The Program Manager, Investigation Services is an exciting opportunity for an experienced insurance investigator who is ready to take the next step into people leadership. Leading a team of Investigation Analysts focused on dental and drug investigations, you will combine strong investigative judgment with coaching, development, and day-to-day leadership of the team.
We are looking for someone who brings a strong foundation in insurance investigations and can help strengthen investigative thinking, practices, and capabilities across the team. Previous formal people-leadership experience is not required; equally important is a demonstrated aptitude for coaching others, influencing outcomes, building strong relationships, and developing people. Experience with dental or drug investigations is an asset, but the technical benefits knowledge can be developed in the role.
Position Responsibilities:
- Lead, coach, and develop a team of Investigation Analysts, fostering strong investigative judgment, curiosity, collaboration, and accountability.
- Provide investigative guidance on complex, sensitive, or higher-risk files, including investigation strategy, evidence assessment, documentation, findings, and recommended outcomes.
- Promote consistent, high-quality investigative practices and support the continued development of the team’s investigative capabilities.
- Support Investigation Analysts in navigating challenging files, applying sound judgment, and reaching well-supported conclusions.
- Identify emerging fraud risks, trends, and investigative opportunities and work collaboratively with internal partners to determine appropriate responses.
- Build strong relationships with business partners and stakeholders to support effective investigations and sound decision-making.
- Support continuous improvement of investigative processes, tools, controls, and practices.
- Contribute to a positive, inclusive, and high-performing team workplace where employees are supported in their development and encouraged to grow their capabilities.
Required Qualifications:
- Experience with dental, drug, health benefits, or provider investigations.
- Knowledge of health and dental claims, provider practices, or related fraud risks.
- Previous experience in an informal or formal leadership capacity, including mentoring, coaching, leading complex investigations, or acting as a subject-matter expert.
- Experience using data and analytics to support fraud detection or investigations.
- Fraud or investigation-related education, training, or professional designation.
- Demonstrated experience conducting insurance investigations, with a strong understanding of investigative methodology and case development.
Preferred Qualifications:
- Experience managing complex investigations, including gathering and assessing evidence, conducting interviews, documenting findings, and developing well-supported conclusions and recommendations.
- Strong investigative judgment, critical thinking, problem-solving, and analytical skills.
- Demonstrated aptitude for people leadership, including the ability to coach, influence, provide constructive feedback, build trust, and support the development of others.
- Strong written and verbal communication skills, including the ability to clearly articulate investigative findings, rationale, and recommendations.
- Ability to collaborate effectively with a variety of stakeholders and navigate sensitive or complex matters with sound judgment and discretion.
- Strong organizational skills with the ability to manage competing priorities while supporting the day-to-day needs of a team.
When you join our team:
- We’ll empower you to learn and grow the career you want.
- We’ll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
- As part of our global team,
we’ll support you in shaping the future you want to see.
#LI-HYBRID
The role being advertised is an existing vacancy.
マニュライフとジョン・ハンコックについて
マニュライフ・ファイナンシャル・コーポレーションは、「あなたの未来に、わかりやすさを」を提供する、国際的な大手金融サービスプロバイダーです。当社について詳しくは、 https://www.manulife.co.jp/lご覧ください。
マニュライフは機会均等を是とする雇用主です
マヌライフ/ジョン・ハンコックでは、多様性を受け入れます。私たちは、サービス提供先であるお客さまと同様に、多様な人材を引きつけ、育成し、定着させ、文化や個人の力を受け入れる包括的な職場環境を促進するよう努めています。当社は公正な採用、定着、昇進、報酬に努めています。当社のすべての慣行およびプログラムは、人種、祖先、出身地、肌の色、民族的出自、市民権、宗教または宗教的信念、信条、性別(妊娠および妊娠関連の状態を含む)、性的指向、遺伝的特徴、退役軍人としての地位、性自認、性に関する表明、年齢、婚姻状況、家族状況、障害、または適用法で保護されるその他の要因に対する一切の差別を行うことなく管理されます。
雇用への平等なアクセスを提供するために、障壁を取り除くことが当社の優先事項です。人事担当者は、応募者が応募プロセス中に合理的配慮を要求する場合に協力します。配慮要求のプロセス中に共有されるすべての情報は、適用される法律およびマニュライフ/ジョン・ハンコックのポリシーに準拠した方法で保存および使用されます。申請プロセスにおいて合理的配慮を要求するには、
[email protected]までご連絡をお願いします。
Referenced Salary Location
Waterloo, Ontario
Working Ar
📌 Program Manager, Investigation Services (London)
🏢 Manulife
📍 London