1199seiu benefit pension fundsNew York, NY
Fraud & Abuse Investigator: Data-Driven Recoveries
Fraud & Abuse Investigator: Data-Driven Recoveries
Fraud & Abuse Investigator: Data-Driven Recoveries
1199seiu benefit pension fundsNew York, NY
today
Fraud Examiners, Investigators and AnalystsPrivate Detectives and InvestigatorsClaims Adjusters, Examiners, and Investigators
Investigation and Personal Background Check ServicesPension FundsPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Apply for this role →1199SEIU Benefit and Pension Funds seeks a dedicated investigator to manage the Fraud & Abuse hotline, conduct confidential investigations, and coordinate evidence-based reporting. The role involves analyzing medical records for billing appropriateness, maintaining case files, and liaising with providers and vendors. The candidate will prepare reports, support strategic case development, and ensure compliance with civil evidence rules while upholding confidentiality and professional standards.
Also on the board Same function, level within a rung
Level
Senior
Location
New York, NY
Occupation
Fraud Examiners, Investigators and Analysts
Industry
Investigation and Personal Background Check Services
Posted
today