Job Description
The successful candidate will be responsible for assessing claims for three lines (APD, Property and Accident Benefits) to identify potential fraud indicators, questionable loss scenarios, and cases requiring further SIU investigation. This includes triaging claims efficiently, gathering and analyzing initial loss information, and making informed recommendations for identified red flags to assist investigators on what to action.
What Can You Expect
- Review, analyze, accept/reject, and triage all SIU referrals submitted.
- Provide direction to adjusters regarding potential or rejected SIU referrals
- Assign and log all of the SIU referrals appropriately and within the required timelines.
- Monitors and responds to all SIU email requests sent to the Triage team.
- Assist with the development of SIU training modules and presentations when required.
- Actively collaborate with members of the Triage team, SIU Investigators, Claims Line of Business, Advanced Analytics to develop best practices, establish guidelines, policies around fraud detection and claim scenarios.
- Work closely with the Advanced Analytics team to create improvements to develop better claim referrals from the Fraud Analytics tool.
- Assist SIU Team Lead and SIU Management on all ad hoc requests and reports.
- Other duties as assigned by management or as needed.
What Do You Bring
- A university degree from an accredited university or a diploma from an accredited community college.
- A minimum of 3 years’ experience handling claims or working in an organization that investigates incidents involving fraud and/or other related activities. Completion, working towards or a willingness to obtain their CIP designation.
- The ability to work with a suite of Microsoft products (ie. excel).
- A working knowledge of business or fraud analytics software or fraud detection programs is an asset.
- Preference will be given to individuals with multi-line claims experience.
Salary Range : 56,700 – 94,400 $
About Us
Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience, working conditions and the local labour market.
This position is being posted to fill an existing vacancy.
Interested in this role, but don’t meet every requirement? We encourage you to apply! We know from experience that a candidate doesn’t need 100% of the qualifications listed to bring incredible value to our team. We’re actively seeking diverse backgrounds and perspectives to help us make insurance better. At Definity, inclusion, diversity, and equity aren’t just “nice to have” — they’re essential to our success.
What’s in it for you?
- Hybrid work schedule for most roles
- Company share ownership program
- Incentive Program - Eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.
- Pension and savings programs, with company-matched RRSP contributions
- Paid volunteer days and company matching on charitable donations
- Educational resources, tuition assistance, and paid time off to study for exams
- Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents
- Wellness and recognition programs
- Discounts on products and services
Go ahead and expect a lot — you deserve it.
It’s better here — but don’t take our word for it. Definity was named by Great Place to Work ® as one of the Best Workplaces™ in Canada for women, for youth, and for inclusion.
Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting accessibility@economical.com.
Background checks
This role requires successful clearance of background checks (including criminal checks and leadership references).
#IND1
About The Team
Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.
We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.
