Investigator (Health Insurance)
Wellmark, Inc.•Cedar Rapids, IA
291d
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About The Position
Reporting to the Team Leader of SIU & Compliance, you will identify and investigate suspected provider and member health insurance fraud, waste and abuse, identify potential losses and recoveries for the corporation, prepare reports of suspected fraud, waste and abuse, and work with law enforcement agencies and anti-fraud organizations, as appropriate. Investigations must be conducted in accordance with company policies and procedures and in compliance with all applicable laws and regulations.
