Insurance Investigation Services Manager

Lead insurance investigations in a hybrid Waterloo role, applying investigative judgment while coaching analysts and strengthening team capabilities.The Program Manager, Investigation Services leads Investigation Analysts focused on dental and drug investigations. You will guide complex files, assess evidence, support sound outcomes, and develop investigative practices. The role values coaching aptitude, relationship building, influencing outcomes, and insurance investigation experience.Key Responsibilities:
Lead, coach, and develop Investigation AnalystsGuide complex, sensitive, and higher-risk investigationsAssess evidence, documentation, findings, and recommendationsIdentify emerging fraud risks and investigative opportunitiesImprove investigative processes, tools, controls, and practicesRequirements:
Experience conducting insurance investigationsExperience with dental, drug, health benefits, or provider investigationsKnowledge of claims, provider practices, or related fraud risksLeadership, mentoring, coaching, or subject-matter expertiseExperience using data and analytics for fraud detectionBring insurance investigations, investigative judgment, coaching, and analytical skills to lead dental and drug investigation services.
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