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Vaughan

    Claims Investigator SIU - Vaughan, Canada - CAA Club Group

    CAA Club Group
    CAA Club Group Vaughan, Canada

    Found in: Talent CA C2 - 2 days ago

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    Description

    Position Details

    What you will do:

  • Evaluate concerns and fraud indicators to develop investigative plans for all lines of business in insurance claims, including Property, Auto Fire and Theft, Casualty, Accident Benefits and claims with Legal disputes.
  • Serve as a resource for the claims operation for special investigations and fraud.
  • Consult internally with Claims business units (all lines), and provide resources and recommendations to assist the fraud initiatives as required.
  • Communicate effectively with all stakeholders, and prepare reports, trial briefs, and updates on investigations in a timely and respectful manner.
  • Build and maintain productive business relationships with law enforcement (police, fire, and border control), government bodies, and investigative organizations.
  • Attend court proceedings or hearings as required.
  • Ensure ongoing handling of claims investigations within company standards and industry best practices and regulations.
  • Responsible for overall file handling and work product quality.
  • Comprehensive knowledge of SIU regulations.
  • Assist with ongoing training of all internal anti-fraud personnel.
  • Provide feedback to Management on process and system improvement initiatives for the department.
  • Comply with relevant provincial and federal laws, Insurance regulations, insurance carrier best practices and follow and enforce CAA Claims policies, procedures and best practices.
  • Assist with evaluating, selecting, and ensuring quality and cost containment for vendors including defense firms, private investigators, records review companies, legal document and photocopy companies, expert witnesses and any other vendors that might be used for the settlement of relevant auto claims

    • Who you are:

  • Post-secondary education in Criminology, Insurance Management, Business Administration or related field.
  • CIP designation completed or in progress is preferred.
  • Strong passion for the P&C insurance industry with a focus on fraud containment.
  • Strong technical, analytical and problem solving skills and the ability to exercise prudent judgment to make decisions based on accurate and timely analysis of trends.
  • As required by situations, demonstrate ability to work in teams and independently.
  • 5 plus years' experience in the Property and Casualty insurance industry.
  • 2 plus years as an SIU investigator.
  • Litigation experience and legal knowledge.
  • Must have a clear understanding of insurance industry practices, standards and terminology;
  • Some experience handling property damage and injury claims as well as serious injuries and litigation.
  • Must have a valid driver's license and a personal vehicle.

    • What's in it for you:

  • Competitive salary
  • Annual bonuses and merit increases
  • 3 weeks' vacation
  • Flexible benefit plan
  • Defined Contribution Pension
  • Complimentary CAA Membership

    • As an organization we are focused on Member safety, which includes the safety and well-being of our Associates. Therefore, you must be and remain fully vaccinated as a condition of employment.

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