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Claims Fraud Investigator
Requisition #2415900 Job LocationCanada-British Columbia-Burnaby Job StreamHealth Insurance Job TypePermanent, Full-Time Number of Positions1 Start Date of Employment ASAP Posting Date15-Apr-2024 Travel RequiredNot Required Educational RequirementsCollege Diploma Languages RequiredEnglish Job Description About Pacific Blue Cross
Pacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans.
We are fueled by a commitment to keep health care sustainable for all British Columbians. Through our PBC Health Foundation, we fund projects that improve health outcomes directly related to mental health and wellbeing as well as the prevention and/or management of chronic disease. We are interested in finding people who want to make a difference and who are looking to grow their career with us.
Perks
About the Position
If you’re someone with a passion for investigating suspected claims fraud and insurance abuse and are wanting to take on a great career opportunity with a local not-for-profit health insurance provider by working with internal and external stakeholders, we want to hear from you.
Your skills in profiling member and provider claims and conducting comprehensive desk audits and investigations will help Pacific Blue Cross be able to provide sustainable healthcare.
We offer an attractive compensation and benefits package and work-life balance. Our workplace culture values health and wellness, diversity and equality, continuing education, environmental sustainability and giving back to the community.
We are now recruiting for a Claims Fraud Investigator to join our Claims Fraud and Abuse Investigations team. This role is currently working from home 3 days a week and 2 days a week at our head office in Burnaby, BC. Apply this week if you would like to take on this role.
Key Ways This Position Makes an Impact
The Claims Fraud Investigator works with the team to review member and provider claims of suspected claims fraud and insurance abuse and actively pursue recovery of ineligible funds.
This role analyzes cases, work with large sets of claims data and develops investigative plans to conduct investigations and/or desk audits, and occasionally in person.
In this role, you would gather information and evidentiary material to support findings that follow the principles of administrative law.
You would prepare comprehensive reports that include evidence findings, results, and recommended recovery actions and amounts.
This role would help with putting together file documentation for referral to regulatory, civil or criminal consideration.
Key Experiences You Bring to This Role
Great News! We've discovered an exciting live job opportunity for a Claims Fraud Investigator position in Burnaby. This job is currently open for hiring/recruiting by Pacific Blue Cross, exclusively for you at Canada Jobs. Feel free to download the job details here.
The work culture at Pacific Blue Cross must adhere to the Ethics of Work Culture as described in the Ethical framework of the UN Charter. You can gain more insights into their local workplace environment by exploring their jobs Pacific Blue Cross and also by visiting their official website through Google.
The World Cities Report 2020 sheds light on the intrinsic value of sustainable urbanization in Canada, particularly within Burnaby. It explores this value from economic, social, and environmental angles, encompassing the intangible aspects that contribute to Burnaby's distinct character. Moreover, the report delves into the role of innovation and technology, the responsibilities of local governments, targeted investments, and the effective implementation of the New Urban Agenda in promoting sustainable urbanization globally. For a deeper dive into population growth trends and diversity in Burnaby, additional details can be found on Burnaby Wikipedia.
Yes, we found live job(s) for Pacific Blue Cross in Burnaby.
Claims Fraud Investigator jobs are available in Canada.
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The average salary range for Claims Fraud Investigator in Burnaby varies, but the standard pay scale is rated "Standard" in Burnaby. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively.
To apply for a job at Pacific Blue Cross follow the application process following the "Apply Now" button at Canada Jobs and also you can visit Pacific Blue Cross official career page and follow their application process.
Key qualifications for Claims Fraud Investigator typically include a list of qualifications and expertise as outlined in Bureau of Labor. Be sure to check the specific job listing for detailed requirements and qualifications.
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Benefits for Claims Fraud Investigator positions may include a list of benefits. These can vary from company to company, so it's important to review the specific job listing for details on benefits offered by the employer.
Not all jobs have remote job opportunities available. However, nowadays, many companies offer remote work options. You can find remote job listings for Claims Fraud Investigator on Canada Jobs.
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