Company: CGICDepartment: ClaimsEmployment Type: Regular Full-TimeWork Model: Hybrid (2 days in office)Language: English is required, French is an asset.Additional Information: This/these role(s) is/are currently vacantThe OpportunityWe are a leading Canadian financial services co‑operative committed to being a catalyst for a sustainable and resilient society. Our team is essential to deliver on this strategy, prioritising people to ensure a strong culture, development opportunities and a supportive workplace that enables the team to thrive.Our Claims team aspires to create peace of mind for our clients and communities. We serve our clients with compassion and are passionate about continuous improvement, operating with high integrity and a desire to do the right thing.ResponsibilitiesThe Senior Specialist, Corporate Claims Investigative Services will provide direction and support for technical claims management in their discipline. As a senior technical discipline leader, they contribute to the development of investigative and claims practices, procedures, technical training, resources, and communication. They monitor results, identify trends, and develop innovative solutions to address opportunities and challenges.Participate in the development of Investigative Services procedures, processes, actions, and plans to meet national discipline benchmarks and goals, including implementation of new technology.Work closely with fraud analytics and claims portfolio teams to proactively identify and monitor fraud trends, develop recommendations, and implement solutions.Participate in development of KPIs and performance objectives; use dashboards and analytics to optimise decision‑making and support training, resources, and communication.Maintain expert knowledge on company, legislative,



and industry trends affecting technical policy wording and claims handling.Participate in the development of national policies and procedures that align with claims, company goals, and legislative changes.Identify opportunities for continuous process innovations, loss‑cost controls, and systems improvements.Develop and update file‑handling practices and procedures to ensure quality investigations and loss‑cost controls.Work with the Quality Management team to monitor adherence to standards, identify gaps, and recommend remedies.Respond to technical discipline requests from actuarial, finance, underwriting, and product teams, collaborating with claims analytics and portfolio.Partner with claims analytics and portfolio to complement each other’s strengths and support goal attainment.Collaborate with internal business partners on technical wording and file handling, representing the discipline.Explain claims technical application, investigations, and strategies to all stakeholders.QualificationsMinimum 7 years of extensive and progressive experience in a claims environment, including 5 years of technical experience with P&C; fraud.University degree in Business, Finance, Insurance, or a related field.FCIP or CIP certification, or other related courses or ongoing development preferred.Specialised knowledge and experience in a P&C; fraud department.Solid knowledge of national claims guidelines,



processes, and procedures.Strong knowledge of key performance indicators and metrics for the claims discipline.Working knowledge of statistical methods and claims management dashboards.Success FactorsExpert technical fraud knowledge.Understanding of adjudication processes across all claims disciplines.Knowledge of insurance concepts, practices, and metrics.Regular interaction with middle and upper claims management, analytics, portfolio, and operational managers.Strong ability to simplify claims business and portfolio concepts for diverse audiences.Business acumen to understand, explain, and act on adverse claims trends.Understanding of national claim targets, strategies, and organisational impacts.Capacity to handle diverse and evolving business issues.What You Need to KnowOccasional travel required.High degree of confidentiality and complex stakeholder engagement.Background check required for successful candidates.Extended work hours, including evenings and weekends, may be required.BenefitsTraining and development opportunities.Flexible work options and paid time off.Holistic well‑being support, including health, mental health, dental, disability and life coverage.Paid volunteer days.Competitive salary and incentive programs, plus a comprehensive total rewards package including pension and retirement plans.Salary and Incentive PayExpected salary/hourly range $91,058 - $151,764 (min‑max, full range). The salary amount is determined by the company and will vary based on market conditions, geography, and relevant job‑related factors.Employees may also participate in incentive programs tied to individual, business, or other performance metrics.#J-18808-Ljbffr

📌 Senior Corporate Claims Specialist, Investigative Services - C$91,058 - C$151,764 A Year (Winnipeg)
🏢 CGIC
📍 Winnipeg