Find & Apply For Claims Specialist / Adjuster / Examiner Jobs in Albuquerque, New Mexico

State Investigator (HCA/OIG #29274) State of New Mexico - 3.5 Albuquerque, NM Job Details Full-time $27.37 - $41.06 an hour 9 hours ago Benefits Health insurance Qualifications Driver's License Full Job Description Posting Details Interviews are anticipated to be conducted within two weeks of closing date. This posting may be used to fill multiple vacancies. The Health Care Authority (HCA) participates in E-Verify and will verify employment eligibility upon hire. Our Vision Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system. Our Mission We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services. Our Goals Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce. Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives. Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information. Build the best team in state government by supporting employees' continuous growth and wellness. Why does the job exist?

The State Investigator will:

Investigate white-collar crimes and public assistance fraud for the New Mexico Health Care Authority (HCA); Support investigative efforts within the Office of Inspector General (OIG), Investigations Bureau (IB). How does it get done? The State Investigator is responsible for: Determining applicable policies and assessing whether any policies or laws have been violated; Identifying the appropriate criminal or administrative course of action; Providing case management for special inquiries, Medicaid client fraud investigations, and public assistance fraud investigations under the jurisdiction of the HCA Office of Inspector General (OIG). Who are the customers? State of New Mexico Residents. Ideal Candidate State of New Mexico Residents. Minimum Qualification Bachelor's degree from an accredited college or university in Accounting, Business Administration, Finance, Public Administration, Criminology, or other related field, with two (2) years of experience in accounting, auditing, and investigation, or insurance adjusting and investigating or investigative report writing. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling six (6) years may substitute for the required education and experience. Employment Requirements Must possess and maintain a valid Driver's License. Must possess or obtain Defensive Driving Certificate. Employment is subject to a pre-employment criminal background investigation and is conditional pending results. Working Conditions Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage. Some sitting, standing, bending and reaching may be required. Supplemental Information Do you know what Total Compensation is? Click here

Agency Contact Information:

Theresa Romero, (505) 394-2977. Email For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement. Bargaining Unit Position This position is not covered by a collective bargaining agreement.