06/16/2026
Senior Fraud Investigator
Featured
The 1199SEIU Funds are among the strongest and largest labor-management funds in the United States with employees who are committed to caring for the healthcare workers who care for others. The Funds provides nearly 500,000 members with health benefits through 20 employee benefit plans for members of 1199SEIU United Healthcare Workers East (providing pension, health, education, training and childcare benefits).
If you’re ready for the brightest career future, join us in this excellent opportunity to showcase your talents. We are currently seeking an experienced Senior Fraud Investigator for our Fraud & Abuse department.
Responsibilities
Conducts investigations into allegations of fraud, waste, or abuse, including preliminary assessments and full end-to-end case work.
Reviews and analyzes medical records, claims data, enrollment data, and other documentation to evaluate potential FWA.
Performs coding, billing, reimbursement, and medical necessity...
1199SEIU Funds
Hybrid (New York, NY)
