Senior Claims SIU Investigator
4 weeks ago
Are you looking for a challenging role in a dynamic and supportive environment? Zurich Canada is seeking a Senior Claims SIU Investigator to join our team.
Job Summary:The Senior Claims SIU Investigator will be responsible for conducting complex investigations of suspect fraud, high exposure, and complex claims within an assigned geographic region or Line of Business (LOB). The successful candidate will have experience in professional investigations involving financial crimes or insurance claims investigation with a law enforcement agency.
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 vendor and reviews results with subsequent documentation.
- Leads investigative team 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, back up 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 which is 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 is obtained within data protection rules and regulations.
- Liaises closely with senior managers and claim handlers throughout the investigative process and ensuring that all stakeholders are immediately aware of any important issues that are identified.
- Identifies promptly cases which need to be further escalated.
- Bachelor's Degree and 7 or more years of experience in the 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
Zurich Canada is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. 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 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. At Zurich, all employees receive a minimum of four weeks of vacation per year to do just that.
We also understand that employees require time off for personal reasons. Maybe you have an appointment during a workday, a cultural or religious holiday you would like to observe, or you need time off to focus on your mental health. Zurich employees receive four personal days per year to be used at their discretion.
We are committed to continuous improvement, and offer access to a comprehensive range of training and development opportunities.
We care about our communities. Our communities are where our customers, people, and shareholders live and work. While we can be proud of the contribution to society Zurich makes through our core business of insurance, we must also give back to our communities through our talent, time and resources.
We have won numerous awards for our workplace culture. We are proud to be one of Greater Toronto's Top Employers and to have received Insurance Business Canada's 5-Star Diversity, Equity and Inclusion Award.
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Toronto, Ontario, Canada Zurich Insurance Company Full timeJob Title: Senior Claims SIU InvestigatorAre you looking for a challenging role in a dynamic and supportive environment? Zurich Canada is seeking a Senior Claims SIU Investigator to join our team.About the RoleAs a Senior Claims SIU Investigator, you will be responsible for conducting complex investigations of suspect fraud, high exposure, and complex claims...
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Toronto, Ontario, Canada Zurich Insurance Company Full timeJob Title: Senior Claims SIU InvestigatorAre you looking for a challenging role in a dynamic and supportive environment? Zurich Canada is seeking a Senior Claims SIU Investigator to join our team.About the RoleAs a Senior Claims SIU Investigator, you will be responsible for conducting complex investigations of suspect fraud, high exposure, and complex claims...
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Toronto, Ontario, Canada Zurich Insurance Company Full timeJob Title: Senior Claims SIU InvestigatorWe are seeking a highly skilled and experienced Senior Claims SIU Investigator to join our team at Zurich Canada. 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,...
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Toronto, Ontario, Canada Zurich Insurance Company Full timeJob Title: Senior Claims SIU InvestigatorAre you looking for a challenging role in a dynamic and supportive environment? Zurich Canada is seeking a Senior Claims SIU Investigator to join our team.Job Summary:We are looking for a highly skilled and experienced investigator to lead and conduct complex investigations of suspect fraud, high exposure, and complex...
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