Government Careers
  • Senior Fraud Investigator - Health Benefits

  • 100 Horizon Healthcare Services
  • Newark, New Jersey 07175 United States View Map

Summary

Horizon Blue Cross Blue Shield of New Jersey is seeking an Investigator II to lead analytical and investigative activities related to claims, enrollment, and other operations to detect fraud and complete cases with thorough analysis for resolution. The role involves preparing and documenting fraud cases, coordinating with law enforcement, and testifying when required.

You will manage FEHB-related investigations, track case activity in the FSTS system, and handle calls from the fraud hotline

#J-18808-Ljbffr

Job Description

Horizon Blue Cross Blue Shield of New Jersey is seeking an Investigator II to lead analytical and investigative activities related to claims, enrollment, and other operations to detect fraud and complete cases with thorough analysis for resolution. The role involves preparing and documenting fraud cases, coordinating with law enforcement, and testifying when required.

You will manage FEHB-related investigations, track case activity in the FSTS system, and handle calls from the fraud hotline

#J-18808-Ljbffr
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