Field Investigator: Fraud, Waste & Abuse Auditor

Ces Llc; Providence (RI); On-site; USD 55,000 - 75,000; Full time

Job summary

CES is seeking an Undercover Field Investigator to collect data for audits investigating fraud, waste, and abuse, reviewing documentation and interviewing involved parties to support resolution and closure.

The role requires a Bachelor’s degree, Private Investigator license, 2–4 years of related experience, and proficiency with Microsoft Office. Field work up to 75% and potential exposure to high-crime areas are expected.

Qualifications

• Bachelor's degree required.
• Private Investigator license required.
• 2–4 years of related field experience.
• Proficient in Microsoft Office: 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 skills

Attention to detail

Interviewing skills

Education

Bachelor's degree

Tools

Excel

Word

PowerPoint

Teams

Outlook

Job description

CES is seeking an Undercover Field Investigator to collect data for audits investigating fraud, waste, and abuse, reviewing documentation and interviewing involved parties to support resolution and closure.

The role requires a Bachelor’s degree, Private Investigator license, 2–4 years of related experience, and proficiency with Microsoft Office. Field work up to 75% and potential exposure to high-crime areas are expected.