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System One
Baltimore, MD | Contractor
$52k-58k (estimate)
2 Weeks Ago
Associate Health Insurance Investigator
System One Baltimore, MD
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$52k-58k (estimate)
Contractor | Business Services 2 Weeks Ago
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System One is Hiring an Associate Health Insurance Investigator Near Baltimore, MD

ALTA IT is hiring an Associate Investigator to support a leading health insurance customer. The individual will work with the Special Investigations Unit (SIU) to assist in the reduction and recuperation of losses. You will research and analyze data using company anti-fraud software, Excel, and other tools to proactively identify new potential cases. 

Pay: $32/HR
Location: Fairfax, VA (Hybrid) twice a week 

Job Duties:
  • Research provider/subscriber claims activity, operations manuals, data systems, medical policies, job duties and group benefit contracts to identify control deficiencies and non-compliance.
  • Conduct preliminary research to gather evidence for the investigators.
  • Determine if an individual's information is different than the information provided.
  • Mail out letters to individuals to obtain information to determine if they're fraudulent.
  • Prepare documentation needed to determine if an individual has committed fraud for the investigators.

Job Summary

JOB TYPE

Contractor

INDUSTRY

Business Services

SALARY

$52k-58k (estimate)

POST DATE

04/24/2024

EXPIRATION DATE

07/21/2024

WEBSITE

healthsystemone.com

HEADQUARTERS

MIAMI, FL

SIZE

25 - 50

TYPE

Private

CEO

JOSEPH BRUCE

REVENUE

$10M - $50M

INDUSTRY

Business Services

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