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Claims Investigator SIU

3 months ago

Mississauga, Canada Echelon 56 Full time

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Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies and is an equal opportunity employer who offers a professional environment that champions collaboration, trust, and growth to drive success. We cultivate a great working dynamic to help us deliver what is best for our associates, Brokers, and Customers.

Who we are

Get ready to drive your career forward. Life at Echelon is fast paced, performance-driven and rewarding. We value our Associates' career growth and ongoing professional development – and we regularly recognize their achievements and outstanding results.

We are caring. We are leaders. We are innovators. We are collaborative.

We work hard and play hard. We're about doing what's right and feeling good about it.

Reporting to the Manager, Special Investigations Unit, the Claims Investigator is responsible for investigating complex property & casualty insurance claims with elements of potential fraud, misrepresentation, and/or exaggeration, for all lines of business.

What You Will Do
  • Evaluate concerns & fraud indicators to develop investigative plans for all lines of business in insurance claims (Property, Auto Fire & Theft, Cargo, Casualty, Accident Benefits), and Claims with Legal disputes
  • Serve as resource for Claims operation for special investigations & fraud
  • Consult with Claims business units, provide resources & recommendations to assist fraud initiatives
  • Communicate with stakeholders, prepare reports, trial briefs & updates on investigations in timely & respectful manner
  • Build & maintain business relationships with law enforcement (police, fire, border control), government bodies, and investigative organizations
  • Attend court proceedings or hearings
  • Ensure ongoing handling of claims investigations within company standards, industry best practices & regulations
  • Assist with ongoing training of internal anti-fraud personnel
  • Provide feedback to Management on process & system improvement initiatives
  • Comply with relevant provincial & federal laws, Insurance regulations, carrier best practices, follow & enforce Echelon Claims policies, procedures, & best practices
  • Assist with evaluating, selecting, ensuring quality and cost containment for vendors including defense firms, private investigators, records review companies, legal document & photocopy companies, expert witness and other vendors that might be used for settlement of auto claims

Who You Are

  • Post-secondary education in Criminology, Insurance Management, Business Administration, or industry experience
  • CIP designation completed or in progress preferred
  • 5+ years’ experience in Property and Casualty insurance industry
  • 2+ years as SIU investigator
  • Must have a valid drivers license and use of a personal vehicle
  • Litigation experience, legal & SIU regulations knowledge
  • Clear understanding of insurance industry practices, standards, and terminology
  • Experience handling property damage, injury claims, serious injuries, and litigation
  • Strong passion for the P&C insurance industry with focus on fraud containment
  • Strong technical, analytical, problem-solving, and ability to exercise prudent judgment to make decisions based on accurate & timely analysis of trends
  • Ability to work in teams & independently

What’s In It For You

  • Competitive total compensation and benefits package
  • Annual shared success program based on performance
  • Annual merit increases based on performance
  • Defined Contribution Pension Plan with a matching contribution component
  • Complimentary CAA Membership
Our Commitment

We are an equal opportunity employer and are committed to providing employment accommodation in accordance with the Ontario Human Rights Code and the Accessibility for Ontarians with Disabilities Act, 2005 (AODA). Echelon Insurance will provide accommodation to job applicants with disabilities throughout the recruitment process. If you require accommodation, please notify us and we will work with you to meet your needs.

As an organization we are focused on safety, which includes the safety and well-being of our Associates. Therefore, you must be and remain fully vaccinated as a condition of employment.

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