Dental Investigation Specialist

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  Location

  (CANADA) and Waterloo

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  Job Reference

  18092

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  Functional Area/Experience

  Business, Accounting & Finance / Fresh Graduate

Job Description & Qualifications

We are a leading financial services provider committed to making decisions easier and lives better for our customers and colleagues around the world. From our environmental initiatives to our community investments, we lead with values throughout our business. To help us stand out, we help you step up, because when colleagues are healthy, respected and meaningfully challenged, we all thrive. Discover how you can grow your career, make impact and drive real change with our Winning Team today. 

Working Arrangement

Hybrid

Responsibilities:

The Investigation Analyst, Investigation Services is responsible for applying Group Benefits knowledge, attention to detail, problem solving abilities, customer service, investigation and data analysis skills to identify, investigate and prevent fraud and abuse.

• Perform risk based data profiling and analysis to identify trends and outliers in various categories for further review and investigation 
• Lead and support audit programs; coordinating, assessing, and making decisions on investigations
• Take initiative and lead investigations to successful conclusion including the preparation of criminal and regulatory complaints
• Conduct interviews of plan members, providers of service and others
• Create written audits and other correspondence to plan members, providers of service and others
• Engages, interacts and consults with various internal contacts such as Customer Service, Legal, Client Relations, Medical Consultants, Regional Group Office and external stakeholders such as Health Practitioner Regulatory Bodies, Colleges and Associations, and Plan Sponsors 

Job Requirements:

• University degree or equivalent, will be considered as an asset    
• Knowledge of Group Benefits
• Knowledge of the Canadian healthcare environment, service delivery model and regulation
• Knowledge of dental codes and billing practices and dental Assisting or Dental Hygiene is an asset
• Knowledge of fraud and abuse risk, and techniques to manage risk 
• Bilingual is an asset
• Strong research, problem solving and decision-making skills 
• Ability to manage contentious interactions with various stakeholders 
• Excellent oral communication (both phone and face to face) and written communication skills  
• Intermediate data analysis skills with expertise using Excel and other data mining software 
• Demonstrated investigation skills with attention to detail  
• Ability to be creative, critical and aggressive in managing audit and investigative activities
• Organizational skills and the ability to manage multiple conflicting priorities

What can we offer you?

• A competitive salary and benefits packages.
• A growth trajectory that extends upward and outward, encouraging you to follow your passions and learn new skills.
• A focus on growing your career path with us.
• Flexible work policies and strong work-life balance.
• Professional development and leadership opportunities.

Our commitment to you

• Values-first culture- We lead with our Values every day and bring them to life together.
• Boundless opportunity- We create opportunities to learn and grow at every stage of your career.
• Continuous innovation- We invite you to help redefine the future of financial services.
• Delivering the promise of Diversity, Equity and Inclusion- We foster an inclusive workplace where everyone thrives.
• Championing Corporate Citizenship- We build a business that benefits all stakeholders and has a positive social and environmental impact.

Every career at Manulife/John Hancock provides the opportunity to learn new skills and move your career forward. Ready to make an impact somewhere? What are you waiting for? Apply today.

About John Hancock and Manulife

John Hancock is a unit of Manulife Financial Corporation, a leading international financial services group that helps people make their decisions easier and lives better. We operate primarily as John Hancock in the United States, and Manulife globally, including Canada, Asia and Europe. We provide financial advice, insurance and wealth and asset management solutions for individuals, groups and institutions. Assets under management and administration by Manulife and its subsidiaries were CAD$1.3 trillion (US$1.1 trillion) as of June 30, 2021. Manulife Financial Corporation trades as MFC on the TSX, NYSE, and PSE, and under 945 on the SEHK. Manulife can be found at manulife.com.

One of the largest life insurers in the United States, John Hancock supports more than 10 million Americans with a broad range of financial products, including life insurance, annuities, investments, 401(k) plans, and education savings plans. Additional information about John Hancock may be found at johnhancock.com.

Manulife is an Equal Opportunity Employer

At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law. 

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact recruitment@manulife.com.

Job Skills/Competencies Required

Competencies:

We Work as One

• Influence and Persuasion
• Compelling Communication
• Collaboration

We Question and Innovate

• Adaptability
• Knowing the Business
• Technology Savvy

We Own our Future

• Solution Focused
• Executing with Excellence

General

• Passion to succeed 
• Ability to thrive through ambiguity, multiple competing tasks and changing priorities
• Ability to maintain a balance of confidence and approachability
• Positivity