Fraud, Waste and Abuse; FWA) Claims Specialist Wipro · Tampa, FL Posted

# Fraud, Waste and Abuse (FWA) Claims Specialist Wipro
· Tampa, FLTailor My Resume Start free. No credit card.### About the Job

Job Description Apply now

Job Title:

Fraud, Waste and Abuse (FWA) Claims Specialist City:
Tampa State/Province:
Florida Posting

Start Date:

9/11/26

Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and consulting company focused on building innovative solutions that address clients’ most complex digital transformation needs. Leveraging our holistic portfolio of capabilities in consulting, design, engineering, and operations, we help clients realize their boldest ambitions and build future-ready, sustainable businesses. With over 230,000 employees and business partners across 65 countries, we deliver on the promise of helping our customers, colleagues, and communities thrive in an ever-changing world.

For additional information, visit us at

Description:

Job Description Job-Type:
Full-time direct hire position.

Location:

Remote, US only

Work authorization: US Citizen or US Green Card only

Pay: $25-30 per hour

Hours:

Monday-Friday 8am-5pm EST Position SummaryA Fraud, Waste and Abuse (FWA) Specialist investigates and analyzes potential FWA cases and reviews ensuring compliance with regulations and policies and recommending corrective actions. They may be involved in identifying, validating and recovering over payments as well as researching and developing new FWA job aides.### Responsibilities Investigation and Analysis:
Conducting thorough investigations of suspected FWA cases, analyzing data and identifying patterns. Compliance:
Ensuring adherence to relevant FWA laws, regulations and policies. Data Analysis:
Interpreting and analyzing data to identify trends, opportunities and potential FWA schemes. Reporting:
Preparing reports and documentation as needed on FWA investigations, findings, remediations and/or recommendations. Training and

Education:

Developing and delivering training programs on FWA prevention and identification

Collaboration:

Working with internal and external stakeholders, including auditors, investigators and legal professionals. Quality Assurance:
Ensuring the accuracy and integrity of data and processes related to FWA. Review of all foreign claims for legitimacy and currency conversion as needed Follow all HIPAA guidelines for the release of information Request additional information as needed and coordinate escalations with medical review vendor. Interpret Summary Plan Document language Obtain notifications/information from resources to do focused reviews; work with client on referrals/attend client meetings Work with the Appeals Team to assist with medical review activities