Claims Investigator SIU

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

• Post-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

What’s In It For You

• 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
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