Imagine a job where YOU can utilize your exceptional interpersonal skills to liaise effectively with both internal and external teams.

Add a great collaborative team, a challenging variety of work, excellent work life balance, and you have imagined a job at the CLHIA.

About the CLHIA

CLHIA is the respected voice of Canada's Life and Health insurers. Our work concerns the lives of all Canadians. We work alongside our members to advance public policy solutions that ensure a sound and vibrant life and health insurance industry that allows Canadians to enjoy greater financial security and access to valuable supplementary health benefits. Every day at the CLHIA, we bring:

our authentic selves to the job our best ideas to every challenge our open minds to other perspectives our full trust in one another’s abilities our commitment to exemplify respect, accountability, teamwork, and excellence in how we work together; and our genuine enthusiasm for a job well done – whether it’s your own achievement or someone else’s.

We are a stable and secure association that has been busier than ever. We are a small close-knit team that works together to make sure the association runs smoothly. This position is currently a hybrid position where you are expected to attend one of our offices (Toronto, Ottawa, Montreal) at least 2 days a week. Exceptions may be considered for highly qualified candidates residing outside these areas.

The Right Fit

We believe the kind of person you are matters. We have a culture of respect and caring, and we want employees who will thrive in our environment. When we hire, we consider your potential and how you may fit with our team.

You will succeed here if you are

An excellent communicator – you will be collaborating with not only our internal team but with stakeholders and member companies. Your ability to communicate clearly and with several different parties will support your success.

Independent – you are self-motivated and manage your time well. You are able to organize your day to meet often conflicting priorities and deadlines.

Flexible – this is a position where you will have to approach an issue through different angles and the ability to analyze a situation or problem.

The Position

We are currently recruiting for an Anti-Fraud Program Specialist. This role will report to the Director, Anti-Fraud Programs and is responsible for the effective administration and coordination of the industry's joint investigation program.

This role supports the end-to-end management of investigation activities by maintaining accurate records and data systems, coordinating documentation and communications, preparing reports and meeting materials, and ensuring the integrity, accessibility, and continuous improvement of program processes and information.

The incumbent collaborates with internal and external stakeholders to support program operations, reporting requirements, and strategic objectives through strong organizational skills, attention to detail, sound judgment, and a commitment to confidentiality and data accuracy.

Team members benefit from

The expected annual base salary is $76,500 with some flexibility depending on the experience and skillset of the candidate. Employer-paid health, dental, extended health, and paramedical benefits (including virtual services) A defined contribution pension plan with employer matching 3 weeks paid vacation 10 paid sick days 2 paid floater days Hybrid work arrangement based in Toronto, Ottawa, or Montreal. Exceptions may be considered for highly qualified candidates residing outside these areas.

What you will be working on

Track the status of investigation submissions and lead investigators, ensuring proper documentation and follow-up. Prepare and format documents for posting on the CLHIA's website or microsites, and coordinate receipt of materials and database entries. Respond to internal and external inquiries professionally and prepare materials for meetings and case referrals. Maintain program datastore, updating contact information, and ensure the datastore is current with proper authority restrictions and access rights. Manage tasks required to maintain and advance the program, such as updating reference materials, contract and meeting coordination. Ensure timely and accurate data entry into reporting systems, maintaining data integrity for reporting and trend analysis purposes. Complete analysis and reporting as required. Suggest ongoing improvements.

Additional responsibilities as required

What you will bring

University degree in a related field with 3+ years of experience, including working with fraud investigators, and operational functions. Knowledge of the life and health insurance industry, and/or claims processing experience. Previous fraud investigation experience is a requirement. Knowledge of anti-fraud technologies and other management tools. Strong background in operations in the life and health insurance industry - group benefits an asset. Organizational and time management skills to manage activities, including those with tight deadlines and changing priorities.

Skills in data management and analytics are an asset

Experience with member-based organizations. Excellent communication with the ability to facilitate collaboration and knowledge sharing across various stakeholders stakeholder management skills. Advanced knowledge of MS Office and database applications.

Some knowledge of Power BI and/or SQL are an asset

CFE or similar designations available or in progress. Bilingual (English/French) or ability to read and speak some French is an asset.

How to apply

Please submit your resume through LinkedIn, Indeed or email to clhiacareers@clhia.ca

The CLHIA does not use artificial intelligence to screen, assess, or select applicants.

The CLHIA is committed to ensuring fair and inclusive employment practices. On request, we provide accommodation for applicants with disabilities in accordance with the requirements of the Accessibility for Ontarians with Disabilities Act, 2005 and Quebec’s disability rights legislation. If you require accommodation, please advise us.

We thank all applicants for their interest. However, only those applicants selected for an interview will be contacted.