About the Role
Manulife's Group Benefits Health and Dental Claims Risk Management team focuses on digital claims risk management, fraud investigations, and data analytics to support key operational objectives. The Investigation Analyst – Provider Risk plays a crucial role in preventing, detecting, and investigating fraud and abuse among healthcare providers, implementing risk mitigation strategies to protect benefit plans.
This position involves collaboration with internal departments and external contacts, reporting to the Senior Manager, Fraud Risk Management, and is key to safeguarding plan sponsors and members from claims fraud. If you have an investigative spirit and strong analytical skills in the Canadian Health Care Industry, this role might be for you.
Position Responsibilities:
Data Analysis and Investigation: Perform risk-based data profiling to identify trends and outliers, leading investigations to successful conclusions, including preparing crimina...
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