Examine inappropriate or invalid group benefits claims through financial analysis, interviews, and evidence collection across Canada. Canada Life offers permanent full-time employment.
As a Senior Investigator in the Special Investigations Unit, you will investigate allegations involving group health and dental plans. Your work includes developing prosecution-ready plans, evaluating providers onsite, using covert techniques, and documenting findings. You will support regulatory and legal processes through disclosure reports and court or tribunal presentations.
Key Responsibilities:
- Investigate allegations involving invalid or inappropriate benefit claims
- Conduct onsite provider evaluations at Canadian locations
- Gather evidence through undercover or covert techniques
- Prepare investigative and disclosure reports
- Present evidence in courts or tribunals
Requirements:
- At least five years of investigative experience
- Post-secondary degree or equivalent qualifications
- Strong investigative and interview capabilities
- Knowledge of rules governing evidence
- Knowledge of the Criminal Code of Canada
Use investigative judgment, interviewing, and evidence presentation skills to examine group health and dental benefit claims.
Senior Benefits Claims Investigator in Montréal employer: Canada Life
Canada Life is an exceptional employer that fosters a high-performing culture, offering strategic leadership opportunities in compliance and risk management. With locations in vibrant cities like Toronto, London, Montreal, and Winnipeg, employees benefit from a collaborative work environment, comprehensive professional development programs, and a commitment to work-life balance, making it a rewarding place for those seeking meaningful careers.
