Claims Investigation Specialist - 6months

Description:

Temporary Full Time

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Are you curious, bring a unique perspective, and have an investigative mindset? We are looking for a Claims Investigation Specialist to join our Claims Investigation Team on a 6-month temporary contract!

Your work will directly support accurate, defensible claim outcomes while protecting the financial integrity of Canada Life and the clients we serve.

Using structured, objective, and evidence based investigative methods, you will assess complex information from multiple sources, conduct interviews, and clearly document findings. Your investigations will support benefit decisions, recovery actions, and, when appropriate, escalation to legal or law enforcement partners. You will work closely with disability case managers and internal stakeholders, providing insights and recommendations that contribute to fair, timely, and well supported claim resolutions.

What you will do

• Consult with the Disability Management Services (and other internal departments) to identify and investigate suspicious claims and investigative insights and recommendations to support informed claim outcomes
• Conduct open source investigations, which includes complete comprehensive claim file reviews
• Prepare clear, defensible investigative reports and documentation
• Conduct interviews with plan members/sponsors, tipsters, physicians, and other stakeholders
• Engage and coordinate with third party vendors to support investigative activities
• Collaborate with disability case managers on strategy, findings, and next steps
• Partner with Legal, Corporate Investigations, and other internal stakeholders on shared or complex files
• Manage overpayment recoveries by negotiating repayment agreements with plan members
• Deliver education and knowledge sharing initiatives to DMSOs
• Maintain consistent, high quality reporting to enable visibility into trends, activity, and outcomes

What you will bring

• 5+ years of disability case management experience and extensive knowledge of disability insurance
• Bachelor’s degree or college diploma in a relevant discipline
• Strong investigative planning, analytical, and critical thinking skills
• Demonstrated experience conducting interviews
• Excellent report writing skills with the ability to document findings clearly, objectively, and defensibly
• High level of organization and time management skills with the ability to manage multiple active investigations
• Strong interpersonal and communication skills, including the ability to engage professionally with internal and external stakeholders
• As this position is posted in several locations, we specify that bilingualism is an asset (fluent in French and English) but is required for Quebec only as the position will regularly serve our clients with French and English-speaking needs

Additional information

• Reliability Status Security Clearance – this can only be completed with candidates who receive an offer of employment. This is a personal security status that is required as a condition of employment before an employee can gain access to Protected B information, assets or work sites as outlined by the Government of Canada website. The cost of submitting these checks will be covered by Canada Life

Given the size and scope of our organization, we have the flexibility for this position to be located across Canada. This role follows a hybrid work model, with an in-office presence required two days per week at the designated office location.

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The base salary for this position is between $68,800 - $114,700 annually. This represents base salary only and does not represent other variable compensation components of our total compensation ( i.e. annual bonus, commission etc). If you are selected to move forward in our recruitment process, your recruiter will be able to discuss additional details of our total rewards program with you.

Career opportunities will be open a minimum of 5 business days from the date of posting, closing dates will vary depending on the search activity. All applications received will be reviewed on a rolling basis.

Grow with Canada Life

We’re united by a shared purpose: to improve the financial, physical and mental well-being of Canadians. Our company is trusted by 1 in 3 Canadians and contributes to the strength of communities across the country.

We’re looking for people who live our values everyday: we step up, we do the right thing, and we deliver – for our customers, communities and each other. Are you someone who always strives to do the right thing, who steps up for themselves and others, and who delivers with impact? Then we want to hear from you!

What we offer :

We’re committed to supporting our employees through every stage of their career. Here’s what you can expect as a full-time or part-time permanent team member:

• Career Development : Opportunities for career advancement, access to industry-leading learning programs and up to $2,000 annually towards education reimbursement.

• Health & Wellness: Flexible health and dental benefits, plus a $5,000 mental health benefit to support your well-being.

• Time Off: In addition to regular vacation and personal days, we support community involvement with a volunteer day.

• Financial Security: Company-matching pension plan, share ownership program and additional investment options.

• Rewards and Recognition: Employee recognition programs, service milestone celebrations, employee discounts and more!
• Emphasis on Community : We provide a workplace where employees feel connected and supported through Employee Resource Groups (ERGs), mentorship programs, social clubs and events.

Learn more about Canada Life.

We’re committed to removing barriers and ensuring equal access to employment. Applicants requiring reasonable accommodation during the application process may contact Voir email sur jobs.swagapp.com. All information provided will be handled in accordance with applicable laws and Canada Life policies.

Canada Life would like to thank all applicants, however only those who qualify for an interview will be contacted .

#LI-Hybrid

Location:

Canada, ON, CA

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