Top 1 Forensic investigator Jobs in Honolulu Hi

Forensic Investigator IV
State of Hawaii —Honolulu, HI
- Email
- CPA
- Word processing
- Writing skills
- Mileage reimbursement
- Commuter assistance
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Forensic Investigator IV

State of Hawaii -
Honolulu, HI

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Job Details

Benefits

Mileage reimbursement
Commuter assistance
Paid holidays
Disability insurance
Flexible spending account
Vision insurance
Life insurance
Retirement plan
Paid sick time

Qualifications

Investigative forensic analysis
Criminal procedure
Case assessment
Investigative interviewing techniques
Word processing
Spreadsheets
Writing skills
Investigative financial records analysis
Investigative data analysis
Medical billing data reporting
Criminal case experience
Healthcare billing investigations
Legal evidence
Claims documentation review
Forensic accounting
Medical record review for legal cases
Healthcare software applications

Full Job Description

Recruitment Information

This posting is for the State of Hawaii, Department of Commerce and Consumer Affairs, Insurance Division, Insurance Fraud Investigations Branch.

The position is located on Oahu (Downtown Honolulu).

Salary commensurate with education and experience.

If you have any questions regarding this non-civil service exempt position, please send an email to Mr. Edwin Kamisato at [email protected]

The State Recruiting Office will refer all inquiries regarding this exempt position to the Department of Commerce and Consumer Affairs.

Duties Summary

The function of the Insurance Fraud Investigation Branch is to conduct investigation and prosecution on a statewide basis of cases involving fraudulent insurance claims. The Branch is responsible for intake and investigation of cases referred to it and for prosecution of those cases where appropriate. The Branch is also responsible for responding to inquiries relating to its functions.

The position is primarily responsible for initial case assessment, development and execution of an investigative plan with a focus on fraudulent medical billing practices. The position is also responsible for gathering and preserving evidence, preparing reports and assisting the attorney assigned to the case with all phases of prosecution.

Minimum Qualification Requirements

Education: Graduation from an accredited college or university with a baccalaureate degree. Degree in accounting, finance or other business-related field preferred.

A Certified Public Accountant (CPA) certificate may be substituted for educational requirement.

Excess experience in auditing and investigation field may be substituted for education on a year-for-year basis provided that the incumbent demonstrates sufficient skills and ability to perform the duties and responsibilities.

Experience: Must possess at least two and one-half (2-1/2) years of criminal investigation or auditing experience that involved the gathering, analyzing
and interpreting of information and evidence.

Experience in the insurance field, including medical coding and health insurance claim review, is desireable.

Experience in the investigation of insurance fraud is preferred.

Knowledge: Knowledge of clear investigative writing, interviewing methods and techniques. Knowledge and understanding of basic insurance principles and practices preferred. Knowledge or willingness to learn medical coding and health insurance claims review desireable.

Skills/Abilities: Ability to develop and execute criminal investigative plan that includes case assessment, gathering and analyzing facts, interviewing witnesses, and gathering and preserving evidence; interpreting and analyzing financial information; communicating clearly and precisely interpretation of analytical data; interpreting laws, rules, regulations; deal effectively and independently with the public.

Ability to analyze and organize voluminous written/verbal information and claims data and make decisions on issues based on interviews, records review, reconstruction of missing or fraudulent records, and applying written material that is technical or legal in nature to specific investigative matters.

Skill in using computer programs, word processing, spreadsheets, databases and medical billing to develop computerized schedules to support investigative findings.

Legal Authorization to Work Requirement: The State of Hawaii requires all persons seeking employment with the government of the State shall be citizens, nationals, or permanent resident aliens of the United States, or eligible under federal law for unrestricted employment in the United States.

Other Information

This position is exempt from the civil service and considered temporary in nature. Therefore, if you are appointed to the position, your employment will be considered to be "at will," which means that you may be discharged from your employment from the department head or designee at any time.

HOW TO APPLY:

Please complete and submit an Application for Non-Civil Service Appointment (HRD 278). Applications can be found at https://cca.hawaii.gov/jobs/

Please email resume and application to Mr. Edwin Kamisato at [email protected]

NOTE: The State Recruiting Office will refer you to the Department of Commerce and Consumer Affairs regarding this exempt position.

Work Location: In person

Quick Apply

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