Claims Investigation Specialist

The Canada Life Assurance Company • Edmonton, AB

1d • Hybrid

About The Position

As part of our national Claims Investigation Team, you will investigate suspicious disability claims involving potential misrepresentation or misuse of benefits. Your work will directly support accurate, defensible claim outcomes while protecting the financial integrity of Canada Life and the clients we serve. Using structured, objective, and evidence based investigative methods, you will assess complex information from multiple sources, conduct interviews, and clearly document findings. Your investigations will support benefit decisions, recovery actions, and, when appropriate, escalation to legal or law enforcement partners. You will work closely with disability case managers and internal stakeholders, providing insights and recommendations that contribute to fair, timely, and well supported claim resolutions. This role is well suited to professionals with strong experience in Disability Management or investigators from law enforcement, intelligence, OSINT, regulatory compliance, or corporate investigations who are looking to apply their skills in a complex insurance environment.

Requirements

• Formal investigative experience such as law enforcement, OSINT, intelligence, or corporate investigations
• Strong subject matter expertise in disability insurance supported by hands on claims management experience
• Bachelor’s degree or college diploma in a relevant discipline
• Strong investigative planning, analytical, and critical thinking skills
• Demonstrated experience conducting interviews
• Excellent report writing skills with the ability to document findings clearly, objectively, and defensibly
• High level of organization and time management skills with the ability to manage multiple active investigations
• Strong interpersonal and communication skills, including the ability to engage professionally with internal and external stakeholders
• OSINT experience, intelligence analysis, or law enforcement background is an asset
• Bilingualism is an asset (fluent in French and English) but is required for Quebec only as the position will regularly serve our clients with French and English-speaking needs.
• Reliability Status Security Clearance – this can only be completed with candidates who receive an offer of employment. This is a personal security status that is required as a condition of employment before an employee can gain access to Protected B information, assets or work sites as outlined by the Government of Canada website. The cost of submitting these checks will be covered by Canada Life.

Nice To Haves

• OSINT experience, intelligence analysis, or law enforcement background is an asset
• Bilingualism is an asset (fluent in French and English) but is required for Quebec only

Responsibilities

• Consult with the Disability Management Services offices to identify and investigate suspicious claims and investigative insights and recommendations to support informed claim outcomes
• Conduct open source investigations
• Complete comprehensive claim file reviews
• Prepare clear, defensible investigative reports and documentation
• Conduct investigative interviews where appropriate
• Engage and coordinate with third‑party vendors to support investigative activities
• Collaborate with disability case managers on strategy, findings, and next steps
• Partner with Legal, Corporate Investigations, and other internal stakeholders on shared or complex files
• Manage overpayment recoveries by negotiating repayment agreements with plan members
• Deliver education and knowledge‑sharing initiatives to disability operations

Benefits

• Career Development: Opportunities for career advancement, access to industry-leading learning programs and up to $2,000 annually towards education reimbursement.
• Health & Wellness: Flexible health and dental benefits, plus a $5,000 mental health benefit to support your well-being.
• Time Off: In addition to regular vacation and personal days, we support community involvement with a volunteer day.
• Financial Security: Company-matching pension plan, share ownership program and additional investment options.
• Rewards and Recognition: Employee recognition programs, service milestone celebrations, employee discounts and more!
• Emphasis on Community: We provide a workplace where employees feel connected and supported through Employee Resource Groups (ERGs), mentorship programs, social clubs and events.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree