Claims Analyst/Investigator

Claims / Indemnisation Toronto, Ontario

Position at Northbridge Financial

“The Power of Together”

Join Northbridge, a growing dynamic company that has a long and rich Canadian history in providing innovative insurance solutions to customers nationwide.

Northbridge Financial Corporation is a leading commercial property and casualty insurance company that’s been helping protect Canadian businesses for more than 90 years. We’re 100% Canadian!

We offer a wide range of creative solutions to our customers through our Northbridge Insurance, TruShield Insurance and Federated Insurance brands where we strive to create a fair and friendly culture, upheld by the foundation of our five corporate values: respect, passion, connectedness, creativity, and excellence.

By continually striving to challenge the status quo, and by focusing on helping the customers we have the privilege of insuring achieve the possibilities of their business, we’ve been able to build our reputation as one of Canada’s largest commercial insurance providers.

To help us continue to build on this success, we’re committed to attracting, developing and retaining the best people.

Be part of a team that’s passionate about making a difference every day, fuelled by our entrepreneurial spirit and where everyone owns a part of our success. Our company has had an amazing journey so far, and our future is full of new possibilities!

Located in the heart of Toronto’s Financial District, our head office is easily accessible by TTC and GO Transit, and within walking distance to the Eaton Centre, Air Canada Centre, Rogers Centre, and CN Tower. As a national property and casualty commercial insurance provider, we also have offices across Canada.

Position Summary 

The Claims Analyst/Investigator is responsible for identifying and investigating allegations, irregularities or potential fraudulent activities that are primarily routine and sensitive in nature which directly affect the operational and financial interests of Northbridge Insurance.  The Claims Analyst/Investigator is also responsible for identifying and recommending fraud prevention, detection and correction activities and providing education and training to Northbridge Financial employees and external partners.

What you will be doing:

  1. Investigate possible fraudulent activity through review of allegations received from insurance operations, anonymous tips, insured members, employees and a variety of external sources.
  2. Conduct routine and, sometimes contentious investigations that are routine to medium complexity.  These investigations involve research, analysis, due diligence and problem resolution.
  3. Liaise professionally with Legal, Compliance, Claims, Agents, Brokers, Underwriting, Regulatory bodies and Law Enforcement in the course of an investigation.
  4. Prepare investigation files and gather relevant supporting information for investigations and conduct analysis of information for the SIU manager and/or other senior staff.
  5. Prepare investigative reports for management, regulatory bodies and law enforcement.
  6. Conduct ad hoc investigation analysis of information and provide conclusions regarding findings through the use of data visualization and Microsoft Excel.
  7. Maintain excellent investigation working papers with all documentation kept in accordance with standards.
  8. Develop and maintain relationships throughout the organization and the insurance industry to foster awareness of current trends etc.
  9. Create awareness throughout Northbridge Financial by assisting in the continual education of employees on how to recognize indicators of fraud and evolving trends in the industry through regular investigative activities.
  10. Maintain the Northbridge processes and rules within our systems.
  11. Other related duties as assigned or required.

What we are looking for:

  • Post-secondary University Degree or College Diploma in a related discipline is required, preferably in Criminology, Business, Finance or enrolled in Certified Fraud Examiner (CFE) course with a view to obtaining CFE designation.
  • Minimum 5 years’ experience in claims adjudication, preferably in a multi lines role.
  • Intermediate knowledge of data visualization tools and dashboarding techniques such as Tableau.
  • Advanced knowledge of Microsoft Office especially Excel and Access
  • Investigative skills needed to obtain a variety of data from several different sources (both internal and external) and identify trends or issues after systemically analyzing information.
  • Knowledge of compliance or legal processes would be preferred.
  • Clear and concise written and verbal communication skills in order to disseminate all information and present in a report and verbal format.
  • Ability to work effectively with external investigators, police agencies, agents/brokers, claimants, regulators, industry professionals and internal Northbridge/Federated staff).

What sets you apart:

  • Demonstrated proficiency and resourcefulness in identifying and analyzing relevant information.
  • Demonstrated communication (both verbal and written) skills to conduct in person investigations.
  • Demonstrated report-writing skills, including an orientation toward detail and precision.
  • Strong interpersonal skills to foster collaboration among team members and functional areas.
  • Demonstrated Investigative and interviewing techniques and strategies
  • Takes independent action on normal investigation matters but seeks formal approval/guidance from Manager on any issues that are sensitive or impactive by nature.
  • Demonstrated Influential skills requiring sensitivity, diplomacy and tact when investigating allegations and deriving information from sometimes reluctant/irate individuals
  • Effective time management skills.
  • Ability to recognize and handle confidential and sensitive information.
  • Ability to be self-managed, work independently as well as to collaborate within an agile, fast-paced, dynamic team environment

What We Have to Offer:

  • Northbridge Cares program – volunteer day and donation matching
  • Generous paid time off, including personal days. Flexible work hours as well as early departure opportunities
  • Flexible Group Benefits Plan – medical, dental, insurances
  • Defined Contribution Pension Plan + Optional Group RRSP
  • Northbridge Employee Share Purchase Plan
  • Education Assistance Program
  • Employee Assistance plan
  • Staff Insurance - discount on home, automobile and pet insurance
  • Plus, the opportunity to contribute to the success of Northbridge through sharing your knowledge and experience while learning from others!

Application Process:

Northbridge welcomes and encourages applications from people with disabilities. Accommodations are available upon request for candidates taking part in all aspects of the selection process. Interested, qualified candidates are encouraged to apply below.

All offers of employment are conditional upon satisfactory background and reference checks, including a criminal record check, credit check, and employment and educational verifications.