Insurance Fraud Investigator (Bilingual)

Job Description

Insurance Fraud Investigator (Bilingual):
On behalf of our client, Procom is searching for an Insurance Fraud Investigator for a full-time permanent role. This position is a remote position based in Canada.

Insurance Fraud Investigator (Bilingual) - Job Description:
The Insurance Fraud Investigator will play a crucial role in combating insurance crime by providing investigative expertise and leadership in cross-insurer investigations. The focus will be on transforming intelligence information into actionable reports to support case creation and intelligence sharing.

Insurance Fraud Investigator (Bilingual) - Responsibilities:
• Lead cross-insurer intelligence collection and manage information to support successful case creation and intelligence sharing.
• Analyze claim files, medical records, police reports, and financial statements for inconsistencies or "red flags."
• Execute operational processes to support investigative case creation, including managing time limitations and governance.
• Utilize fraud detection tools to analyze and identify fraud trends and networks.
• Use case reporting tools to track, report, maintain, and store documentation related to fraud investigation cases.
• Engage with members through various communication channels to deliver outstanding member experience.
• Develop and maintain valued and trusted relationships with key stakeholders.
• Exercise good judgment to identify, diagnose, and solve problems related to intelligence and investigations.
• Stay current with insurance fraud crime trends and patterns.

Insurance Fraud Investigator (Bilingual) - Mandatory Skills:
• Bilingual in English/French.
• 8+ years of experience in the P&C insurance industry, fraud financial services, or insurance claims handling.
• High level of integrity and discretion in handling confidential information.
• Ability to independently work across multiple IT platforms.
• Excellent verbal and written communication skills.
• Strong organization skills and ability to handle competing deadlines.
• Ability to compile complex reports for management and investigations.

Insurance Fraud Investigator (Bilingual) – Nice-to-Have Skills:
• Fraud analysis and data intelligence experience.
• Experience in developing trusted relationships with stakeholders.
• Problem-solving skills.
• Teamwork and collaboration experience.
• Accessible and member-focused attitude.

Insurance Fraud Investigator (Bilingual) – Assignment Length:
This is a permanent position.

Insurance Fraud Investigator (Bilingual) - Start Date:
ASAP.

Insurance Fraud Investigator (Bilingual) - Assignment Location:
Remote, Canada.

This employer uses both human and technology-assisted tools to support candidate screening and assessment. Final hiring decisions are made by people.