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Claims Fraud Investigator
2 days ago
Pacific Blue Cross Burnaby, Canada**About Pacific Blue Cross** · Pacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC's health care system. We provide health, dental, life, disability, and travel cov ...
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Claims Fraud Investigator
6 days ago
Pacific Blue Cross Burnaby, CanadaIf you're someone with a passion for investigating suspected claims fraud and insurance abuse and are wanting to take on a great career opportunity with a local not-for-profit health insurance provider by working with internal and external stakeholders, we want to hear from you. ...
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Claims Fraud Investigator
1 week ago
Pacific Blue Cross Burnaby, Canada Permanent, Full timeClaims Fraud Investigator · Requisition # Job LocationCanada-British Columbia-Burnaby Job StreamHealth Insurance Job TypePermanent, Full-Time Number of Positions1 Start Date of Employment ASAP Posting Date15-Apr-2024 Travel RequiredNot Required Educational RequirementsCollege Di ...
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Investigator, Private
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Source Office Furnishings Burnaby, CanadaSource Office Furnishings has a corporate philosophy of offering our customers the best value in high quality office furniture anywhere in Canada. We carry leading brands of quality office furniture and have space planning specialists to help you ensure you have the right office ...
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Band 2
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BC Public Service Burnaby, CanadaPosting Title- BAND 2 - Gambling Auditor- Position Classification- Band 2- Union- N/A- Work Options- Hybrid- Location- Burnaby, BC V3J 1N3 CA · - Kamloops, BC V2H 1B7 CA · - Multiple Locations, BC CA (Primary)- Salary Range- $74, $105,000.04 annually- Close Date- 1/8/2024- Job Ty ...
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International Union of Operating Engineers Burnaby, Canada**Assistant Administrator, Pension and Benefits** · **About the Position** · The Assistant Administrator, Pension and Benefits is responsible for assisting the Administrator, Pension and Benefits on the following: · - managing and overseeing the multi-employer, target benefit pen ...
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Product Manager, Admin Experience
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Equinix Burnaby, CanadaProduct Manager, Admin Experience · Equinix is the world's digital infrastructure company, operating 240+ data centers across the globe and providing interconnections to all the key clouds and networks. Businesses need one place to simplify and bring together fragmented, complex ...
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Online Administrator
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Payment source Port Moody, CanadaPort Moody, BC - Toronto, ON - Ottawa, ON · **Overall Objective**: · The Online Administrator is responsible for performing vetting and onboarding online users who have registered via Payment Sources websites or mobile apps. This requires thorough evaluation of online user profil ...
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Investigation Services
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Intrepid Investigations Vancouver, Canada**Position: Investigation Services - Cyber/Field Investigator** · **Full Time** · A private Investigation organization distinguished by its reputation for quality, professional standards and employee recognition, Intrepid Investigations seeks an experienced private investigator w ...
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Royal Bank of Canada Vancouver, Canada**Come Work with Us** · At RBC, our culture is deeply supportive and rich in opportunity and reward. You will help our clients thrive and our communities prosper, empowered by a spirit of shared purpose. · Whether you're helping clients find new opportunities, developing new tech ...
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MNP Vancouver, CanadaInspirational, innovative and entrepreneurial - this is how we describe our empowered teams. Combine your passion with purpose and join a culture that is thriving in the face of change. · Make an impact with our Forensics & Litigation Support team as a Designated Professional. Th ...
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Area Manager, Asset Protection
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Staples Canada Vancouver, Canada: · **Who we are** · As the Working and Learning Company, we at Staples Canada, are dynamic, inspiring partners to our customers and the communities in which we live. At Staples, we inspire people to work smarter, learn more and grow every day. We look for people who are curious ...
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External Asset Protection Specialist
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External Asset Protection Specialist
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Siu Officer
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ICBC British Columbia, CanadaAt ICBC, it's our job to make sure the car insurance system works for all British Columbians, today and in the future. If you want · to make the most of your skills and expertise while growing your career, we want you. A career at ICBC is an opportunity to be · part of a talented ...
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Claims Analyst Co-op/intern
2 days ago
Definity Vancouver, Canada**Claims Analyst Co-op/Intern (Summer 2023)**: · Job ID : 6299 · Category : Claims · Brand : Definity · Regular/Temporary : Temporary · Fulltime/Parttime : Full Time · Location : Vancouver, Canada · Share :- share to twitter- share to facebook- share to linkedin**Save job** · Def ...
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Advisor, Claims Technical
1 week ago
Definity Financial Corporation Vancouver, CanadaJob ID : 6819 · Category : Claims · Brand : Definity · Regular/Temporary : Regular · Fulltime/Parttime : Full Time · Location : Vancouver, Canada · Definity includes some of Canada's most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insura ...
Claims Fraud Investigator - Burnaby, BC, Canada - Brainhunter Systems Ltd
Description
We are an independent, not-for-profit society with strong roots in BC's health care system.We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans.
We are fueled by a commitment to keep health care sustainable for all British Columbians.Through our PBC Health Foundation, we fund projects that improve health outcomes directly related to mental health and wellbeing as well as the prevention and/or management of chronic disease.
Work-life balance with flexible working hours of 7.5 hours per day, Monday to Friday (i.e., Paid vacation starts at 4 weeks per year, and increases with years of service.a combination of work from office and work from home days).
Generous benefits, including extended health, dental, and life insurance; Company pension contributions after 1 year of service.
Onsite gym, cafeteria, and access to virtual doctors/counsellors 24/7 via our Employee Family Assistance Program
We are searching for a permanent Claims Fraud Investigator to join our Claims Fraud and Abuse Investigations team.
PBCs compensation offerings are grounded in a pay-for-performance philosophy that recognizes exceptional individual and teamperformance.
If you're someone with a passion for investigating suspected claims fraud and insurance abuse and are wanting to take on a great career opportunity with a local not-for-profit health insurance provider by working with internal and external stakeholders, we want to hear from you.
Your skills in profiling member and provider claims and conducting comprehensive desk audits and investigations will help Pacific Blue Cross be able to provide sustainable healthcare.
Our workplace culture values health and wellness, diversity and equality, continuing education, environmental sustainability and giving back to the community.
We are now recruiting for a Claims Fraud Investigator to join our Claims Fraud and Abuse Investigations team.This role is currently working from home 3 days a week and 2 days a week at our head office in Burnaby, BC.
The Claims Fraud Investigator works with the team to review member and provider claims of suspected claims fraud and insurance abuse and actively pursue recovery of ineligible funds.
This role analyzes cases, work with large sets of claims data and develops investigative plans to conduct investigations and/or desk audits, and occasionally in person.
In this role, you would gather information and evidentiary material to support findings that follow the principles of administrative law.
This role would help with putting together file documentation for referral to regulatory, civil or criminal consideration.Minimum 3 years' experience in fraud investigation or equivalent experience in reviewing, interpreting and analyzing claims to identify potential areas of fraudulent or insurance abuse claims; preferably in the healthcare insurance field and with a preference to working in health care, benefits, or insurance
University degree or technical diploma in a relevant field.
Certified Fraud Examiner designation and/or Investigation Certificate from the Justice Institute is preferred.
Together we can create a healthier British Columbia through teamwork, exceptional service and accountability that will help improve sustainable healthcare.
Claims Fraud Investigator professionals in Burnaby
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BEHZAD ROSHANI
LEAD Auditor , Master Mariner, Marine Surveyor