Credit Card Fraud Investigator, Sr. investigates suspected fraudulent use of credit cards issued by the organization. Interviews individuals involved and coordinates investigations with law enforcement personnel. Being a Credit Card Fraud Investigator, Sr. analyzes loss trends and makes recommendations to prevent further loss. Requires a bachelor's degree. Additionally, Credit Card Fraud Investigator, Sr. typically reports to a supervisor or manager. The Credit Card Fraud Investigator, Sr. contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Credit Card Fraud Investigator, Sr. typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
GENERAL SUMMARY OF POSITION:
Under the general direction of the Associate Director, or designee, the Fraud Investigator II serves a crucial role in combating fraud, waste and abuse (“FWA”) within the Medicaid program. Investigations involve extensive research to identify industry trends and patterns which target aberrant billing practices. The Investigator II collaborates with the Associate Director on more complex case reviews as needed, in addition to performing activities related to data mining, data analysis and recoveries. With increasing independence, the Investigator II is assigned to multiple provider types and serves as a senior investigator in the Unit., The Investigator II will coach other investigators on developing techniques to find provider schemes based on federal and state regulations that govern Medicaid.
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