Blue Cross Blue Shield of Louisiana

5525 Reitz Ave, Baton Rouge, LA 70809, USA
Full-TimeDepends on ExperienceMid-LevelBachelors
Job Description

Deter, detect, and investigate fraudulent and abusive activity and independently decide the most effective and efficient method of investigation for each individual case. Collect and preserve detailed evidence. Prepare cases for referral to law enforcement and regulatory agencies. Document all stages of each investigation using Company and department procedures, templates, and forms. Participate on special projects, committees, and task forces as requested by management. Reduce or eliminate Medicare Part C and D benefit costs due to fraud, waste, and abuse. Reduce or eliminate fraudulent and abusive claims paid for with federal dollars. Assist law enforcement by providing information necessary for legal action as requested by management. Job duties are performed in a normal and clean office environment with normal noise levels.

Where is this job?
This job is located at 5525 Reitz Ave, Baton Rouge, LA 70809, USA
Job Qualifications
  • 3 - 4 years of related experience

  • Ability to work in a dynamic work environment

Required Skills
  • Analytical skills

  • Negotiation skills

  • Presentation skills

  • Interrogation skills

  • Fraud investigations

Soft Skills
  • Adaptable

  • Multitasking

  • Verbal communication

  • Detail Oriented

  • written communication

Compensation

According to JobzMall, the average salary range for a Special Investigator in 5525 Reitz Ave, Baton Rouge, LA 70809, USA is $55,000 to $75,000 per year. This is based on information from salary comparison websites and job postings from various sources.

Additional Information
Blue Cross Blue Shield of Louisiana is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedAugust 27th, 2020
Apply BeforeMay 22nd, 2025
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About Blue Cross Blue Shield of Louisiana

Blue Cross and Blue Shield of Louisiana began in New Orleans in February 1934 when representatives of six area hospitals got together and formed the Hospital Service Association of New Orleans, a nonprofit, mutual insurer that offered a form of pre-paid hospital care.

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