Job Description
Job Description
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.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, rel...
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.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, rel...