Insurance Analyzer - (Eden Prairie, MN)

Description:Performs preliminary vetting and investigation on all tips entered via the Hub "Report Healthcare Fraud" submission and the Fraud Hotline. Make an appropriate recommendation for flagging and whether or not to pass downstream for next steps. Specific Duties: 1. Perform assignment of tips containing allegations identifying potential Fraud, Waste, Abuse, or Error, to the appropriate internal team player. 2. Document in a professional manner the investigation activities that were performed on tips 3. Communicate with internal partners as needed 4. Submit reporting as required 5. Adhere to turn around time standards 6. Meet and maintain min quality and productivity standards Must have requirements/background: 1. Associates Degree or High-school degree / GED with 1+ years of insurance or fraud investigation background 2.