Job Details

A company is looking for a SIU Investigator to investigate allegations of potential healthcare fraud and abuse activity.Key ResponsibilitiesConduct investigations of potential waste, abuse, and fraudDocument activity on each case and refer issues to the appropriate partyPerform data mining and analysis to detect aberrancies and outliers in claimsRequired QualificationsBachelor's Degree in Business, Criminal Justice, Healthcare, or a related field, or equivalent experience1+ years of experience in medical claim investigation, audit, analysis, or fraud investigation