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Added 7 mins ago
I
Analyst - Information Security
Innergex
Longueuil, QC
- Full-time
Participate in the investigation and management of security incidents, including root cause analysis, documentation, and the implementation of corrective measures.
Added 22 mins ago
LM
Senior Compensation Analyst, Total Rewards
Liberty Mutual Canada
Remote, Canada
- Temporary
- Remote
Senior Compensation Analyst, Total Rewards (12-month Contract)
Added 22 mins ago
E
Analyst, IS Infrastructure PMO
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AB · Edmonton, Alberta
- Full-time
As an IS Infrastructure PMO Analyst, you play a key role within the IS Infrastructure Project Management Office, collaborating with the IS Infrastructure department, business units,…
Added 37 mins ago
LH
Business Analyst
LGI Healthcare Solutions Santé Inc.
Montreal, QC
- Full-time
Certification in business analysis, product management, or an Agile methodology is an asset.
Added 37 mins ago
CI
Senior Manager, ERP
Calian in Space & Technology
Ottawa, ON
- Full-time
Oversee service availability, application support, incident management, change management, release management, and continuous improvement activities
Added 52 mins ago
W
Senior Analyst, Business Analysis and Insights
Walmart
Mississauga, ON
- Full-time
- Experience in an analyst/management role within an operation, distribution, supply chain, or retail environment
Added 52 mins ago
INVESTIGATIVE ANALYST (CONTRACT)
Green Shield Canada
Calgary, AB · Toronto, ON · Windsor, ON
disease management as a ‘provider’. As a non-profit social enterprise without shareholders, we reinvest our excess
Added 52 mins ago
C&
Senior Financial Analyst – Sales
Church & Dwight Co., Inc.
Mississauga, ON
- Full-time
…results? Church & Dwight Canada is looking for a Senior Financial Analyst – Sales to join our Finance team and play a key role in supporting profitable growth across our portfolio of…
Added 52 mins ago
LH
Business Analyst
LGI Healthcare Solutions
Montreal, QC
- Full-time
Certification in business analysis, product management, or an Agile methodology is an asset.
Added 52 mins ago
WC
Analyste financier / Financial Analyst
Wabtec Corporation
Montreal, QC
- Full-time
Added 52 mins ago
LM
Senior Compensation Analyst, Total Rewards
Liberty Mutual Canada
Toronto, ON
- Temporary
Senior Compensation Analyst, Total Rewards (12-month Contract)
Added 1 hour ago
LC
Compliance/DSD Conversion Analyst - Co-op Student
Loblaw Companies Limited
Brampton, ON
- Full-time
Experience with SAP, Salesforce, Microsoft Excel, Power BI, Power Apps an asset
Added 1 hour ago
N
Customer Success Technical Coordinator - Bilingual (FR/EN)
Numeris
Canada
- Full-time
The Coordinator also works closely with the Customer Success Insights Analyst to manage recurring, process-driven reporting and analytical deliverables. The position also provides…
Added 1 hour ago
E
Financial Analyst
EllisDon
Mississauga, ON
- Full-time
Review monthly Performance Monitoring Reports (PMR) for each of the sites and prepare sections of the monthly operational report to the management.
Added 1 hour ago
E
Business Analyst (Distribution)
Equisoft
Montreal, QC · Quebec, QC · HYBRID - Montreal, Canada
- Full-time
Role: The Business Analyst will work closely with clients and the development team to provide clear business requirements and context setting based on their extensive insurance distribution…
Added 1 hour ago
R
PLM OCM Lead
RTX
Longueuil, QC
- Full-time
…with the PLM transformation forward, the Organizational Change Management (OCM) Lead tasks will…
Added 1 hour ago
Laboratory Analyst
Bureau Veritas
Fort McMurray, AB
Experience as a Laboratory Analyst - an asset
Added 1 hour ago
FS
Senior Risk Analyst
Financial Services Regulatory Authority (FSRA)
Toronto, ON · FSRA Head Office
- Full-time
…visualize and report data. Certification on Microsoft Power BI Data Analyst Exam PL-300 is an…
Added 1 hour ago
CG
Clinical Applications Analyst - (24479)
Collingwood General and Marine Hospital
Barrie, ON
- Temporary
The Meditech Clinical Application Analyst is an integral member of the Regional Digital Health (RDH) Clinical Informatics. As a member of the RDH lead agency team, the RDH Clinical…
Added 1 hour ago
G
INVESTIGATIVE ANALYST
GreenShield
Windsor, ON
- $59,688 to $91,109 CAD / year
- Contract
Experience contributing to preventative fraud strategies, automation, or intelligent audit approaches (asset).
Added 1 hour ago
AE
Analyst, End User Services & Service Desk Support
Alberta Energy Regulator (AER)
AB · Edmonton, AB
- Full-time
Support asset management by keeping inventory records, tracking hardware lifecycle, and handling equipment moves, adds, and changes.
Added 1 hour ago
AE
Analyst, End User Services & Service Desk Support
Alberta Energy Regulator (AER)
Calgary, AB
- Full-time
Support asset management by keeping inventory records, tracking hardware lifecycle, and handling equipment moves, adds, and changes.
Added 1 hour ago
EAM Project Management Analyst
City of Edmonton
AB
As a Project Management Analyst with the Enterprise Asset Management (EAM) team, you will help shape sustainable, modernized asset management practices across the City of Edmonton. In this…
Added 1 hour ago
C
AI Enablement Specialist
CIMA+
Montreal, QC
- Full-time
…You will also partner with Talent & Culture to support change management, communications, training, and capability development activities by providing the required AI expertise and…
Added 1 hour ago
B
Senior Analyst, Vendor Governance
BMO
Toronto, ON · BMOPLACE
- Full-time
The Senior Analyst is part of the North American Retail Payments (NARP) Team, supporting governance activities for an assigned vendor. The Senior Analyst will work with, and support the…

GreenShield

INVESTIGATIVE ANALYST

Windsor, ON, Canada

$59,688 to $91,109 CAD / year · Contract

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Job details

Pay: $59,688 to $91,109 CAD / year
Job type: Contract
Apply by: Dec 4, 2026
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

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 ARE 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.

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

Lead complex, high-risk investigations and use reporting, AI, and data analysis to identify fraud, abuse, misuse, emerging patterns, and systemic risks. Develop fraud controls and risk-mitigation recommendations, produce executive-level reporting, collaborate with internal and external stakeholders, and mentor investigative staff.

Requirements

Requires at least five years of experience in audit and fraud detection, health care benefit administration, and/or investigations, along with a business-related university degree or college diploma. Candidates should bring strong analytical and communication skills, independent judgment, working knowledge of AI and BI tools, and the ability to mentor others; knowledge of relevant legislation and experience with preventative fraud strategies are assets.

Skills

Fraud Detection
Investigations
Data Analysis
Risk Assessment
AI Technology
Business Intelligence
Data Visualization
Audit
Interviewing
Reporting
Microsoft Excel
Microsoft Access
Mentorship
Stakeholder Communication
Health and Dental Benefits Administration
Privacy and Regulatory Compliance

Visa sponsorship

Not detected in the job text

Keywords

Claim Watch
Fraud Detection
Complex Investigations
High-Risk Investigations
Health Care Benefit Administration
Group Health and Dental
Artificial Intelligence
Reporting
Data Analytics
Utilization Trends
Provider Profiling
Plan Member Profiling
Fraud Controls
Cost Containment
Risk Mitigation
Automation
Intelligent Auditing
Audit
Compliance
Enterprise Risk
Business Intelligence
Data Visualization
Dashboards
Performance Metrics
PIPEDA
Regulated Health Professions Act
Privacy Act
Microsoft Access
Microsoft Excel
Law Enforcement

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