Alberta Blue Cross is a non-profit healthcare and insurance organization serving more than 1.8 million Alberta residents through group, government, and individual health benefit plans. Its work combines health coverage with wellness and preventative care programs designed to support physical, mental, social, and financial well-being. The organization also contributes to community health initiatives and maintains modern work environments for its teams.
Collections, Reporting and Investigations Officer – Claims Audit Services
Supports Alberta Blue Cross with health-claims audits, fraud-tip investigations, reporting, and recovery activities. Coordinates repayment arrangements and maintains accurate investigation records.
Description
- Carry out recovery and collection activities
- Manage incoming fraud tips
- Develop reports that inform business decisions and departmental goals
- Complete administrative tasks as needed
- Discuss outstanding balances and repayment arrangements with members, providers, and internal stakeholders
- Keep recovery and reporting records accurate and current
- Evaluate and coordinate fraud tips
- Contribute to investigations, audits, recovery work, and continuous process improvement
- Work independently and with colleagues to keep information accurate, organized, and actionable
Requirements
- Two-year diploma in accounting, finance, or business
- Certifications or designations in information management, data management, data analysis, fraud examination (CFE), accounting (CPA), or auditing (CIA) are helpful but not required
- Experience preparing reports and working with data
- Experience in collections, accounting, auditing, or investigations is an asset
- Strong reporting capabilities
- Excellent verbal and written communication skills
- Strong problem-solving and critical-thinking abilities
- High attention to detail and the ability to manage multiple tasks at once
- Ability to collaborate effectively while also working independently
- Ability to prioritize effectively and exercise sound individual judgment
- A satisfactory criminal record check is required after a conditional offer and before employment begins
Benefits
- Support for a healthy work-life balance
- Opportunities to advance your career
- Innovative, energetic, and collaborative team environment
- Inclusive workplace that respects and values diverse perspectives, backgrounds, and experiences