At a Glance
- Tasks: Investigate fraud in group health and dental claims across Canada.
- Company: Join Canada Life's Fraud Management Team and make a difference.
- Benefits: Competitive salary, travel opportunities, and professional growth.
- Other info: Dynamic role with opportunities to work independently and travel.
- Why this job: Protect group benefits while honing your investigative skills.
- Qualifications: Five years of investigative experience and strong communication skills.
The predicted salary is between 63000 - 77000 $ per year.
Protect group benefits through claims investigations, evidence collection, and provider evaluations across Canada.
Canada Life seeks a Senior Investigator for its Fraud Management Team.
You will investigate allegations of fraud and inappropriate or invalid claims in group health and dental benefit plans.
The position requires investigative planning, financial record analysis, witness interviews, and evidence preservation.
You will also prepare disclosure reports, liaise with law enforcement, and present evidence in court or tribunals when required.
The work serves internal management and regulatory bodies.
Key Responsibilities
- Investigate fraud and invalid group benefit claims
- Conduct onsite evaluations at provider locations across Canada
- Gather evidence through undercover and covert techniques
- Prepare disclosure reports and liaise with law enforcement
- Recommend improvements to procedures and internal controls
Requirements
- At least five years of investigative experience
- Strong interviewing, communication, organizational, and report writing skills
- Knowledge of evidence rules and Canada's Criminal Code
- Independent work capability across varied environments
- Valid driver's licence and ability to travel throughout Canada
Use claims investigation, provider evaluation, and evidence skills to strengthen Canada Life's group benefits oversight across Canada.
Senior Insurance Claims Investigator in Québec employer: Canada Life Group
Great-West Lifeco is an exceptional employer that prioritizes employee growth and well-being, offering extensive career development opportunities and access to industry-leading learning programs. Located in Toronto, the company fosters a supportive work culture with flexible health benefits, community involvement initiatives, and a strong emphasis on employee recognition, making it an ideal place for professionals seeking meaningful and rewarding careers in the financial services sector.
