Enhance the integrity of health plans as an Insurance Fraud Investigation Specialist. Conduct in-depth investigations and analyze suspicious activities to safeguard clients and the organization.
This pivotal role involves reviewing referrals related to suspected fraud and analyzing data to identify fraudulent patterns. You will conduct objective investigations, document findings, and collaborate with analytics teams to improve detection strategies. Your contributions will ensure a high standard of investigation process excellence, promoting fraud prevention initiatives.
Key Responsibilities:
• Review suspected fraud and irregularities in claims
• Analyze fraud detection alerts for suspicious patterns
• Conduct thorough investigations with evidence collection
• Document findings and prepare detailed reports
• Collaborate with analytics teams to enhance detection rules
Requirements:
• University degree in relevant field such as finance or criminology
• 3 to 5 years experience in investigations or audits
• Robust analytical skills and comfort with data analysis tools
• Professional judgment and ability to handle sensitive information
• Advanced English proficiency for report preparation
Utilize your investigative expertise to uphold the integrity of insurance programs and drive fraud prevention efforts effectively.
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Apply on Kit Job: kitjob.ca/job/2frxqr
📌 Insurance Fraud Investigation Specialist (Quebec City)
🏢 iA Financial Group (Industrial Alliance)
📍 Quebec City
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