Remote Fraud Investigator & Case Coordinator

Peraton; Pennsylvania; Hybrid; USD 51,000 - 82,000; Full time

Job summary

Peraton is seeking a Fraud Investigator Coordinator to join SafeGuard Services in the Camp Hill, PA area. The role focuses on investigating fraud or abuse in the Insurance/Healthcare space, interviewing subjects, and collaborating with law enforcement as needed.

The position is primarily telework with occasional on-site work at the Camp Hill, PA office. Strong organizational skills, proficiency with Microsoft Office and Adobe, and US citizenship are required.

Qualifications

• Investigates fraud/abuse in Insurance/Healthcare space.
• Interviews subjects as part of investigations.
• Collaborates with law enforcement and refers cases.
• Requires ability to lift up to 50 lbs if needed; willing to travel for training.
• US citizenship is required.

Responsibilities

• Perform investigations to resolve or prevent fraud or abuse.
• Prepare appeals documents within defined deadlines.
• Research appeals activity across multiple systems.
• Support clerical activities as needed.
• Occasional on-site work at Camp Hill, PA.

Skills

Organizational skills

Communication skills

Problem-solving

US citizenship required

Education

Bachelor's degree (BS) or higher

MS preferred

High School diploma acceptable with experience

Tools

Microsoft Office Suite

Adobe Acrobat

Job description

Peraton is seeking a Fraud Investigator Coordinator to join SafeGuard Services in the Camp Hill, PA area. The role focuses on investigating fraud or abuse in the Insurance/Healthcare space, interviewing subjects, and collaborating with law enforcement as needed.

The position is primarily telework with occasional on-site work at the Camp Hill, PA office. Strong organizational skills, proficiency with Microsoft Office and Adobe, and US citizenship are required.