Claims Investigator Siu

2 weeks ago

Mississauga, Canada Echelon Insurance Full time

**About Us**:
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.

**Position Details**:
**What You Will Do**:

- Review SIU referrals and determine which claims meet the established criteria and will be accepted for investigation by SIU
- Analyze internal and external data systems to identify suspicious claims activity
- Complete open-source intelligence (OSINT) searches
- Design and create data reports/tools to proactively identify questionable claims or policy activity
- Providing recommendations for action post-investigation
- Support development of case investigations, fraud detection and tool enhancements for all lines of business and regions
- Identifies issues, resource challenges and competing priorities regarding fraud identification and escalate to Claims Management

**Who You Are**:

- Minimum 8 year of claims handling or direct related experience in Personal and Commercial multi-line claims: Auto, Property, Accident Benefits and Casualty
- Experience with conducting OSINT research
- Experience working on a national level that involves different Provincial Legislation and policies
- Minimum 2 years working with data analytics
- Experience using fraud detection tools and proficiency in MS Office Suite products and previous use of HCAI
- Ability to maintain confidentiality and effectively prioritize and execute tasks in a high-pressure environment
- Completion of or willingness to obtain Certified Fraud Examiner (CFE) certification preferred
- Completion of or willingness to obtain OSINT certificate preferred
- University degree or college diploma is preferred
- CIP designation or working towards is an asset
- Provincial licensing if/where required

**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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