Intern supporting IT Audit projects based on COBIT and ITIL frameworks. Engaging in risk assessments and cybersecurity initiatives at RSM Brasil.
About the role
- Claims Auditor conducting audits of health and dental providers for compliance. Working at Alberta Blue Cross, offering services to over 1.8 million members.
Responsibilities
- Conduct dental and/or health audits/investigations and ensure compliance
- Field work to collect documentation
- Complete claims analysis to ensure compliance with provider agreements
- Prepare working papers, letters, and reports
- Issue reports on claims and/or monetary adjustments
- Develop and maintain good relationships with service providers and internal partners
- Address internal and external clients’ needs
Requirements
- Post-secondary education in science, business, criminal justice, health care, and/or law
- Relevant experience in law enforcement can be considered in lieu
- Investigative designation such as CFI or CFE is preferable
- Exceptional written and verbal communication skills
- Experienced in investigation interviewing
- Commitment to quality customer service
- Ability to establish and maintain effective relationships with customers
- Knowledge of databases and ability to analyze large amounts of data using Microsoft Excel
- Experience in the dental and health care benefits industry is preferable
Benefits
- Health coverage for over 1.8 million members
- Opportunities for career growth
- Healthy work-life balance
- Inclusive employer supportive of diverse backgrounds and experiences
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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