Specialist, Inside Investigation

Definity Financial; Dartmouth; On-site; CAD 58,000 - 107,000; Full time

Job summary

A leading financial company seeks an Investigator for their Special Investigations Unit (SIU) to handle claims and combat insurance fraud. The role involves detailed investigations, developing investigation strategies, and providing training to partners. Ideal candidates should have a university degree, relevant experience in claims, and strong analytical skills.

Qualifications

• Minimum 2-3 years’ experience in handling and settling various claims.
• Knowledge of Organized Crime Fraud and/or Ring Investigations.
• Preferred multi-line adjusting experience in 2 out of 3 lines.

Responsibilities

• Conduct detailed investigations of claims received by the SIU Analyst.
• Develop investigation strategies to combat fraud.
• Provide training for external partners and participate in stakeholder calls.

Skills

Analytical skills

Investigative skills

Communication

Education

University degree or diploma from an accredited community college

CIP designation (working towards or willingness to obtain)

Tools

Fraud analytics software

Microsoft Office

Job description

What can you expect in this role?

• Report to the Team Leader – SIU
• Complete detailed investigation of claims received by the SIU Analyst.These investigations may be a mix of Accident Benefits, Property & Auto related claims
• Provide tactical support to SIU Field Investigations
• Develop investigation strategies to eliminate or verify whether fraud indicators detected are supported through investigation
  Investigations will include developing investigation strategies, taking recorded statements, interviewing witnesses, ordering and analyzing expert and other reports, conducting internet research on topics related to investigations, contacting police or other government agencies, and fulfilling other investigation requirements
• Investigators will provide frequent training for the external LOB partners. They will work with our CTA to provide the material for training our business partners
• Active involvement in Stakeholder calls with Line of Business Adjusters, Participation in Investigative Review Committees to present findings to other internal stakeholders
• Develop investigation strategies to combat Organized Crime Fraud and ring investigations, while working with industry partners

What do you bring to the role?

• A university degree from an accredited university or a diploma from an accredited community college. Completion of, working towards or a willingness to obtain their CIP designation
• A minimum of 2- 3years’ experiencehandling and settling Accident Benefit claims, Property Claimsand/orAutoClaims is required.
• Any candidate that has multi-line adjusting experience in2 of the 3 listed business linesis preferred.
• A working knowledge of business or fraud analytics software or fraud detection programs is an asset.
• A working knowledge of Organized Crime Fraud and/or Ring Investigations
• The ability to work with a suite of Microsoft products and resourceful use of the Internet.

Salary range is $58,100 - $106,900