Insurance Fraud Analyst

4 weeks ago


Oakville, Canada Aviva Full time

Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values – Care, Commitment, Community, and Confidence.

We are looking for a positive, enthusiastic, and driven Insurance Fraud Analyst to join our team

The Major Case Intelligence team is responsible for safeguarding Aviva Canada from fraud and financial crime threats. They play a crucial role in the oversight of threats impacting both our customers and business through investigations and strategic decision-making.

This role responsible for identifying patterns and trends, completing high quality intelligence-based investigations and projects, determining our organizations risk and exposure, then disseminating the information and actions to key stakeholders.

Does this sound like you? Don't miss out on the opportunity and apply today

What You’ll Do:

Build investigation strategy, gather and analyze facts, manage case files, and ensure proper documentation and collection of physical or electronic evidence

Analyze datasets to pro-actively detect new or emerging trends for Aviva Canada

Manage incoming intelligence from internal and external sources; assess Aviva’s exposure, ascertain risk and disseminate to key partners

Use available systems, tools, open-source and social media sites to support fraud investigations to identify key perpetrators and organized crime groups targeting the business

Identify and communicate timely on upcoming fraud trends and risks to ensure the business is aware and taking appropriate steps

Identify fraud and FC detection gaps in existing processes and advance solutions

Support the management of Aviva’s risk from organized claims fraud by maintaining & improving appropriate databases, analysis, and reporting

Collaborate with the internal investigations teams and business stakeholders to establish appropriate scope and identify all leads

Participate in stakeholder meetings, including making recommendations on the disposition of the case

Identify and communicate timely on upcoming fraud trends and risks to ensure the business is aware and taking appropriate steps

Prepare intelligence briefs for defensible investigation

Liaise with other investigative teams, colleagues, and the Claim, Underwriting, Risk and Legal operations

Evaluate evidence sufficiency on an ongoing basis until the validity of the issue(s) in question can be determined

What You’ll Bring:

5+ years’ experience in an insurance fraud investigation’s role with direct exposure to claims and/or underwriting

Evidence experiences in coordinating large cases or projects including strategizing, planning, resourcing, execution and reporting

Ability to risk assess areas of the business for fraud

Proficiency in Excel and data analysis

Develop trend analysis through data manipulation

Strong reporting and communication Skills

High level of attention to detail

Strong understanding of claims and underwriting processes

Superior analytical, problem-solving and decision-making skills

Strong customer service and communication skills

Strong verbal and written communication skills, including presentation skills

Assertive and comfortable with challenge and ambiguity

Technical knowledge of all insurance lines of business, including policies, claims, and related legislation

Investigative competency to determine strategies and requirements (including legislation)

Ability to make confident and objective decisions in matters having high potential for legal precedent or legal dispute

Bilingualism is an asset

Ability to maintain confidential information

What you’ll get:

Compelling rewards package including base compensation, eligibility for annual bonus, retirement savings, share plan, health benefits, personal wellness, and volunteer opportunities.

Exceptional Career Development opportunities.

We’ll support your professional development education.

Competitive vacation package with the option to purchase 5 extra days off per year

Employee driven programs focused on gender, LGBTQ+, origins, diversity and inclusion

Corporate wellness programs to support our employees’ physical and mental health

Hybrid flexible work model

Aviva Canada is committed to providing accommodations for people with disabilities during all phases of the hiring process including the application process. If you require an accommodation because of a disability, we will work with you to meet your needs. Applicants need to make their needs known in advance. If you are selected for an interview and require an accommodation, you are encouraged to advise the Talent Acquisition Partner who will consult with you to determine an appropriate accommodation.



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