Frasco, Inc.

Investigator

• Conducting desktop-based investigations to identify treatment locations for individuals under investigation
• Reporting findings promptly and accurately
• Researching and conducting outbound calls to medical providers
• Reviewing assignments to determine additional case objectives and client expectations
• Communicating with clients and managers regarding assignments
• Preparing detailed and accurate investigation reports
• Identifying red flags or inconsistencies and making solid recommendations for further investigation
• Balancing and tracking caseloads and inputting case-related time
• Completing continual training related to HIPAA, permissible purpose, insurance investigations, and internal policies/procedures
• Maintaining strict confidentiality and adhering to legal/ethical guidelines
• Attending and testifying at hearings as needed

Medical Canvass Investigator

• Conduct database research via the internet and industry databases
• Review and analyze case notes and case instructions to determine pertinent information
• Complete detailed reports on findings within designated turnaround timeframe
• Collaborate with team members to identify accurate databases
• Edit investigative reports for quality and compliance
• Conduct covert surveillance and activity checks for investigations
• Capture and document video footage and complete reports with timestamps
• Maintain strict confidentiality and adhere to legal/ethical guidelines
• Adapt to irregular hours as investigations require
• Attend and testify at hearings when necessary