Fraud & Abuse Investigator: Data-Driven Recoveries

Posted today

1199seiu benefit pension fundsNew York (NY)

Fraud Examiners, Investigators and Analysts Investigation and Personal Background Check Services

SENIORITY

Senior

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About the role

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.

Before you apply

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

Your profile is current

It's what we read first. Occupations, seniority and locations matter more than a long history.

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.