Fraud & Abuse Investigator: Data-Driven Recoveries

1199SEIU Benefit and Pension Funds seeks a dedicated investigator to manage the Fraud & Abuse hotline, conduct confidential investigations, and coordinate evidence-based reporting. The role involves analyzing medical records for billing appropriateness, maintaining case files, and liaising with providers and vendors. The candidate will prepare reports, support strategic case development, and ensure compliance with civil evidence rules while upholding confidentiality and professional standards.