- 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