Senior Claims Investigator

Join to apply for the Senior Claims Investigator role at Wawanesa Insurance

Job ID : 9517

Working Business Language : English.

Salary : The salary range for this role is estimated to be within $80,000 - $100,000. Candidates with salary expectations outside of the range are still encouraged to apply.

About Us : At Wawanesa, we’re proud to offer a hybrid work environment that offers flexibility to our employees in balancing in-office (2 days per week OR 15 hours per week in a Wawanesa office) and remote work. You may work from any of the following locations : Vancouver, BC; Calgary, AB; Edmonton, AB; Lethbridge, AB. The 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). We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience and advancement on a growing team.

Job Overview : As a key member of Wawanesa’s Special Investigations Unit, the Claims Investigator Sr. contributes to Wawanesa’s goal of protecting our members and communities from fraud and improving operational outcomes by investigation of claims with indicators of potential fraud for all property and casualty claims. This position will require fieldwork.

Job Responsibilities :

• Evaluate potential fraud indicators on referred claims and develop investigation plans, including analyzing data to identify potential patterns and inconsistencies.
• Ensure proper documentation and management of investigation data and evidence.
• Conduct investigations in accordance with company policies, procedures and best practices by collecting and analyzing all relevant evidence, including conducting virtual and in person statements with key parties.
• Compose thorough and accurate investigation reports and provide ongoing updates on the status of investigations to claims teams in a timely, respectful and collaborative manner.
• Maintain accurate claims system records based on company standards and policies.
• Develop and maintain strong business relationships with law enforcement, investigative organizations, and other key stakeholders.
• Attend court proceedings if required to testify to support investigative findings.
• Remain up to date on fraud trends and best investigative tactics to continuously improve effectiveness.
• Collaborate with internal departments by working closely with Underwriting, Legal and other Departments to ensure a holistic approach to fraud prevention.
• Provide guidance and mentorship to junior investigators and team members.
• Serve as a resource and provide training and consultation on fraud detection, prevention, and investigations.
• Comply with all relevant legal and regulatory requirements.
• Occasional travel for fieldwork required.

Qualifications :

Diversity, Equity, Inclusion & Belonging : At Wawanesa, we are committed to Diversity, Equity, Inclusion and Belonging (DEIB) and believe that our strength lies in the diversity of our people.

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