Senior Claims SIU Investigator

3 weeks ago

Toronto, Ontario, Canada Zurich Insurance Company Full time
Job Title: Senior Claims SIU Investigator

At Zurich Canada, we are seeking a highly skilled and experienced Senior Claims SIU Investigator to join our team. As a Senior Claims SIU Investigator, you will be responsible for conducting complex and sensitive investigations within assigned geography or Line of Business.

Key Responsibilities:
  • Conducts complex, sensitive, or high-exposure investigations within assigned geography or Line of Business in the local Business Unit, or outside normal geography/Line of Business, as required.
  • Researches information and database searches, prepares surveillance assignments, assigns to vendors, and reviews results with subsequent documentation.
  • Leads investigative teams on the resolution of highly complex, sensitive, and/or suspect organized ring cases within geography.
  • Investigates all aspects of highly complex claims referred for investigation, including circumstances of loss, background of individuals/businesses, and underwriting aspects.
  • Participates in department and Business Unit initiatives as directed.
  • Gathers information from various sources and interviews witnesses.
  • Maintains impeccable documentation, backup, and files to support all aspects of the case.
  • Prepares and provides investigative reports to Claims, Management, Business Partners, Business Units, and other required stakeholders.
  • Acquires and efficiently organizes the relevant evidence and information necessary to accurately assess whether or not there is a fraudulent aspect to individual claims or fraud ring/network claims.
  • Collaborates with external agencies to secure information and data relevant to individual investigations.
  • Conducts desk and field investigations, including face-to-face interviews with customers, witnesses, and other persons relevant to the investigation, obtaining formal written statements.
  • Adheres to local regulation and Zurich Claims governance requirements throughout the investigative process to ensure that all information and data are obtained within data protection rules and regulations.
  • Liaises closely with senior managers and claim handlers throughout the investigative process and ensures that all stakeholders are immediately aware of any important issues that are identified.
  • Identifies promptly cases that need to be further escalated.
Requirements:
  • Bachelor's Degree and 7 or more years of experience in professional investigations involving other financial crimes or Insurance claims investigation with a law enforcement agency area OR High School Diploma or Equivalent and 9 or more years of experience in the professional investigations involving other financial crimes or Insurance claims investigation with a law enforcement agency area.
  • In-depth knowledge of claims process.
  • In-depth knowledge of regulations and statutes in the assigned territory.
  • Microsoft Office skills.
About Us:

Zurich Canada is a leading global insurance provider, and we are committed to providing ongoing career development opportunities and fostering an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. We are proud of our culture and are passionate about Diversity, Inclusion, Equity, and Belonging (DIEB). We want you to bring your whole self to work and be reflective of the communities in which we live and work.

We have a collaborative culture where diversity of thought is valued, and we strive to give our employees the tools they need to make an impact. We care about our employees' well-being and offer a comprehensive health/benefits plan with varying levels of coverage to suit your specific needs and a competitive total compensation package. We understand how important it is to rest, recharge, and do the things you love, and we offer a minimum of four weeks of vacation per year to do just that.

We are committed to continuous improvement and offer access to a comprehensive range of training and development opportunities. We care about our communities and give back to them through our talent, time, and resources. We have won numerous awards for our workplace culture, including being one of Greater Toronto's Top Employers and receiving Insurance Business Canada's 5-Star Diversity, Equity, and Inclusion Award.

We are a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. Today, we serve more than 25 industries, from agriculture to technology, and insure 90% of the Fortune 500. Our growth strategy is not limited to our business; as an employer, Zurich strives to provide ongoing career development opportunities and foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging.

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