Claims Fraud Analyst- Temporary Full-Time

2 weeks ago

Moncton, Canada Co-operators Full time
Company: CGIC

Department: Claims

Employment Type: Temporary Full-Time (12 months)

Work Model: Hybrid

Language: Fluent in English required, French is an asset.

The Opportunity

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients, and our communities.

Our Claims team aspires to create peace of mind for our clients and our communities. Our national team of knowledgeable and trusted professionals serve our clients with compassion. We are passionate about continuous improvement and operate with high-integrity, motivated by our desire to do the right thing for our clients.

As the Claims Fraud Analyst, you will collect and analyze data and apply advanced investigative techniques to contribute to the identification, examination and suppression of claim and policy fraud.

How You Will Create Impact

  • Investigating files and networks that have been alerted or referred to the Investigative Services team, documenting findings, and monitoring information to identify patterns in case and portfolio level fraud.
  • Utilizing analytic tools and data to detect and investigate fraud and then interpret and apply data findings into investigation reports.
  • Participating in industry organizations and projects related to fraud with an emphasis on analytics and remaining informed of new sources of data, investigative techniques and trends to help minimize losses, reduce exposure and improve the effectiveness of fraud detection initiatives.
  • Collaborating with the Investigative Services team and business partners during the investigation process and presenting findings to stakeholders.
  • Documenting claims files, composing investigation reports and gathering information on cases that may lead to civil or criminal prosecution.
  • Participating in less complex industry level projects which require data aggregation and in industry organizations and projects that relate to fraud detection, investigation, and suppression, with emphasis on analytics and claim-level fraud.

How You Will Succeed

  • You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs.  
  • You use critical thinking skills to recognize assumptions, evaluate arguments, draw conclusions and proactively propose solutions.
  • You have strong communication skills to clearly convey messages and explore diverse points of view. 
  • You build trusting relationships and provide guidance to support the development of colleagues.

To Join Our Team

  • You have two years of experience in insurance, analytics or a related field.
  • You have a post-secondary education, preferably in Psychology, Criminology, Statistical Mathematics or Analytics.
  • You have the Chartered Insurance Professional (CIP) designation or pursuing.
  • You have in-depth knowledge of investigative techniques and fraud trends and understanding of the application of insurance policy language with respect to coverage, liability and settlement of claims.
  • Having previous experience in predictive analytics applied to insurance claim segmentation, including fraud detection, is an asset.

What You Need To Know

  • Strict confidentiality with respect to client’s medical history, financial status and other personal information. 
  • You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.

What’s in it for you?

  • Training and development opportunities to grow your career.
  • Flexible work options and paid time off to support your personal and family needs.
  • A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
  • Volunteer opportunities to give back to your community.

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