Role Description As an independently owned subsidiary of Aetna and CVS Health, Meritain Health is a leading third-party administrator of self-insured commercial health plans. The SIU Investigator will support Meritain Health’s Network Cost Management team, specifically the Special Investigations Unit (SIU). The SIU Investigator will conduct investigations to effectively pursue the prevention, investigation, and prosecution of healthcare fraud and abuse, to recover lost funds, and to comply with state regulations mandating fraud plans and practices. - Must be flexible to work EDT hours (8:00 am - 5 pm EDT). - Conducts investigations of known or suspected acts of healthcare fraud and abuse. - Communicates with federal, state, and local law enforcement agencies as appropriate in matters pertaining to the prosecution of specific healthcare fraud cases. - Investigates to prevent payment of fraudulent claims committed by insured's, providers, claimants, customer members, etc. - Facilitates the recovery of company and customer money lost as a result of fraud matters. - Provides input regarding controls for monitoring fraud related issues within the business units. - Delivers educational programs designed to promote deterrence and detection of fraud and minimize losses to the company. - Maintains open communication with constituents internal and external to the company. - Uses available resources and technology in developing evidence, supporting allegations of fraud and abuse. - Researches and prepares cases for clinical and legal review. - Documents all appropriate case activity in tracking system. - Makes referrals and deconflictions, both internal and external, in the required timeframe. - Cost effectively manages use of outside resources and vendors to perform activities necessary for investigations. Qualifications - 3+ years of experience working in fraud, waste and abuse investigations and audits. - 3+ years of experience in healthcare/medical insurance claims investigation or professional/clinical experience. - Demonstrated proficiency in Microsoft Office Suite (including Excel, specifically with pivot tables), database search tools, and use of the Intranet/Internet to research information. Requirements - Strong analytical and research skills. - Strong verbal and written communication skills. - Strong customer service skills. - Previous experience as a senior investigator. - Previous experience utilizing QuickBase. - Proficient in researching information and identifying information resources. - Ability to utilize company systems to obtain relevant electronic documentation. - Ability to travel and participate in legal proceedings, arbitrations, depositions, etc. - Ability to interact with different groups of people at different levels and aid on a timely basis. - Previous experience working with a Third-Party Administrator (TPA) and/or Self-Funded Plans in an investigative capacity. - AHFI (Accredited Health Care Fraud Investigator), CFE (Certified Fraud Examiner), and/or CPC (Certified Professional Coder). - Knowledge of CVS/Aetna/Meritain Health’s policies and procedures. Education - Bachelor's Degree or equivalent work experience (high school diploma or GED + 4 years of relevant work experience). Benefits - Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. - Medical, dental, and vision coverage. - Paid time off. - Retirement savings options. - Wellness programs and other resources, based on eligibility.

Role Description As a Customer Support Specialist, you'll be the voice of our brand for our Italian-speaking customers, supporting them with empathy, precision, and a can-do attitude. - Handle inbound inquiries via phone, email, chat, and social media, you'll be a true omni-channel hero. - Assist merchants with everything from technical setup to payment issues and product navigation. - Collaborate with teams like Sales, Marketing, and Tech Support to resolve queries quickly and efficiently. - Help improve our internal processes, tools, and workflows to boost merchant satisfaction and retention. Qualifications - Fluent in Italian and comfortable communicating in English (spoken and written). - Tech-savvy, you're quick with a smartphone, tablet, or computer. - Experienced in Customer Support or Contact Centers (preferred, but not essential). - Patient, positive, and always ready to help even when things get hectic. - Curious, resourceful, and persistent, you love solving problems. - Organized and thrive in a fast-paced, dynamic environment. Requirements - 40 hours/week. - Rotating shifts between 08:00 and 19:00, Monday to Sunday. - Occasional late shift until 21:00 (rare, based on client needs). - 2 days off per week, scheduled on a rotating basis. Benefits - Salary: 1,000 EUR/month (x14 months). - Attendance Bonus: up to 50 EUR/month (x12 times). - Meal Allowance: 7.63 EUR net per working day. - Career progression in a global tech scale-up. - A vibrant, collaborative, and innovative team culture. - Work in Porto's tech hub with on-site support and team activities. - Fully paid training that starts 30/07. Company Description We're not just another tech company; we're a movement reshaping the way small businesses operate across Europe and beyond. As the #1 mobile point-of-sale (mPOS) provider in Europe, we've empowered over 100,000 merchants in 31 countries to accept card payments anywhere using just their smartphone and our sleek, game-changing device. From paperless onboarding to the first tap-to-pay, our product is designed to be simple, inclusive, and transparent—no hidden fees, no jargon, just honest innovation. Join a team of 1,000+ disruptors worldwide who believe in making entrepreneurship accessible to all.

• Independently conduct extensive and detailed investigations to determine origin & cause of fires and explosions, primarily involving structures and determining the cause of fires in commercial buildings or residences. • Investigates assigned claims suspected of insurance fraud, this includes large loss, large fire loss, and multiple claims. • Ensures that assigned cases are investigated and reported back to the requesting party in adherence to best practices. • Investigates site and provides expert testimony based on determination of the origin & cause of fires and relates findings in a clear and concise manner in depositions and trials. • Maintains assigned claims files in a confidential manner; documents all relevant facts pertaining to files in the appropriate claims handling system(s) and keeps management informed of developments that impact claims results. • Reviews and makes recommendations on outcomes of investigations in a prompt and expeditious manner. • Provides guidance and recommendations to claims leadership and associates on claims resolution. • Develops and maintains rapport and cooperation with federal, state and local government agencies, as well as private information bureaus that can assist in investigative efforts. • Identifies and interviews all witnesses or involved persons who may possess information or knowledge pertaining to incident under investigation: motive, opportunity or any other information or evidence. • Independently concludes investigations and determines negligence and violation of laws. • Maintains and pursues technical competency within area of specialization with regard to existing laws pertaining to rights of privacy and availability of public records to assure that all investigations are conducted in a completely legal and ethical manner. • May provide investigative guidance to Fire Investigator team members​

• Notifying investigator sites, sponsors, and affiliates of laboratory results, sponsor determined flags, and test cancellations as defined in the Statement of Work (SOW) • Monitoring, tracking, and resolving accession holds and informing the Supervisor and the associated Project Manager of any delays • Updating the database with appropriate information and informing personnel of additional testing needs • Supporting sites and sponsor with project related questions via phone and email • Effective and timely adherence to management communications, meetings, and Standard Operating Procedures (SOP) • Assisting and supporting in the implementation of global processes and procedures • Tracking and reporting metrics as determined by management in the agreed timelines • Documenting all service failures, resolving, and escalating to management when appropriate resolution is incomplete • Acting as a liaison for both internal and external clients • Communicating investigator site needs when new policies or procedures are discussed • Instilling a culture where patient safety is top priority • Promptly address patient safety issues and escalates as needed for resolution • Ensuring the investigator’s needs are explored prior to implementation of new processes and procedures