Senior Claims 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 Senior Claims Investigator is responsible for identifying and investigating allegations, irregularities or potential fraudulent activities of a complex or sensitive in nature which directly affect the operational and financial interests of Northbridge Insurance.  This role will also be responsible for developing and presenting cases to various audiences including, claims management, the Northbridge Executive Management Team, legal authorities and where appropriate other government or industry agencies.  

What you will be doing:

  1. Plan and co-ordinate components of an investigation by conducting an initial review of information to determine and develop an action plan for commencing an investigation.  Allocate work to support staff when appropriate.
  2. Responsible for handling a multiplicity of complex and confidential investigations
    • Conduct medium to complex and, contentious investigations.  These investigations involve research, analysis, due diligence and problem resolution.
    • Review pertinent information/evidence to determine the scope and order in which to commence an investigative action plan to ensure that the investigation proceeds in an efficient and timely manner.
    • Through research and preparation determine if a preliminary report for review is necessary to apprise management with proposed recommendations as to the complexity and relative importance of a particular investigation.
  3. Analyze evidence and other information (based on interviewing individuals and reviewing various material), to prepare and present timely fact finding reports.
  4. Maintain co-operative liaison with SIU units from other insurance companies and the Insurance Bureau of Canada
  5. Liaise professionally with Legal, Compliance, Claims, Agents, Brokers, Underwriting, Regulatory bodies and Law Enforcement in the course of an investigation.
  6. Maintain co-operative liaison with all law enforcement agencies and government institutions
  7. Attend seminars and information sessions and assist in presentations to promote the mandate of Northbridge Special Investigation Unit and Insurance Fraud
  8. Maintain a current knowledge and expertise in investigative techniques and changing legislation and the impact on investigations.
  9. Develop and maintain knowledge of Northbridge processes and rules within our systems in order to understand linkages for accessing and retrieving data.
  10. Mentor and coach less experienced claims and support staff
    • Assist in the development and implementation of training programs Participate in the training and development of other claims staff members, and provide technical expertise and advice regarding investigations, products, systems, and processes.
  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 7 years of experience in the Property and Casualty industry with a thorough knowledge of insurance claims and adjusting practices. Particularly those related to Commercial Auto Property Damage and Transportation and Logistics.
  • Knowledge of civil and criminal law and court procedures as it relates to fraud and fraud-related offences.
  • Advanced knowledge of Microsoft Office software in particular Excel and Access
  • The ability to understand the conflict of interest policies and the intent of governing legislation, when carrying out investigations.
  • Ability to work effectively with external investigators, police agencies, agents/brokers, claimants, regulators, industry professionals and internal Northbridge/Federated staff).
  • Must have strong writing skills and understanding of legal terminology to prepare comprehensive investigative reports, court briefs involving complex legal/investigative information. 
  • The ability to work flexible hours, adjusting schedules to accommodate travel, interviews, meetings, and possibly Court.

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
  • Ability to takes independent action on investigation matters but seeks formal approval/guidance from Manager where circumstances may be outside of authority
  • Demonstrated Influential skills requiring sensitivity, diplomacy and tact when investigating allegations and deriving information from sometimes reluctant/irate individuals
  • Demonstrated interactive skills to conduct investigations/make presentations which include explaining, obtaining, presenting and consultation skills with various individuals, management levels, executive management and external clients during the course of an investigation.
  • 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.