Claims examiner Jobs in Burlington, ON

Company : CGL

Department : Audit Services

Employment Type : Regular Full-Time

Work Model : Hybrid

Language : English is required, French is an asset

Referral Award : No

Additional Information : This / these role(s) is / are currently vacant

The Opportunity :

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients, and our communities.

Our national Finance team aspires to create, enhance, and protect value for our organization and its stakeholders. Our knowledgeable team educates and influences the organization to make well-informed, risk-based decisions. We think innovatively and strategically to solve business problems and strive to move our business forward with practical, integrated processes and tools that ensure organizational success.

As a Lead Fraud Examiner within Audit Services, you will proactively identify, investigate and resolve suspected dishonest or fraudulent activities involving officers, employees, agents, brokers, providers, vendors, or suppliers across all companies and all lines of business. You will also be responsible for the development and maintenance of an internal fraud detection and prevention program across the group of companies and will liaise with other departments involved in fraud investigation as necessary.

How you will create impact :

• Perform fraud investigations as required regardless of source (, whistleblowing, client or vendor complaint, etc) based on appropriate evidence / information (this encompasses development of investigative plans, collection of evidence, conduct of interviews and documentation of findings).
• Prepare investigative reports for senior management, regulatory bodies, internal and external business contacts such as legal consultants, law enforcement, provincial / federal regulators, external auditors. This encompasses verbal discussion / presentation with any of these parties described above, as well as written documentation / presentation of evidence in court or tribunal as required and follow-up on court disposition where applicable.
• Identify high risk areas and processes that are particularly susceptible to fraud or dishonest behaviour and design appropriate monitoring tests to detect inappropriate activity.
• Work closely with the VP and AVP of Audit Services to develop and maintain fraud prevention and detection program across the group of companies.
• Develop and present fraud awareness programs for high-risk areas to various business units and leaders.

How you will succeed :

To join our team :

What you need to know :

What’s in it for you?