Collections, Reporting, & Investigation Officer – Claims Audit & Investigations Services

Alberta Blue Cross; Edmonton; On-site; CAD 50,000 - 65,000; Full time

Job summary

Alberta Blue Cross is seeking a Collections, Reporting, & Investigation Officer to support recovery activities, fraud tip management, reporting, and administrative duties within Claims Audit and Investigation Services.

You will communicate with members, providers, and internal stakeholders about outstanding balances, coordinate repayment arrangements, and maintain accurate records while collaborating on investigations, audits, and process improvements.

Qualifications

• This role requires a two-year diploma in accounting, finance or business.
• Certifications in information management, data management, data analysis, CFE, CPA, CIA are beneficial but not required.
• Experience with reporting and working with data is required.
• Experience in collections, accounting, or auditing/investigation is an asset.
• Excellent communication and written skills are essential.
• Strong problem-solving, critical-thinking, and attention to detail.
• Ability to work independently and in a team, manage multiple tasks.

Responsibilities

• Support recovery collection activities and management of fraud tips.
• Prepare and present reports to support business decisions and departmental objectives.
• Communicate with members, providers, and internal stakeholders about balances and repayment arrangements.
• Maintain accurate recovery and reporting records and assist investigations, audits, and continuous process improvements.

Skills

Reporting

Data analysis

Communication

Problem solving

Attention to detail

Education

Two-year diploma in accounting/finance or business

Job description

Alberta Blue Cross® is an Alberta based organization dedicated to delivering exceptional customer experience and community leadership. We’re committed to providing the best health coverage to over 1.8 million members and take an active role in promoting wellness. We believe in what we do—and place trust in our employees to deliver our vision.

Working at Alberta Blue Cross® means having a career where you’ll be recognized for your contributions. We value diversity, encourage our team members to maintain a healthy work-life balance and provide opportunities for career growth.

OVERVIEW:

Claims Audit and Investigation Services conducts audits of health care providers and plan members to assure compliance with agreements, group contracts, policies, procedures, and applicable legislation. We are seeking a highly skilled and motivated Collections, Reporting, & Investigation Officer to join our team.

WHAT YOU WILL DO:

As the Collections, Reporting, & Investigation Officer, you will play a key role in supporting Claims Audit and Investigation Services through recovery collection activities, fraud tip management, reporting and administrative duties as required. You will communicate with members, providers, and internal stakeholders regarding outstanding balances and repayment arrangements, maintain accurate recovery and reporting records, assess and coordinate fraud tips, and prepare reports that support business decisions and departmental objectives. Working both independently and collaboratively, you will ensure information is accurate, organized, and actionable while supporting investigations, audits, recovery efforts, and continuous process improvement initiatives.

WHAT YOU WILL HAVE:

• Two-year diploma in accounting finance or business
• Certifications/designations in the following areas are beneficial, but not required: information management, data management, data analysis, and fraud examination (CFE), accounting (CPA) or auditing (CIA)
• Experience with reporting and working with data.
• Experience in collections, accounting, or auditing/investigation is an asset.
• Strong proficiency in reporting.
• Excellent communication and written skills.
• Strong problem-solving and critical-thinking skills.
• Attention to detail and ability to manage multiple tasks simultaneously.
• Collaborate with the team and work both independently and within a team environment.
• Prioritize tasks effectively and execute a high level of individual decision-making.

This position will remain open until a suitable candidate is selected.

Alberta Blue Cross® is an inclusive employer committed to a workplace that reflects the diversity of the communities we serve. We empower and are advocates for our team members by welcoming, respecting and valuing their unique perspectives, backgrounds, and experiences.

We offer the opportunity to work in an innovative, high-energy team-focused environment.

A criminal record check satisfactory to Alberta Blue Cross will be required as a condition of employment, following a conditional offer.