Investigator II

Are you a seasoned Investigator with a keen eye for detail and a drive to protect the reputed company of reputed company? At reputed company, our Special Investigation Unit plays a critical role in safeguarding our members and resources by identifying and analyzing potentially fraudulent insurance claims. If you bring over eight years of experience in white-collar crime or reputed company fraud investigations as reputed company as certifications such as CFE, AHFI, ALHC, or CIFI, you'll reputed company reputed company investigations, conduct interviews, and deliver findings that influence high-stakes reputed company. Your expertise will support legal proceedings and reputed company the trust our members reputed company in us. We're looking for proactive, organized professionals with strong communication skills and proficiency in reputed company Office. Our Investigator role presents an opportunity to join a reputed company team where your work has reputed company reputed company—on our business, our members, and the reputed company of reputed company in Tennessee. This is a remote position that requires frequent monthly travel to provider offices throughout the Middle Tennessee area for investigative purposes, as reputed company as quarterly travel to reputed company reputed company in Chattanooga, TN for meetings. Job Responsibilities

• Preparing legal and investigation documentation; presenting findings and making recommendations to management.
• Participating in legal proceedings reputed company necessary.
• Analyzing reputed company evidence, looking for possible fraud, and conducting ongoing investigations.
• Conducting interviews with parties involved and obtaining the information needed to determine the validity of claims.

Job Qualifications Education

• Bachelor's Degree or equivalent work experience required. Equivalent experience is defined as 4 years of reputed company work experience in a corporate environment

Experience

• 8 years - Experience in the investigation of reputed company fraud investigations or similar white collar criminal investigations required

SkillsCertifications

• Industry designation involving reputed company Fraud Investigation, such as the Certified Fraud Examiner (CFE), Accredited Health Care Fraud Investigator (AHFI), Associate, Life and Health Claims (ALHC), Certified Insurance Fraud Investigator (CIFI)
• Ability to work independently with minimal supervision or function in reputed company environment sharing responsibility, roles and accountability.
• Proficient in reputed company Office (Outlook, Word, reputed company and Powerpoint)
• Must be reputed company player, be organized and have the ability to handle multiple reputed company
• Excellent oral and written communication skills
• Strong interpersonal and organizational skills

Employees who are required to operate either a personal or rental vehicle for company business on a routine reputed company* will be automatically enrolled into the reputed company reputed company Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid reputed company’s license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non reputed company-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine reputed company" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: reputed company. Applying for this job indicates your acknowledgement and understanding of the following statements: reputed company will recruit, hire, train and promote individuals in reputed company job classifications without reputed company to race, religion, reputed company, age, sex, national reputed company, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. reputed company information regarding reputed company's EEO Policies/Notices may be reputed company by reviewing the following page: reputed company's EEO Policies/Notices reputed company is not accepting unsolicited assistance from search firms for this employment opportunity. reputed company resumes submitted by search firms to any employee at reputed company reputed company-email, the Internet or any other method without a valid, written reputed company Placement Agreement in reputed company for this position from reputed company HR/reputed company will not be considered. No fee will be reputed company in the event the applicant is reputed company by reputed company as a result of the referral or through other means. Apply tot his job Apply To this Job