Field Investigator: Fraud, Waste & Abuse Audits

Ces Llc; Washington (District of Columbia); On-site; USD 55,000 - 75,000; Full time

Job summary

CES is seeking an Undercover Field Investigator in Washington, DC to collect data for audits and investigations into fraud, waste, and abuse. You will review documentation, interview involved parties, and communicate with stakeholders to gather information for resolution.

You will identify opportunities to proactively target fraud and ensure compliance with industry regulations, while preparing comprehensive reports for potential legal or audit uses.

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

Private Investigator license

Investigation experience

Field audit experience

Attention to detail

Education

Bachelor's degree

Tools

Microsoft Office Suite

Job description

CES is seeking an Undercover Field Investigator in Washington, DC to collect data for audits and investigations into fraud, waste, and abuse. You will review documentation, interview involved parties, and communicate with stakeholders to gather information for resolution.

You will identify opportunities to proactively target fraud and ensure compliance with industry regulations, while preparing comprehensive reports for potential legal or audit uses.