Manager, Fraud Risk Management

3 days ago

Toronto, Canada Sun Life Full time

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

**About the role**:
Fraud management is increasingly important to policyholders. To serve Sun Life’s clients as industry leaders, Canadian Operations’ Fraud Risk Management area will identify, mitigate and respond to criminal threats using various tools, technologies and strategies.

As the sophistication and scope of fraud schemes escalate, the Manager will need to lead change while maintaining the daily operations.

This role is primarily focused on the dental business for the **Canadian Dental Care Plan** (CDCP) and can be based out of Waterloo, Toronto or Montreal.

**What will you do?**
- Lead direct reports in executing quality service delivery and support them by providing direction, setting clear expectations, coaching, being available, fostering engagement and holding individuals accountable for results.
- Develop the team’s competencies to fully utilize individual team members’ strengths and talents.
- Champion a culture of continuous improvement and innovation to deliver on the ever-evolving expectations of our plan members and plan sponsors, and emerging trends related to fraud and abuse matters.
- Collaborate effectively with internal and external stakeholders.
- Monitor emerging trends in dental care to identify potential risk of misuse or abuse of dental claims.
- Participate in speaking engagements, presentations and client meetings.

**What do you need to succeed?**
- Minimum of two years experience leading a team focused on fraud and abuse management, criminal investigations or equivalency.
- Strong knowledge of dental terminology and expense codes.
- Superior leadership skills, ability to influence solutions and facilitate cross-departmental teamwork that meets the needs of the business strategy.
- Strong analytical skills and critical thinking with attention to accuracy and details.
- Excellent communication skills (written and verbal), interviewing and experience presenting sensitive matters to customers or senior management.
- Superior organizational skills and ability to multi-task, prioritize initiatives and execute effectively.
- As this position is posted in several locations, we specify that bilingualism (French, English, both oral and written) is required for Quebec only as the position includes managing both French and English-speaking staff (Quebec and outside Quebec) and providing daily support to the team.

**Preferred Skills**:

- Dental industry expertise attained through experience as a dental professional.
- University degree or postsecondary education in a related field.
- Experience working within investigations, audit, or policing.
- Fluency in two or more languages.

**Unique Requirements**:

- This position can be based in Waterloo, Toronto or Montreal.
- Some travel may be required.

**What's in it for you?**
- Hybrid work environment
- A friendly, collaborative, and inclusive culture
- 20 vacation days per year
- Flexible Benefits from the day you join to meet the needs of you and your family
- Pension, stock and savings programs to help build and enhance your future financial security
- The opportunity to move along a variety of career paths with amazing networking potential
- Access to our Global Learning Centre, available 24/7 for your learning needs
- Wellness programs that support the three pillars of your health - mental, physical and financial

**Recent Awards**:

- We are honoured to be recognized as a 2022, 2023 and 2024** Best Workplaces in Canada** by Great Place to Work® Canada
- Great Place to Work® list for **Best Workplaces for #HybridWork** 2022
- Great Place to Work® list for **Best Workplaces for Professional Development in Canada** 2022
- Named “**Best Places to Work**” by Glassdoor, 2021 and 2023

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.

**Salary Range**:
78,000/78 000 - 128,000/128 000

**Job Category**:
Risk Management

**Posting End Date**:
01/12/2024

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