Siu Inside Investigator

**We are on a new path called NEXT HORIZON**

The insurance industry is changing at an exponential pace, driven by changing customer experience, climate change and technology. In response Gore Mutual is making bold moves to reposition our company as a purpose driven, digitally led national insurer. Next Horizon is our 10-year vision and strategy that sets a new path for our company.

**_ Come and make your mark on our Next Horizon_**

**Locations: Toronto or Cambridge**

**Hybrid : 1 x week**

**Claims Special Investigations Unit (SIU) Inside Investigator**

The Recovery team at Gore Mutual is expanding We are looking for exceptional talent in anti-fraud investigations for Gore Mutual.

Joining our team will provide you with a unique opportunity where you will be part of an impactful, high visibility team, contributing to a company that is going through an exciting transformation.

***What will you do?**
- Review files referred, compose and update investigation strategy through life of file
- Investigate or use vendors to determine if there is evidence of fraud by clients, third party claimants, suppliers, brokers or internal to Gore
- Review submitted documents for inconsistencies/other signs of fraud
- Perform investigations as required and recommend course of action to Claims department
- Review and prioritize incoming referrals by amount incurred, complexity, visibility, potential risk to Gore, limitation date, other
- Assist in the design and delivery of regular, customized fraud detection, investigation, and avoidance training for Gore staff
- Ensure all investigations are carried out in a pro-active, professional manner and that Customer/Broker enquiries are responded to in a timely way
- Regularly attend Industry training, CASIU events, IBC/Equite committees/other to maintain proficiency and ensure Gore is aware of the latest trends in Insurance Fraud
- Assist in maintaining Gore Mutual Intelligence database from open-source material and direct knowledge of industry events
- Other duties as assigned

***What will you need to succeed?**
- Minimum 3+ years of experience in Insurance fraud Investigation
- 1+ years of experience in Major Case / Fraud Ring Investigation (preferred but not required)
- Work experience with Property and Casualty claims or Accident benefit claims
- Has obtained a designation in OSINT investigation training from a recognized provider (preferred but not required)
- Experience in successfully conducting OSINT investigations
- Strong communication and collaboration skills
- Experience with data analysis to assist with detecting fraud trends and/or organized fraud activity
- Experience with anti-fraud technology