Canada Life
Job title:
Manager Investigations
Company
Canada Life
Job description
Permanent Full Time–As the Manager Investigations, you will be accountable for a team of investigators responsible for investigation of suspected plan member and provider Group Health & Dental claims fraud, manage key client communications and reporting of investigation and program results and outcomes, and contribute to Canada Life’s overall mitigation of fraud risk for its Group Customers.What you will do:Cultivate and strengthen relationships with key clients; Understand client needs and partner with other Canada Life operational areas to deliver on objectivesRepresent Canada Life in client meetings acting as a subject matter expert for investigations and client reporting, showcasing results and program activitiesManage the execution of investigations of suspected external Group Health & Dental claims fraud committed by plan members, providers, and those associated to the provision of healthcare services/supplies, prioritizing investigations against staff resourcesEnsures the team operations deliver on strategic objectivesEnsure investigations are completed in a timely manner, are high-quality and accurate, and timely and insightful reporting on investigative outcomes is surfacedWork with other leaders of the Fraud Management team to innovate and expand the tactics employed to ensure investigations are effective and the team takes creative and evolving approaches in keeping with the changing risk landscapeParticipate in root cause analyses on cases of confirmed fraud, identify and support remediation and corrective action in conjunction with internal stakeholders and partnersCommunicate investigation results to internal stakeholders. Establish and maintain reporting and metrics to permit evaluation of the effectiveness of investigations.Participate on fraud risk initiatives, committees, and working groups across the organization and at industry.Stay current on industry, fraud, risk, legal and litigation trendsProvide strong leadership; manage/oversee hiring, performance management, annual salary adjustments, training plans, development, mentoring and coaching of staff.What you will bring:Strong partnership and collaboration skillsReliability Status security clearance – this is a personnel security status that is required before an employee can gain access to Protected B information, assets or work sites as outlined by the websiteProven relationship management experienceSuperior written and verbal communication demonstrating a polished, professional manner and ability to listen, negotiate and collaborate; experience preparing and delivering communications/interacting effectively with clients and internal audiencesExtremely high attention to detail and accuracy; ability to understand and deliver complex reportingQuick learner, aptitude to assess and understand complex investigationsHighly organized and able to multi-task in a fast-paced environmentExcellent analytical, problem solving and decision-making abilitiesAdvanced Microsoft Office Skills (Excel, Word, PowerPoint)Experience in investigations or leading investigation teams, Certified Fraud Examiner (CFE) designation or post-secondary degree in justice studies or related field an assetBilingual English-French is an asset.–The base salary for this position is between $80,700 – $134,400 annually. This represents base salary only and does not represent other variable compensation components of our total compensation ( i.e. annual bonus, commission etc). If you are selected to move forward in our recruitment process, your recruiter will be able to discuss additional details of our total rewards program with you.Career opportunities will be open a minimum of 5 business days from the date of posting, closing dates will vary depending on the search activity. All applications received will be reviewed on a rolling basis.Be your best at Canada Life- Apply today!Being a part of Canada Life means you have a voice. This is a place where your unique background, perspectives and talents are valued, and shape our future success.You can be your best here. You’re part of a diverse and inclusive workplace where your career and well-being are championed. You’ll have the opportunity to excel in your way, finding new and better ways to deliver exceptional customer and advisor experiences.Together, as part of a great team, you’ll deliver on our shared purpose to improve the well-being of Canadians. It’s our driving force. Become part of a strong and successful company that’s trusted by millions of Canadians to do the right thing.Canada Life serves the financial security needs of more than 13 million people across Canada, with additional operations in Europe and the United States. As members of the Power Financial Corporation group of companies, we’re one of Canada’s leading insurers with interests in life insurance, health insurance, investment and retirement savings. We offer a broad portfolio of financial and benefit plan solutions for individuals, families, businesses and organizations.We are committed to providing an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential.It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Canada Life policies. To request a reasonable accommodation in the application process, contact [email protected].Canada Life would like to thank all applicants, however only those who qualify for an interview will be contacted.#LI-HybridRequisition ID: 2952Category: Claims ManagementLocation:Winnipeg, MB, CADate: Mar 7, 2025If you are not finding suitable opportunities now, please click below to join our talent community!
Expected salary
$80700 – 134400 per year
Location
Winnipeg, MB
Job date
Sun, 09 Mar 2025 02:24:36 GMT
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