Field Auditor/Investigator

Ces Llc; Manchester (NH); Sur place; USD 55 000 - 75 000; Plein temps

Résumé du poste

CES is seeking an Undercover Field Investigator to collect data for audits and investigations into fraud, waste, and abuse. The role involves fieldwork, interviewing stakeholders, and producing comprehensive reports for possible legal or audit use.

The position emphasizes proactive fraud detection, adherence to regulations, and collaboration with internal teams to ensure proper processing and closure of investigations.

Qualifications

• Must have a Bachelor's degree.
• Must have a Private Investigator license.
• A minimum of 2–4 years experience in related field.
• Knowledge and experience using Microsoft Office Suite (Excel, Word, PowerPoint, Teams, Outlook).

Responsabilités

• Conduct routine audits/investigations from start to closure for fraud, waste, and abuse.
• Provide customer service by addressing inquiries and escalating investigations as needed.
• Compile detailed records of findings, ensuring accuracy and regulatory compliance.
• Apply knowledge to develop strategies to identify and prevent fraudulent activity.
• Conduct interviews with witnesses, claimants, and other stakeholders for information.
• Communicate findings clearly to internal teams and stakeholders with updates.
• Assist in training and supporting other auditors/investigators to improve processes.

Connaissances

Microsoft Office Suite

Formation

Bachelor's degree

Private Investigator license

Outils

Microsoft Word

Excel

PowerPoint

Outlook

Teams

Description du poste

Job Description Summary:

CES is looking for an Undercover Field Investigator to collect data/information for audits/investigations concerning fraud, waste, and abuse allegations, 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. Identify opportunities to proactively target fraud, waste, and abuse. Adheres to industry regulations and policies, assesses information for potential managerial follow-up. Analyzes data in order to effectively assess the validity of allegations. Provides accurate recommendations to management for resolution and closure. Documents and inputs all findings, while preparing comprehensive reports that may be used for legal or audit/investigative purposes.

Duties/Responsibilities:

• Conducts routine and impartial audits/investigations from start to closure into fraud, waste, and abuse allegations, ensuring accurate and fair assessment.
• 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.
• Conducts interviews with relevant witnesses, claimants, and other stakeholders to gather additional information and perspectives.
• 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.

Required qualifications/skills:

• Must have a Bachelor's degree.
• Must have a Private Investigator license.
• A minimum of 2-4 years experience in related field.
• Must have knowledge and experience needed to use Microsoft Office Suite including but not limited to Excel, Word, PowerPoint, Teams, and Outlook.

Other:

• Field work: Up to 75% of work will be performed in the field conducing site visits/investigations. Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• The worker could be substantially exposed to adverse environmental conditions as field investigations and site visits will take place in areas with known criminal elements and in high crime areas.
• Equal Opportunity Employer/Veterans/Disabled.
• For more information about CES, please visit www.cesnb.com.