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Added 7 hours ago
TM
Senior Fraud & AML Analyst
Toyota Motor Corporation
Toyota Credit Canada Inc - Head Office
- Full-time
TFS currently has an exciting permanent opportunity as a Senior Fraud & AML Analyst, reporting to the Vice President, Risk Management. This role will reside in our Markham Head Office.
Added 9 hours ago
B
Credit Funder
BMO
Montreal, QC · HO
- Full-time
…relationship manager for action in compliance with internal controls and audit, regulatory, and Bank policies and…
Added 20 hours ago
TC
Senior Fraud & AML Analyst
Toyota Credit Canada Inc.
Markham, ON
- Full-time
TFS currently has an exciting permanent opportunity as a Senior Fraud & AML Analyst, reporting to the Vice President, Risk Management. This role will reside in our Markham Head Office.
Added 20 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 22 hours ago
HM
Senior Analyst, Tax
Hudbay Minerals
Toronto, ON
- $95,000 to $118,000 CAD / year
Maintain and update quarterly and annual SOX binders and documentation to evidence the operating effectiveness over internal controls.
Added 23 hours ago
HM
Senior Analyst, Tax
Hudbay Minerals Inc.
Toronto, ON
- $95,000 to $118,000 CAD / year
- Full-time
Maintain and update quarterly and annual SOX binders and documentation to evidence the operating effectiveness over internal controls.
Added 1 day ago
FC
Operations Controls Fraud Analyst
Fidelity Canada
Toronto, ON
- Full-time
The Fraud Analyst is a function of Operations Controls and Fraud Management as the 1st line of defense to prevent and manage fraud activity. Reporting directly to the Manager, Operations…
Added 1 day ago
A
Financial Crime Analyst
Aviso
Vancouver, BC
- $80,000 to $85,000 CAD / year
- Full-time
Reporting to the Manager AML Compliance, the Financial Crime Analyst is responsible for reviewing incidents of suspected fraud and AML risks against Aviso and its clients and ensure…
Added 1 day ago
A
Financial Crime Analyst
Aviso
Toronto, ON
- $80,000 to $85,000 CAD / year
- Full-time
Reporting to the Manager AML Compliance, the Financial Crime Analyst is responsible for reviewing incidents of suspected fraud and AML risks against Aviso and its clients and ensure…
Added 1 day ago
Data Analyst, Principal
Dayforce
Canada
As a Principal Data Analyst, you are a highly analytical, technically strong, forward-thinking problem solver who thrives on turning data into strategic insight and building modern decision…
Added 1 day ago
CH
Automation Business Analyst/Project Manager
Calculated Hire
Toronto, ON
- Contract
Business Analyst – Automation & RPA (Fraud Operations)
Added 2 days ago
A
Loan Administrator / Loan Operations Analyst
Astek
Montreal, QC
- Full-time
Day-to-day administration of all facilities and associated products, ensuring timely execution of Business-As-Usual processes and adherence to required controls
Added 3 days ago
B
Credit Analyst Trainee
BMO
Toronto, ON · Mississauga, ON
- Full-time
…relationship manager for action in compliance with internal controls and audit, regulatory, and Bank policies and…
Added 3 days ago
JH
Director, Strategic Advisory
J.S. Held LLC
Toronto, ON
- Full-time
Certified Public Accountant (CPA); Certified Insolvency and Restructuring Advisor (CIRA), Chartered Financial Analyst (CFA); Certified Fraud Examiner (CFE), and/or Certified Turnaround…
Added 3 days ago
PS
Advisor, Business and Technology Governance
Public Sector Pension Investment Board
Montreal, QC
- Full-time
CFA (Chartered Financial Analyst), CFE (Certified Fraud Examiner) or CIA (Certified Internal Auditor) designation is a strong asset. CIA/CISA certification, an asset
Added 4 days ago
CI
Analyst, External Funds Operations
CPP Investments | Investissements RPC
Toronto, ON
- Full-time
As an Analyst, External Funds Operations, you will support the operational management of External Portfolio Management investments across hedge funds, co-investments, and managed account…
Added 4 days ago
LA
Accounts Payable Specialist
Logistics Alliance
ON · Mississauga, Ontario
- Full-time
…retailers and manufacturers. We're looking for an Accounts Payable Analyst to own carrier and vendor payments end to end, with the accuracy and discipline that keeps our financial…
Added 5 days ago
P
Fraud Prevention Analyst
Punt
Vancouver, BC
- Full-time
We are seeking a detail-oriented Fraud Prevention Analyst to join our Risk team, based on-site at our Vancouver head office. This role is critical to protecting our online platform from…
Added 7 days ago
B
Risk and Fraud Analyst
Blazesoft
Concord, ON
- Full-time
We are looking for a sharp, detail-oriented, and proactive Entry-Level Risk and Fraud Analyst to join our team.
Added 7 days ago
SC
Treasury Analyst
Strathcona County
Sherwood Park, AB
- Full-time
…challenges and driving operational excellence? As a Treasury Analyst, you will serve as a key technical expert in cash management, banking operations, reconciliations, merchant services,…
Added 8 days ago
C
Conseiller(ère) en Gouvernance des affaires et des TI
CGI
Montreal, QC
- Full-time
CFA (Chartered Financial Analyst), CFE (Certified Fraud Examiner), or CIA (Certified Internal Auditor) designation will be considered a significant asset
Added 8 days ago
CI
Analyst, Private & Alternative Asset Operations (12-month contract)
CPP Investments | Investissements RPC
Toronto, ON
- Full-time
…complex investment transactions through strong governance, controls, operational excellence, and process…
Added 8 days ago
Accounts Payable Analyst
Trans Mountain
Calgary, AB
…individual to join our dynamic team as an Accounts Payable Analyst. In this position, you will play a key role in ensuring vendors and suppliers are paid accurately and on time while…
Added 9 days ago
CI
Analyst, Strategy, Risk & Operations, Capital Markets & Factor Investing (12-Month Contract)
CPP Investments | Investissements RPC
Toronto, ON
- Full-time
As Analyst, Strategy, Risk & Operations (SRO), you will support Capital Markets and Factor Investing’s (CMF) operational-readiness agenda, working at the intersection of investment…
Added 11 days ago
Senior Financial Analyst, Internal Audit
Equitable
Waterloo, ON
…growth is encouraged we’d love to connect. The Senior Financial Analyst, Internal Audit job is to add value through independently identifying and assessing the effectiveness and efficiency…

Green Shield Canada

INVESTIGATIVE ANALYST (HYBRID)

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: Sep 16, 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

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

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.

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 Investigative Analyst will lead complex, high-risk investigations into fraudulent claims using AI technology and data analytics. They will also develop preventative fraud measures, provide executive-level reporting, and mentor investigative staff to improve operational effectiveness.

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 strong analytical skills and proficiency in data tools.

Skills

Fraud detection
Data analysis
Investigative research
AI technology
Critical thinking
Risk mitigation
Audit
Business intelligence
Data visualization
Communication
Mentorship
Project management
Health insurance administration
Regulatory compliance

Visa sponsorship

Not detected in the job text

Keywords

Investigative Analyst
Fraud Detection
Claim Watch
AI Technology
Data Analytics
Risk Mitigation
Audit
Health Insurance
Business Intelligence
Data Visualization
Compliance
PIPEDA
Privacy Act
Regulated Health Professions Act
Microsoft Office
Access
Excel
Reporting
Strategic Recommendations
Cost-containment

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