More jobs:
Claims Specialist
Job in
Los Angeles, Los Angeles County, California, 90012, USA
Listed on 2026-03-04
Listing for:
Genesis10
Full Time
position Listed on 2026-03-04
Job specializations:
-
Business
Business Development, Business Analyst
Job Description & How to Apply Below
Job Description:
Responsible for reviewing, analyzing, and optimizing Fraud, Waste, and Abuse (FWA) case dispositions. The role focuses on improving case accuracy, prioritizing open investigations, and developing a roadmap to resolve backlog and strengthen case management processes.
Key Responsibilities:
- Review and assess FWA case files, documentation, and disposition rationale.
- Identify discrepancies, misclassifications, and process gaps.
- Recommend updated dispositions and categorize cases by severity and risk.
- Prioritize open and unresolved cases using defined risk and impact criteria.
- Develop a phased roadmap to address backlog and enhance future case workflows.
- Prepare detailed reports and executive summaries with key insights and recommendations.
- Only candidates available and ready to work directly as Aptask Global Workforce (AGW) employees will be considered for this position.
Aptask Global Workforce (AGW)
ApTask Global Workforce (AGW) is a certified Minority and Veteran workforce solutions company. AGW delivers operational, clinical, lab and professional talent with a strong focus on healthcare and life sciences. The company supports clients with reliable staffing, program expertise and a commitment to quality, speed and consistent delivery.
Benefits of working with ApTask Global Workforce include:
- Medical
- Dental
- Vision
- Sick Pay (for applicable states/municipalities)
ApTask Global Workforce is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
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