Fraud Detection Associate monitors account activity to detect possible customer fraud. Performs analysis to identify possible front-end and/or back-end fraud. Being a Fraud Detection Associate identifies areas for increased security procedures and reports to fraud prevention associates. May contact customers to verify or explain unusual account activity. Additionally, Fraud Detection Associate requires a high school diploma. Typically reports to a supervisor or manager. The Fraud Detection Associate possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)
All about us
You likely know us as an insurance company, but that’s just a portion of what we do. Hundreds of thousands of North Dakotans trust us to provide them with personalized service and unmatched access to care. It’s a mission we take seriously.
We also work with entities throughout the state to challenge the cost and complexity of health care in North Dakota. This uncompromising goal requires caring, innovative people who are ready and willing to help create a new level of health and well-being in North Dakota and beyond.
Work environment
This opportunity is eligible for remote work or a hybrid work arrangement. We empower our employees to find a work style that is best for them. Learn more at Life at Blue | BCBSND.
This position is eligible for internal and external applications.
Pay Information
A day in the life
The Investigator is responsible for investigating moderately complex allegations of fraud, waste and abuse perpetrated by healthcare providers, facilities, members and/or groups and provides support in investigations of higher complexity. This position identifies areas of concerns using software, tips, interviews, and other means.
Your responsibilities will include
What you need to succeed
Equivalent combination of education, experience or training determined to be acceptable by Human Resources may be substituted, unless regulated by contract or program standards
Benefits and perks
Equal opportunity employment
Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individual with Disabilities, as well as Sexual Orientation or Gender Identity.
For questions, please email careers@bcbsnd.com.
This job posting will be closed 4/18/2024 at 8:00 a.m. (CT). No further applications will be considered.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
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