Claims Technical Consultant, Investigative Services

Company: CGIC

Department: Claims

Employment Type: Regular Full Time

Work Model: Hybrid

Language: English is required, French is an asset.

Additional Information: This/these role(s) is/are currently vacant.

We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients, and our communities.

Our Claims team aspires to create peace of mind for our clients and our communities. Our national team of knowledgeable and trusted professionals serve our clients with compassion. We are passionate about continuous improvement and operate with high integrity, motivated by our desire to do the right thing for our clients.                                                                                     

The Technical Claims Consultant, Investigative Services will provide direction and support with respect to technical fraud investigation for Investigative Services. Responsible to contribute to the development of related technical claims training, resources, and communication, as well as monitoring fraud investigation practices through audits and analysis. The Technical Claims Consultant is responsible for the training and to provide technical support and coaching to the Technical  Supervisors within Investigative Services. Accountable to work in collaboration with claims peers and leaders to deliver on objectives and client service expectations for their discipline.

• Provide technical consulting and coaching to Technical Supervisors to support sound decision making for claims, litigation management, policy interpretation, policy violations, quantum, assessment, negotiation, and soverage decisions on claims in accordance with legislation and company guidelines.
• Participate in learning programs for the discipline as a Subject Matter Expert.
• Support with data and trend analysis including monitoring and collaborative action planning established by leadership.
• Identify specific trends, legal issues, legislation and convey this information to stakeholders and cross discipline teams.
• Assist the leadership team in resolving technical conflicts and client escalations.
• Support the execution of operational policies and procedures to ensure compliance with company, government, and legislative standards.
• Work collaboratively with stakeholders to implement business processes which enhance client engagement, support profitability, and enrich staff engagement.

• You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs.  
• You use critical thinking skills to recognize assumptions, evaluate arguments, draw conclusions and proactively propose solutions.
• You have strong communication skills to clearly convey messages and explore diverse points of view. 
• You build trusting relationships and provide guidance to support the development of colleagues.

• You have seven years of fraud specific experience within the insurance industry.
• You have a post-secondary education.
• You have or are working towards the Fellow Chartered Insurance Professional (FCIP) or Chartered Insurance Professional (CIP).
• You have advanced knowledge of policy wording, legislation, and regulations.
• You have an ability to use metrics and analytical tools to take action on identified opportunities and trends.

• You will travel occasionally.
• Extended work hours, including evenings and weekends, may be required.  
• This role involves direct contact with clients and/or service providers in their environment.    
• You will be subject to a Criminal Record and Consumer History background check as a condition of employment, in the event you are the successful candidate. 

• The opportunity to take on challenging work and contribute your expertise, creativity, and passion in meaningful ways.
• A comprehensive total rewards package, including competitive salary, bonus, paid time off, pension and benefits.
• A holistic approach to your well-being, with physical and mental health programs and flexible work options.
• The opportunity to work on an inclusive team who inspire each other to explore and achieve what’s possible.
• A company that is committed to support the social, environmental and financial well-being of the lives, families and communities we impact. 

Salary information​

Expected salary/hourly range $72,847 - $121,411 (min-max, full range).

Salary placement​

The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.​

Incentive/Variable pay ​

Employees may also have the opportunity to participate in incentive programs and earn additional compensation tied to individual and/or business performance, or other business metrics.