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Added 24 mins ago
HT
Software Validation Technologist
Husky Technologies
Bolton, ON
- Full-time
…testing and validation strategy based on risks and product…
Added 24 mins ago
HT
Test Engineering Technologist
Husky Technologies
Bolton, ON
- Full-time
Participate in project design reviews and risk assessments and develop testing and validation strategy based on risks and product claims
Added 25 mins ago
Executive Assistant
Health Sciences North
Sudbury, ON
Coordinate travel arrangements for the leadership team and members of the Board; complete travel expense claims for submission and approval as required.
Added 25 mins ago
Executive Assistant
Health Sciences North
Sudbury, ON
Coordinate travel arrangements for the leadership team and members of the Board; complete travel expense claims for submission and approval as required.
Added 25 mins ago
Service Specialist
The Canada Life Assurance Company
Vancouver, BC
Meet with clients and advisors on a regular basis to review and discuss product updates as well as administrative and claims procedures
Added 54 mins ago
CL
Service Specialist
Canada Life
Vancouver, BC
- Full-time
Meet with clients and advisors on a regular basis to review and discuss product updates as well as administrative and claims procedures
Added 55 mins ago
SO
Complaints Officer (BC, AB, or ON)
Square One Insurance Services
Remote, Canada
- $68,000 to $85,000 CAD / year
- Full-time
Continuous improvement: Analyzing complaint trends to identify root causes, operational gaps, or training opportunities across sales, service, and claims.
Added 1 hour ago
PD
Dental Administrator (Peterborough)
Passion Dental Group
Peterborough, ON
- Full-time
Oversee insurance claims, billing systems, and follow up with insurance companies
Added 2 hours ago
L
Legal Director
Lumentis
Innisfil, ON
- Full-time
Manage day-to-day commercial disputes, claims, and customer and
Added 2 hours ago
GC
Coordinator, Materials
Glencore Canada
Elkford, BC
- Full-time
Review and process warranty claims including collaborating closely with Teck Warranty Coordinator and vendors
Added 2 hours ago
DC
Field Technician & Claims Inspector
Driftless Claims & Restoration
Field, BC
- Full-time
At Driftless Claims & Restoration, we’re seeking a unique Field Technician & Claims Inspector who treats every job site like a hands-on puzzle. In this role, you’ll serve as our eyes, ears,…
Added 2 hours ago
VC
Senior Relationship Manager - Group Benefits
Victor Canada
Mississauga, ON
- Full-time
…advisors and their clients through specialized underwriting and claims expertise, personalized customer service, and a responsive, technology-oriented business approach. For more…
Added 3 hours ago
D(
Intermediate Casualty Claims Adjuster
DWF (Canada)
Toronto, ON
- Full-time
…insurance service business, is currently recruiting for a Casualty Claims Adjuster to join their independent adjusting business in…
Added 4 hours ago
YH
Project Director - Whitehorse General Hospital Expansion Planning - Term Full Time
Yukon Hospital
Whitehorse, YT
- Full-time
Knowledge of construction delivery models, procurement processes, contract administration and claims management (e.g., CCDC contracts, design-build, construction management).
Added 4 hours ago
B
Senior Contracts Administrator
Brunel
SK · Saskatchewan, Canada
- Contract
…manage contractor relationships, commercial risk, changes, claims, and contractual obligations within complex capital project…
Added 4 hours ago
IH
Coordinator | Central Functions
Interior Health Authority
Sparwood, BC
- Full-time
Added 4 hours ago
RC
Service Writer - Prairie AG
Reesink Canada
AB · Blackfoot, AB
- Full-time
Prepare and file warranty claims for respective OEMs.
Added 4 hours ago
S
Clinical Research Coordinator (SRI) - Evaluative Clinical Sciences - Regular Full-Time 2026-19216 (2026-19216)
Sunnybrook
Toronto, ON
- Full-time
manage orders, invoice payments and reimbursement claims / petty cash requests / purchase requisitions, cost transfers
Added 4 hours ago
IH
Project Manager | Capital Projects Delivery
Interior Health Authority
Kelowna, BC
- Full-time
Approves project invoices and progress claims for payment.
Added 4 hours ago
SQ
Bilingual Customer Service Representative - Mutual funds Operations
Sunlife Québec
Montreal, QC
- Full-time
Work closely with advisors to complete sensitive cases such as Estate/Death claims, Unlocking of funds, and Marriage breakdowns
Added 4 hours ago
P
Controller and Office Manager
Phantom
Kitchener, ON
- Full-time
…preparing year-end accounting documentation, administering grant claims, coordinating purchasing activities, and ensuring the smooth operation of the…
Added 5 hours ago
WC
(CAN) Associé, équipe des activités de protection des biens
Walmart Canada
Candiac, QC
- Full-time
Ensures a neat, clean and organized work area in receiving, claims, and offices.
Added 5 hours ago
WC
(CAN) Consumables Associate
Walmart Canada
Corner Brook, NL
- Full-time
Ensures proper handling of claims and returns, secures merchandise, identifies high shrink items and maintains a safe work environment as per Company policies and procedures.
Added 5 hours ago
WC
(CAN) Health and Beauty Team Associate
Walmart Canada
Grand Falls, NB
- Full-time
Ensures proper handling of claims and returns, secures merchandise, identifies high shrink items and maintains a safe work environment as per Company policies and procedures.
Added 5 hours ago
M
Building Manager
Morguard
Mississauga, ON
- Full-time
…deemed appropriate to the circumstance; reports all insurance claims to the District Manager and Risk Management immediately; inspects and corrects any hazardous situation and informs…

Green Shield Canada

INVESTIGATIVE ANALYST (CONTRACT)

Calgary, AB, Canada
Toronto, ON, Canada
Windsor, ON, Canada

Base Salary: CAD $59,688.00 - 91,109.00

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Job details

Pay: Base Salary: CAD $59,688.00 - 91,109.00
Experience: Minimum of 5 years’ experience in audit and fraud detection, health care benefit administration and/or in conducting investigations.
Posting language: English
Posted: Nov 4, 2026

Original job description

WHO WE ARE

GreenShield is a proudly Canadian, national non-profit health care and insurance organization, driven by our mission of Better Health for All. We believe health care is a right, not a privilege, and we are committed to improving health outcomes, advancing health equity, and building a future where every Canadian can reach their full health and well-being potential.

Through our unique integrated payer-provider ("payvider") model, we offer insurance, administer benefits, and pay claims as a ‘payer’ while offering health care services such as mental health, pharmacy, telemedicine, and chronic disease management as a ‘provider’. As a non-profit social enterprise without shareholders, we reinvest our excess earnings to directly support underserved communities. Through GreenShield Cares, we positively impacted the health and well-being of over one million Canadians between 2020 and 2025. What’s driving us now is the commitment to measurably impact an additional three million Canadians by 2030 – across mental health, essential medicines, and chronic disease management – through scalable initiatives that deliver meaningful change in pursuit of our mission of Better Health for All.

At GreenShield, our culture is where purpose meets passion and performance. Our teams work as one to deliver meaningful, measurable impact for the people and communities we serve.

THE ROLE IN A NUTSHELL

Investigation and Analysis

Support the delivery and evolution of the Claim Watch program, including identification and leading of complex and high‑risk investigations.
Leverage reporting and AI technology to identify, research, and analyze abuse, misuse, and fraudulent claims activity with a focus on emerging patterns and systemic risk.
Conduct complex interviews with providers and plan members and exercise independent judgment in ambiguous or precedent‑setting situations.
Analyze utilization trends and develop provider and plan member profiling criteria to support preventative and detective fraud controls, using reporting and AI tooling.
Identify and recommend cost‑containment and risk‑mitigation opportunities, including automation and control enhancements.
Develop and implement preventative fraud measures and support audit, compliance, and enterprise risk activities.
Collaborate across departments and with external stakeholders, including providers, associations, and law enforcement.
Produce executive-level reporting and analytics that translate complex investigative findings, emerging risks, and fraud trends into actionable business insights and strategic recommendations for leadership and clients.
Provide mentorship and guidance to investigative staff and contribute to continuous improvement of investigative practices.
Contribute to and analyze the development of investigative reporting requirements, dashboards, and performance metrics, identifying opportunities to improve visibility into fraud, abuse, misuse, operational effectiveness, and emerging risks.
Provide training and mentoring to peers and team members.
Support the client/partner specific Claim Watch governance framework.

WHO WE'RE LOOKING FOR

Minimum of 5 years’ experience in audit and fraud detection, health care benefit administration and/or in conducting investigations.
Demonstrated ability to exercise independent judgment and make defensible decisions in complex investigative scenarios.
Working knowledge with AI technology.
Exceptional analytical and critical-thinking skills with demonstrated ability to synthesize large and complex data sets, identify emerging patterns, assess risk, and translate findings into strategic recommendations.
Experience contributing to preventative fraud strategies, automation, or intelligent audit approaches (asset).
Demonstrated leadership, mentorship, and ability to influence outcomes across teams without direct authority.
Demonstrated commitment to continuous learning and professional development, with a strong curiosity for emerging technologies, fraud schemes, industry trends, data analytics, and investigative methodologies.
University degree or college diploma in business or related discipline required.
Strong interpersonal skills and the ability to communicate to all levels of internal and external customers both orally and written.
Understanding of group Health & Dental administration.
Excellent customer service with a drive to deliver exceptional service.
Demonstrated capability to meet objectives and milestones when working independently and on project teams.
Highly organized and able to balance multiple tasks in a fast-paced environment.
Working knowledge of relevant federal and provincial legislation, regulations and the judiciary system (Including but not limited to: PIPEDA, Regulated Health Professions Act, Privacy Act) would be an asset.
Proficiency with Microsoft Office tools, including Access, Excel, Word, and other business applications and reporting tools.
Experience using Business Intelligence (BI) and Data Visualization platforms.
Ability to travel within Canada.

WHAT WE OFFER

Base Salary: CAD $59,688.00 - 91,109.00

Offer positioning: Determined using relevant experience, skills, internal equity and current market data.
Total rewards: Health and dental coverage, retirement savings, paid time off and well-being support (up to $10,000 per year for mental health).
Posting disclosures: This is for an existing vacancy.
Work model: Hybrid

THE CULTURE
We believe a career should be meaningful. Not just a means to earn a living. Our culture is one where everyone's voice is heard and valued. Because that’s what it takes to create better health for all. We dare to challenge the status quo. And we’re driven by people who have challenged theirs. We believe that your workplace should empower you to be the best version of yourself. That’s why we provide a place where you can be inspired, challenged, and rewarded.

Where your growth means our growth.
Where your voice is heard and valued.
Where your work has purpose. And purpose matters.

We believe our people are critical to our overall success. Inclusivity makes us a stronger, smarter and more informed organization. Being intentionally inclusive of diverse backgrounds, perspectives and experiences will enhance our company culture to positively impact how we support our communities. A career at GreenShield isn’t just about personal achievements, it's about making a difference together.

Here’s to Better Health for All!

A FEW MORE DETAILS
Proficiency in English is required for this position. As part of this role, you will be required to communicate with colleagues or customers who use English as their primary language. By requiring English proficiency for this position, we aim to ensure that our employees can excel in their roles, collaborate, and communicate effectively, and contribute to the success of our organization.

GS supports diversity, equity and inclusion in our teams and communities, and we value the unique contributions made by all. Even if your experience doesn’t align perfectly to every requirement, we invite you to apply. We encourage applications from all candidates and will accommodate needs under human rights legislation throughout all stages of the recruitment and selection process. Please let us know of any accommodation through requestforaccommodation@greenshield.ca. Information received relating to accommodation will be addressed confidentially.

Providing this information gives GS consent to use your personal information to assess your suitability for specific positions, future opportunities or for your personnel file. Your résumé will be held in strict confidence and will be viewed only by the Organization. Information may be stored outside of Canada and could be used for aggregate statistical purposes (which uses no personal identification).

AI Usage - GreenShield leverages AI to help produce Job Descriptions, and ideate on interview questions. We also leverage AI for interview transcription support.

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More about this job

Responsibilities

The analyst will lead complex investigations into fraudulent claims using AI and reporting tools to identify systemic risks. They will also collaborate with stakeholders to develop preventative fraud measures and provide executive-level reporting on investigative findings.

Requirements

Candidates must have at least 5 years of experience in audit, fraud detection, or health care benefit administration. A university degree or college diploma in business or a related discipline is required, along with proficiency in data analysis and investigative methodologies.

Skills

Fraud detection
Audit
Data analysis
Investigative techniques
AI technology
Critical thinking
Reporting
Risk mitigation
Communication
Mentorship
Business intelligence
Data visualization
Health insurance administration
Project management
Compliance

Benefits

Health coverage
Dental coverage
Retirement savings
Paid time off
Well-being support

Visa sponsorship

Not detected in the job text

Keywords

Fraud detection
Audit
Health care
Insurance
AI
Data analytics
Claim Watch
Risk mitigation
Compliance
Business intelligence
Data visualization
Microsoft Office
Excel
Access
PIPEDA
Privacy Act
Regulated Health Professions Act
Investigation
Reporting
Strategic recommendations
Cost-containment
Mentorship
Non-profit
Health equity
Payvider model

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