Senior Claims Investigator

Senior Claims Investigator role at Wawanesa Insurance

Last updated : 1 day ago. Be among the first 25 applicants.

Job ID : 9616

Employment Type : Existing Role

Working Business Language : English

Salary : At Wawanesa, salary is one component of a comprehensive and competitive offering. Full‑time and part‑time permanent employees are eligible for an annual bonus plan, leave of absence top‑up programs, generous vacation time, personal days, premium‑free benefits and a pension plan. The estimated salary range for this role is $75,000‑$110,000. Candidates with expectations outside this range are still encouraged to apply.

About Us : At Wawanesa, we offer a hybrid work environment that balances in‑office (2 days per week or 15 hours per week in a Wawanesa office) and remote work. You may work from Toronto (North York), Kitchener or Ottawa. Wawanesa Mutual Insurance Company (“Wawanesa Mutual”), founded in 1896, is one of Canada’s largest mutual insurers, with over $3.5 billion in annual revenue and assets of $10 billion (CAD). Wawanesa Mutual, with its National Headquarters in Winnipeg, is the parent company of Wawanesa Life and Western Financial Group. Wawanesa serves more than 1.7 million members in Canada, with 3,300 employees across Canada. We give back to over $3.5 million annually to charitable organizations and support people on the front lines of climate change. We are recognized as one of Manitoba’s Top Employers.

We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and seek diverse experience and advancement on a growing team.

Job Overview

The Bilingual Senior Claims Investigator contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience through thorough investigation of highly complex referred files and fraud prevention initiatives.

Job Responsibilities

• Provide exceptional customer service.
• Review referred claim files to determine the type and scope of investigation required.
• Investigate possible causes of loss via examination of forensic evidence and collection, preservation, and submission of evidence to police agencies and / or courts.
• Take charge of investigations for cases with a suspect of fraudulent nature.
• Pursue police charges for prosecution, prepare Crown Briefs, and provide evidence.
• Understand the application of policy language as it is applied to coverage, liability and settlement of claims.
• Maintain strict confidentiality and ensure compliance with Privacy Regulations.
• Provide ongoing updates on the status of investigations.
• Compose investigation reports and advise claims staff and management of findings and further recommended action.
• Maintain accurate records based on company standards and policies within the claims system.
• Conduct ad hoc internal claims audits.
• Attend court proceedings as required.
• Remain up‑to‑date with case law, legal tactics, fraud trends and other information that may help limit losses or improve the effectiveness of the detection system.
• Perform other duties as assigned.

Qualifications

Senior Level

Mid‑Senior level

Diversity, Equity, Inclusion & Belonging

At Wawanesa, we are committed to Diversity, Equity, Inclusion and Belonging (DEIB). We welcome applications from all qualified candidates, including racialized persons, women, Indigenous Peoples, persons with disabilities, members of the 2SLGBTQIA+ community, gender‑diverse and neurodiverse individuals, and anyone who can contribute to the further diversification of thought and ideas. We aim to ensure our recruitment process is accessible to all candidates. If you require accommodations during any stage of the recruitment process, please reach out in confidence to jobs@wawanesa.com.

All Wawanesa job applicants are subject to Wawanesa's Privacy Policy.

Please note that this position may involve the use of AI tools to screen, assess, or select applicants. All final decisions are taken or reviewed by human recruiters and human hiring leaders in compliance with all applicable legislation.

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