Remote Medical Reviewer: Claims & Fraud Analysis
Remote / Online - Candidates ideally in
Chicago, Cook County, Illinois, 60290, USA
Listed on 2026-08-15
Chicago, Cook County, Illinois, 60290, USA
Listing for:
Peraton
Remote/Work from Home
position Listed on 2026-08-15
Job specializations:
-
Healthcare
Job Description & How to Apply Below
Safe Guard Services (SGS), a Peraton subsidiary, seeks a Medical Reviewer to conduct medical record reviews and apply clinical judgment to claim payments. You will research claims data and other sources to identify issues, support fraud investigations, and develop cases for potential administrative action.
The role involves using multiple tools to detect fraud, working with external agencies, and possibly testifying about findings. Telework is available within the contiguous United States.
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