Investigator – Claims Audit & Investigation Services

Alberta Blue Cross

Alberta, Canada
Hybrid
3-5 years investigation experience
Valid class 5 driver's license required
Experience in investigation interviewing
The role involves conducting audits and investigations of dental and health care providers to assure compliance with provider agreements and applicable legislation

Job Summary

  • The role involves conducting audits and investigations of dental and health care providers to assure compliance with provider agreements and applicable legislation.
  • Field work is a key aspect of this position, requiring travel within Alberta to collect documentation and conduct interviews.
  • Alberta Blue Cross values diversity, encourages work-life balance, and provides opportunities for career growth in an innovative team environment.

Matching Summary

The role involves conducting audits and investigations of dental and health care providers to assure compliance with provider agreements and applicable legislation.

Skills & Requirements

Must-have

  • 3-5 years investigation experience
  • Valid Class 5 Driver's License required
  • Experience in investigation interviewing
  • Strong analytical and problem-solving ability
  • Excellent written and verbal communication skills

Nice-to-have

  • Investigative designation CFI or CFE preferred
  • Background in dental or health care benefits industry
  • Registered dental assistant experience
  • Commitment to quality customer service
  • Ability to work independently in a virtual team

Key Requirements

  • Post-secondary education in science, business, criminal justice, health care, or law
  • Relevant law enforcement experience considered in lieu of specific degree
  • Valid Class 5 Driver's License mandatory
  • 3-5+ years of experience in investigations
  • Knowledge of databases and Microsoft Excel for data analysis

Work Rights

Not specified

Tailored Resume

Cover Letter