Senior Insurance Claims Investigator

Protect group benefits through claims investigations, evidence collection, and provider evaluations across Canada. Canada Life seeks a Senior Investigator for its Fraud Management Team.

You will investigate allegations of fraud and inappropriate or invalid claims in group health and dental benefit plans. The position requires investigative planning, financial record analysis, witness interviews, and evidence preservation. You will also prepare disclosure reports, liaise with law enforcement, and present evidence in court or tribunals when required. The work serves internal management and regulatory bodies.

Key Responsibilities:

• Investigate fraud and invalid group benefit claims
• Conduct onsite evaluations at provider locations across Canada
• Gather evidence through undercover and covert techniques
• Prepare disclosure reports and liaise with law enforcement
• Recommend improvements to procedures and internal controls

Requirements:

• At least five years of investigative experience
• Strong interviewing, communication, organizational, and report writing skills
• Knowledge of evidence rules and Canada’s Criminal Code
• Independent work capability across varied environments
• Valid driver’s licence and ability to travel throughout Canada

Use claims investigation, provider evaluation, and evidence skills to strengthen Canada Life’s group benefits oversight across Canada.