Aptask Global Workforce (AGW) is seeking a Claims Specialist for a contract position with a municipal utility located in Los Angeles, CA.  The Pay Rate Range for this role is $30-$40/hr.

 

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 ba...