Remote Medical Claims Reviewer & Fraud Investigator

Posted 7 days ago

peratonWashington (DC)

Claims Adjusters, Examiners, and Investigators All Other Insurance Related Activities

SENIORITY

Junior

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About the role

Safe Guard 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.

Before you apply

Applying takes about a minute. These four things decide how fast it moves after that.

Your profile is current

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Two examples you can talk through

Not a portfolio — just two pieces of work where you can explain the decisions and what you'd change.

A number in mind

What you're on now and what would make you move. We negotiate better when we know both.

Your notice period

Employers plan around it, and it's the question that stalls offers most often.

Once you apply, someone reads it and calls you before anything reaches the employer — usually within two working days.