Investigation Advisor - Group Insurance

Build the future with us

Are you passionate about investigations and motivated by the opportunity to support an organization whose purpose is to help clients feel confident and secure about their future? As an Investigation Advisor, Group Insurance, you will play a key role in protecting the integrity of our insurance programs.

This position offers an excellent opportunity to showcase your expertise and reach your full potential within a trusted and people-centered organization. Here, individuals and their development are at the heart of everything we do, fostering an environment built on collaboration, innovation, and continuous growth.

As an Investigation Advisor, Group Insurance, you will be at the center of our fraud prevention and investigation efforts. Your key responsibilities will include:

• Reviewing referrals and information received from internal and external sources regarding suspected fraud or abuse related to health and dental claims.
• Analyzing alerts generated by fraud detection tools and conducting independent data analysis to identify suspicious patterns and potentially fraudulent activity. Prioritizing investigative efforts based on risk level, financial exposure, and expected value.
• Conducting thorough investigations by gathering evidence from plan members, service providers, internal systems, and other relevant sources while maintaining objectivity throughout the process.
• Clearly documenting findings, developing recommendations, and preparing reports for clients.
• Partnering with analytics teams to enhance alert quality and improve the effectiveness of fraud detection mechanisms. Recommending enhancements to detection rules, scenarios, and tool parameters based on investigation outcomes and frontline observations.
• Contributing to the continuous improvement of investigation processes, tools, and practices.
• Managing escalated cases with professionalism and ensuring thorough follow-up.
• Promoting fraud prevention among internal and external stakeholders through awareness initiatives and strategic recommendations.
• Keeping current on emerging fraud trends, schemes, and industry best practices.

What could accelerate your success in this role
We’re looking for someone who:

• Has 3 to 5 years of experience in auditing, investigations, insurance, healthcare, or financial services.
• Is recognized for strong analytical and critical thinking skills, with the ability to navigate uncertainty and exercise sound professional judgment in ambiguous or incomplete situations.
• Demonstrates proficiency in data analysis and interpretation, experience using analytical tools, and the ability to review large volumes of transactional data while exercising discretion and professionalism when handling sensitive information.
• Possesses excellent communication and interpersonal skills, including the ability to manage difficult conversations professionally, along with strong writing skills to produce clear, objective, and well-documented reports.
• Has proven ability to manage multiple investigations simultaneously, adapt to changing priorities in a fast-paced environment, and work both independently and collaboratively with a strong sense of accountability and initiative.
• Is fully proficient in French and has an advanced level of English, as this role requires regular communication with internal and external clients across Canada.

Why you’ll love working with us

• A work environment where learning and development merge with a collective pursuit of excellence;
• A healthy, safe, fair, and inclusive environment where potential can be freely expressed and developed;
• The opportunity to work in a hybrid environment, supported by flexibility and access to inspiring and innovative workspaces;
• Competitive benefits: Flexible group insurance, competitive pension plan, stock purchase plan, vacation and wellness/personal development days, telemedicine, employee and family assistance program, ergonomic furniture program, performance bonus, discounts on iA products, and much more!

Apply now and get ahead of your career, where your talent really belongs! 

Still unsure about applying?

At iA, we believe in potential and value diverse experiences. If this role inspires you, go ahead and apply – your place might be with us, and we want to get to know you!

iA Financial Group

iA Financial Group* is the strength of a company with a human side, with its over 8,000 employees. Together, we have earned the trust of our more than four million clients and 25,000 advisors who have chosen us for their insurance, savings, and wealth management.

With over $200 billion in assets and half a billion invested in technological innovation, we’re a key player in the financial services industry in Canada and the United States. The secret to our success? Investing in you, one person at a time. Because, for over 125 years, we have believed that it’s by supporting our employees and surrounding ourselves with the most reputable leaders in the industry, we will continue to innovate.

At iA, we’re invested in you.

At iA Financial Group, we support and celebrate diversity. We strive to provide a workplace that is recognized as inclusive for all, regardless of ethnic origin, nationality, language, religious beliefs, gender, sexual orientation, age, marital status, family situation, or physical or mental disability.

Please note that if you need help or assistance to make the recruitment process more accessible for you, please Contact us here. Someone from our team will be happy to assist you with your needs.