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Claims Specialist / Adjuster / Examiner
Highland Beach, MD

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Highmark Health

Senior Investigations & Fraud Lead

Job Description

Job Summary Highmark Health is seeking a senior investigator within Enterprise Incident Management to coordinate enterprise-wide responses to large-scale incidents and conduct internal investigations related to employee misconduct, fraud, privacy and security breaches. The role requires strong collaboration with risk partners and audit teams to ensure investigations adhere to standards and are well-documented.

The candidate will apply fraud investigative tools, perform risk assessments, and support#J-18808-Ljbffr Job Description Highmark Health is seeking a senior investigator within Enterprise Incident Management to coordinate enterprise-wide responses to large-scale incidents and conduct internal investigations related to employee misconduct, fraud, privacy and security breaches. The role requires strong collaboration with risk partners and audit teams to ensure investigations adhere to standards and are well-documented.

The candidate will apply fraud investigative tools, perform risk assessments, and support#J-18808-Ljbffr