Field Investigator: Fraud & Abuse Audits

Ces Llc; Christiansted (United States Virgin Islands); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Equal Opportunity Employer/Veterans/Di

Job summary

CES is seeking an Undercover Field Investigator to collect data for audits and investigations into fraud, waste, and abuse, using analytical skills, documentation review, interviews, and stakeholder communication to support successful resolution.

Duties include conducting start-to-finish investigations, compiling detailed records, identifying fraud risks, interviewing witnesses, coordinating with internal teams, and presenting findings to management.

Qualifications

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

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.

Skills

Analytical thinking

Microsoft Office Suite

Education

Bachelor's degree

Private Investigator license

Tools

Microsoft Office Suite (Excel, Word, PowerPoint, Teams, Outlook)

Job description

CES is seeking an Undercover Field Investigator to collect data for audits and investigations into fraud, waste, and abuse, using analytical skills, documentation review, interviews, and stakeholder communication to support successful resolution.

Duties include conducting start-to-finish investigations, compiling detailed records, identifying fraud risks, interviewing witnesses, coordinating with internal teams, and presenting findings to management.