Team Manager, Claims Audit – Claims Audit & Investigation Services
Alberta Blue Cross®
Alberta, Canada
Hybrid
Interviewing and investigation experience
Excellent written and verbal communication
Strong analytical and problem-solving ability
Alberta Blue Cross® is seeking a Team Manager for their Claims Audit & Investigation Services division, responsible for overseeing audit and investigation processes related to health care providers and plan members. The ideal candidate will have substantial experience in investigations or auditing, strong leadership skills, and a commitment to customer service
Job Summary
Claims Audit and Investigation Services conducts audits and investigation of dental and health care providers and plan members to assure compliance with provider agreements, group contract, polices procedures, and applicable legislation.
This position will be responsible for developing an audit investigation plan, executing the audit, and creating the final report.
We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth.
Matching Summary
Match Score: 85
Alberta Blue Cross® is seeking a Team Manager for their Claims Audit & Investigation Services division, responsible for overseeing audit and investigation processes related to health care providers and plan members. The ideal candidate will have substantial experience in investigations or auditing, strong leadership skills, and a commitment to customer service.
Skills & Requirements
Must-have
interviewing and investigation experience
excellent written and verbal communication
strong analytical and problem-solving ability
commitment to excellent service
major case management principles
Nice-to-have
promote wellness and community leadership
healthy work-life balance
career growth opportunities
positive and collaborative team environment
innovative, high-energy team-focused environment
Key Requirements
post-secondary education preferred
audit or investigation designation required
five years plus experience in investigations
three years plus leadership experience
health care benefits industry experience desirable