Program Manager, Investigation Services

The Program Manager, Investigation Services is an exciting opportunity for an experienced insurance investigator who is ready to take the next step into people leadership. Leading a team of Investigation Analysts focused on dental and drug investigations, you will combine strong investigative judgment with coaching, development, and day-to-day leadership of the team.We are looking for someone who brings a strong foundation in insurance investigations and can help strengthen investigative thinking, practices, and capabilities across the team. Previous formal people-leadership experience is not required;
equally important is a demonstrated aptitude for coaching others, influencing outcomes, building strong relationships, and developing people. Experience with dental or drug investigations is an asset, but the technical benefits knowledge can be developed in the role.Position Responsibilities:
Lead, coach, and develop a team of Investigation Analysts, fostering strong investigative judgment, curiosity, collaboration, and accountability.
Provide investigative guidance on complex, sensitive, or higher-risk files, including investigation strategy, evidence assessment, documentation, findings, and recommended outcomes.
Promote consistent, high-quality investigative practices and support the continued development of the team’s investigative capabilities.
Support Investigation Analysts in navigating challenging files, applying sound judgment, and reaching well-supported conclusions.
Identify emerging fraud risks, trends, and investigative opportunities and work collaboratively with internal partners to determine appropriate responses.
Build strong relationships with business partners and stakeholders to support effective investigations and sound decision-making.
Support continuous improvement of investigative processes, tools, controls, and practices.
Contribute to a positive, inclusive, and high-performing team environment where employees are supported in their development and encouraged to grow their capabilities.
Required Qualifications:
Experience with dental, drug, health benefits, or provider investigations.
Knowledge of health and dental claims, provider practices, or related fraud risks.
Previous experience in an informal or formal leadership capacity, including mentoring, coaching, leading complex investigations, or acting as a subject-matter expert.
Experience using data and analytics to support fraud detection or investigations.
Fraud or investigation-related education, training, or professional designation.
Demonstrated experience conducting insurance investigations, with a strong understanding of investigative methodology and case development.
Preferred Qualifications:
Experience managing complex investigations, including gathering and assessing evidence, conducting interviews, documenting findings, and developing well-supported conclusions and recommendations.
Strong investigative judgment, critical thinking, problem-solving, and analytical skills.
Demonstrated aptitude for people leadership, including the ability to coach, influence, provide constructive feedback, build trust, and support the development of others.
Strong written and verbal communication skills, including the ability to clearly articulate investigative findings, rationale, and recommendations.
Ability to collaborate effectively with a variety of stakeholders and navigate sensitive or complex matters with sound judgment and discretion.
Strong organizational skills with the ability to manage competing priorities while supporting the day-to-day needs of a team.
When you join our team:
We’ll empower you to learn and grow the career you want.
We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
As part of our global team, we’ll support you in shaping the future you want to see.
#LI-HYBRIDAcerca de Manulife y John Hancock
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En Manulife/John Hancock, valoramos nuestra diversidad. Nos esforzamos por atraer, formar y retener una fuerza laboral tan diversa como los clientes a los que prestamos servicios, y para fomentar un entorno laboral inclusivo en el que se aprovechen las fortalezas de las culturas y las personas. Estamos comprometidos con la equidad en las contrataciones, la retención de talento, el ascenso y la remuneración, y administramos todas nuestras prácticas y programas sin discriminación por motivos de raza, ascendencia, lugar de origen, color, origen étnico, ciudadanía, religión o creencias religiosas, credo, sexo (incluyendo el embarazo y las afecciones relacionadas con este), orientación sexual, características genéticas, condición de veterano, identidad de género, expresión de género, edad, estado civil, estatus familiar, discapacidad, o cualquier otro aspecto protegido por la ley vigente.Nuestra prioridad es eliminar las barreras para garantizar la igualdad de acceso al empleo. Un representante de Recursos Humanos trabajará con los solicitantes que requieran una adaptación razonable durante el proceso de solicitud. Toda la información que se haya compartido durante el proceso de solicitud de adaptación se almacenará y utilizará de manera congruente con las leyes y las políticas de Manulife/John Hancock correspondientes. Para solicitar una adaptación razonable en el proceso de solicitud, envíenos un mensaje a View email address on ca.hrm.tc .Referenced Salary Location
Waterloo, OntarioModalidades de Trabajo
HíbridoSalary range is expected to be between
$70,500.00 CAD - $117,500.00 CADLos empleados también tienen la oportunidad de participar en programas de incentivos y recibir una compensación vinculada al rendimiento empresarial e individual. El salario real variará según las condiciones del mercado local, la geografía y factores relacionados con el puesto como conocimientos, habilidades, requerimientos, experiencia y educación/formación. Si solicitas este puesto fuera de tu ubicación principal, por favor escríbenos a View email address on ca.hrm.tc para conocer el rango salarial correspondiente a tu ubicación.Manulife ofrece a los empleados aptos una amplia variedad de beneficios personalizables, entre ellos, beneficios de salud, odontológicos, de salud mental, oftalmológicos, por discapacidad a corto y a largo plazo, cobertura de seguro de vida y por muerte accidental y desmembramiento, adopción/subrogación y bienestar, y planes de asistencia al empleado/familiar. También ofrecemos a los empleados admisibles varios planes de ahorro para la jubilación (incluidos planes de pensiones y un plan mundial de propiedad de acciones con contribuciones equivalentes del empleador) y recursos de asesoramiento y educación financiera. Nuestro generoso programa de tiempo libre remunerado en Canadá incluye feriados, vacaciones, días personales y días por enfermedad, y ofrecemos la gama completa de ausencia laboral reglamentaria. Si se está postulando para este puesto en los EE. UU., póngase en contacto con View email address on ca.hrm.tc para obtener más información sobre las disposiciones relativas al tiempo libre remunerado específicas de EE. UU.We use data and analytics technologies, such as artificial intelligence (AI), and automated processing tools, to analyze and process the information you provide to us or third parties in the application process. For more information, please refer to our personal information collection statement ( .
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