Fraud & Health Benefits Investigator II (Hybrid)

Canada Life; Regina; Hybrid; CAD 44,000 - 75,000; Full time

Job summary

A leading financial services company located in Regina is seeking an Investigative Review Specialist 2 to manage health and dental claims investigations. The role involves data interpretation, investigative planning, and collaboration with a high-performance team. Ideal candidates should have over 2 years of related experience and post-secondary education, with strong problem-solving and communication skills. This hybrid position offers flexible hours and a comprehensive benefits package.

Benefits

Tuition reimbursement

Bonuses

Access to sports leagues

Fitness centre

Comprehensive rewards program

Qualifications

• 2+ years related work experience in an adjudicative, investigative, and/or analytical field or clinic setting.
• In-depth knowledge of health/dental industry practices including coding and billing processes.
• Professional designation in a relevant regulated healthcare field is a plus.
• Ability to communicate in French is considered an asset.

Responsibilities

• Conduct thorough case investigations identified through various detection channels.
• Develop and execute the investigative plan in a timely manner.
• Work closely with team members including investigators and data analysts.
• Accurately document investigative actions and outcomes according to department policy.

Skills

Problem solving

Communication skills

Analytical skills

Customer service mindset

Organization skills

Education

Post-secondary education (degree/diploma)

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

A leading financial services company located in Regina is seeking an Investigative Review Specialist 2 to manage health and dental claims investigations. The role involves data interpretation, investigative planning, and collaboration with a high-performance team. Ideal candidates should have over 2 years of related experience and post-secondary education, with strong problem-solving and communication skills. This hybrid position offers flexible hours and a comprehensive benefits package.