Investigator Assistant (US)

Elevance Health•Los Angeles, CA

4d•$31 - $33•Hybrid

About The Position

The Investigator Assistant is responsible for providing administrative support to the investigative unit and performing research on data to assist in identifying cases of potential overpayment or abuse. This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.

Requirements

Requires a HS diploma or equivalent and minimum of 1 year experience; or any combination of education and experience, which would provide an equivalent background.

Nice To Haves

Expert skills in Excel
Experience with pharmacy healthcare
Experience with Medicaid and Medicare

Responsibilities

Collects, researches, and validates bills and claims data against relevant guidelines.
Assists in preparation of statistical and financial analysis reports.
Requests medical records and additional documentation required for investigation.
Completes initial file set-up and tracks cases.
Processes and tracks all incoming reimbursement checks.
Provides administrative support for investigative management and staff.
Completes requests for information from law enforcement and regulatory agencies.