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Bilingual Claims Investigator SIU

2 months ago

Montreal, Quebec, Canada CAA Club Group Full time
{"header": "Bilingual Claims Investigator SIU Job Description", "subheader": "Join our team as a Bilingual Claims Investigator SIU and contribute to the success of CAA Club Group", "sections": [{"title": "Job Summary", "content": "We are seeking a highly skilled Bilingual Claims Investigator SIU to join our team. As a Bilingual Claims Investigator SIU, you will be responsible for investigating insurance claims and identifying potential fraud. You will work closely with our claims operation to develop investigative plans and provide resources and recommendations to assist fraud initiatives.

Your primary focus will be on evaluating concerns and fraud indicators to develop investigative plans for all lines of business in insurance claims, including Property, Auto Fire and Theft, Cargo, Casualty, Accident Benefits and claims with Legal disputes.

You will also serve as a resource for the claims operation for special investigations and fraud, and consult internally with Claims business units (all lines) to provide resources and recommendations to assist fraud initiatives as required.

In addition, you will communicate effectively with all stakeholders, and prepare reports, trial briefs, and updates on investigations in a timely and respectful manner.

You will also build and maintain productive business relationships with law enforcement (police, fire, and border control), government bodies, and investigative organizations.

As a Bilingual Claims Investigator SIU, you will be responsible for ensuring ongoing handling of claims investigations within company standards and industry best practices and regulations.

You will also be responsible for overall file handling and work product quality, and will assist with ongoing training of all internal anti-fraud personnel.

Finally, you will provide feedback to Management on process and system improvement initiatives for the department, and comply with relevant provincial and federal laws, Insurance regulations, insurance carrier best practices and follow and enforce Echelon Claims policies, procedures and best practices.

"}, {"title": "Responsibilities", "content": "

* Evaluate concerns and fraud indicators to develop investigative plans for all lines of business in insurance claims, including Property, Auto Fire and Theft, Cargo, Casualty, Accident Benefits and claims with Legal disputes.

* Serve as a resource for the claims operation for special investigations and fraud.

* Consult internally with Claims business units (all lines) to provide resources and recommendations to assist fraud initiatives as required.

* Communicate effectively with all stakeholders, and prepare reports, trial briefs, and updates on investigations in a timely and respectful manner.

* Build and maintain productive business relationships with law enforcement (police, fire, and border control), government bodies, and investigative organizations.

* Ensure ongoing handling of claims investigations within company standards and industry best practices and regulations.

* Responsible for overall file handling and work product quality.

* Assist with ongoing training of all internal anti-fraud personnel.

* Provide feedback to Management on process and system improvement initiatives for the department.

* Comply with relevant provincial and federal laws, Insurance regulations, insurance carrier best practices and follow and enforce Echelon Claims policies, procedures and best practices.

* Assist with evaluating, selecting, and ensuring quality and cost containment for vendors including defense firms, private investigators, records review companies, legal document and photocopy companies, expert witnesses and any other vendors that might be used for the settlement of relevant auto claims.

"}, {"title": "Requirements", "content": "

* Post-secondary education in Criminology, Insurance Management, Business Administration or related field.

* CIP designation completed or in progress is preferred.

* Strong passion for the P&C insurance industry with a focus on fraud containment.

* Strong technical, analytical and problem solving skills and the ability to exercise prudent judgment to make decisions based on accurate and timely analysis of trends.

* As required by situations, demonstrate ability to work in teams and independently.

* 5 plus years' experience in the Property and Casualty insurance industry.

* 2 plus years as an SIU investigator.

* Litigation experience and legal knowledge.

* Must have a clear understanding of insurance industry practices, standards and terminology;

* Some experience handling property damage and injury claims as well as serious injuries and litigation.

* Must have a valid driver's license

* Must have a personal vehicle

* Bilingual proficiency in both French and English (verbal and written)

"}, {"title": "What's In It For You", "content": "

* Competitive total compensation and benefits package

* Annual shared success program based on performance

* Annual merit increases based on performance

* Registered Retirement Savings Plan with a matching contribution component

* Complimentary CAA Membership

"}]