Join Alberta Blue Cross in a pivotal Investigator role focused on claims audits and compliance within a hybrid work model. Collaborate to ensure exceptional service across health care networks.

This position demands a skilled investigator with 3-5 years’ experience, primarily responsible for audits and investigations involving health care providers. You will develop audit plans, conduct thorough analyses of claims, and write detailed reports that bolster compliance with provider agreements and relevant legislation. Excellent communication is key for building relationships with internal teams and external clients.

Key Responsibilities:
• Perform health audits and investigations to guaranteed compliance
• Travel across Alberta to gather necessary documentation




• Analyze claims for adherence to standards and policies
• Generate reports detailing findings and compliance adjustments
• Recommend optimizations to enhance service efficiency

Requirements:
• Degree in criminal justice, healthcare, or related field
• Investigative certification such as CFI or CFE preferred
• 3-5 years of relevant investigation experience
• Exceptional verbal and written communication abilities
• Robust analytical skills with proficiency in Excel data handling

Leverage your investigative skills and commitment to quality at Alberta Blue Cross to enhance service delivery.
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📌 Investigator - Claims Audit Hybrid Role (Alberta)
🏢 Abbluecross
📍 Alberta