Fraud Investigator

RBC • Mississauga, ON

23h • Hybrid

About The Position

In this role as Fraud Investigator, you will gather, prepare and analyze documents and information relating to specific events, in an attempt to mitigate financial, reputational, regulatory and legal risk using established procedures and in accordance with RBC Insurance Policy. Shares responsibility for all components of investigations/fraud detection with peers and Managers of IIS. Ensures investigation work is accurate and up to date. This role has a Hybrid work model of up to 4 days in-office.

Requirements

• A minimum of 3 years’ fraud analytics and/or medical fraud adjudication experience
• Effective and strong written and oral communication skills
• Good research, organizational and analytical skills
• Ability to lead by example through provision of knowledge, cooperation and teamwork.
• Skills in Microsoft Office computer applications
• Strong technical knowledge of excel

Nice To Haves

• University degree or equivalent experience
• Experience with gathering evidence
• Knowledge of RBC systems/processes an asset
• Bilingual (French & English speaking)

Responsibilities

• Set up and triage of cases, as well as the ownership of tracking and reporting tools for cases and invoices.
• Gather and analyze documents in Insurance with a particular focus on loss prevention as well as intelligence gathering and identification of offenders.
• Investigate routine events with limited complexity.
• Update and maintain paper and electronic files ensuring accuracy, timeliness and thoroughness.
• Communication to Managers and Director, fraud trends, issues, significant control weaknesses or deficiencies identified during investigations.
• Complete root cause analysis of your closed investigations and proactively enhance IIS policy and procedure in conjunction with Investigators.
• Assist in triaging and upfront analytics on identified claims, supporting investigations as required.
• Active participation in projects that enhance fraud detection in Insurance business.
• Develop and maintain a network of internal partners and external peers in the industry, police and other authorities to ensure a consistent approach to the detection and investigation of criminal activity against RBCI.

Benefits

• A comprehensive Total Rewards Program including bonuses and flexible benefits, competitive compensation, commissions, and stock where applicable
• Leaders who support your development through coaching and managing opportunities
• Ability to make a difference and lasting impact
• Work in a dynamic, collaborative, progressive, and high-performing team
• A world-class training program in financial services
• Flexible work/life balance options
• Opportunities to do challenging work

What This Job Offers

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