Remote Medical Claims Reviewer & Fraud Investigator
peratonWashington, DC
Remote Medical Claims Reviewer & Fraud Investigator
peratonWashington, DC
7 days ago
Occupations
Claims Adjusters, Examiners, and InvestigatorsFraud Examiners, Investigators and AnalystsInsurance UnderwritersIndustries
All Other Insurance Related ActivitiesClaims AdjustingPharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsAbout the role
SafeGuard Services (SGS), a subsidiary of Peraton, is seeking a Medical Reviewer to conduct medical record reviews and apply clinical judgment to claim payments. Telework is available from the contiguous United States.
The role involves analyzing medical claims data, identifying issues, and supporting fraud investigations. You will interact with external agencies and develop cases for corrective actions.
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JOB OVERVIEW
Experience level
Junior
Location
Washington, DC
Occupation
Claims Adjusters, Examiners, and Investigators
Industry
All Other Insurance Related Activities
Posted
7 days ago
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