Claims Investigator SIU
CAA Club GroupMississauga, ON, CA30+ days ago
Salary
CA$40.00–CA$55.00 hourly
Job descriptionPost-secondary education in Criminology, Insurance Management, Business Administration, or industry experience CIP designation completed or in progress preferred 5+ years’ experience in Property and Casualty insurance industry 2+ years as SIU investigator Must have a valid drivers license and use of a personal vehicle Litigation experience, legal & SIU regulations knowledge Clear understanding of insurance industry practices, standards, and terminology Experience handling property damage, injury claims, serious injuries, and litigation Strong passion for the P&C insurance industry with focus on fraud containment Strong technical, analytical, problem-solving, and ability to exercise prudent judgment to make decisions based on accurate & timely analysis of trends Ability to work in teams & independently Competitive total compensation and benefits package Annual shared success program based on performance Annual merit increases based on performance Defined Contribution Pension Plan with a matching contribution component Complimentary CAA Membership
Position Details
Reporting to the Manager, Special Investigations Unit, the Claims Investigator is responsible for investigating complex property & casualty insurance claims with elements of potential fraud, misrepresentation, and / or exaggeration, for all lines of business.
What You Will Do
- Evaluate concerns & fraud indicators to develop investigative plans for all lines of business in insurance claims (Property, Auto Fire & Theft, Cargo, Casualty, Accident Benefits), and Claims with Legal disputes
- Serve as resource for Claims operation for special investigations & fraud
- Consult with Claims business units, provide resources & recommendations to assist fraud initiatives
- Communicate with stakeholders, prepare reports, trial briefs & updates on investigations in timely & respectful manner
- Build & maintain business relationships with law enforcement (police, fire, border control), government bodies, and investigative organizations
- Attend court proceedings or hearings
- Ensure ongoing handling of claims investigations within company standards, industry best practices & regulations
- Assist with ongoing training of internal anti-fraud personnel
- Provide feedback to Management on process & system improvement initiatives
- Comply with relevant provincial & federal laws, Insurance regulations, carrier best practices, follow & enforce Echelon Claims policies, procedures, & best practices
- Assist with evaluating, selecting, ensuring quality and cost containment for vendors including defense firms, private investigators, records review companies, legal document & photocopy companies, expert witness and other vendors that might be used for settlement of auto claims
Who You Are
What’s In It For You