Claims Auditor (health And Dental Providers) – Claims Audit & Investigation Services

Alberta Blue Cross

Alberta, Canada
Not specified (assumed to be hybrid)
Valid class 5 driver's license required
Experience in investigation interviewing
Strong analytical and problem-solving ability
Alberta Blue Cross is seeking a Claims Auditor for its Claims Audit & Investigation Services team, responsible for conducting audits and investigations of dental and health care providers. The ideal candidate should possess strong analytical skills, excellent communication abilities, and relevant experience in investigations or the health care sector

Job Summary

  • The role involves conducting audits and investigations of dental and health care providers to assure compliance with provider agreements and applicable legislation.
  • Alberta Blue Cross values diversity and encourages team members to maintain a healthy work-life balance while providing opportunities for career growth.
  • Field work is a key aspect of this position, requiring travel within Alberta to collect documentation and execute audit plans.

Matching Summary

Match Score: 85

Alberta Blue Cross is seeking a Claims Auditor for its Claims Audit & Investigation Services team, responsible for conducting audits and investigations of dental and health care providers. The ideal candidate should possess strong analytical skills, excellent communication abilities, and relevant experience in investigations or the health care sector.

Skills & Requirements

Must-have

  • Valid Class 5 Driver's License required
  • Experience in investigation interviewing
  • Strong analytical and problem-solving ability

Nice-to-have

  • Excellent written and verbal communication skills
  • Commitment to quality customer service
  • Ability to work independently in a virtual team

Key Requirements

  • Post-secondary education in science, business, criminal justice, healthcare, or law
  • Investigative designation such as CFI or CFE preferred
  • Experience in the dental and health care benefits industry preferred

Work Rights

Not specified

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