Top 29 Fraud investigator Jobs in Mississippi

Auditor/Investigator II
Qlarant —Mississippi
- $57,512 - $85,839 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
Quick Apply
Senior Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Mississippi
- $46,988 - $112,200 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
- Health insurance
- Dental insurance
10d
Fraud, Waste and Abuse Investigation, Senior Analyst
CVS Health —Mississippi
- $46,988 - $112,200 a year
- Full-time
- Remote
- Mid-level
- 3 years
- High school diploma or GED
- Health insurance
- Dental insurance
Health Care Fraud Investigator
Legacy Management Solutions —Oxford, MS
- $64,000 - $87,000 a year
- Monday to Friday
- Background check
- 5 years
- Pass drug screening
Quick Apply
Healthcare Fraud Investigator
Contact Government Services, LLC —Oxford, MS
- Full-time
- Bachelor's degree
- Typing
- Senior level
- Health insurance
- Dental insurance
Quick Apply
Investigator, Special Investigations Unit (Aetna SIU)
CVS Health —Jackson, MS
- $43,888 - $93,574 a year
- Full-time
- Microsoft Word
- Spanish
- Microsoft Excel
- Health insurance
- Dental insurance
3d
SIU Claims Investigator
Lemieux & Associates LLC —Hattiesburg, MS
- $25 - $32 an hour
- Part-time
- Bilingual
- Computer literacy
- Mid-level
- Flexible schedule
Quick Apply
Investigator, Special Investigations Unit (Meritain Health)
CVS Health —Jackson, MS
- $46,988 - $122,400 a year
- Full-time
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
2d
Surveillance Investigator
Allied Universal® Compliance and Investigations —Vicksburg, MS
- Weekends as needed
- Microsoft Word
- Military
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
Surveillance Investigator
Frasco Inc —Jackson, MS
- $20 - $26 an hour
- Part-time
- Clean driving record
- Military
- Writing skills
- Paid training
- Mileage reimbursement
Private Investigator
SITIG —Jackson, MS
- $20 - $30 an hour
- Part-time
- Mid-level
- Analysis skills
- Travel
Quick Apply
Surveillance Investigator II - Experienced
Command Investigations, LLC —Southaven, MS
- $25 - $30 an hour
- 8 hour shift
- Microsoft Word
- Clean driving record
- Customer service
- Health insurance
- Dental insurance
Quick Apply
Flexible Field Investigator: Surveillance & SIU
J T Becker & Co —Jackson, MS
- Full-time
- Mid-level
- Driver's License
- Communication skills
1d
Surveillance Investigator I - Entry Level
Command Investigations, LLC —Southaven, MS
- $20 - $25 an hour
- 8 hour shift
- Microsoft Word
- Clean driving record
- Customer service
- Health insurance
- Dental insurance
Quick Apply
As Needed Field Investigator- Hattiesburg, MS
J T Becker & Co Inc —Hattiesburg, MS
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
Licensed Covert Surveillance Investigator - Part Time - Tupelo, MS
Meridian Investigative Group, Inc —Tupelo, MS
- $20 - $30 an hour
- Extended hours
- Microsoft Word
- Computer literacy
- Writing skills
SIU - Experienced Field Investigator - Part-Time
Command Investigations, LLC —Jackson, MS
- $28 - $32 an hour
- Overtime
- Bilingual
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
As Needed Field Investigator- Jackson, MS
J T Becker & Co Inc —Jackson, MS
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
As Needed Field Investigator- Tupelo, MS
J T Becker & Co Inc —Tupelo, MS
- Writing skills
- Mid-level
- Driver's License
- Flexible schedule
Quick Apply
Licensed Covert Surveillance Investigator - Part Time - Jackson, MS
Meridian Investigative Group, Inc —Jackson, MS
- $20 - $30 an hour
- Extended hours
- Microsoft Word
- Computer literacy
- Writing skills

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fraud investigator jobs near mississippi

Auditor/Investigator II

Qlarant -
Mississippi

Quick Apply

Job Details

Full-time
$57,512 - $85,839 a year

Qualifications

Stakeholder management

Full Job Description

Job Summary:

Ensures the integrity and accuracy of claims processes and protocols. Collects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Identifies opportunities to target fraud, waste, and abuse or discrepancies in claims submissions. Adheres to industry regulations and policies for managerial follow-up. Analyzes data in order to effectively assess the validity of claims. Provides accurate recommendations to management for claim resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes.

Essential Functions:

Conducts routine and impartial audits/investigations from start to closure into customer claims, ensuring accurate and fair assessments of claims validity.
Provides customer service by addressing inquiries and concerns, and escalates audit/investigation, as needed.
Compiles detailed and organized records of audit/investigation findings, ensuring accuracy and compliance with legal and regulatory requirements.
Applies functional knowledge to create and implement strategies to identify and prevent fraudulent activities, safeguarding the integrity of the claims process.
Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives on claims.
Communicates with appropriate internal teams to ensure the proper processing of audits/investigations, while adhering to legal and regulatory standards.
Communicates audit/investigation findings clearly and professionally to customers, claimants, and other stakeholders, managing expectations and providing updates.
Assists in providing training and support to other auditors/investigators, contributing to the continuous improvement of investigative processes.

Level of Supervision Received:
Plans and arranges own work; works with manager to prioritize projects.

Education (can be substituted for experience):
Minimum Bachelor's Degree required

Work Experience (can be substituted for education):
2 - 4 years of experience required; 5 - 7 years preferred

Certification(s):
Certified Fraud Examiner preferred

Quick Apply

Refine Your Search

fraud investigator jobs in mississippi

Auditor/Investigator II

Senior Investigator, Special Investigations Unit (Aetna SIU)

Fraud, Waste and Abuse Investigation, Senior Analyst

Health Care Fraud Investigator

Healthcare Fraud Investigator

Investigator, Special Investigations Unit (Aetna SIU)

SIU Claims Investigator

Investigator, Special Investigations Unit (Meritain Health)

Surveillance Investigator

Surveillance Investigator

Private Investigator

Surveillance Investigator II - Experienced

Flexible Field Investigator: Surveillance & SIU

Surveillance Investigator I - Entry Level

As Needed Field Investigator- Hattiesburg, MS

Licensed Covert Surveillance Investigator - Part Time - Tupelo, MS

SIU - Experienced Field Investigator - Part-Time

As Needed Field Investigator- Jackson, MS

As Needed Field Investigator- Tupelo, MS

Licensed Covert Surveillance Investigator - Part Time - Jackson, MS

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