Investigation and Recovery Technician

6 days ago

Toronto, Ontario, Canada Beneva Full time $40,000 - $60,000 per year

Official Internal Job Title:

Investigation and Recovery Technician

Status:

Regular

Job Description:

As the Investigation and Recovery Technician, you will report to the Assistant Director - Fraud Management and will be responsible for disability claim investigations, external surveillance mandates, supervising recovery requests in collaboration with the designated firm, and negotiating agreements in total permanent disability (TPD) case files.

You will fulfill the following functions

  • Conduct internal investigations to detect potential fraud for all short-term, long-term disability and life claim files, using various tools including Equifax, Cidreq, social media, internet, etc., and issue recommendations as well as suggest strategies to agents based on consultations with physicians and/or litigation advisors and lawyers
  • Responsible for recoveries for short-term, long-term disability and life claim files, including making settlement directly with clients, or, if needed, determine if it is appropriate to send the file to external recovery firm
  • Conduct audits in TPD case files to identify any and all anomalies, negotiate agreements and anticipated payments. When needed, make settlement offers directly to clients
  • Be the contact person and provide specialized expertise and advice to operations (disability team) on the actions to be taken for the conduct of a file when a risk of fraud is identified and/or to recover the sums owed to the insurer
  • Authorize surveillance files, recovery files, give mandates to external companies. Monitor the time and expenses of these investigations ; suggest efficient and cost-effective alternatives
  • Supervise the work performed by external firms for files outsourced to them, whether it is for recovery or for surveillance. Identify companies likely to offer the best quality/price ratio
  • Keep the investigations inventory up to date. Evaluate the return on investment based on specific criteria
  • Develop selection criteria and processes and, in collaboration with managers, set up a claims agent training program to help them identify cases requiring one or more specialized interventions
  • Process all access-to-information requests from lawyers
  • Perform any other task of the same nature, or general duties required by the job and/or required by the manager

Your Talents and Qualifications

  • 4 years' experience in disability management
  • College diploma
  • Bilingual (French) an asset

Interested in a career in a company where collaboration and diversity of expertise are at the forefront? Join our team of over 5,000 caring employees

LI-ENG
LI-Hybrid

Beneva is an equal opportunity employer, so we encourage all Women, persons with disabilities, Indigenous people as well as visible and ethnic minorities to apply.

Purpose : True to its purpose, Beneva places people at the heart of its actions and contributes to the well-being of the community. It accompanies its clients in all stages of their lives, both for their insurance and for their financial services.

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