Temp Insurance Fraud Investigator Jobs (NOW HIRING)

About this Job The mission of the Louisiana Department of Health is to protect and promote health and to ensure access to medical, preventive, and rehabilitative services for all residents of the State of Louisiana. Learn more about Louisiana Department of Health Join a team dedicated to protecting public resources by investigating complex fraud, employee misconduct, and criminal activity. In this role, you'll collaborate with local, state, and federal law enforcement agencies, conduct interviews and surveillance, analyze investigative data, prepare detailed case reports, and testify in legal proceedings.

If you have strong analytical skills, enjoy solving complex cases, and are committed to integrity and public service, this is your opportunity to make a meaningful difference. An ideal candidate should possess the following competencies: Following Policies and Procedures: The ability to follow, reinforce, adapt, or develop policies and procedures to maintain compliance with federal and state legal requirements, State Civil Service rules, and organizational policies. Making Accurate Judgments: The ability to assess options, weigh risks, and make sound decisions using available information and logical reasoning.

Thinking Critically: The ability to analyze information objectively, identify connections across sources, and form logical, well supported conclusions. Accepting Direction: The ability to be open and willing to follow guidance or instructions. Acting Decisively: The ability to make timely, confident decisions using sound reason.

Acting with Ethics and Integrity: The ability to make choices that reflect ethical standards, integrity and honesty, regardless of circumstances or personal benefit Driving Results: The ability to set and pursue goals, maintain focus amid competing demands, and deliver results Solving Problems: The ability to identify root causes, analyze relevant data, and apply practical or innovative solutions to challenges. Using Data: The ability to collect, analyze, and use data to generate insights and inform decisions. Minimum Qualifications Four years of experience in social services; OR Six years of full-time work experience in any field plus one year of experience in social services; OR A bachelor's degree plus one year of experience in social services; OR A bachelor's degree in social work or a master's degree in a social services field or education.

EXPERIENCE SUBSTITUTION Every 30 semester hours earned from an accredited college or university will be credited as one year of experience towards the six years of full-time work experience in any field. The maximum substitution allowed is 120 semester hours which substitutes for a maximum of four years of experience in any field. Job Specification The official job specifications for this role, as defined by the State Civil Service, can be found here.

Job Duties and Other Information Job Duties: Conducts investigations into suspected recipient fraud, employee misconduct, and other criminal or administrative violations involving agency programs and services. Collects, analyzes, and documents evidence through interviews, surveillance, records research, and the use of investigative databases and computer systems. Collaborates with local, state, and federal law enforcement agencies, prosecutors, and oversight organizations to support investigations and case resolution.

Prepares comprehensive investigative reports, financial loss reports, affidavits, and other case documentation for administrative, civil, and criminal proceedings. Interviews suspects, witnesses, and other involved parties to obtain facts, statements, and evidence relevant to investigations. Serves as the agency representative in administrative hearings, Civil Service appeals, and court proceedings by presenting evidence and providing testimony.

Maintains accurate investigative records within the agency's Case Management Information System (CMIS) and processes required recovery, repayment, and program disqualification documentation. Position-Specific Details: Location: Medical Vendor Administration / FS Fraud & Recovery / East Baton Rouge Parish Appointment Type: This position may be filled as a Probationary appointment, Promotional appointment, Job appointment (temporary appointment that may last up to 48 months), or Detail to Special Duty Cost Center: 3052130100 Position Number(s): 50689399 Career Progression: This position may be filled as a Fraud Investigator 1 or 2 determined by the qualifications of the candidate selected. This position provides the opportunity to advance within this job series.

Compensation: This position is eligible for the following Special Entrance Rates (SER), as well as a Premium Pay of up to $2.00/hr for hours worked based on longevity. Fraud Investigator 1 - $21.27 hr / $1,701.60 bi-weekly Fraud Investigator 2 - $22.76 hr / $1,820.80 bi-weekly How To Apply: No Civil Service test score is required in order to be considered for this vacancy. To apply for this vacancy, click on the "Apply" link above and complete an electronic application, which can be used for this vacancy as well as future job opportunities

Applicants are responsible for checking the status of their application to determine where they are in the recruitment process. Further status message information is located under the Information section of the Current Job Opportunities page. * Information to support your eligibility for the position must be included in the application (i.e., relevant, detailed experience/education)

Resumes will not be accepted in lieu of completed education and experience sections. Applications may be rejected if incomplete. For information on how to check your application status and understand status updates, please click HERE.

Contact Information: Samantha Johnson Samantha.Johnson2@la.gov LA Department of Health (LDH) Division of Human Resources PO Box 4818 Baton Rouge, LA 7082 1225-342-6477 This organization participates in E-verify, and for more information on E-verify, please contact DHS at 1-888-464-4218. LDH supports Louisiana's commitment to being a State as a Model Employer (SAME) by promoting the recruitment, hiring, and retention of individuals with disabilities. Information on the Louisiana Works, Louisiana Rehabilitation Services is available here

LDH is an equal opportunity employer and seeks to recruit a highly productive and diverse workforce and will provide equal employment opportunities to all employees and prospective employees. Employment decisions shall be based strictly on merit and without regard to religious or political beliefs, sex, race, or any other non-merit factor.