Conduct health audits and investigations
Travel within Alberta for documentation collection
Complete claims analysis for compliance
Prepare working papers, letters, and reports
Issue reports on claims and monetary adjustments
Develop and maintain relationships with service providers and internal partners
Address client needs and recommend changes to processes and policies
Requirements Post-secondary education in science, business, criminal justice, healthcare, or law
Investigative designation such as CFI or CFE preferable
3-5+ years experience in investigations
Exceptional communication skills
Experienced in investigation interviewing
Knowledge of databases and ability to analyze large amounts of data using Microsoft Excel
Ability to establish and maintain effective working relationships with both internal and external customers
Core Competencies Demonstrates expertise in conducting health audits and investigations,
with a robust focus on compliance analysis and effective communication. Proven ability to build relationships with service providers and internal partners while addressing client needs.
Highest-signal resume keywords Health Audits
Investigative Designation (CFI or CFE)
Claims Analysis
Microsoft Excel
Investigation Interviewing
ATS Optimization Keywords Hard Skills Health Audits
Claims Analysis
Investigations
Data Analysis
Report Preparation
Soft Skills Exceptional Communication Skills
Relationship Building
Certifications & Qualifications CFI
CFE
Industry Keywords Compliance
Documentation Collection
Process Improvement
Policy Recommendations
Tools & Technologies Databases
Microsoft Excel