Auditor II, Claims - TELUS Health
TELUS Health
Montreal, QC, CA
6d ago

Description

We are a team of high-performing professionals who make TELUS Health the biggest Canadian supplier of complete, integrated solutions for the forwarding, settlement and administration of health care claims (drugs, dental care and extended health coverage).

We are at the forefront of the latest industry trends that aim to provide clients with greater value.

Over the past 10 years, we have invested over 1.8 billion dollars in the acquisition and development of innovative technological solutions that make it easier to share information among health care professionals, insurers, plan sponsors and plan participants.

We have earned our place as a leader in the health care market through the quality of our solutions and our team of experienced professionals, not only because we are committed to our clients’ success but also because we support them by adhering to TELUS values and our Customers First commitment.

Position overview :

The Claim Auditor II is responsible for auditing claims for our clients, validating the claims submitted by the providers and making sure they are in compliance with the conditions listed in the supplier’s agreement.

Generally speaking, the auditor will be specialized in a specific area (such as medication for dental care) or may be responsible for auditing claim requests that involve multiple benefits.

Responsibilities :

  • Provide support for the planning, performance and reporting on the audits conducted, in accordance with stated standards
  • Carry out internal audits in accordance with professional standards and assist with audit planning activities
  • Plan and carry out follow-up reviews in order to mitigate risks and control exposure
  • Participate in assessing risks related to the company, the business unit or a given project
  • Help conduct specific investigations and other special projects
  • Qualifications

    Required experience :

  • At least 5 years’ experience in auditing or in the fields of medication, dental care or extended health care
  • Post-secondary degree in health sciences or administration preferable
  • Professional designation as an internal auditor an asset
  • Skills and abilities :

  • Excellent written and verbal communication skills in French and English
  • Ease working in an environment with a matrix structure
  • Excellent problem-solving skills
  • Solid analytical skills and the ability to quickly grasp complex commercial concepts
  • Ability to manage multiple priorities
  • Who is TELUS?

    We're a high-performing team of individuals who collectively make TELUS one of the leading telecommunications companies in Canada.

  • Our competitive consumer offerings include wireline, wireless, internet and Optik TV™. We also deliver a compelling range of products and services for small, medium and large businesses;
  • and have carved out a leadership position in the health, energy, finance and public sector markets with innovative industry specific solutions.

    TELUS Health is an IT leader in Canada that focuses on the health sector. Our mission is to improve the way information is being used along the continuum of care to better the health of citizens in Canada and in selected countries.

    Everyone belongs at TELUS. It doesn’t matter who you are, what you do or how you do it, at TELUS, your unique contribution and talents will be valued and respected.

    Because the more diverse perspectives we have the more likely we are to crack the code on what our customers want and our communities need.

    Do you share our passion? At TELUS, you create future friendly® possibilities.

    At TELUS, we are committed to diversity and equitable access to employment opportunities based on ability.

    Disclaimer : In accordance with the TELUS Health Solutions Data Center Security Policy, as a condition of employment, all personnel whose job functions require they work at a Data Center and / or have access to detailed knowledge of technology related to client service delivery, are subject to a Personnel Security Screening conducted through the Government of Canada.

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