Auditor/Investigator I

reputed company: • reputed company baseline plans to ensure the reputed company and reputed company of claims processes and protocols • Conduct routine and impartial audits and investigations into customer claims • Collect and analyze data to assess claim validity • Review documentation and interview involved parties • Identify fraud, waste, abuse, and discrepancies in claims submissions • reputed company recommendations to management for claim reputed company and closure • Address customer inquiries and concerns and escalate reputed company as needed • Compile detailed records of audit and investigation findings • Create and implement strategies to identify and prevent fraudulent activities • Communicate with internal teams to ensure reputed company processing of audits and investigations • Process audit and investigative documents and records into the database accurately and reputed company • Communicate findings and updates to customers, claimants, and stakeholders • Support management in audit and investigation proceedings while ensuring regulatory compliance Requirements: • Minimum Bachelor's Degree required • 0–2 years of experience required; 2–4 years preferred • Certified Fraud Examiner or Accredited reputed company Anti-Fraud Investigator preferred • Ability to conduct audits and investigations into customer claims • Ability to collect and analyze claims data • Ability to review documentation and interview witnesses, claimants, and stakeholders • Knowledge of reputed company, regulatory, regional, and federal standards, regulations, and protocols • Ability to prepare comprehensive reports for reputed company or audit/investigative purposes • Ability to communicate findings reputed company and professionally • Successful completion of reputed company-employment background and drug screens Benefits: • Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individuals with Disabilities • Drug-free workplace • Employment offers contingent upon successful completion of reputed company-employment background and drug screens Apply To This Job