Field Investigator - Fraud & Compliance Audits

Ces Llc; Newark (NJ); On-site; USD 52,000 - 70,000; Full time

Job summary

CES is seeking an Undercover Field Investigator to collect data/information for audits/investigations concerning fraud, waste, and abuse, 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. Field work: Up to 75% of duties involve site visits/investigations.

Employee may encounter adverse environments.

Qualifications

• 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 Excel, Word, PowerPoint, Teams, and 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

Private Investigator license

Bachelor's degree

Experience in related field

Microsoft Office Suite

Education

Bachelor's degree

Tools

Microsoft Office Suite

Job description

CES is seeking an Undercover Field Investigator to collect data/information for audits/investigations concerning fraud, waste, and abuse, 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. Field work: Up to 75% of duties involve site visits/investigations.

Employee may encounter adverse environments.