Hybrid Bilingual Investigator, Fraud Risk Management, Disability Program

at Sun Life

• Job title: Bilingual Investigator, Fraud Risk Management, Disability Program
• Job type: Full Time
• Experience level: Junior
• Salary: CA$58,000 - CA$93,000 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Montreal, Canada

About the role

• Investigator for fraud risk management at Sun Life, conducting investigations and collaborating with teams. Bilingual requirement, focus on disability claims, with hybrid work flexibility.

Responsibilities

• Conduct a formal investigation when there is suspected misrepresentation or alternate employment on a Disability claim.
• Engage in phone and email communication with plan sponsors, service providers, disability case managers and other third parties.
• Leverage advanced, open-source search techniques, data analytics tools, and digital investigation frameworks to support organizational objectives and inform strategic decision-making.
• Document findings utilizing technology platforms and formal reports
• Conduct phone interviews with plan members
• Prepare and deliver compelling presentations of investigative findings to internal stakeholders, across various levels.
• Engage in collaborative efforts between other FRM teams and Disability to identify and investigate claim misrepresentation or suspected fraud.
• Maintain accurate documentation of all case notes and findings in an internal case management system.
• Identify fraud trends and support data analytics solutions to mitigate the newly identified risk
• Remain current and up to date on industry trends/education/products/privacy laws/etc.
• Contribute to the ongoing evolvement of the Disability Investigations process.

Requirements

• Bilingualism (French, English, both oral and written) is required for the frequent interactions with English and French-speaking colleagues or internal partners across Canada and worldwide.
• Experience and formal training in investigations, preferably within insurance or group benefits
• Formal interview training and/or experience
• Exceptional OSINT research skills
• Strong presentation and communication skills with experience utilizing Microsoft Teams
• Ability to apply critical thinking and innovative approaches when analyzing investigative findings.
• Demonstrated success as an individual contributor who can also effectively collaborate within a team
• Knowledge and understanding of contractual language, administration guidelines, and provincial and federal legislation
• Knowledge in Disability claims, including short and long-term claims and Group Benefits, an asset

Benefits

• A hybrid organization facilitating a better work/life balance
• Flexible Benefits, Pension Plan & Stocks Ownership and time off
• Agile behaviours, faster decisions and learning as we go
• Professional development opportunities