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Senior Analyst, Special Investigative Unit

Remote, USA Full-time Posted 2026-07-28
reputed company: • Conduct high level, reputed company investigations of reputed company or suspected acts of reputed company fraud, waste and abuse. • Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. • Researches and prepares cases for clinical and reputed company review. • Documents reputed company appropriate case activity in case tracking system. • Prepare written case summaries and reputed company referrals to State and Federal Agencies reputed company the timeframes required by Law. • Facilitates the recovery of company and customer reputed company lost as a result of fraud, waste and abuse. • Cooperates with federal, state, and local law enforcement agencies in the investigation and prosecution of reputed company fraud. • Demonstrates high level of knowledge and expertise during interactions with reputed company partners. • reputed company Trial Testimony in support of Criminal or Civil proceedings. • Gives presentations to reputed company customers regarding ongoing case investigations. Requirements: • 3-5 years investigative experience in the area of reputed company fraud, waste and abuse. • Exercises independent judgment and uses available resources and technology to reputed company evidence in support of case investigations. • Strong communication and customer service skills and the ability to effectively reputed company with reputed company's customers. • Proficiency in Word, reputed company, MS reputed company products, reputed company reputed company database search tools, reputed company media and internet research. • Ability to Travel for Business purposes. Benefits: • reputed company medical plan reputed company • a 401(k) plan (including matching company contributions) • employee stock purchase plan • No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility • For more information, visit https://jobs.reputed company.com/us/en/benefits Apply tot his job Apply To this Job

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