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Special Investigations Unit (SIU) Investigator - Baltimore Maryland
Company: nTech Solutions, Inc. Location: Baltimore, Maryland
Posted On: 05/09/2024
Terms of Employment - Contract, 6 Months
- This position can either be 100% remote or hybrid - with candidates working a few days onsite in the Baltimore, MD or Owings Mills, MD office.
- Candidates interested in remote work must reside in the Eastern Time Zone.
Overview Our client is seeking to hire six (6) Special Investigations Unit (SIU) Investigators to join their team. The role of the SIU Investigators is to assist in the reduction and recuperation of losses through the detection, investigation, and resolution of low to medium levels fraud, waste, and abuse schemes orchestrated by providers, members, brokers, or internal employees, resulting in the savings and recovery of funds. The SIU Investigators will be responsible for conducting preliminary investigations into members that are suspected of committing fraud when enrolling for health insurance. This will include researching and analyzing member data and documentation, compiling this research into a report, and ultimately generating templated letters to send to the suspected violating members to attempt to determine if fraud is occurring. General responsibilities include: |
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