Field Site Inspector
About The Position
Allied Universal® Compliance and Investigation Services is a global leader in insurance claim investigation, offering dynamic opportunities for claim, SIU, and surveillance investigators. The company is committed to innovation and excellence, making a significant impact in the insurance industry. The Field Site Inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers, adhering to established requirements. This role involves working independently to visit assigned locations, taking photographs, conducting interviews, collecting data, and documenting findings according to approved guidelines and standards. A valid driver's license with at least one year of driving experience is required.
Requirements
- High school diploma or equivalent
- Proficient in utilizing laptop computers, mobile devices, and tablets.
- Flexibility to work varied and irregular hours/days including weekends
- Successful completion of the Allied Universal Investigations’ training/orientation course
- Successful completion of all required Site Inspector training, internal and CMS-required, both initial and in-service training.
- Must possess a valid driver's license with at least one year of driving experience
Nice To Haves
- Associate degree or higher, preferably in Criminal Justice
- Prior insurance investigations and/or healthcare facility on-site inspections/compliance.
- Knowledge of Regulations: Familiarity with industry regulations, such as those from the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC), Medicare Provider Enrollment, or other healthcare profession or facility credentialing, is highly preferred.
- Effective public speaking and communication skills.
Responsibilities
- Conduct independent investigations of assigned cases in a specific geographic area.
- Document and report observations, activities, and any relevant information in a clear and concise manner using mobile devices (tablets and cell phones)
- Maintain confidentiality and adhere to legal and ethical standards with the highest professional standards while conducting site inspections
- Efficient and timely workload management to meet assignment time completion.
- Review and verify credentials, including education, training, licensure, and certification, for healthcare providers and healthcare facilities as required.
- Ensure that healthcare providers meet all necessary qualifications and requirements as detailed on provider/supplier-specific site visit checklist forms.
- Collaborate with Desktop Inspectors and other PEO SVS operational staff for the execution and reporting of site visit inspection performance.
- Professional attire, demeanor, and Interaction during all contacts with provider/suppliers/facility administrative staff/representative throughout the entire site inspection process.
Benefits
- Medical, dental, vision, basic life, AD&D, and disability insurance
- Enrollment in our company’s 401(k)plan
- Seven paid holidays annually, sick days available where required by law
- Vacation time offered at an initial accrual rate of 3.08 hours biweekly. Unused vacation is only paid out where required by law.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
5,001-10,000 employees
