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Added 4 mins ago
RU
Specialist, Automation Systems
Ricoh USA, Inc.
ON · Ontario, Canada
- Part-time
The SA Digital Automation Technician works within a designated Service Advantage Partner location as a resident on-site Service Technician. Services and repairs a variety of Partner sold…
Added 4 mins ago
CO
Director of Shelters and Housing
Christie Ossington Neighbourhood Centre
Toronto, ON
- Full-time
Christie Ossington Neighbourhood Centre (CONC) is a multi-service community organization supporting individuals and families through shelter, housing, food security, and community-based…
Added 4 mins ago
E
IT Desktop Support
Evertz
Burlington, ON
- Full-time
Windows, Linux and macOS administration, support and troubleshooting
Added 4 mins ago
HP
Program Manager, Halifax Connector and Workforce Development
Halifax Partnership
Halifax, NS
- Contract
Provide excellent client service that meets the expectations and requirements of internal and external parties.
Added 4 mins ago
C
Cash Teller
Cineplex
St. John's, NL · Avalon Mall The Rec Room
- Part-time
Execute cash administration of tips, cash sheets, deposit summaries, audit or discrepancy reports and purchase-related documentation, such as supply orders
Added 4 mins ago
BU
Administrative Assistant, Faculty of Social Sciences
Brock University
St. Catharines, ON · Main Campus (Employees)
- Full-time
Reporting to the Faculty Service Manager, the Administrative Assistant provides frontline service and comprehensive administrative support to faculty leadership, staff, and students. The…
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BRANCH ADMINISTRATOR
AFD Petroleum
Whitehorse, YT
Post-Secondary Diploma in Accounting, Finance, or Business Administration considered an asset
Added 4 mins ago
Sr Analyst, Systems Management
University of Guelph
Guelph, ON
…and development focus, and is committed to its Core Values: Service Culture, Integrity, Individual Leadership, Teamwork, Agility, and…
Added 4 mins ago
Post Office Assistant - Term
Canada Post - Postes Canada
Saint-Gabriel-de-Brandon, QC
Sell postal products and service to the business community and public
Added 4 mins ago
Post Office Assistant - Term
Canada Post - Postes Canada
Sudbury, ON · Garson, ON
Sell postal products and service to the business community and public
Added 4 mins ago
VC
Program Assistant, SMART Program - Temporary, Full-time
VON Canada (Ontario)
Hamilton, ON
- $21.35 to $22.95 CAD / hour
- Full-time
- Temporary
The Program Assistant is responsible for administrative support functions to assist VON in providing quality service to the public. The position acts as a resource for the site management…
Added 4 mins ago
Oncology Nurse II
Winnipeg Regional Health Authority
Winnipeg, MB
…Manitoba. These services also include independent nursing services, administration of prescribed treatments, a leadership role within the healthcare team, and facilitating coordination of…
Added 4 mins ago
VC
Client Service Associate (CSA) - Planning & Scheduling - Full-time
VON Canada (Ontario)
Thunder Bay, ON
- $25.12 to $27.04 CAD / hour
- Full-time
Are you passionate about health care and ready to make a meaningful impact in your community? As a Client Service Associate (CSA), you'll coordinate nursing and home support visits with our…
Added 4 mins ago
Director, Pharmacare and Extended Health Benefits
The Government of Nova Scotia
Halifax, NS
As Director, Pharmacare Administration, you will lead programs that help Nova Scotians access publicly funded drug and related health benefits. Reporting to the Executive Director,…
Added 4 mins ago
Payroll Clerk
Dumas
Timmins, ON
Dumas is a leading full-service mining contractor operating in the Americas. The company’s client list includes some of the world’s largest and most respected mining companies. Dumas is the…
Added 7 mins ago
PC
Manager, Learning & Development
Provincial Credit Union
Charlottetown, PE
- Full-time
Oversee learning resources, including budgets, systems, administration, team capacity and external training partnerships.
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Ambulance Communications Officer I - Wallaceburg CACC - Casual - 2026-18626 (2026-18626)
Sunnybrook
Toronto, ON
- Other
…Cardio-Pulmonary Resuscitation (CPR), childbirth, First Aid, EpiPen administration and choking…
Added 20 mins ago
Community Development Manager - Burnaby
Canadian Blood Services
BC
Drawing on your customer service skills, you will seek ways to continuously improve donor experience as well as meet and surpass feedback goals with the leadership team.
Added 20 mins ago
Community Development Manager - Lower Mainland
Canadian Blood Services
Vancouver, BC
Drawing on your customer service skills, you will seek ways to continuously improve donor experience as well as meet and surpass feedback goals with the leadership team.
Added 20 mins ago
FB
Operations Manager, Virtual Services
Farm Business Consultants
London, ON
- Other
The Operations Manager, Virtual Services leads the Company's virtual service delivery model. The role oversees the people, processes, and tools that power virtual service across all…
Added 20 mins ago
FB
Operations Manager, Virtual Services
Farm Business Consultants
Calgary, AB
- Other
The Operations Manager, Virtual Services leads the Company's virtual service delivery model. The role oversees the people, processes, and tools that power virtual service across all…
Added 20 mins ago
MI
Senior Associate, Nexus, Global AML Team
MUFG Investor Services
Toronto, ON
- $63,000 to $92,400 CAD / year
- Full-time
2-4 years experience in financial services, fund administration, asset management, banking or client service
Added 20 mins ago
MI
Senior Fund Accountant, Capital Activity- Private Markets
MUFG Investor Services
Toronto, ON
- $72,000 to $105,600 CAD / year
- Full-time
…provide clients access to a range of leading solutions from fund administration, middle-office outsourcing, custody, foreign exchange, trustee services and depository to securities lending…
Added 20 mins ago
MI
Director, Nexus, Client Delivery
MUFG Investor Services
Toronto, ON
- $165,000 to $175,000 CAD / year
- Full-time
· Manage a team of Fund Accountants in performing accounting and administration service delivery to customers and train staff on all aspects of the NAV process
Added 20 mins ago
MI
Fund Accounting Supervisor, Capital Activity- Private Markets
MUFG Investor Services
Toronto, ON
- $82,500 to $121,000 CAD / year
- Full-time
…alternatives. With over $1 trillion in client assets under administration, we offer fund administration, banking, payments, fund financing, foreign exchange overlay, corporate and…

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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