Investigator

You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description:

Fraud Risk Management is increasingly important to policy holders. To serve Sun Life’s clients as industry leaders, Canadian Operations’ Fraud Risk Management area will identify, mitigate and respond to criminal threats using various tools, technologies and strategies.

The successful candidate will have law enforcement experience. Travel and field work will be moderate to frequent.

Reporting to the Senior Investigator for Fraud Risk Management, the Investigator will be responsible for detecting, investigating, and preventing fraud impacting the Canadian Group Benefits business. The incumbent will work closely with relevant teams in Fraud Risk Management to support active fraud investigations. They will deliver timely updates and outcomes to key stakeholders and management. Using advanced interviewing skills, investigative excellence, and attention to detail, the successful candidate will focus on investigating insurance-based frauds.

What will you do?

• Investigate confidential and sensitive fraud cases
• Manage a caseload of investigations by leading various aspects of an investigation and providing support to others
• Lead various types of field work and attend audits, interviews and client meetings with investigators
• Interview witnesses to collect details about the fraud, identify patterns and communicate recommendations to reduce risk
• Collaborate with various business units within the organization and liaise with external stakeholders and partners
• Maintain and develop relationships with other financial institutions and law enforcement agencies
• Identify trends, report on issues and recommend appropriate actions to mitigate risk in the prevention and detection of criminal activity that can threaten the integrity and sustainability of group benefit plans.
• Provide the Fraud Risk Management team with guidance and direction on innovative investigative approaches that would be most valuable in a given situation
• Prepare and participate in court/complaint cases, including arbitration hearings, to resolve investigations
• Research, gather data, prepare and organize documentation for other business areas, law enforcement and senior leaders
• Provide training on relevant and current best practices including, interviewing, report writing and investigative techniques
• Prepare documentation, such as investigation reports, management briefings, or other communications in a timely professional and proficient manner
• Promote education and awareness to internal and external stakeholders related to fraud prevention
• Identify and partner to develop, implement and maintain processes for the handling of investigations
• Keep current on industry trends and schemes impacting benefit plans
• Demonstrate professional judgement in all aspects of investigations
  
  

What do you need to succeed?

• Previous law enforcement experience
• Knowledge of group insurance business and regulatory environment
• Understanding of contractual language, administration guidelines, and provincial and federal legislation applicable to the industry
• Superior conflict management, critical thinking and interpersonal skills with the ability to develop and execute effective investigative plans
• Proven ability to prioritize assignments and organize field work to maximize productivity and achieve objectives
• Develop operational plans and identify effective use of resources
• Advanced oral and written communication skills to prepare reports and liaise with other business units and stakeholders
• Adaptability and flexibility to execute action plans
• Strong negotiating and influencing skills
• Ability to work in a team environment and possess cooperation and collaborative skills
• Strong analytical skills and community awareness with attention to accuracy and details
• Solid decision-making skills and innovative thinking
• Proven efficiency and knowledge of electronic programs and databases (Word, Excel, Tableau, Adobe, Outlook)
• Ability to collect, evaluate and analyze open-source intelligence
• Problem solving skills to quickly analyze a situation and adopt a reasonable course of action
• Identify processes to mitigate fraud and/or abuse across group benefit plans
• Fluency in French (preferred) and English (both languages written and spoken)
  
  

Unique Notes:

• This position can be based in Waterloo or Toronto with moderate to frequent travel
• Working outside of core business hours may be required on occasion
• The candidate retained for this role will have to go through a special security clearance from the Royal Canadian Mountain Police. To see if you are eligible for this clearance, please review the Government of Canada website.
  
  

Reasons why you should join us under the Sun:

• Flexible Benefits from the day you join to meet the needs of you and your family.
• Time off giving you the flexibility to focus on the moments that matter. 15 days' vacation per year.
• Our unique Sabbatical Program gives you the opportunity to take up to 6 weeks off, every five years.
• Care Days available for self-care or care of others (i.e., family or others you may support) and Sick Days to support your well-being
• A collaborative and interactive team environment
  
  

The Base Pay range is for the primary location for which the job is posted. It may vary depending on the work location of the successful candidate or other factors. In addition to Base Pay, eligible Sun Life employees participate in various incentive plans, payment under which is discretionary and subject to individual and company performance. Certain sales focused roles have sales incentive plans based on individual or group sales results.

Diversity and inclusion have always been at the core of our values at Sun Life. A diverse workforce with wide perspectives and creative ideas benefits our clients, the communities where we operate and all of us as colleagues. We welcome applications from qualified individuals from all backgrounds.

Persons with disabilities who need accommodation in the application process or those needing job postings in an alternative format may e-mail a request to thebrightside@sunlife.com.

At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.

Salary Range:

53,800/53 800 - 87,400/87 400

Job Category:

Risk Management

Posting End Date:

19/07/2024