Claims Fraud Analyst at Zurich Insurance Company Ltd. | Toronto, CAN | Rezi

Claims Fraud Analyst at Zurich Insurance Company Ltd.

Claims Fraud Analyst

Zurich Insurance Company Ltd. · Toronto, CAN

1 weeks ago

Claims Fraud Analyst

Zurich Insurance Company Ltd. · Toronto, CAN

9 days ago
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About the Role

This role will strengthen Zurich Canada’s ability to identify potential claims fraud, leakage, unusual patterns, and emerging risk indicators through data, analytics, and business insight. The successful candidate will work closely with Claims, Special Investigations Unit (SIU), Technology, and analytics teams to review claims data, develop fraud indicators, validate trends, and translate findings into clear recommendations that support better claims outcomes. This is a unique opportunity to combine claims knowledge, analytical thinking, and investigative curiosity to help protect Zurich, our customers, and the integrity of the claims process.

Responsibilities

  • Analyze claims data to identify potential fraud patterns, unusual activity, leakage, overpayments, and other risk indicators.
  • Partner with Claims and SIU teams to support investigation prioritization, case reviews, and indicator refinement.
  • Review historical fraud cases and pending claims to identify recurring themes, emerging trends, and opportunities to improve detection.
  • Develop dashboards, reports, and analysis that help business partners understand fraud trends, payment patterns, vendor activity, and claim behaviours.
  • Support the design, testing, and monitoring of fraud indicators, rules, models, and alerts in partnership with data and technology teams.
  • Conduct deep-dive analysis on claim payments, payees, vendors, body shops, service providers, recoveries, and claims expenses.
  • Validate data quality, definitions, and business rules to help ensure fraud insights are accurate, explainable, and actionable.
  • Prepare clear summaries, recommendations, and presentations for Claims, SIU, and leadership stakeholders.
  • Collaborate with cross-functional teams to improve data access, reporting consistency, and the responsible use of analytics in fraud detection.
  • Stay current on emerging fraud trends, analytical techniques, and opportunities to use data and AI-enabled capabilities responsibly.

Requirements

  • Bachelors Degree and 3 or more years of experience in the Statistical Analysis area OR High School Diploma or Equivalent and 5 or more years of experience in the Statistical Analysis area.
  • Strong analytical skills with the ability to interpret data, identify patterns, and connect insights to business actions.
  • Experience working with claims data, operational data, payment data, or other complex business datasets.
  • Strong communication skills with the ability to explain findings clearly to both technical and non-technical audiences.
  • Strong attention to detail, curiosity, sound judgment, and ability to handle confidential information appropriately.
  • Ability to work independently, manage multiple priorities, and build trusted relationships across business and technical teams.

Skills

  • Insurance claims, fraud, special investigation, or claims analytics experience.
  • Experience with Power BI, SQL, Databricks, Python, or similar analytics tools.
  • Experience analyzing claims payments, vendor patterns, recoveries, leakage, expenses, or fraud indicators.
  • Understanding of claims processes, claim systems, policy information, and fraud investigation workflows.
  • Experience building dashboards, recurring reports, data quality checks, or analytical summaries.
  • Knowledge of predictive analytics, anomaly detection, machine learning, or AI-enabled fraud detection is an asset.

Location

  • Canada

Work Type

  • Hybrid

Experience Level

  • 3+ years of experience in Statistical Analysis
  • 5+ years of experience in Statistical Analysis
  • 2+ years of experience in claims, fraud, analytics, business intelligence, investigations, insurance operations, or a related field.

Education Level

  • Bachelor's Degree
  • High School Diploma or Equivalent

Salary/Compensations

  • $65,000 - $85,000

Benefits

  • Comprehensive health/benefits plan with varying levels of coverage
  • Minimum of four weeks of vacation per year
  • Four personal days per year
  • Access to a comprehensive range of training and development opportunities

About the Company

  • Zurich Canada is part of the Zurich Insurance Group, a multi-line insurer with approximately 55,000 employees worldwide serving customers in global and local markets.
  • Zurich Canada has been a leading insurance provider serving mid-sized and large companies, including multinational corporations, in the Canadian commercial market for 100 years.
  • With over 900 employees in offices across the country, Zurich offers the global strength of a top insurance provider combined with in-depth knowledge of industries and local markets.
  • Zurich Canada aspires to be risk management professionals’ first choice as their premier partner to help meet the risk challenges of today and tomorrow.
  • Zurich North America has over 148 years of experience managing risk and supporting resilience.
  • We are a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals.
  • Today, we serve more than 25 industries, from agriculture to technology and insure 90% of the Fortune 500®.

Equal Opportunity

  • Zurich is committed to providing a diverse, inclusive and barrier-free environment resulting in an accessible organization for employees, customers, and other parties who interact with, or on behalf of, Zurich.
  • We strive to achieve a workplace free of discrimination of all forms, including discrimination on the basis of physical or mental disability, or medical condition.
  • If you are interested in a job opportunity, please advise if you require an accommodation, so we can work with you to provide a more accessible process.