Fraud Investigation Officer investigates fraudulent/illegal activities perpetrated by customers or employees. Designs and implements programs to prevent such activities and to recover any incurred losses. Being a Fraud Investigation Officer works with local, state and federal authorities with matters relating to fraudulent/illegal activities. Require a bachelor's degree. Additionally, Fraud Investigation Officer typically reports to a manager. To be a Fraud Investigation Officer typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Investigative Representative - This position will work directly with patients to verify the accuracy of claim information and to supply any missing information. The Investigative Representative will be speaking with patients to obtain all necessary information needed for third party coordination and ensure information is gathered and notated properly. Teamwork will be essential for this position. Representatives will need great communication and organizational skills to fulfill duties required for this position. Representatives will need great communication and organizational skills to fulfill duties required for this position.
Essential Duties
Answering inbound calls and making outbound calls, while demonstrating proper phone etiquette and HIPAA compliance
Obtaining accident details
Properly noting the account and dropping tasks to the correct department
Performing Scout search for possible claims
High School Diploma or GED
Strong knowledge of computer skill and typing
Intermediate knowledge of Outlook, Excel, and PowerPoint
Dependable and Detailed individual with organizational skills
Great Communication skills
Recommended- 1 to 2 years experience in administrative and/or telephone communications