Bilingual Investigative Analyst - Fraud Risk Management
Sun Life Montreal Metcalfe, Canada
CAD 58K-93K (estimate) Senior-level Full Time
Tasks
- Analyze data to recommend providers for investigation
- Assist in plan member interviews
- Communicate audit findings to stakeholders
- Conduct triage of tips and referrals
- Document investigative steps and outcomes
- Perform audits of dental claims
- Prepare audit packages
- Prepare criminal briefings
- Prepare delist recommendations and regulatory complaints
- Promote fraud prevention education and awareness
- Recommend continuous improvement
- Respond to inquiries and escalations
- Review dental claims for fraud flags
- Support profiling of dental providers
- Track emerging fraud and abuse trends
Perks/Benefits
- Collaborative & Inclusive Culture
- Dental industry experience
- Hybrid work option
- Learning and development
Skills/Tech-stack
Audit | Claims Review | Contractual Language | Data Analysis | Dental Benefits | Dental terminology | Fraud investigation | Interviewing | Microsoft Excel | Microsoft Outlook | Microsoft Word | Regulatory Compliance | Risk Management | Tableau
Education
Roles
Regions
Countries
States
Cities
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