| Compliance Investigation Manager Job Description |
 |
| The following is a full job description for Compliance Investigation Manager. Here are the requirements and responsibilities for Compliance Investigation Manager along with statistics. If after reading this page you determine that Compliance Investigation Manager is not the position you are looking for, you may want to try one of these similar titles: Compliance Manager, Compliance Manager, Senior, Fraud Investigation Manager, Compliance Supervisor, Fraud Investigation Officer, Compliance Manager - Healthcare, VP of Compliance, Compliance Specialist IV, Compliance Specialist II |
|
| Requirements and Responsibilities For Compliance Investigation Manager |
| Oversees investigations of suspicious claim activity to ensure compliance with laws, regulations, and corporate policy. Develops processes to identify suspicious applications for coverage, benefit policies, and expense payments. Assigns investigations to professional staff and ensures that staff follows approved investigation procedures. Ensures that investigations are properly documented and reports findings to authorities as needed. Evaluates investigations to determine losses and adjustments required to settle claims. Requires a bachelor's degree. Typically reports to a director. Typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. |
| |
|
| Also referred to as: Claim Compliance Investigation Manager, Insurance Fraud Investigation Manager, Suspicious Claims Investigation Manager |
|
| Similar Jobs: Compliance Manager, Compliance Manager, Senior, Fraud Investigation Manager, Compliance Supervisor, Fraud Investigation Officer, Compliance Manager - Healthcare, VP of Compliance, Compliance Specialist IV, Compliance Specialist II |
|
| Level of Education: Compliance Investigation Manager Salaries with No Diploma, Compliance Investigation Manager Salaries with a High School Diploma or Technical Certificate, Compliance Investigation Manager Salaries with an Associate's Degree, Compliance Investigation Manager Salaries with a Bachelor's Degree, Compliance Investigation Manager Salaries with a Master's Degree or MBA, Compliance Investigation Manager Salaries with a JD, MD, PhD or Equivalent |
|
|
| Industries: Aerospace & Defense, Biotechnology, Business Services, Chemicals, Construction, Edu., Gov't. & Nonprofit, Energy & Utilities, Financial Services, Healthcare, Hospitality & Leisure, Insurance, Internet, Media, MFG Durable, MFG Nondurable, Pharmaceuticals, Retail & Wholesale, Software & Networking, Telecom, Transportation | |
