Claims Investigator SIU (Ech ON)

About Us

Echelon Insurance provides Personal and Commercial Specialty Insurance solutions to protect Canadian families and businesses across Canada, through our trusted network of Broker partners. Echelon is a member of the CAA Club Group of Companies and is an equal opportunity employer who offers a professional environment that champions collaboration, trust, and growth to drive success. We cultivate a great working dynamic to help us deliver what is best for our associates, Brokers, and Customers.

Who we are

Are you ready to join an award-winning, purpose-driven culture? Welcome to the CAA Club Group of Companies (CCG), where purpose leads to passion!
At CCG, we are committed to delivering an exceptional Associate experience. 
We offer:
•    Work-life harmony with access to an award-winning holistic wellness program,
•    Continuous learning through our robust corporate curriculum and education reimbursement program,
•    Incredible rewards, travel incentives, and product and service discounts, 
•    Pay-for-performance and best-in-class recognition programs, and
•    Competitive benefits that include a defined contribution plan, personal spending account, and so much more.  

Join our growing team where everyone belongs!
 

Position Details

Reporting to the Manager, Special Investigations Unit, the Claims Investigator is responsible for investigating complex auto, property & casualty insurance claims with elements of potential fraud, misrepresentation, and/or exaggeration, for all lines of business.

What You Will Do

• Evaluate concerns & fraud indicators to develop investigative plans for all lines of business in insurance claims (Property, Auto Fire & Theft, Cargo, Casualty, Accident Benefits). Investigations can include tasks such as conducting OSINT searches, taking recorded telephone statements, ordering and analyzing reports and attending Examination Under Oaths.
• Serve as resource for Claims operation for special investigations & fraud
• Consult with Claims business units, provide resources & recommendations to assist fraud initiatives
• Communicate with stakeholders, prepare reports, trial briefs & updates on investigations in timely & respectful manner
• Build & maintain business relationships with law enforcement (police, fire, border control), government bodies, and investigative organizations
• Attend court proceedings or hearings
• Ensure ongoing handling of claims investigations within company standards, industry best practices & regulations
• Assist with ongoing training of internal anti-fraud personnel
• Provide feedback to Management on process & system improvement initiatives
• Comply with relevant provincial & federal laws, Insurance regulations, carrier best practices, follow & enforce Echelon Claims policies, procedures, & best practices
• Assist with evaluating, selecting, ensuring quality and cost containment for vendors including defense firms, private investigators, records review companies, expert witness and other vendors that might be used for settlement of auto claims

Who You Are

• Post-secondary education in Criminology, Insurance Management, Business Administration, or industry experience
• CIP designation completed or in progress preferred
• 5+ years’ experience in Property and Casualty insurance industry
• 2+ years as SIU investigator
• Experience conducting OSINT investigations
• Litigation experience, legal & SIU regulations knowledge
• Clear understanding of insurance industry practices, standards, and terminology
• Experience handling property damage, injury claims, serious injuries, and litigation
• Strong passion for the P&C insurance industry with focus on fraud containment
• Strong technical, analytical, problem-solving, and ability to exercise prudent judgment to make decisions based on accurate & timely analysis of trends
• Ability to work in teams & independently

Please note: Internal applicants are asked to formally express their interest by applying online no later than 10 business days of the position being posted.

Our Commitment

We are an equal opportunity employer and are committed to provide employment accommodation in accordance with all applicable Provincial Human Rights and Accessibility Legislation. CCG will provide accommodations to job applicants with disability throughout the recruitment process. If you require an accommodation, please notify us and we will work with you to meet your needs. As an organization we are focused on Member safety, which includes the safety and well-being of our Associates. Therefore, you must be and remain fully vaccinated as a condition of employment.

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