Job Summary Point32Health is currently seeking highly motivated individuals to join our organization as an Fraud Analyst within our Special Investigations Unit (“SIU”). The Fraud Analyst is an essential team member of the SIU, responsible for analyzing claim trends, patterns and outliers, developing and refining queries to detect potentially fraudulent claim submissions and performing initial background investigations on newly identified leads. Job Description Developing and running periodic health insurance claims queries / extracts to identify potentially fraudulent claim submissions or patterns. Enhancing existing analytics and data-mining capabilities by partnering with management
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National Health Care Anti-Fraud Association Headquarters
1220 L Street, NW, Suite 600 | Washington, DC 20005 | Phone: 202.659.5955 | Fax: 202.785.6764