Job Description

Anticipated End Date 2025-11-25 Position Title Investigator Assistant Location Hybrid 1 - requires associates to be in office 1-2 days per week; alternate locations may be considered if within commuting distance. Work Shift Monday – Friday, 8 am to 5 pm (EST) Job Description 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. How you will make an impact Collect, research, and validate bills and claims data against relevant guidelines. Assist in preparation of statistical and financial analysis reports. Request medical records and additional documentation required for investigation. Complete initial file set-up and track cases. Process and track all incoming reimbursement checks. Assist in managing fraud hotline calls. Provide administrative support for investigative management and staff. Minimum Requirements High school diploma or equivalent and minimum of 1 year related experience, or any combination of education and experience that provides an equivalent background. Preferred Skills, Capabilities and Experiences Strong experience with Microsoft Word and Excel. Knowledge of CPT codes and medical terminology highly preferred. Job Level Non-Management Non-Exempt Workshift 1st Shift (United States of America) Job Family FRD > Investigation Equal Employment Opportunity Statement Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, and local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. #J-18808-Ljbffr Elevance Health

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