About this role
The Sr Investigator at Carelon Payment Integrity specializes in analyzing and investigating healthcare fraud cases to recover funds paid on fraudulent claims. The role involves claim reviews, law enforcement collaboration, and policy development within a hybrid work environment. It supports efforts to eliminate unnecessary medical expenses and requires healthcare insurance experience.
Required Skills
- Claim Review
- Data Mining
- Healthcare Insurance
- Law Enforcement
- Investigation
- Policy Development
- Provider Network
- Claim Systems
- Healthcare Fraud
- Healthcare Policies
About Elevance Health
elevancehealth.comElevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.
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