Closed listing
Investigation Advisor - Group Insurance
- Montreal, QC, Canada
Full-time
This opening has closed.
The original listing is kept below for reference.
Job details
- Job type
- Full-time
- Closing date
- Experience
- Has 3 to 5 years of experience in auditing, investigations, insurance, healthcare, or financial services.
- Posting language
- English
- Posted
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Archived listing. The details below describe a past opening.
Description
Investigation Advisor, Group Insurance
Build the future with us
Are you passionate about investigations and motivated by the opportunity to support an organization whose purpose is to help clients feel confident and secure about their future? As an Investigation Advisor, Group Insurance, you will play a key role in protecting the integrity of our insurance programs.
This position offers an excellent opportunity to showcase your expertise and reach your full potential within a trusted and people-centered organization. Here, individuals and their development are at the heart of everything we do, fostering an environment built on collaboration, innovation, and continuous growth.
What You Will Accomplish With Us
As an Investigation Advisor, Group Insurance, you will be at the center of our fraud prevention and investigation efforts. Your key responsibilities will include:
We’re looking for someone who:
Still unsure about applying?
At iA, we believe in potential and value diverse experiences. If this role inspires you, go ahead and apply – your place might be with us, and we want to get to know you!
Investigation Advisor, Group Insurance
Build the future with us
Are you passionate about investigations and motivated by the opportunity to support an organization whose purpose is to help clients feel confident and secure about their future? As an Investigation Advisor, Group Insurance, you will play a key role in protecting the integrity of our insurance programs.
This position offers an excellent opportunity to showcase your expertise and reach your full potential within a trusted and people-centered organization. Here, individuals and their development are at the heart of everything we do, fostering an environment built on collaboration, innovation, and continuous growth.
What You Will Accomplish With Us
As an Investigation Advisor, Group Insurance, you will be at the center of our fraud prevention and investigation efforts. Your key responsibilities will include:
- Reviewing referrals and information received from internal and external sources regarding suspected fraud or abuse related to health and dental claims.
- Analyzing alerts generated by fraud detection tools and conducting independent data analysis to identify suspicious patterns and potentially fraudulent activity. Prioritizing investigative efforts based on risk level, financial exposure, and expected value.
- Conducting thorough investigations by gathering evidence from plan members, service providers, internal systems, and other relevant sources while maintaining objectivity throughout the process.
- Clearly documenting findings, developing recommendations, and preparing reports for clients.
- Partnering with analytics teams to enhance alert quality and improve the effectiveness of fraud detection mechanisms. Recommending enhancements to detection rules, scenarios, and tool parameters based on investigation outcomes and frontline observations.
- Contributing to the continuous improvement of investigation processes, tools, and practices.
- Managing escalated cases with professionalism and ensuring thorough follow-up.
- Promoting fraud prevention among internal and external stakeholders through awareness initiatives and strategic recommendations.
- Keeping current on emerging fraud trends, schemes, and industry best practices.
We’re looking for someone who:
- Has 3 to 5 years of experience in auditing, investigations, insurance, healthcare, or financial services.
- Is recognized for strong analytical and critical thinking skills, with the ability to navigate uncertainty and exercise sound professional judgment in ambiguous or incomplete situations.
- Demonstrates proficiency in data analysis and interpretation, experience using analytical tools, and the ability to review large volumes of transactional data while exercising discretion and professionalism when handling sensitive information.
- Possesses excellent communication and interpersonal skills, including the ability to manage difficult conversations professionally, along with strong writing skills to produce clear, objective, and well-documented reports.
- Has proven ability to manage multiple investigations simultaneously, adapt to changing priorities in a fast-paced environment, and work both independently and collaboratively with a strong sense of accountability and initiative.
- Is fully proficient in French and has an advanced level of English, as this role requires regular communication with internal and external clients across Canada.
- A work environment where learning and development merge with a collective pursuit of excellence;
- A healthy, safe, fair, and inclusive environment where potential can be freely expressed and developed;
- The opportunity to work in a hybrid environment, supported by flexibility and access to inspiring and innovative workspaces;
- Competitive benefits: Flexible group insurance, competitive pension plan, stock purchase plan, vacation and wellness/personal development days, telemedicine, employee and family assistance program, ergonomic furniture program, performance bonus, discounts on iA products, and much more!
Still unsure about applying?
At iA, we believe in potential and value diverse experiences. If this role inspires you, go ahead and apply – your place might be with us, and we want to get to know you!
More about this job
Responsibilities
Review referrals and data alerts, investigate suspected fraud or abuse involving health and dental claims, gather evidence, and document findings and recommendations for clients. Collaborate with analytics teams to improve detection tools and investigation processes, manage escalated cases, and promote fraud awareness.
Requirements
Requires 3 to 5 years of experience in auditing, investigations, insurance, healthcare, or financial services, along with strong analytical, communication, writing, and case-management skills. Candidates must be fully proficient in French and have an advanced level of English.
Skills
- Fraud Investigation
- Fraud Prevention
- Data Analysis
- Critical Thinking
- Risk Assessment
- Evidence Gathering
- Report Writing
- Communication
- Professional Judgment
- Case Management
- Analytical Tools
- Stakeholder Collaboration
- Process Improvement
- Sensitive Information Handling
- French Proficiency
- English Proficiency
Benefits
- Flexible Group Insurance
- Competitive Pension Plan
- Stock Purchase Plan
- Vacation
- Wellness and Personal Development Days
- Telemedicine
- Employee and Family Assistance Program
- Ergonomic Furniture Program
- Performance Bonus
- Discounts on Company Products
Visa sponsorship
Not detected in the job text
Categories
- Finance & Accounting
- Data & Analytics
- Security & Safety
- Healthcare
Keywords
- Group Insurance
- Health Claims
- Dental Claims
- Fraud Detection
- Fraud Prevention
- Investigations
- Auditing
- Risk Assessment
- Data Analysis
- Transactional Data
- Analytical Tools
- Evidence Gathering
- Case Management
- Investigation Reports
- Detection Rules
- Detection Scenarios
- Alert Analysis
- Financial Exposure
- Healthcare
- Financial Services
- Sensitive Information
- Process Improvement
- Fraud Trends
- Client Communication
- French
- English