Associate Manager Investigations

Permanent Full Time 

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As the Associate Manager, Investigations, you will be accountable for a designated investigations stream related to suspected plan member and provider Group Health & Dental claims fraud, and other operational processes in support of the department operation. The successful candidate will foster an inclusive culture where employees feel comfortable speaking up, sharing different perspectives, and empowered to make meaningful contributions. You will develop and inspure a diverse, high performining team, united in purpose with a clearn understanding of the team's mandate.

What you will do:

Reporting to the Manager, Investigations, the Associate Manager will:

• Provide leadership and oversight to the team and use a risk-based approach in prioritizing investigations
• Identify talent among the team and take steps to ensure development of team members
• Proactively manage performance by valuing, differentiating, and rewarding impactful contributions while providing coaching and feedback on performance
• Monitor team engagement and implement remedial actions as required

• Assist in the development of the fraud and abuse program and future road mapping; identify gaps, newly emerging risks and strategies for risk mitigation within the changing fraud landscape 
• Oversee investigations of suspected external Group Health & Dental claims fraud committed by plan members, providers, and those associated to the provision of healthcare services/supplies, prioritizing investigations against staff resources
• Ensure investigations are completed in a timely manner, are high-quality and accurate, and timely and insightful reporting on investigative outcomes is surfaced
• Provide direction ensuring that investigative best practices and case management standards are consistently achieved
• Work with other leaders of the Fraud Management team to innovate and expand the tactics employed to ensure investigations are effective and the team takes creative and evolving approaches in keeping with the changing risk landscape

• Provide insight into the development and execution of process improvements while empowering team members to lead at all levels
• Review Investigative Reports ensuring accuracy and high quality
• Ensure that all special handling requirements are met
• Collaborate with other key Canada Life areas to arrive at innovative customer solutions

What you will bring:

• 3+ years of experience in a leadership position
• 5-7 years investigation experience
• Related post-secondary education and/or a combination of education and experience

• Proven leadership, critical thinking, problem solving and decision-making skills
• Excellent organizational skills with the ability to adapt to changing priorities and projects with strong attention to detail, ability to prioritize, multi-task and meet deadlines
• Effective communication skills, both verbal and written, including experience delivering difficult messages
• Self-motivation with a passion to learn and embrace new challenges
• Strong interpersonal skills and ability to build relationships and influence change effectively with a broad range of individuals and groups
• Ability to effectively use Microsoft Office programs (Outlook, Excel, Word, PowerPoint) with a strong working knowledge of Excel
• Experience with the criminal justices and civil legal systems an asset

•  Bilingual English-French an asset
• Reliability Status security clearance - this is a personnel security status that is required before an employee can gain access to Protected B information, assets or work sites as outlined by the Government of Canada  website

Benefits: 
•    Opportunities to carry out challenging work in a dynamic, collaborative and fast-growing team •    Leaders who support your development in a friendly, supportive work environment
•    A competitive and comprehensive rewards program including tuition reimbursement, bonuses and flexible benefits
•    Paid vacation, personal days and employee volunteer day allotment
•    The opportunity to participate in a variety of teambuilding activities and professional development activities that help to strengthen your skills and build strong relationships within the department and company
•    Access to various sports leagues such as hockey and indoor soccer, an on-site fitness centre and cafeteria
 

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The base salary for this position is between  $63,500.00 - $117,400.00 annually.  This represents base salary only and does not represent other variable compensation components of our total compensation ( i.e. annual bonus, commission etc).  If you are selected to move forward in our recruitment process, your recruiter will be able to discuss additional details of our total rewards program with you.

Career opportunities will be open a minimum of 5 business days from the date of posting, closing dates will vary depending on the search activity. All applications received will be reviewed on a rolling basis.

Be your best at Canada Life- Apply today!

Being a part of Canada Life means you have a voice. This is a place where your unique background, perspectives and talents are valued, and shape our future success.

You can be your best here. You’re part of a diverse and inclusive workplace where your career and well-being are championed. You’ll have the opportunity to excel in your way, finding new and better ways to deliver exceptional customer and advisor experiences.

Together, as part of a great team, you’ll deliver on our shared purpose to improve the well-being of Canadians. It’s our driving force. Become part of a strong and successful company that’s trusted by millions of Canadians to do the right thing.

Canada Life serves the financial security needs of more than 13 million people across Canada, with additional operations in Europe and the United States. As members of the Power Financial Corporation group of companies, we’re one of Canada’s leading insurers with interests in life insurance, health insurance, investment and retirement savings. We offer a broad portfolio of financial and benefit plan solutions for individuals, families, businesses and organizations. 

We are committed to providing an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the diversity of the communities in which we live, and to creating an environment where every employee has the opportunity to reach their potential. 

It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Canada Life policies. To request a reasonable accommodation in the application process, contact talentacquisitioncanada@canadalife.com.

Canada Life would like to thank all applicants, however only those who qualify for an interview will be contacted.

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