as necessary Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance. May represent company as a witness in judicial proceedings when appropriate Prepare reports to expedite tracking and reporting of investigations Requirements Bilingual Spanish and ability to pass oral and written assessments A bachelor’s degree in a Criminal Justice, or related field 1+ years professional work experience, preferably with health insurance investigations/audit Reside near South Florida (Miami, homestead) and West Palm Beach area for occasional site visits Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word Excellent verbal and written communication skills, along with ability to effectively manage conflict Keen ability to deal with ambiguity and leverage reasoning skills Possession of a strong desire and demonstrated ability to lead #J-18808-Ljbffr Jobtailor