Bilingual Junior Healthcare Fraud Investigator
The Cigna Group
full-time
Posted on:
Location Type: Remote
Location: Florida • United States
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Job Level
About the role
- Analyze information gathered by investigation/audit and report findings and prepare written summary/recommendations
- Prepare evidence package for referral to third parties including contract holders, state insurance fraud bureaus and law enforcement agencies
- Support on-site inspections and patient/provider interviews as necessary
- Respond to subpoenas and requests for information from law enforcement agencies and State Departments of Insurance
- May represent the company as a witness in judicial proceedings when appropriate
- Prepare reports to expedite tracking and reporting of investigations
Requirements
- Bilingual Spanish and ability to pass oral and written assessments
- A bachelor’s degree in Criminal Justice or related field
- 1+ years professional work experience, preferably with health insurance investigations/audit
- Outstanding technical & analytical skills, with particular proficiency with Access, Excel and Word
- Excellent verbal and written communication skills, along with ability to effectively manage conflict
- Keen ability to deal with ambiguity and leverage reasoning skills
- Possession of a strong desire and demonstrated ability to lead
Benefits
- Health insurance
- Professional development opportunities
- Remote work options
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
analytical skillsinvestigationauditreport writingevidence preparationsubpoena responseconflict managementreasoning skills
Soft Skills
bilingual Spanishverbal communicationwritten communicationleadershipability to deal with ambiguity