Corporate Claims Fraud Analyst - Regina, Canada - Saskatchewan Government Insurance

Saskatchewan Government Insurance

Verified Company

Regina, Canada

3 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

Do you value integrity and innovation? How about passion and caring? Great Us too, and that's why you'll fit right in.

Our intentional culture promotes trust and participation, encouraging you to bring your heart and mind to work every day.

In scope

Permanent, Full time

Closes:
December 2, 2023

GENERAL ACCOUNTABILITY

KEY ACCOUNTABILITIES

Note: This section is not intended to be an exhaustive list of duties and responsibilities other duties and responsibilities may be assigned._

Research and Analysis- Analyzes and utilizes data from underwriting, claims, and non-insurance areas of the enterprise, the fraud software detection and management tools, and own analysis of specific insurance characteristics to identify patterns, anomalies, and potentially fraudulent activities within our enterprise.- Gathers information/data and provides analytical, procedural, and documentation that supports applicable enterprise fraud strategies.- Reviews and analyzes prepared statistics and other data to extract information and prepares concise summaries and/or comparisons.- Liaises with 3rd party anti-insurance fraud partners to gain insight and a better understanding of emerging fraud trends.- Builds presentations and other documentation (Power Point, Visio, Excel charts) to present findings to management team.- Works closely with Data Office in informing and supporting SGI data policies and reporting standards.

Process Improvement- Assesses the severity and impact of identified fraud risks and provides recommendations for appropriate actions.- Oversees and manages the fraud detection software, in collaboration with IT and the fraud software vendor, including configuration, improvements, testing, and software updates.- Keeps up to date on competitors' fraud programs and/or changes to the insurance industry to identify significant fraud trends and recommends possible action.- Liaises with the fraud software vendor to continuously review and enhance the fraud software's functionality and effectiveness to stay ahead of evolving fraud tactics/trends.- Collaborates with Corporate Insurance, Data Office, and/or leads research to support the design and development of new fraud related procedures, policies, standards, forms, or program improvement changes.- Assists Corporate Insurance management in advising staff of changes that are being implemented to support the enterprise fraud program through procedures, meetings, and demonstrations.

Corporate Insurance Project Support- Collaborates with internal departments, such as SIU, CIU, compliance, Auto Fund, Corporate Insurance, privacy, risk management, legal, and IT, to develop and implement fraud prevention strategies and controls.- Leads meetings and presents data to management team and/or project teams to help determine how to move forward in presenting fraud related insights to operations, Corporate Insurance, and other internal and external partners.- Working with Corporate Insurance and HR training will assist in training and educating employees on fraud prevention best practices, awareness of what to look for and how the fraud software usefulness can be maximized.- Provides Corporate Insurance management with data, facts, and reports to respond to internal and external inquiries relating to both Auto Fund and SGI CANADA.- Creates and maintains Enterprise Fraud Program documentation, e.g., project plans, training, and change documents.

High Performance Team & Culture- Supports a culture of leadership and accountability to effectively meet the key accountabilities within the scope of the role.- Displays leadership by committing to a culture of continuous learning/development of self and supports others by actively sharing knowledge, providing guidance, mentoring, training, and supporting developmental opportunities.- Demonstrates that the Health, Safety and Emergency Management Policy is applied in area of responsibility for self and others.

TECHNICAL KNOWLEDGE & SKILLS- Advanced knowledge of the methods, techniques, procedures, reporting, and reporting tools used in data analysis (e.g., financial, research and statistical).- Advanced level skill in Excel (e.g., creating complex spreadsheets and reports using advanced functions).- Proficient knowledge of fraud related risks, prevention strategies and detection systems and practices.- Proficient analytical skills with the ability to gather, organize, analyze, and disseminate significant amounts of information with attention to detail and accuracy.- Proficient level skill in the use of current software programs used by Corporate Insurance.- Proficient knowledge of claims coverages (auto, property, and injury) and benefits provided by the policy wordings, procedures and guidelines and related legislation within each region.- Proficient knowledge of insurance theory and the principles, practices, methods, and techniques related to the adjustment and settlement of claims (auto, property, and injury).

EDUCATION & CERTIFIC