Fraud Investigator Job at Beacon Hill Staffing Group, Overland Park, KS

elBMZEwrZFpSNWlVeUZIQzVoTHhtV2lMM2c9PQ==
  • Beacon Hill Staffing Group
  • Overland Park, KS

Job Description

Job Description

Job Description

Major Duties and Responsibilities

  • Actively and consistently supports all efforts to simplify and enhance the customer experience.
  • Leverage appropriate resources to support the identification and initiation of fraud or abuse investigations, and ensure relevant information is appropriately collected, analyzed, and documented.
  • Request additional caller documentation when required for investigation.
  • Complete investigation/documentation and provides communication back to the caller.
  • Bring resolution to fraudulent claims by employing tools that detect and disrupt fraud schemes.

Skills/Abilities and Knowledge

  • Ability to read, write, speak and understand English
  • Ability to remain adaptable and resilient to all situations displaying positive behavior that is aligned with Spectrum values
  • Critical thinking skills and the ability to make a decision in every investigation required
  • Working knowledge of cable or telecom operations, fraud investigation and/or detection and analysis, and laws/regulations related to fraud and general risk management

Job Tags

Similar Jobs

Kaiser Permanente

Breast Imaging Specialist, Kensington, Part Time 32 hours Job at Kaiser Permanente

 ...trends/problem identification. Provides practical instruction for student and other mammographers while demonstrating effective...  ...constant interruption and attend to tasks for 20 to 45 minutes at a time. In order to work effectively with patients, must have effective... 

Fusion HealthCare Staffing

CRNA - Anesthesiology job available in Liberal, Kansas Job at Fusion HealthCare Staffing

 ...Schedule:(M-F): 7a-3p plus call 3p-7a (1st/backup call rotation) 24 hr CALL (Sat & Sun): 7a-7a Practice Setting: Outpatient/Inpatient Patient Volume:Inpatient -1138 Outpatient -3179 EMR: Meditech Requirements: KS License, DEA Credentialing: 60-90 days... 

Performance Optimal Health

Physical Therapy Aide Job at Performance Optimal Health

 ...Job Description Job Description Performance Optimal Health is excited to announce an opening for a Physical Therapy Aide. In this vital role, you will assist physical therapists in providing exceptional care to our clients, fostering an environment that promotes healing... 

Weatherby Healthcare

Coverage Is Needed from Locums Radiation Oncologist in Iowa Job at Weatherby Healthcare

 ...Coverage Is Needed from Locums Radiation Oncologist in Iowa at Weatherby Healthcare summary: This position seeks a board-certified or board-eligible locum tenens Radiation Oncologist in Iowa to provide full-time weekday coverage. Responsibilities include managing 3... 

ADEX Healthcare Staffing LLC

Travel Orthopedic Operating Room Registered Nurse (Circulator & PACU) - $2,497per week Job at ADEX Healthcare Staffing LLC

 ...ADEX Healthcare Staffing LLC is seeking a travel nurse RN OR Circulate for a travel nursing job in Meeker, Colorado. Job Description & Requirements ~ Specialty: OR Circulate ~ Discipline: RN ~ Start Date: ASAP ~ Duration: 13 weeks ~36 hours per week ~...