Manager, Special Investigations Unit

2 weeks ago

Winnipeg, Canada Canada Life Assurance Company Full time

**Job Description**:
As the Manager, Special Investigations Unit (SIU), you will lead the team of investigators responsible for field and undercover investigation of suspected plan member and provider Group Health & Dental claims fraud. You will contribute to Canada Life’s mitigation of fraud risk for its Group Customers.

You will be responsible for ensuring that investigations are completed in a timely manner, high-quality investigative results are delivered, the team takes creative and evolving approaches to investigations, and timely and insightful reporting on investigative outcomes is surfaced.

**What you will do**
- Manage the execution of investigations of suspected external Group Health & Dental claims fraud committed by plan members, providers, and those associated to the provision of healthcare services/supplies.
- Ensure that Investigations are conducted as per protocols and the Fraud Risk Management Operating Standard, and with a high degree of professionalism.
- On the basis of program outcomes, innovate and expand the tactics employed by the SIU to ensure investigations are effective.
- Through collaboration with others in the Fraud Management organization and use of a risk-based approach, prioritize investigations against staff resources.
- Contract management and direction for external, contracted investigators, as required
- Develop and manage safety and training programs for field investigators.
- Participate in root cause analyses on cases of confirmed fraud, and support remediation and corrective action in conjunction with internal stakeholders and partners.
- Communicate investigation results in a thorough, objective, and timely fashion to internal stakeholders.
- Establish and maintain reporting metrics to permit evaluation of the effectiveness of investigations.
- Primary point of contact (including accountability for making referrals) for external agencies including Law Enforcement, colleges, licensing bodies, and regulatory agencies as it relates to investigations of Group Health & Dental claims fraud.
- Testify as an expert in legal proceedings related to investigations.
- Participate on fraud risk initiatives, committees, and working groups across the organization and at industry.
- Ensures the program operations deliver on strategic objectives of the Fraud Management program; stay current on industry, fraud, risk, legal and litigation trends
- Responsible for hiring, performance management, annual salary adjustments, training plans, development, mentoring and coaching of staff.

**What you will bring**
- Post-secondary degree in justice studies or related field.
- 10 years of experience in investigation and/or investigative leadership, with 5 years of experience in specific, full-time Fraud investigations.
- Experience with the criminal justice and civil legal system.
- Prior experience in insurance, forensic accounting, commerce, or criminology is an asset.
- Designation as a Certified Fraud Examiner (CFE) is an asset.
- Superior verbal and written communication skills.
- Highly organized and able to multi-task in a fast-paced environment.
- Excellent analytical, problem solving and decision-making skills.
- Advanced Microsoft Office Skills (Excel, Word, PowerPoint, Access).
- Bilingual English-French is an asset.
- ** Enhanced Security Screening is a requirement of this position.**

**Be your best at Canada Life

Being a part of Canada Life means you have a voice. This is a place where your unique background, perspectives and talents are valued, and shape our future success.

You can be your best here. You’re part of a diverse and inclusive workplace where your career and well-being are championed. You’ll have the opportunity to excel in your way, finding new and better ways to deliver exceptional customer and advisor experiences.

***

Together, as part of a great team, you’ll deliver on our shared purpose to improve the well-being of Canadians. It’s our driving force. Become part of a strong and successful company that’s trusted by millions of Canadians to do the right thing.

**We are one of Canada's top 100 employers**
- Canada Life serves the financial security needs of more than 13 million people across Canada, with additional operations in Europe and the United States. As members of the Power Financial Corporation group of companies, we’re one of Canada’s leading insurers with interests in life insurance, health insurance, investment and retirement savings. We offer a broad portfolio of financial and benefit plan solutions for individuals, families, businesses and organizations._
- We are committed to providing an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee _
- has the opportunity to_
- reach their potential._

**_
Canada Life would li

  • Private Investigator

    3 weeks ago

    Winnipeg, Canada Tacit Investigations & Security Full time

    Tacit Investigations is actively seeking licensed private investigators holding a valid Manitoba Private Investigator License to assist in providing surveillance during a labor dispute. We offer a competitive rate of $35 per hour and require immediate availability for deployment. If you possess the necessary qualifications and are ready to contribute your...

  • Investigator

    4 weeks ago

    Winnipeg, Canada Liquor, Gaming and Cannabis Authority of Manitoba (LGCA) Full time

    **Advertisement # 42631** **Investigator** **Regular, Full-time** **Commercial Licensing Department, Operations Unit** **Closing Date: April 5, 2024** **Salary Range: $71,813 - $84,768 per annum (6XI)** The Liquor, Gaming and Cannabis Authority of Manitoba (LGCA) regulates the province’s liquor, gaming, cannabis, and horse racing industries. We...

  • Security Guard

    4 weeks ago

    Winnipeg, Canada Tacit Investigations & Security Full time

    **SECURITY GUARD** Casual Position $18 / Hour **Event Dates **(4:45pm - 11:15pm) - December 1, 2, 8. 9, 15, 16, 20, 21, 24, 29, 30, - January 5, 6 **Event Dates **(4:45pm - 10:15pm) - December 3, 6, 7, 10, 13, 14, 17, 22, 23, 26, 27, 28, 31, - January 1, 2, 3, 4, 7 **DESCRIPTION - Outdoor Event Security** You will be part of a security team, brought in to...

  • Security Guard

    5 days ago

    Winnipeg, Canada Tacit Investigations & Security Full time

    **SECURITY GUARD** Term Position - 12hr Shifts $16 / Hour **Days** 0700hrs - 1900hrs **Overnights** 1900hrs - 0700hrs **DESCRIPTION - Labour Dispute (Workers On Strike)** You will be part of a risk mitigation team, brought in to monitor and document access to the site during a labour dispute. You will be reporting to, and submitting daily logs to the...

  • Senior Investigator

    2 days ago

    Winnipeg, Canada Manitoba Government Full time

    Introduction The Independent Investigation Unit is seeking to fill two regular, full-time positions. This is a preference competition. All applicants are encouraged to apply, however first consideration for this competition will be given to Indigenous people. Applicants are requested to self-declare at the time of application. Conditions of...

  • Investigator

    2 days ago

    Winnipeg, Canada Manitoba Government Full time

    Introduction Manitoba Justice serves Manitobans by helping to provide a safe, just and peaceful society. The justice system supports equality, fairness, individual responsibility and respect. Within the department The Public Safety branch is primarily responsible for protecting and supporting public safety in the following areas: Provincial policing,...

  • Investigator

    1 day ago

    Winnipeg, Canada Manitoba Government Full time

    **Investigator**: XO4 Administrative Officer 4 Regular/full-time Manitoba Justice Public Safety Investigation, Public Safety Division Winnipeg MB Advertisement Number: 42922 Salary(s): XO4 $72,664.00 - $93,620.00 per year Closing Date: June 2, 2024 The Manitoba government recognizes the importance of building an exemplary public service reflective of...

  • Investigator

    7 days ago

    Winnipeg, Canada Engineers Geoscientists Manitoba Full time

    POSITION TITLE: Investigator DEPARTMENT: Professional Standards CLASSIFICATION: Full-time, Term Position, May 1, 2023 - October 11, 2024 - Engineers Geoscientists Manitoba recognizes the importance of building an exemplary labour force that is including and reflective of the population it serves. A focus on equity, diversity, and inclusion is paramount to...

  • Parkade Security Guard

    7 days ago

    Winnipeg, Canada Tacit Investigations & Security Full time

    **PARKADE SECURITY GUARD** - $16 Per Hour You and a partner will be assigned to a downtown parkade where mobile patrols will be continuously conducted. Tacit Security personnel are responsible for ensuring our client’s safety and security. They are held to the highest level of professionalism in the course of executing their duties, ensuring that all...

  • Intelligence & Investigations Officer

    1 week ago

    Winnipeg, Canada Manitoba Government Full time

    Introduction The Manitoba Intelligence Branch operates within a national intelligence network and provides strategic, operational, and tactical intelligence services. This includes, security screening, threat assessment, expert witness, investigations, and surveillance program areas. To be considered for this competition you must submit an application...

  • Investigators - Ombudsman Act, Access and Privacy

    7 days ago

    Winnipeg, Canada Manitoba Government Full time

    **Investigators - Ombudsman Act, Access and Privacy and/or Public Interest Disclosure Act**: P5 Professional Officer 5 Regular/full-time 3 Positions Office of the Ombudsman Ombudsman, Access and Privacy and/or Public Interest Disclosure Divisions Winnipeg MB Advertisement Number: 42921 Salary(s): P5 $67,463.00 - $81,780.00 per year Closing Date: May...

  • Complaints Investigator

    3 days ago

    Winnipeg, Canada College of Pharmacists of Manitoba Full time

    **Complaints Investigator**- Part time, Term** College of Pharmacists of Manitoba, Winnipeg The College of Pharmacists of Manitoba seeks a dynamic individual to work with the Complaints and Discipline team as a Complaints Investigator. This is a 0.70 FTE term position to supplement the 1.00 FTE permanent position also being advertised at this...

  • Manager of Special Projects

    3 days ago

    Winnipeg, Canada ONBusiness Chartered Professional Accountants Inc. Full time

    Are you looking to be more involved with your clients? If so, we have a terrific opportunity for you! We have an opening for a Manager of Special Projects, and we are looking for an outgoing, dynamic, confident individual to join our diverse ONBusiness team. This position is responsible for carrying out special projects as defined and determined by the...

  • Investigators - Ombudsman Act, Access and Privacy and/or Public Interest Disclosure Act

    7 days ago

    Winnipeg, Canada Manitoba Government Full time

    Introduction The Manitoba Ombudsman is seeking professional, energetic, responsive and forward-thinking individuals to join our team across all three mandates of the Office – Ombudsman, Access and Privacy, and Public Interest Disclosure. The successful candidates will be dedicated to helping Manitobans and will be passionate about fairness,...

  • Special Projects Manager, Property Management

    4 weeks ago

    Winnipeg, Canada Private Pension Partners Inc. Full time

    **ACCOUNTABILITIES**: Private Pension Partners Realty Services Inc. (“P3 Realty”) is seeking an experienced Special Projects Manager to join our Property Management team. The Special Projects Manager will be responsible for leading and overseeing critical initiatives and projects that are non-routine and strategically important to the organization and...

  • Special Advisor to The Secretary

    5 days ago

    Winnipeg, Canada Manitoba Government Full time

    **Special Advisor to the Secretary**: PM3 Planning and Program Analyst 3 Regular/full-time Department of Economic Development, Investment and Trade Economic Development Board Secretariat, Economic Development Board Winnipeg MB Advertisement Number: 41711 Salary(s): PM3 $68,995.00 - $86,717.00 per year Closing Date: August 27, 2023 The Manitoba...

  • Tavern United Assistant Manager Tavern United Downtown

    6 days ago

    Winnipeg, Canada Canad Inns. Full time

    Basic Purpose: The Tavern United Assistant Manager is responsible for assisting with the overall management of the pub’s day to day operations and for coordinating and supporting the team efforts towards exceeding guest expectations through the consistent provision of the highest levels of customer services. The Tavern United Assistant Manager...

  • Manager Strategic Policy and Coordination

    7 days ago

    Winnipeg, Canada Manitoba Government Full time

    **Manager Strategic Policy and Coordination**: P9 Manager Strategic Policy and Coordination Regular/full-time Manitoba Justice Independent Investigation Unit, Public Safety Winnipeg MB Advertisement Number: 40666 Salary(s): P9 $81,194.00 - $99,880.00 per year Closing Date: March 1, 2023 The Manitoba government recognizes the importance of building an...

  • Tavern United Assistant Manager

    3 weeks ago

    Winnipeg, Canada Tavern United Downtown Full time

    Basic Purpose: T he Tavern United Assistant Manager is responsible for assisting with the overall management of the pub’s day to day operations and for coordinating and supporting the team efforts towards exceeding guest expectations through the consistent provision of the highest levels of customer services. The Tavern United Assistant Manager...

  • Tavern United Assistant Manager

    3 weeks ago

    Winnipeg, Canada Canad Inns. Full time

    Basic Purpose: The Tavern United Assistant Manager is responsible for assisting with the overall management of the pub’s day to day operations and for coordinating and supporting the team efforts towards exceeding guest expectations through the consistent provision of the highest levels of customer services. The Tavern United Assistant Manager...