Technical Fraud Consultant

Company: CGIC

Department: Claims

Employment Type: Temporary Full-Time (16 months)

Work Model: Hybrid 

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.

Our Claims team aspires to create peace of mind for our clients and our communities. Our national team of knowledgeable and trusted professionals serve our clients with compassion. We are passionate about continuous improvement and operate with high-integrity, motivated by our desire to do the right thing for our clients.

As the Technical Fraud Consultant, you will provide direction and support with respect to technical claims and underwriting management within the Enterprise Fraud Program. You will contribute to the development of related technical claims and underwriting training, resources, and communication, as well as monitoring claims and underwriting investigations practices through audits and analysis. You will be responsible for training and providing technical support and coaching to staff within the Enterprise Fraud program and working with the front-line people leaders in Enterprise Fraud to monitor and meet the necessary fraud Key Performance Indicators (KPIs) for various fraud projects. You will work in collaboration with internal stakeholders to deliver on objectives and client service expectations for Enterprise Fraud.

How you will create impact:

• Provide technical coaching, and counselling to front line people leaders and operational teams within Enterprise Fraud to support sound decision making regarding claims, litigation management, policy interpretation, policy violations, quantum, assessment, negotiation, and settlement of claims in accordance with discipline practices, standards, legislation, and company guidelines.
• Provide case level oversight on files from various fraud project streams, contributing technical expertise for staff to draw from on future cases.
• Provide leadership to support change effectively and ensure a positive, and professional work environment.
• Work with Fraud leadership to strategize on areas of focus and prioritization, leveraging knowledge of the current state of our fraud projects via KPI’s and fraud trending.
• Participate in training or consulting on projects as a Subject Matter Expert.
• Stay current and assist in the identification of Fraud specific trends, legal issues, legislation and convey this information to stakeholders and cross teams.
• Responsible for enhancing effectiveness of technical processes to provide consistent balanced, fair, expeditious investigations and manage loss costs.
• Leverage analytics and partnerships to optimize decision making within the operation and detection and investigation of suspected fraud.
• Work collaboratively with internal stakeholders in the implementation of business objectives/processes which enhance client engagement, support profitability, and enrich staff engagement.
  
  

How you will succeed:

• You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs.    
• You use critical thinking skills to recognize assumptions, evaluate arguments, draw conclusions and proactively propose solutions.  
• You have strong communication skills to clearly convey messages and explore diverse points of view.   
• You build trusting relationships and provide guidance to support the development of colleagues. 

 

To join our team:

• You have 3 years of fraud specific experience in insurance or 5 years of claims or underwriting experience that includes a focus on fraud detection and investigation.
• You have a post-secondary diploma or degree.
• You have or are working towards the Fellow Chartered Insurance Professional (FCIP) or Chartered Insurance Professional (CIP) designation. Pursuing further development is an asset.
• You have demonstrated successful experience in coaching, developing, and leading others and exhibit a high degree of autonomy and resiliency.
• You have advanced knowledge of policy working, legislation, and regulations.

 

What you need to know:

• You will travel occasionally.
• Extended work hours, including evenings and weekends, may be required.    
• 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. 

 

What’s in it for you?

• Training and development opportunities to grow your career.
• Flexible work options to support personal and family needs.
• A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
• Volunteer opportunities to give back to your community.

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