Senior Triage Investigative Services Analyst

Co-operators • Guelph, ON

6d • Hybrid

About The Position

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients and our communities. Our Claims team aspires to create peace of mind for our clients and our communities. Our national team of knowledgeable and trusted professionals serve our clients with compassion. We are passionate about continuous improvement and operate with high-integrity, motivated by our desire to do the right thing for our clients.

Requirements

• You have a post-secondary degree in a related discipline is an asset (Psychology, Criminology, Statistical Mathematics, Analytics, Forensic Identification of Fraud through data analysis)
• You have the CIP designation (with specializing in aspects of fraud analysis)
• You have five years of relevant experience in a related field (insurance fraud).
• You possess an understanding of all lines of business, for all types of policies and potential fraud, misrepresentation, and material change scenarios
• You are up-to-date with case law, tactics, fraud trends that may help limit losses, reduce exposure or improve the effectiveness of fraud detection initiatives.
• You are proficient with technology and open source investigation
• You understand the application of policy language as it is applied to coverage, liability and settlement of claims.

Nice To Haves

• French is an asset.
• You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs.
• You use critical thinking skills to recognize assumptions, evaluate arguments, draw conclusions and proactively propose solutions.
• You have strong communication skills to clearly convey messages and explore diverse points of view.
• You build trusting relationships and provide guidance to support the development of colleagues.

Responsibilities

• Prioritize claim assignments based on indicators of fraud.
• Coach claim partners about correct process in setting up an Opinion or Referral.
• Act as a resource for claim partners who need direction in identification of fraud indicators.
• Use analytics tools to derive data from existing reports or participate in creating new reports to detect and investigate fraud.
• Liaise and work collaboratively with Field Investigators, Claims Staff, and other internal/external departments, as claims and/or investigations progress and evolve.
• Develop and maintain a current understanding of possible threats to our organization vis a vis claim and policy fraud.
• Remain up-to-date with case law, tactics, fraud trends and other information that may help limit losses, reduce exposure or improve the effectiveness of fraud detection initiatives.

Benefits

• Training and development opportunities to grow your career.
• Flexible work options and paid time off to support your personal and family needs.
• A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
• Paid volunteer days to give back to your community.
• Competitive salary and incentive programs.
• Comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Associate degree
• Number of Employees: 501-1,000 employees