Compliance Investigation Manager Jobs

Oversees investigations of suspicious claim activity to ensure compliance with laws, regulations, and corporate policy. Develops processes to identify suspicious applications for coverage, benefit policies, and expense payments. Assigns investigations to professional staff and ensures that staff follows approved investigation procedures. Ensures that investigations are properly documented and reports findings to authorities as needed. Evaluates investigations to determine losses and adjustments required to settle claims. Requires a bachelor's degree. Typically reports to a director. Typically ... manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. More
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