Bilingual Investigator

6 months ago

Winnipeg, Canada Canada Life Assurance Company Full time

Bilingual Investigator

**Description:
- Permanent Full Time- We are looking for a **_Bilingual Investigator - Detection, Prevention & Integrity Services, Group Customer (DPIS)_**
- The Investigator is a key member of the health and dental team that delivers robust and effective health and dental claims fraud prevention to Canada Life customers. The main function of the Investigator is to conduct investigations by assessing case information and analytical aspects of the data and then contact providers and clinics to validate services to ensure that claims are free from suspicion of fraud/abuse. The Investigator works closely with their leader in determining investigative next steps as well as other members of the teams including data analysts and members of Special Investigations.- Taking into consideration the evidence and other information gathered, the Investigator will propose and execute recommendations regarding resolution, collaboration with special investigations, or recovery. The Investigator is responsible for ensuring that case documentation is accurate and complete and will write case reports as needed for senior leadership and clients.- As an Investigator, you must possess superior written and verbal communication, problem solving, and organization skills to ensure the accurate documentation of the investigation.**What you will do**
- Conduct thorough investigations of assigned cases as identified through various detection sources.
- The ability to understand and interpret data from various detection sources by working closely with Analysts when required.
- Develop and execute the investigative plan to obtain evidence where fraud is suspected by contacting (verbal and/or written) appropriate parties, including plan member, claimant and/or provider.
- Document investigative actions and outcomes according to department policy.
- Where evidence supports an action, determine and execute the appropriate action according to established protocols.
- Write client-facing reports regarding investigative findings and comprehensive reports when cases are referred to special investigations.
- Communicate case information as necessary according to established protocols.
- Identify fraud and abuse risks and make recommendations to mitigate future risk.
- Maintain accurate methods of record keeping and statistics according to department policy.
- Work on special projects as assigned.
- Maintain appropriate professional development.
- Living the values of Customer View; Integrity; Partnership; and Communities.

**What you will bring**
- Completion of post-secondary level education (eg: university or college degree/diploma).
- Minimum two years related work experience in an adjudicative, investigative, and/or analytical field.
- Experience in a Dental Clinic, Paramedical Clinic or Pharmacy would be an asset.
- CFE designation would be considered an asset.
- A combination of relevant experience and education will be considered.
- Strong decision making, problem solving skills, and analytical skills.
- Proven experience providing excellent customer service.
- Excellent ability to communicate, both orally and in writing, in fast-paced and unscripted situations.
- Excellent organizational and time management skills; able to handle multiple, simultaneous investigations.
- Strong report writing skills.
- Strong customer service orientation.
- Claims knowledge would be considered an asset.
- Understanding of Group Operations (including legacy systems)/Business knowledge would be an asset.
- Demonstrated proficiency using Excel, Word and Access.
- Bilingual in English and French
- Due to the high profile of a number of our clients, a Federal Government Enhanced Screening is a job requirement and this will involve fingerprinting and a credit check. Reliability Status security clearance - this is a personnel security status that is required before an employee can gain access to Protected B information, assets or work sites as outlined by the Government of Canada website
- The base salary for this position is between **$39,200**:

- $58,800** annually. This represents base salary only and does not represent other variable compensation components of our total compensation ( i.e. annual bonus, commission etc). If you are selected to move forward in our recruitment process, your recruiter will be able to discuss additional details of our total rewards program with you.-
- 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 C

  • Bilingual Investigator

    4 weeks ago

    Winnipeg, Canada The Canada Life Assurance Company Full time

    Permanent Full Time We are looking for a **Bilingual **I**nvestigator - Fraud Management (DPIS), Workplace Solutions) with a focus on dental benefits**. Are you a naturally curious problem solver? If so, we are seeking an investigator to join our high-performance team. Familiarity with dental claims or training within the dental industry would contribute...

  • Bilingual Investigative Review Specialist

    1 month ago

    Winnipeg, Canada The Canada Life Assurance Company Full time

    Permanent Full Time We are currently hiring fo a **Bilingual Investigative Review Specialist **- Fraud Management (DPIS), Workplace Solutions with a focus on dental benefits. Are you a naturally curious problem solver with dental experience? If so, we are seeking an investigator with dental experience to join our high-performance team. This role would be a...

  • Investigator I

    6 months ago

    Winnipeg, Canada Canada Life Assurance Company Full time

    Investigator I **Description: - Permanent Full Time- We are looking for an**_ Investigator - Detection, Prevention & Integrity Services, Group Customer (DPIS)_** - The Investigator is a key member of the health and dental team that delivers robust and effective health and dental claims fraud prevention to Canada Life customers. The main function of the...

  • Workplace Incident Investigator

    4 weeks ago

    Winnipeg, Canada St.Amant Full time

    About Us St.Amant supports over 2,200 people in Manitoba with developmental disabilities, autism and acquired brain injury. We are a not-for-profit organization that offers a wide range of supports for adults, children and their families. Our over 2,000 staff follow a person centered approach and adapt to the needs of each person and each family....

  • Bilingual Assistant

    4 weeks ago

    Winnipeg, Manitoba, Canada Manitoba Government Full time

    About the RoleThe Manitoba Securities Commission seeks a Bilingual Legal Assistant to provide administrative support to the Finance, Legal, Education, and Investigation areas. The successful candidate will be responsible for processing capital raising exemption reports, statistics, and archiving, as well as providing reception and administrative support to...

  • Business Bilingual Assistant

    4 weeks ago

    Winnipeg, Manitoba, Canada Manitoba Government Full time

    Job Description:We are seeking a highly skilled Business Bilingual Assistant to provide reception and administrative support to the Finance, Legal, Education, and Investigation areas of the Manitoba Securities Commission. This is a designated bilingual position (English and French) that requires strong organizational and time management skills to ensure...

  • Credit Coordinator

    6 months ago

    Winnipeg, Canada Bison Transport Full time

    As a **Credit Coordinator**,** you will ensure that customers in your credit portfolio are committed to meeting payment terms You will work with customers and internal contacts to address any payment discrepancies. **Specific Responsibilities include**: - Collection of accounts receivable to ensure customers meet payment terms. - Coordinate a portfolio of...

  • Bilingual Legal Assistant

    7 months ago

    Winnipeg, Canada Manitoba Government Full time

    Introduction The Manitoba Securities Commission is seeking a Bilingual Legal Assistant.  To be considered for this competition you must submit an application form. See below for further instructions. Conditions of Employment: Must be legally entitled to work in Canada Must provide and maintain a satisfactory Criminal Record Check  ...

  • Bilingual Virtual Technical Support Specialist

    6 months ago

    Winnipeg, Canada Xplore Inc. Full time

    **Position Overview**: * Xplore is now hiring Bilingual Virtual Technical Support Specialist in the Winnipeg, MB area to fully train and work all from the comfort of your own home! We are looking for self-disciplined and innovative individuals with exceptional customer service skills who are looking for the opportunity to leverage these competencies. You...

  • Bilingual Virtual Technical Support Specialist

    6 months ago

    Winnipeg, Canada Xplore Inc. Full time

    **Position Overview**:** Xplore is now hiring Bilingual Virtual Technical Support Specialist in the Winnipeg, MB area to fully train and work all from the comfort of your own home! We are looking for self-disciplined and innovative individuals with exceptional customer service skills who are looking for the opportunity to leverage these competencies. You...

  • Bilingual Claims Examiner

    4 months ago

    Winnipeg, Canada Randstad Canada Full time

    Are you passionate about helping people? Do you like to problem solve and be creative with solutions? Do you have excellent communication skills in English and French ? If you answered yes to these questions, then we are looking for you to join a dynamic team.Position: Bilingual Claims Examiner- Full time, Permanent opportunity.Start date: September...

  • Bilingual Administrative Assistants

    6 months ago

    Winnipeg, Canada Canada Life Assurance Company Full time

    Bilingual Administrative Assistants (Life Claims) **Description: - Permanent Full Time- The Administrative Assistants (Life Claims) are responsible for the overall department workflow. We are currently hiring for 2 positions ( 1 French Bilingual & 1 English). They must meet very strict deadlines in order to deliver new claims to the Analysts and Processors...

  • Bilingual Document Specialist

    4 weeks ago

    Winnipeg, 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...

  • Bilingual Senior Coordinator, Absence Management

    6 months ago

    Winnipeg, Canada Loblaw Companies Limited Full time

    Reporting to the Manager, Pension and Benefits, this position focuses on the support and administration of various leave of absences and time off plans. The role will have an emphasis on disability administration for over 190,000 colleagues across all divisions of LCL. What you'll do Provide support for all Tier 2 level inquiries including data...

  • Bilingual Omni-channel Advisor

    6 months ago

    Winnipeg, Canada DHL Full time

    Ranked the World’s #1 Greatest Place to Work in 2021 ©. We are looking for MOTIVATED people like YOU to join our company where we will offer you the opportunity to be a part of a winning team! Starting your career today in Customer Service means that you are kicking off the beginning of a gratifying, long-term career. The opportunities are truly endless...

  • Workplace Incident Resolution Specialist

    4 weeks ago

    Winnipeg, Manitoba, Canada St Full time

    About St.AmantWe support over 2,200 individuals in Manitoba with developmental disabilities, autism, and acquired brain injury. Our mission is to empower people to live their best lives.Job Summary and ResponsibilitiesThe Workplace Incident Resolution Specialist plays a crucial role in maintaining a fair and respectful work environment by investigating...

  • Bilingual Human Resources Business Partner

    6 months ago

    Winnipeg, Canada EQ3 Full time

    EQ3 was born in opposition to trends, vowing instead to focus on timeless designs. We make furniture not fast, but to last. Born in opposition to the growing trend of disposable design, our greatest hope is to have our pieces passed down like heirlooms. We pride ourselves on being innovators in our industry, and we believe that the more voices and choices we...

  • Bilingual Administrative Assistant, Life Claims

    6 months ago

    Winnipeg, Canada Canada Life Assurance Company Full time

    **Job Description**: We are looking for an **_Administrative Assistant - Full-time Permanent_** The Administrative Assistants (Life Claims) are responsible for the overall department workflow. They must meet very strict deadlines in order to deliver new claims to the Analysts and Processors in a timely manner, to ensure that the benefit cheques are in the...

  • Bilingual Human Resources Business Partner

    6 months ago

    Winnipeg, Canada EQ3 Full time

    EQ3 was born in opposition to trends, vowing instead to focus on timeless designs. We make furniture not fast, but to last. Born in opposition to the growing trend of disposable design, our greatest hope is to have our pieces passed down like heirlooms. We pride ourselves on being innovators in our industry, and we believe that the more voices and choices we...

  • Security Guard, University Setting

    6 months ago

    Winnipeg, Canada GardaWorld Full time

    **Are you ready to suit up?**: If you are looking for a job where you have significant responsibility, this is the one for you! As a Bilingual Education Security Officer, you will play a key role in keeping workers, students, and visitors safe for some of the most prestigious schools! We provide people with growth opportunities. 30% of our frontline...