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Added 11 mins ago
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Customer Experience Associate
TD
London, ON
- Part-time
…job-related knowledge, geographic location, and other specific business and organizational…
Added 11 mins ago
T
Customer Experience Associate
TD
Mississauga, ON
- Part-time
…job-related knowledge, geographic location, and other specific business and organizational…
Added 11 mins ago
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Senior Corporate Accountant
dentalcorp
Toronto, ON · Support Centre - Toronto Office
- Full-time
…interpret financial results, identify key drivers and issues, and partner with Finance leadership and business stakeholders to provide insights that support informed…
Added 11 mins ago
Branch Operations Manager
Sherwin-Williams
Sudbury, ON
…it possible to live this purpose, and for customers and our business to achieve great results. Sherwin-Williams is a place that takes its stability, growth and momentum and translates it to…
Added 11 mins ago
M
Director of Marketing Strategy, Manulife Bank
Manulife
Toronto, ON · Waterloo, ON · Montreal, QC · Halifax, NS
- Full-time
…and advisor-facing as applicable), ensuring alignment with business priorities and audience…
Added 26 mins ago
TR
Vice-président(e) exécutif(ve) (VPE)
Tender Retail
ON · Ontario, Canada
- Full-time
…services. This is a hands-on, full-P&L role for a seasoned business leader who is, above all, a leader of people and a trusted partner for our…
Added 26 mins ago
TC
Media Operations Specialist
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Toronto, ON
- Full-time
…full-service OOH offering saw us grow into a team of over 500 people located in key cities across the globe. In that time, we have been awarded for our approach to our people, our clients…
Added 41 mins ago
CH
Administrative Services Coordinator
CBRE HV
Toronto, ON · North York, Ontario
- Full-time
…real estate services and investment that helps businesses and people thrive. We are dynamic problem solvers and forward-thinking professionals who create significant impact. Our…
Added 41 mins ago
Senior Product Manager - Lifecycle & Growth (Apex Legends)
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Vancouver, BC
…Respawn was created with the philosophy that when talented people have creative freedom, they'll make extraordinary games that achieve the unexpected. From our roots as an indie studio to…
Added 56 mins ago
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Senior Machine Learning Engineer
Workday
Vancouver, BC · Canada, BC, Vancouver
- Full-time
Cross-Functional Collaboration: Partner closely with Data Scientists, Software Engineers, Product Managers, and UX Designers to translate complex business problems into robust AI solutions.
Added 1 hour ago
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Assistant Manager, Site Marketing (12-Month Contract)
sephora.com
Toronto, ON
- Full-time
Partner with site production to launch campaigns, content, and new site and app features, rigorously testing each to ensure flawless execution
Added 1 hour ago
M
Solution Engineer Manager
Microsoft
Toronto, ON
- Full-time
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Added 1 hour ago
SC
store manager, St. Thomas, ON
Starbucks Coffee Company
St. Thomas, ON
- $59,400 to $78,450 CAD / year
- Full-time
Starbucks is known for developing extraordinary leaders who drive business success by doing the right thing for partners (employees), customers and communities – globally. As a Starbucks…
Added 1 hour ago
SC
store manager, Grimsby, ON
Starbucks Coffee Company
Grimsby, ON
- $59,400 to $78,450 CAD / year
- Full-time
Starbucks is known for developing extraordinary leaders who drive business success by doing the right thing for partners (employees), customers and communities – globally. As a Starbucks…
Added 1 hour ago
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Specialist, Data Developer
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Canada
- Full-time
Partner with cross-functional teams including architecture, data science, analytics, and business units
Added 1 hour ago
W
Design Studio Spc/Home Stylist
Williams-Sonoma
Calgary, AB
- Full-time
…corporate values that guide our actions and decisions are our People First culture, customers, quality, shareholders, integrity, and corporate…
Added 1 hour ago
TP
Manager, IT Vendor Performance & IT Audit
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Toronto, ON
- Full-time
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Added 1 hour ago
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Principal Product Manager
Lightworks
Toronto, ON
- Full-time
…programs. Launched in the AI era, Lightworks is powered by people who have spent decades implementing net-new and highly iterative technologies at scale across banking, insurance,…
Added 1 hour ago
CS
Youth Experience Coordinator (Calgary)
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Calgary, AB
- $22 CAD / hour
- Internship
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Added 1 hour ago
CL
Litigator (Family law and General Litigation)
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Vancouver, BC
- Full-time
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Added 1 hour ago
Machine Operator
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Hamilton, ON
Laminex New Zealand forms part of the Building Products division of Fletcher Building and we are a trusted business partner with market-leading brands for great design spaces, offering…
Added 1 hour ago
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Consultant principal en comptes - Sr. Account Consultant
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Montreal, QC
- Full-time
Partner with Account Executives and recruiters on sales cycles and new business opportunities.
Added 1 hour ago
Technical Account Manager, Advanced Materials
IMCD Group B.V.
Canada
IMCD Group, headquartered in Rotterdam, The Netherlands, is a leading global partner for the distribution and formulation of speciality chemicals and ingredients. IMCD is a strong,…
Added 1 hour ago
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Product Marketing Manager
WeTransact
Montreal, QC
- Full-time
Microsoft sellers decide in seconds which partner is worth their quarter. Your words decide whether it’s us.
Added 1 hour ago
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Senior Full Stack Engineer
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Montreal, QC
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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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