Claims processor Jobs in Moncton, NB

Company: CGIC
Department: Claims
Employment Type: Regular Full-Time
Work Model: Hybrid (2 days in office)
Language: English is required, French is an asset.
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.

The Manager, Enterprise Fraud Strategy & Initiatives supports the development and execution of a robust Property and Casualty Fraud strategy. While partially an individual contributor, they also manage Fraud SME’s and strategic execution resources. Fraud SMEs include Technical Supervisors, Analysts, Investigators, and/or Tow Investigators that support organization-wide strategic initiatives ensuring that our fraud strategy is properly embedded and implemented wherever it is, or needs to be, a dependency. They are the first line of program responsibility for the oversight required from the Enterprise Fraud program of projects, initiatives and action plans that drive profitability and growth targets in addition to the prevention, detection, and suppression of fraud across all channels. The Manager participates as a Fraud SME in a leadership capacity in strategic projects that have impact across the organization including Claims, Underwriting and delivery channels (Digital, Advisor and Call Center). They play a leadership role in managing implementation of strategic items with multiple stakeholders and are a key partner with Claims, Underwriting, Distribution Portfolio IT, Business Intelligence to drive key deliverables forward. They play a critical role in the partnering with external stakeholders that are tied to both internal and industry level fraud management strategy.

How you will create impact:

• Lead the development, evolution, and execution of a Property & Casualty fraud strategy that supports profitability, growth, and risk mitigation across claims, underwriting, and distribution channels.
• Act as a senior fraud subject matter expert embedded in enterprise and cross‑company initiatives, ensuring fraud considerations are integrated into strategic, operational, and transformational decisions.
• Drive the design, implementation, and ongoing refinement of fraud prevention, detection, and suppression capabilities across the P&C lifecycle.
• Lead the introduction of new fraud controls, methodologies, analytics, and technology enhancements, ensuring they are embedded effectively into business processes and systems.
• In partnership with other experts, use advanced analytics, industry intelligence, fraud research, and emerging fraud trends to shape strategy, identify opportunities, and anticipate evolving fraud risks.
• Define and monitor KPIs, benefit realization plans, and financial outcomes to measure and optimize the impact of fraud investments.
• Serve as a strategic partner to Claims, Underwriting, IT, Business Intelligence, Product, PMO, and Distribution teams to align fraud strategy with broader P&C objectives.
• Influence decision‑making at senior levels by presenting clear, data‑backed recommendations on fraud risk, controls, and investment prioritization
• Play a lead role in fraud strategy engagement with external vendors, data providers, and industry partners, including selection, onboarding, performance oversight, and contract support.
• Represent the organization in industry forums, committees, and working groups to drive innovation and share best practices.
• Manage and mentor fraud SMEs and seconded resources supporting enterprise initiatives, fostering high performance, engagement, and professional development.
• Act as a leadership bridge between operational fraud investigation teams and enterprise strategy execution.
• Ensure fraud strategies and initiatives comply with legal, regulatory, privacy, and investigative requirements.
• Support enterprise risk decisions related to fraud controls, risk acceptance, and emerging fraud exposures.

To join our team:

• You have 5 years of experience in leading highly effective strategic teams and initiatives. Industry and business experience. Expert knowledge of fraud schemes, fraud detection, investigation, suppression, and prevention.
• You have a university degree in Criminology, or similar sociological or science streams preferred.
• You have an established pattern of ongoing professional development.
• Expert level capability in supporting organizational strategy and goals.
• Expert knowledge of fraud detection, investigation, suppression, and prevention.
• Adaptive knowledge of organized crime schemes that target insurers.
• Working knowledge of Agile Methodology, project management, informational technologies, data architecture, co-operators systems and infrastructure.
• Strong management skills/knowledge required for coaching, mentoring, staff direction, planning and service development.

How you will succeed:

• Strong knowledge of insurance concepts and practices.
• Expert knowledge of P&C products.
• External industry/product knowledge and business/legal regulatory issues.
• Working knowledge of the insurance industry landscape and competitive environment.
• Broad business sense and strong business acumen.
• Strong knowledge of Analytics, AI, and Machine Learning.
• Expert knowledge of investigative services process and current fraud climate.
• Working knowledge of Enterprise Risk Management, included Privacy and Legal components.

What you need to know:

• You will be subject to a Criminal Record and Consumer History background check as a condition of employment, in the event you are the successful candidate.
• Role requires continuous intense and severe sensory effort.
• Role requires that time be spent away from the main office location 10% to 15% of the time.

What’s in it for you?

• Training and development opportunities to grow your career.
• Flexible work options and paid time off to support your personal and family needs.
• A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
• Paid volunteer days to give back to your community.
• In addition to our competitive salary and incentive programs, eligible employees also benefit from a comprehensive total rewards package including group retirement savings plans, pension and benefits (, health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.

Salary information​

Expected salary/hourly range $91,058 - $151,764 (min-max, full range).

Salary placement​

The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.​

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Incentive/Variable pay ​

Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.

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