Intermediate Dental Investigation Specialist - Waterloo, Canada - Manulife

Manulife

Verified Company

Waterloo, Canada

3 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

_We are a __leading financial services provider committed to making decisions easier and lives better for our customers and _
_colleagues around the world. From our environmental initiatives to our community investments, we lead with values throughout our business. __To help us stand out, we help you step up, because when colleagues are healthy, respected and meaningfully challenged, we all thrive. Discover how you can grow your career, make impact and drive real change with our Winning Team today. _**
Working Arrangement
Hybrid

Responsibilities:

Perform risk based data profiling and analysis to identify trends and outliers in various categories for further review and investigation
Lead and support audit programs; coordinating, assessing, and making decisions on investigations
Take initiative and lead investigations to successful conclusion including the preparation of criminal and regulatory complaints
Conduct interviews of plan members, providers of service and others
Create written audits and other correspondence to plan members, providers of service and others
Engages, interacts and consults with various internal contacts such as Customer Service, Legal, Client Relations, Medical Consultants, Regional Group Office and external stakeholders such as Health Practitioner Regulatory Bodies, Colleges and Associations, and Plan Sponsors

Job Requirements:

University degree or equivalent, will be considered as an asset
Knowledge of Group Benefits
Knowledge of the Canadian healthcare environment, service delivery model and regulation
Knowledge of dental codes and billing practices and dental Assisting or Dental Hygiene is an asset
Knowledge of fraud and abuse risk, and techniques to manage risk
Bilingual is an asset
Strong research, problem solving and decisionmaking skills
Ability to manage contentious interactions with various stakeholders
Excellent oral communication (both phone and face to face) and written communication skills
Intermediate data analysis skills with expertise using Excel and other data mining software
Demonstrated investigation skills with attention to detail
Ability to be creative, critical and aggressive in managing audit and investigative activities
Organizational skills and the ability to manage multiple conflicting priorities

Competencies:

We Work as One
Influence and Persuasion
Compelling Communication
Collaboration
We Question and Innovate
Adaptability
Knowing the Business
Technology Savvy
We Own our Future
Solution Focused
Executing with Excellence
General
Passion to succeed
Ability to thrive through ambiguity, multiple competing tasks and changing priorities
Ability to maintain a balance of confidence and approachability
Positivity

What can we offer you?

A competitive salary and benefits packages.
A growth trajectory that extends upward and outward, encouraging you to follow your passions and learn new skills.
A focus on growing your career path with us.
Flexible work policies and strong worklife balance.
Professional development and leadership opportunities.

Our commitment to you

Valuesfirst culture
We lead with our Values every day and bring them to life together.
Boundless opportunity
We create opportunities to learn and grow at every stage of your career.
Continuous innovation
We invite you to help redefine the future of financial services.
Delivering the promise of Diversity, Equity and Inclusion
We foster an inclusive workplace where everyone thrives.
Championing Corporate Citizenship
We build a business that benefits all stakeholders and has a positive social and environmental impact.

About John Hancock and Manulife

Manulife is an Equal Opportunity Employer

Salary & Benefits
The annual base salary for this role is listed below.

Primary Location
Waterloo, Ontario

Salary range is expected to be between
$41,025.00 CAD - $68,375.00 CAD

Manulife offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short