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Added 4 hours ago
RB
Senior GES Payments Specialist - 1 year contract
Royal Bank of Canada
Toronto, ON
- Full-time
Reporting to the Platform AML Officer and Senior Director Global Economic Sanctions, the Global Economic Sanctions (GES) Payments team is a unique function in Global AML Compliance group.…
Added 4 hours ago
RB
Senior GES Payments Specialist - 6 month contract
Royal Bank of Canada
Toronto, ON
- Full-time
Reporting to the Platform AML Officer and Senior Director Global Economic Sanctions, the Global Economic Sanctions (GES) Payments team is a unique function in Global AML Compliance group.…
Added 4 hours ago
R
Senior GES Payments Specialist - 6 month contract
RBC
Toronto, ON
- Full-time
Reporting to the Platform AML Officer and Senior Director Global Economic Sanctions, the Global Economic Sanctions (GES) Payments team is a unique function in Global AML Compliance group.…
Added 4 hours ago
R
Senior GES Payments Specialist - 1 year contract
RBC
Toronto, ON
- Full-time
Reporting to the Platform AML Officer and Senior Director Global Economic Sanctions, the Global Economic Sanctions (GES) Payments team is a unique function in Global AML Compliance group.…
Added 13 hours ago
B
Sr.Analyst-Payments Automation & Analytics
BeachHead
Toronto, ON
- $43.48 to $56.52 CAD / hour
- Contract
…Sr.Analyst-Payments Automation & Analytics to support payment transformation and modernization initiatives within a specialized portfolio. This 12-month contract offers the opportunity to…
Added 14 hours ago
N
QA Analyst, Credit Risk- Analyste AQ, risque de crédit
nesto
Canada
- Full-time
Added 14 hours ago
N
QA Analyst, Credit Risk- Analyste AQ, risque de crédit
nesto
Canada
- Full-time
Added 14 hours ago
C
Apps Support Intmd Analyst - Officer
Citi
Mississauga, ON
- Full-time
Appropriately assess risk when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving…
Added 15 hours ago
U
CyberArk IAM Analyst
UST
Toronto, ON
- Full-time
…right privileged access at the right time. The CyberArk IAM Analyst works at the intersection of security operations, access governance, and business enablement, supporting privileged…
Added 15 hours ago
T
Analyst, Margin Accounts Group (4583)
TD
Toronto, ON
- Full-time
The Margin Accounts Group (MAG) Analyst is responsible for supporting the mitigation of counterparty credit risk through the daily management and monitoring of collateral exposures across…
Added 15 hours ago
C
Senior Analyst, Data Management & Solutions - Liquidity (12 Month Secondment)
CIBC
Toronto, ON
- Full-time
Treasury plays a critical role in supporting the bank’s financial resilience, regulatory readiness, and strategic decision-making. As a Senior Analyst, Data Management & Solutions -…
Added 16 hours ago
B
Senior Analyst, Credit Risk Model Validation
BMO
Toronto, ON · FCP
- Full-time
Seeking a skilled and experienced professional to join our Model Risk Management Team as a Senior Analyst, Model Risk, Credit Risk. As a senior analyst in our second line of defense risk…
Added 16 hours ago
RD
Application Security Analyst
Randstad Digital
Toronto, ON · Greater Toronto Area, Canada
- Full-time
This Information Security Analyst position plays a vital role in protecting corporate information assets by providing technical oversight and supporting security policies and procedures. As…
Added 17 hours ago
MF
Business Systems Analyst
Mackenzie Financial Corporation
Toronto, ON · Greater Toronto Area, ON
- Other
Experience supporting GRC, risk, audit, compliance, workflow, or reporting platforms and working with structured risk and control data.
Added 17 hours ago
Finance Manager, Investments
Westerkirk
Victoria, BC
Internal Control and Risk Mitigation Maintain a well-documented control environment over financial reporting, payments, banking access, vendor data and intercompany activity, including…
Added 17 hours ago
SF
Loss Prevention Analyst
Soul Foods Group
BC · British Columbia, Canada
- $68,000 to $75,000 CAD / year
- Full-time
The Loss Prevention Analyst plays a critical role in protecting company assets, supporting operational integrity, and ensuring a strong financial control environment across all Canadian…
Added 18 hours ago
WF
Security Analyst, GRC
West Fraser
Vancouver, BC
- Full-time
We’re seeking a Security Analyst, GRC to join our IT Security team in Vancouver, BC and help strengthen our cybersecurity posture through Governance, Risk & Compliance.
Added 18 hours ago
NA
FINANCIAL MANAGEMENT ANALYST
Naval Air Warfare Center Training Systems Division (NAWCTSD)
Cherry Point, AB
- Full-time
You will develop and refine complex budget estimates and financial plans to ensure compliance with guidance from the Department of War (DoW) and Department of the Navy (DON).
Added 18 hours ago
NA
FINANCIAL MANAGEMENT ANALYST
Naval Air Warfare Center Training Systems Division (NAWCTSD)
Cherry Point, AB
- Full-time
You will develop and refine complex budget estimates and financial plans to ensure compliance with guidance from the Department of War and Department of the Navy.
Added 19 hours ago
PC
Business Credit Analyst
Prospera Credit Union
Surrey, BC
- Full-time
As Business Credit Analyst (BCA), you will provide analytical and administrative and member support to the Business Relationship Managers (BRMs). Responsibilities include preparing and…
Added 19 hours ago
T
Senior Business Systems Analyst, AI-Enabled Enterprise Solutions
TD
Toronto, ON
- Full-time
The Senior BSA analyzes current processes, defines future-state requirements, and translates business, operational, control, and technology needs into AI-enabled product opportunities. The…
Added 19 hours ago
Client Scam Intervention Specialist | Evening Shift (2:00 PM-10:00 PM)
Scotiabank
Toronto, ON · Scarborough, ON
The Client Scam Intervention Specialist is responsible for protecting clients and the Bank by reviewing scam-related alerts and referrals, assessing scam risk, and engaging directly with…
Added 20 hours ago
T
Business Information Management Analyst II
TD
Toronto, ON
- Full-time
Maintain a culture of risk management and control, supported by effective processes in alignment with risk appetite
Added 20 hours ago
T
Business Information Management Analyst II
TD
Toronto, ON
- Full-time
Maintain a culture of risk management and control, supported by effective processes in alignment with risk appetite
Added 20 hours ago
T
Modelling/Forecasting Analyst
TD
Toronto, ON
- Full-time
Inquisitive nature and ability to ask the right questions and escalate issues; and risk & Control mindset with good business acumen is an asset.

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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