Investigation Analyst – Member Risk
Manulife
full-time
Posted on:
Location Type: Hybrid
Location: Montreal • 🇨🇦 Canada
Visit company websiteSalary
💰 CA$44,775 - CA$74,625 per year
Job Level
Mid-LevelSenior
About the role
- Perform risk-based data profiling and analysis to identify trends and outliers
- Lead and support audit programs; coordinating, assessing, and making decisions on investigations
- Conduct interviews of plan members, providers of service and others
- Create written audits and other correspondence to plan members and providers
- Engage and consult with various internal contacts and external stakeholders
- Lead, support and implement key investigative projects
Requirements
- Knowledge of Group Benefits
- Knowledge of the Canadian healthcare environment, service delivery model and regulation
- University degree or equivalent work experience
- CFE designation is an asset (preferred)
- Knowledge of fraud and abuse risk, and techniques to manage risk
- Strong research, problem solving and decision-making skills
- Ability to manage contentious interactions with various stakeholders
- Excellent oral and written communication skills
- Intermediate or higher data analysis skills with expertise using Excel and other data mining software
Benefits
- Health, dental, mental health, and vision insurance
- Short- and long-term disability insurance
- Life and AD&D insurance coverage
- Adoption/surrogacy and wellness benefits
- Employee/family assistance plans
- Retirement savings plans including pension and global share ownership plan with employer matching contributions
- Financial education and counseling resources
- Paid time off including holidays, vacation, personal, and sick days
- Full range of statutory leaves of absence
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data profilingdata analysisrisk managementresearch skillsproblem solvingdecision makingdata mining
Soft skills
leadershipcommunication skillsinterpersonal skillsstakeholder engagementcontentious interaction management
Certifications
CFE designation