What You Will Do
Reporting to the SIU Manager, the SIU analyst is responsible for the identification and analysis of suspicious claims, development of fraud detection and prevention tools through data analytics and supporting overall Fraud Strategy initiatives. This position is the subject matters expert for fraud detection technology and responsible for developing materials and conducting technical training when appropriate.
- Review SIU referrals and determine which claims meet the established criteria and will be accepted for investigation by SIU
- Analyze internal and external data systems to identify suspicious claims activity
- Complete open-source intelligence (OSINT) searches
- Design and create data reports/tools to proactively identify questionable claims or policy activity
- Providing recommendations for action post-investigation
- Support development of case investigations, fraud detection and tool enhancements for all lines of business and regions
- Identifies issues, resource challenges and competing priorities regarding fraud identification and escalate to Claims Management
Please note, salary range is not inclusive of total compensation. The expected salary range for this position will be impacted by factors such as the successful candidate’s skills, experience and working location, as well as the specific position’s business line, scope and level. Candidates with salary expectations outside of the range are encouraged to apply.
Who You Are
- Minimum 8 year of claims handling or direct related experience in Personal and Commercial multi-line claims.
- Experience with conducting OSINT research
- Experience working on a national level that involves different Provincial Legislation and policies
- Ability to maintain confidentiality and effectively prioritize and execute tasks in a high-pressure environment
- Completion of or willingness to obtain Certified Fraud Examiner (CFE) certification and OSINT certificate preferred
- University degree or college diploma is preferred
- CIP designation or working towards is an asset
- Provincial licensing if/where required
- Fluency in both English and French required, including strong written and verbal communication skills.
