Onsite Position The Financial Analyst - Fraud, Waste and Abuse (FWA) is responsible for identifying, investigating and preventing fraudulent, wasteful and abusive activities related to healthcare ...
Onsite Position The Financial Analyst - Fraud, Waste and Abuse (FWA) is responsible for identifying, investigating and preventing fraudulent, wasteful and abusive activities related to healthcare ...
Onsite Position The Financial Analyst - Fraud, Waste and Abuse (FWA) is responsible for identifying, investigating and preventing fraudulent, wasteful and abusive activities related to healthcare ...
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Onsite Position The Financial Analyst - Fraud, Waste and Abuse (FWA) is responsible for identifying, investigating and preventing fraudulent, wasteful and abusive activities related to healthcare ...
This position focuses heavily on carrier verification, identifying discrepancies, reviewing documentation, and recognizing potential compliance or fraud concerns. Responsibilities * Review and verify ...
This position focuses heavily on carrier verification, identifying discrepancies, reviewing documentation, and recognizing potential compliance or fraud concerns. Responsibilities * Review and verify ...
Entry Level Fraud information
See Miami, FL salary details
$13.79 - $18.50
6% of jobs
$18.50 - $23.20
11% of jobs
$24.88 is the 25th percentile. Wages below this are outliers.
$23.20 - $27.90
22% of jobs
The median wage is $31.82 / hr.
$27.90 - $32.61
13% of jobs
$32.61 - $37.31
12% of jobs
$37.31 - $42.01
9% of jobs
$43.48 is the 75th percentile. Wages above this are outliers.
$42.01 - $46.71
9% of jobs
$46.71 - $51.42
6% of jobs
$51.42 - $56.12
5% of jobs
$56.12 - $60.82
4% of jobs
$60.82 - $65.53
3% of jobs
$13
$36
$65
How much do entry level fraud jobs pay per hour?
What is an entry level fraud?
An Entry Level Fraud job typically involves monitoring transactions, analyzing suspicious activities, and assisting in fraud investigations to prevent financial losses. Professionals in this role work with fraud detection tools, review customer accounts, and escalate potential fraud cases to senior analysts or investigators. Strong attention to detail, critical thinking skills, and knowledge of financial regulations are essential for success in this position.
What are the typical responsibilities of an entry level fraud analyst?
As an Entry Level Fraud Analyst, you can expect to monitor transactions or claims for potential fraudulent activity, review flagged cases, and document findings in detail. You may collaborate with more experienced analysts and other departments, such as customer service or compliance, to investigate incidents thoroughly. Daily tasks often include using specialized software to analyze data, preparing reports, and sometimes communicating directly with customers or clients to verify account details. This role helps you build a strong foundation in risk management and offers clear advancement opportunities as you gain experience.
What are the key skills and qualifications needed to thrive in the entry level fraud position?
To excel as an Entry Level Fraud Analyst, you typically need strong analytical and investigative skills, attention to detail, and a bachelor's degree in finance, business, or a related field. Familiarity with fraud detection software, data analysis tools like Excel, and case management systems is commonly required. Excellent communication skills, a collaborative mindset, and problem-solving abilities will help you stand out. These skills and qualities are crucial for accurately identifying suspicious activities, minimizing risk, and working effectively within a team environment.
How hard is it to become an entry level fraud investigator?
How to become an entry level fraud analyst with no experience?
How to start working in entry level fraud?
What qualifications do I need to work in entry level fraud?
What are the most commonly searched types of Fraud jobs in Miami, FL?
The most popular types of Fraud jobs in Miami, FL are:
What are popular job titles related to Entry Level Fraud jobs in Miami, FL?
For Entry Level Fraud jobs in Miami, FL, the most frequently searched job titles are:
- Siu Investigator
- Bank Fraud Investigator
- No Experience Private Investigator
- Full Time Background Investigator
- Full Time Desktop Investigator
- Part Time Insurance Fraud Investigator
- Part Time Desktop Investigator
- Entry Level Remote Siu Investigator
- Full Time Medicare Fraud Investigator
- Overnight Siu Claims Investigator
What job categories do people searching Entry Level Fraud jobs in Miami, FL look for?
The top searched job categories for Entry Level Fraud jobs in Miami, FL are:
What cities near Miami, FL are hiring for Entry Level Fraud jobs?
Cities near Miami, FL with the most Entry Level Fraud job openings:

Financial Analyst - Fraud, Waste and Abuse (FWA) (Onsite)
Coral Gables, FL • On-site
Full-time
Posted 20 days ago
Job description
The Financial Analyst - Fraud, Waste and Abuse (FWA) is responsible for identifying, investigating and preventing fraudulent, wasteful and abusive activities related to healthcare claims, insurance, government programs, or organizational operations. This role uses data analysis, investigative techniques, and regulatory knowledge to detect suspicious patterns, minimize financial losses and ensure compliance with applicable laws and company policies.
Key Responsibilities:
Reporting & Analytics Support
- Analyze medical, pharmacy, provider, and member-level claims data to identify potential FWA, overutilization, unusual billing patterns
- Perform data mining, auditing, trend analysis, outlier detection, and root-cause analysis across providers, members, CPT codes, diagnosis codes, DRG codes, and claim types.
- Generate and prioritize investigative leads
- Support pre-payment and post-payment review activities
- Recommend enhancements to claim edit rules and controls to prevent future improper payments
- Document models, provide investigative summaries and recommendations for review by FWA, Finance, Compliance, Medical Management, and other leadership.
- Produce FWA dashboard, and reports on savings and recoveries, trends and emerging risks, provider and member monitoring, etc.
- Support FWA program reporting, audit responses, policy/procedure development, and operational documentation
- Maintain confidentiality of sensitive information and investigative findings
- Meet performance goals as established for the position
- Perform additional duties and responsibilities as assigned by management
Qualifications:
- Bachelor's degree
- Three-year experience in healthcare and/or Medicare Advantage plans
- Experience with healthcare claims analysis, large data sets and claim analytics
- Ability to manage multiple investigations simultaneously
- Able to meet deadlines, multi-task and thrive in high-pressure environment
- Excellent oral and written communication
- Proficiency with MS office with advanced skills in Excel and SQL
- Experience with PowerBI and developing dashboards
- Ability to work independently and collaboratively in a team environment
No Third Party Agencies or Submissions Will Be Accepted.
Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP
Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.
About Doctors HealthCare Plans
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
51 - 200 Employees
Headquarters location
Coral Gables, FL, US
Year founded
2017