HC - Clinical Research - Junior

Adecco is assisting a local client recruiting for a Recovery Resolution Rep (Triage Investigator) job in Eden Prairie, MN.  This NCM job is a 6-month temporary opportunity!

Triage Investigator job requires candidates to performs preliminary vetting and investigation on all FWAE tips entered via the Hub "Report Healthcare Fraud" submission and the Fraud Hotline. Make an appropriate recommendation for flagging and whether to pass downstream for next steps. If you meet the qualifications listed below – Apply Now!

Responsibilities include but are not limited to:

  • Perform assignment of tips containing allegations (identifying potential fraud, waste, abuse, or error) to the appropriate team member
  • Document investigation activities that were performed on tops
  • Communicate with internal partners as needed
  • Submit CMS reporting
  • Adhere to turnaround time


Candidates must meet the following requirements to be considered:

  • Associates degree or HS diploma
  • 1+ year of insurance or fraud investigation
  • 1+ year of insurance experience with claim processing, provider demographic information or insurance bulling practices


What's in this for you? 

  • Pay rates starting at $15-$20 per hour DOE, plus overtime as needed!
  • Weekly Pay – you receive a paycheck every week
  • Business casual Work Environment – dress casual and enjoy a casual, laid back atmosphere
  • Comprehensive benefits after 1 week – medical, dental, vision, options available
  • Generous Bonus Incentives offered for referrals!  For more information, ask a recruiter today!


Click on “Apply Now” to be considered for this Triage Investigator job in Eden Prairie, MN!  You may also visit www.adeccousa .com to view other current opportunities

  • Apply with Adecco

Reference number US_EN_99_023402_403003