Claims Fraud Investigator – Health Claims

If you’re someone with a passion for investigating suspected claims fraud and insurance abuse and are wanting to take on a great career opportunity with a local not-for-profit health insurance provider by working with internal and external stakeholders, we want to hear from you. Your skills in profiling member and provider claims and conducting...

A healthcare benefits provider in British Columbia seeks a Claims Fraud Investigator. This role involves investigating fraudulent health claims while contributing to community health. The ideal candidate holds a Bachelor's degree and has 3-5 years of relevant experience. Hybrid work is available, and the compensation ranges from $68,000 to $82,000 annually....

Claims Fraud Investigator Requisition #2440492 Job LocationCanada-British Columbia-Burnaby Job StreamHealth Insurance Job TypePermanent, Full-Time Salary/Rate$68,000.00 - $82,000.00 / Year Number of Positions1 Start Date of Employment ASAP Posting Date15-Dec-2025 Travel RequiredNot Required Educational RequirementsBachelors Degree Languages RequiredEnglish...

**About Pacific Blue Cross** Pacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual...

About Pacific Blue Cross Pacific Blue Cross (PBC) has been British Columbia’s leading benefits provider for over 80 years. It is an independent, not‑for‑profit society rooted in BC’s health care system, providing health, dental, life, disability and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans....

Pacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans. We are fueled by a...

Pacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans. We are fueled by a...

About Pacific Blue CrossPacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC's health care system. We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans.We...

A leading benefits provider is seeking a Claims Fraud Investigator to enhance its Fraud Investigations team in Burnaby, BC. The role focuses on investigating dental and extended health claims for fraud and pursuing recovery of ineligible funds. Candidates should have a Bachelor’s degree in Criminology or Business and 3–5 years of relevant experience....

A leading claims management company in Burnaby is seeking a Claims Adjuster to investigate and manage insurance claims. This role requires excellent analytical and interpersonal skills, with the ability to negotiate settlements effectively. Candidates should possess post-secondary education and be either licensed or on the path to obtaining a license. The...