Join CLHIA as a Health Claims Investigative Administrator in a flexible, hybrid setting. Utilize your communication abilities to liaise effectively with stakeholders while managing crucial investigative processes.

This vital role, reporting to the Director of Anti-Fraud Programs, allows you to engage with internal teams and member companies. You will manage the operational and administrative aspects of investigation programs, ensuring data integrity and effective coordination. A self-motivated individual is ideal for balancing multiple priorities while maintaining confidentiality.

Key Responsibilities:
• Manage and track status of investigation submissions
• Format documents for online posting and coordination




• Handle inquiries and prepare meeting materials
• Update and maintain program datastore
• Conduct analysis and report on program performance

Requirements:
• Degree in related field with 3+ years of experience
• Familiarity with fraud investigations and operations
• Solid knowledge of anti-fraud technologies
• Excellent communication and stakeholder management
• Advanced MS Office and database skills

Support integrity and accessibility in health claims management within the CLHIA framework.
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📌 Investigative Administrator for Health Claims (Ontario)
🏢 Canadian Life and Health Insurance Association
📍 Ontario