Senior Claims Investigator - Toronto - Wawanesa

Description

Job ID: 9616

Employment Type: New Role

Working Business Language: English. This role requires regular interaction with customers in Canada where the primary business language utilized is English. As such, the successful candidate must be fully proficient in English.

Salary: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and part-time permanent employees are eligible for an annual bonus plan, leave of absence top-up programs and provided with generous vacation time, personal days, premium free benefits and pension plan.

The salary offered for this role is determined with consideration to various factors, including but not limited to: your work location, local labour market conditions, external market salary data, internal pay equity and the knowledge, skills, experience and anticipated proficiency in the role. The salary offered is estimated to be within the following range: $70,000 - $110,000. Candidates with salary expectations outside of the range are still encouraged to apply.

About Us

At Wawanesa, we offer a hybrid work environment that offers flexibility to our employees in balancing in-office (2 days per week OR 15 hours per week in a Wawanesa office) and remote work. You may work from any of the following locations: Winnipeg, MB; Wawanesa, MB; Vancouver, BC; Calgary, AB; Edmonton, AB; Lethbridge, AB; Toronto (North York), ON; Kitchener, ON; Ottawa, ON; Montreal, QC; Quebec City, QC, Moncton, NB; Dartmouth; NS.

The Wawanesa Mutual Insurance Company ("Wawanesa Mutual"), founded in 1896, is one of Canada's largest mutual insurers, with over $3.5 billion in annual revenue and assets of $10 billion (CAD). Wawanesa Mutual, with its National Headquarters in Winnipeg, is the parent company of Wawanesa Life, which provides life insurance products and services throughout Canada, and Western Financial Group, which distributes personal and business insurance across Canada. Wawanesa proudly serves more than 1.7 million members in Canada, and we are home to more than 3,300 employees distributed across the Canadian regions and communities where we operate. We give back to organizations that strengthen communities, donating more than $3.5 million annually to charitable organizations, including over $2 million annually in support of people on the front lines of climate change. We are also proud to be recognized as one of Manitoba's Top Employers. To learn more visit

We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience and advancement on a growing team.

Job Overview

The Senior Claims Investigator contributes to Wawanesa's goal of delivering an exceptional and consistent claims service experience through the thorough investigation of highly complex referred files and to fraud prevention initiatives.

Job Responsibilities

• Provide exceptional customer service.
• Review referred claim files to determine the type and scope of investigation required.
• Investigate possible causes of loss via examination of forensic evidence and collection, preservation and submission of evidence to police agencies and or courts.
• Take charge of investigations for cases of a suspect of fraudulent nature.
• Pursue police charges for prosecution, prepare Crown Briefs and provide evidence.
• Understand the application of policy language as it is applied to coverage, liability and settlement of claims.
• Maintain strict confidentiality and ensure compliance with Privacy Regulations.
• Provide ongoing updates on the status of investigations.
• Compose investigation reports and advise claims staff and management of findings and further recommended action.
• Maintain accurate records based on company standards and policies within the claims system.
• Attend court proceedings as required.
• Remain up-to-date with case law, legal tactics, fraud trends and other information that may help limit losses or improve the effectiveness of the detection system.
• Perform other duties as assigned.

Qualifications

• 5+ years related investigative experience.
• Effective customer service skills including empathy and concern for our customers.
• Excellent communication skills, both written and oral.
• Excellent investigative and analytical skills.
• Highly proficient time management and organizational skills with the ability to prioritize work in a fast paced, changing environment.
• Detail oriented with a high degree of accuracy regarding data entry.
• Exceptional advanced negotiation skills.
• Valid driver's license with acceptable driving record.
• College/University degree preferred.
• Bilingualism in French and English is considered an asset.

Diversity, Equity, Inclusion & Belonging

At Wawanesa, we are committed to Diversity, Equity, Inclusion and Belonging (DEIB) and believe that our strength lies in the diversity of our people – this is supported by having a representative workforce.

We welcome applications from all qualified candidates, including racialized persons, women, Indigenous Peoples, persons with disabilities, members of the 2SLGBTQIA+ community, gender‑diverse and neurodiverse individuals, and anyone who can contribute to the further diversification of thought and ideas.

We aim to ensure our recruitment process is accessible to all candidates. If you require accommodations during any stage of the recruitment process, please reach out in confidence to

Please note that the recruitment process for this position may involve the use of AI tools to screen, assess, or select applicants. All final decisions are taken or reviewed by human recruiters and human hiring leaders in compliance with all applicable legislation.