Take on a pivotal role as an Investigative Analyst at GreenShield, where you will focus on combatting fraud through AI-driven insights and strategic investigations.
With at least five years of experience in relevant fields, you will support the Claim Watch program by analyzing fraudulent activities and conducting complex investigations. You will collaborate with multiple stakeholders to ensure efficient communication and practical fraud measures are in place. Your analytical expertise will help translate findings into actionable strategies.
Key Responsibilities: • Lead complex investigations involving high-risk claims • Utilize AI technology to analyze fraud trends • Develop provider and member profiling for fraud prevention • Create dashboards and performance metrics for visibility • Facilitate collaboration with law enforcement and stakeholders
Requirements: • 5+ years in audit or fraud detection • Proficient in AI technology and reporting • Robust analytical and communication skills • Educational background in business or related areas • Ability to travel within Canada
Contribute to a robust fraud prevention framework at GreenShield, leveraging your skills and experience.