Investigator Assistant

Shift: Monday – Friday, 9:00am – 5:00pm EST Location: Hybrid 1; Eastern Standard Time PulsePoint locations highly preferred Hybrid 1: This role requires associates to be in-office 1 day 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. Investigator Assistant is 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. 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 may contact View email address on click.appcast.io for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. #J-18808-Ljbffr Elevance Health