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About the Role
The Senior Investigator is responsible for investigating and documenting potential fraudulent activity across various claim types. This role involves field investigations, evidence collection, and collaboration with internal and external partners to ensure accurate policy coverage and claims resolution. The Senior Investigator will also mentor junior staff and contribute to fraud prevention efforts.
Responsibilities
- Holistically review requests for investigation and identify necessary investigative activities.
- Ensure the timely and thorough completion of investigations.
- Complete Safety Risk Assessments and Action Plans for field work.
- Assess desilication of conflict and manage situational personal safety events during field work.
- Assess case complexity and value, completing field task assignments.
- Collect, critically assess, and preserve evidence from internal and external business partners.
- Attend loss locations to document scenes and collect relevant evidence.
- Conduct investigations to ensure the authenticity of documents and evidence.
- Fully document ongoing investigative results and participate in policy or claim coverage decision-making.
- Conduct investigations in accordance with all applicable provincial and federal legislation.
- Assist with the development and delivery of training programs on fraud prevention and claims investigation.
- Participate in audits and file surveys to direct investigative resources.
- Mentor, train, coach, and counsel Claims Investigators.
- Coordinate with business partners for the employment of forensic experts and provide directions.
- Liaise with external representatives including the Investigative Services Division of the IBC, Fire Marshalls Office, and law enforcement.
- Contribute to a client service culture by embedding client engagement philosophies and implementing client-centric decision making.
Requirements
- A Bachelors Degree is required.
- Completion of a University degree or College diploma related to civil and criminal investigations is preferred.
- Chartered Insurance Professional (CIP) or other insurance-related professional designation is preferred.
- Completion of or working towards CFE is preferred.
- General knowledge of business operations tools (SalesForce, PolicyCentre, ClaimCentre, BillingCentre) is an asset.
- 3 years of experience in Specialized Discipline experience is preferred.
- 3 years of experience in investigations is preferred.
- Minimum of 5 years of insurance experience including supervisory level experience is required.
- Experience including Claims adjusting or significant risk evaluation for moral, morale and physical hazards, geared towards fraud and loss prevention is preferred.
- Minimum of 15 years prior employment in law enforcement with experience in detailed criminal investigations and intelligence gathering is an alternative requirement.
- Subject to a Background check as a condition of employment.
Skills
- Innovative mindset to improve operational efficiencies.
- Ability to influence change with a primary focus on client needs.
- Critical thinking skills to recognize assumptions, evaluate arguments, draw conclusions, and proactively propose solutions.
- Strong communication skills to clearly convey messages and explore diverse points of view.
- Ability to build trusting relationships and provide guidance to support the development of colleagues.
Location
- Remote-Based
Work Type
- Regular Full-Time
- Remote-Based
Experience Level
- Senior Investigator
- Supervisory level experience
- Minimum of 15 years prior employment in law enforcement
Education Level
- Bachelors Degree
- University degree or College diploma related to civil and criminal investigations
- Chartered Insurance Professional (CIP)
- CFE
Salary/Compensations
- $72,847 - $121,411
Benefits
- Training and development opportunities
- Flexible work options
- Paid time off
- Holistic approach to well-being
- Physical and mental health programs
- Supportive workplace culture
- Paid volunteer days
- Competitive salary and incentive programs
- Comprehensive total rewards package
- Group retirement savings plans
- Pension and benefits (e.g., health and wellness, dental, disability and life coverage)
- Mental health support
- Employee assistance program
About the Company
- CGIC is a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society.
- We prioritize our people, ensuring a strong culture and development opportunities that enable our team to thrive and live our purpose.
- We work with people who care passionately about you, our clients, and our communities.