Siu Inside Investigator - Toronto, Canada - Gore Mutual Insurance

Gore Mutual Insurance

Verified Company

Toronto, Canada

2 weeks ago

Posted by:

Sophia Lee

beBee Recruiter

Description

We are on a new path called NEXT HORIZON
The insurance industry is changing at an exponential pace, driven by changing customer experience, climate change and technology.

In response Gore Mutual is making bold moves to reposition our company as a purpose driven, digitally led national insurer.

Next Horizon is our 10-year vision and strategy that sets a new path for our company.

_ Come and make your mark on our Next Horizon_

Locations:
Toronto or Cambridge

Hybrid : 1 x week

Claims Special Investigations Unit (SIU) Inside Investigator

The Recovery team at Gore Mutual is expanding We are looking for exceptional talent in anti-fraud investigations for Gore Mutual.

Joining our team will provide you with a unique opportunity where you will be part of an impactful, high visibility team, contributing to a company that is going through an exciting transformation.

What will you do?

Review files referred, compose and update investigation strategy through life of file
Investigate or use vendors to determine if there is evidence of fraud by clients, third party claimants, suppliers, brokers or internal to Gore
Review submitted documents for inconsistencies/other signs of fraud
Perform investigations as required and recommend course of action to Claims department
Review and prioritize incoming referrals by amount incurred, complexity, visibility, potential risk to Gore, limitation date, other
Assist in the design and delivery of regular, customized fraud detection, investigation, and avoidance training for Gore staff
Ensure all investigations are carried out in a proactive, professional manner and that Customer/Broker enquiries are responded to in a timely way
Regularly attend Industry training, CASIU events, IBC/Equite committees/other to maintain proficiency and ensure Gore is aware of the latest trends in Insurance Fraud
Assist in maintaining Gore Mutual Intelligence database from opensource material and direct knowledge of industry events
Other duties as assigned

What will you need to succeed?

Minimum 3+ years of experience in Insurance fraud Investigation
1+ years of experience in Major Case / Fraud Ring Investigation (preferred but not required)
Work experience with Property and Casualty claims or Accident benefit claims
Has obtained a designation in OSINT investigation training from a recognized provider (preferred but not required)
Experience in successfully conducting OSINT investigations
Strong communication and collaboration skills
Experience with data analysis to assist with detecting fraud trends and/or organized fraud activity
Experience with antifraud technology