Fraud Analysis Assistant

2 weeks ago


Columbus, Ohio, United States Elevance Health Full time
Position Title:
Investigator Assistant

Job Overview:

The Investigator Assistant role is integral to our investigative team, providing essential administrative support and conducting thorough research to identify potential cases of overpayment or fraudulent activity.

Key Responsibilities:
  • Gather, analyze, and verify billing and claims data in accordance with established guidelines. Assist in the development of statistical and financial analysis reports.
  • Request and obtain medical records and necessary documentation for investigations.
  • Establish initial case files and monitor ongoing investigations.
  • Manage and track all incoming reimbursement payments.
  • Support the management of fraud hotline inquiries.
  • Provide administrative assistance to investigative management and team members.
Qualifications:
  • A high school diploma or equivalent is required, along with a minimum of one year of relevant experience; or a combination of education and experience that provides a comparable background.
Job Level:
Non-Management Non-Exempt

Work Environment:
This position operates in a hybrid model, requiring attendance in the office 1-2 days per week. Candidates must reside within a commutable distance to an Elevance Health location.

About Elevance Health:
Elevance Health is committed to enhancing lives and communities through improved healthcare solutions. As a leading health company, we seek individuals who are dedicated to making a positive impact on our members and the communities we serve.

Our Culture:
At Elevance Health, we foster a culture that promotes personal and professional growth, driven by our core values and behaviors. We offer competitive total rewards, including merit increases, paid time off, and comprehensive benefits.

Elevance Health is an Equal Employment Opportunity employer, and we encourage applications from all qualified individuals without regard to any protected status.

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