Reporting, Recovery, And Investigation Officer – Claims Audit & Investigations Services - Remote Eligible

Reporting, Recovery, and Investigation Officer

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.

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 Reporting, Recovery, and Investigation Officer to join our team.

The Reporting, Recovery, and Investigation Officer will play a crucial role in our division. This position requires that an individual can manage multiple requests, including fraud tips and provider verifications. The role also coordinates collection activities, compiling, monitoring the recovery amounts, and following up on outstanding amounts owed. Additionally, this role is responsible for divisional reports to internal and external stakeholders.

Bachelor's degree in Accounting, Law, Finance, Business, or Science is preferred. Experience with reporting and working with data. Experience in collections, investigations, accounting, or auditing is an asset. Familiarity with SQL languages is an asset; familiarity with R/Python is an asset; familiarity with BI tools such as MicroStrategy or Power BI. Certifications/designations in information management, data management, data analysis, knowledge management, fraud examination, accounting, and auditing are beneficial but not required. Strong proficiency in reporting. Excellent communication and presentation 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.