Team Manager, Claims Audit – Claims Audit & Investigation Services

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 and investigation of dental and health care providers and plan members to assure compliance with provider agreements, group contract, polices procedures, and applicable legislation. The audit and investigations teams’ main responsibility is to identify and investigate fraud and/or non-compliance to relevant billing agree...