Bilingual Analyst - Special Investigations Unit (SIU)

Job summary

Review SIU referrals and analyze internal and external data to identify suspicious claims, conduct open-source intelligence research, and determine which claims meet investigation criteria. Develop analytics-based reports and fraud detection tools, support investigations and fraud strategy initiatives, and provide technical training on fraud detection technology.

Job details

About Us Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies, and is an equal opportunity employer who offers a professional environment that champions collaboration, trust, and growth to drive success. We cultivate a great working dynamic to help us deliver what is best for our associates, Brokers, and Customers. Who we are Are you ready to join an award-winning, purpose-driven culture? Welcome to the CAA Club Group of Companies (CCG), where purpose leads to passion! At CCG, we are committed to delivering an exceptional Associate experience. We offer: Work-life harmony with access to an award-winning holistic wellness program, Continuous learning through our robust corporate curriculum and education reimbursement program, Incredible rewards, travel incentives, and product and service discounts, Pay-for-performance and best-in-class recognition programs, and Competitive benefits that include a defined contribution plan, personal spending account, and so much more. Join our growing team where everyone belongs! Position Details What You Will Do Reporting to the SIU Manager, the SIU Analyst is responsible for the identification and analysis of suspicious claims, development of fraud detection and prevention tools through data analytics and supporting overall Fraud Strategy initiatives. This position is the subject matters expert for fraud detection technology and responsible for developing materials and conducting technical training when appropriate. Review SIU referrals and determine which claims meet the established criteria and will be accepted for investigation by SIU Analyze internal and external data systems to identify suspicious claims activity Complete open-source intelligence (OSINT) searches Design and create data reports/tools to proactively identify questionable claims or policy activity Support development of case investigations, fraud detection and tool enhancements for all lines of business and regions Identifies issues, resource challenges and competing priorities regarding fraud identification and escalate to Claims Management Please note, salary range is not inclusive of total compensation. The expected salary range for this position will be impacted by factors such as the successful candidate’s skills, experience and working location, as well as the specific position’s business line, scope and level. Candidates with salary expectations outside of the range are encouraged to apply. Who You Are Minimum 8 year of claims handling or direct related experience in Personal and Commercial multi-line claims Experience with conducting OSINT research Experience working on a national level that involves different Provincial Legislation and policies Ability to maintain confidentiality and effectively prioritize and execute tasks in a high-pressure environment Completion of or willingness to obtain Certified Fraud Examiner (CFE) certification and OSINT certificate preferred University degree or college diploma is preferred Provincial licensing if/where required Fluency in both English and French required, including strong written and verbal communication skills. Please note that we may use AI tools to help us through the recruitment process. Our Commitment We are an equal opportunity employer and are committed to providing employment accommodation in accordance with all applicable Provincial Human Rights and Accessibility Legislation. CCG will provide accommodations to job applicants with disabilities throughout the recruitment process. If you require an accommodation, please notify us and we will work with you to meet your needs.

What you’ll do

Review SIU referrals and analyze internal and external data to identify suspicious claims, conduct open-source intelligence research, and determine which claims meet investigation criteria. Develop analytics-based reports and fraud detection tools, support investigations and fraud strategy initiatives, and provide technical training on fraud detection technology.

Requirements

Requires at least eight years of claims handling or related experience in personal and commercial multi-line claims, experience conducting OSINT research, and national-level experience with differing provincial legislation and policies. Candidates must be fluent in English and French; a university degree or college diploma is preferred, and CFE certification and an OSINT certificate are preferred or may be obtained.

Benefits

• Holistic Wellness Program
• Education Reimbursement
• Travel Incentives
• Product And Service Discounts
• Performance-Based Recognition Programs
• Defined Contribution Plan
• Personal Spending Account

Listed skills

• written communication · Preferred
• Prioritization · Preferred

Other relevant skills

Identified from the job description. Confirm important requirements above.

• Claims Handling
• Fraud Detection
• Claims Analysis
• Open-Source Intelligence Research
• Data Analytics
• Fraud Prevention
• Suspicious Claims Identification
• Data Reporting And Tool Development
• Fraud Investigation Support
• Technical Training
• Confidentiality
• Prioritization
• Written Communication
• Verbal Communication
• English Fluency
• French Fluency

Job areas

• Finance & Accounting
• Data & Analytics
• Security & Safety

More jobs from Echelon Insurance