New Jersey Licensed Investigator III
Company: VirtualVocations
Location: Vista
Posted on: May 20, 2025
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Job Description:
A company is looking for an Investigator III to lead
investigations within the Special Investigation Unit.
Key Responsibilities
Detects fraudulent activities by various parties, including
subscribers and providers
Decides on the most effective investigation methods for individual
cases
Prepares and documents fraud cases, including evidence assembly for
potential legal action
Required Qualifications, Training, and Education
7+ years of professional investigation experience in economic or
insurance-related matters
AHFI, CFE, and CPC certifications are required; medical field
licensing is a plus
In-depth knowledge of health insurance operations, including claims
and enrollment
Working knowledge of NJ criminal and civil law related to health
insurance fraud
Experience with investigative processes is required
Keywords: VirtualVocations, Pico Rivera , New Jersey Licensed Investigator III, Other , Vista, California
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