Claims Fraud Analyst

The Opportunity

Are you looking for a caring collaborative values-driven workplace with inspiring teammates and leaders Do you have the ambition and desire to be the best and thrive at one of the worlds leading insurance providers Look no further than Zurich Canada.

Zurich Canada is currently looking for a Claims Fraud Analyst to join the Data Analytics & Artificial Intelligence team supporting Claims and Fraud partners.

This role will help strengthen Zurich Canadas ability to identify potential claims fraud leakage unusual patterns and emerging risk indicators through data analytics and business insight.

The successful candidate will work closely with Claims Special Investigations Unit (SIU) Technology and analytics teams to review claims data develop fraud indicators validate trends and translate findings into clear recommendations that support better claims outcomes.

This is a unique opportunity to combine claims knowledge analytical thinking and investigative curiosity to help protect Zurich our customers and the integrity of the claims process. This posting is for an existing vacancy.

Zurich Canada uses artificial intelligence-enabled tools to support certain aspects of the recruitment process including the initial review and screening of applications. Artificial intelligence is not the sole basis for candidate shortlisting or selection. All hiring decisions are reviewed and made by qualified hiring professionals.

Zurich follows a hybrid work model requiring in-person presence which may include time in the office or market-facing engagements.

What you will do

• Analyze claims data to identify potential fraud patterns unusual activity leakage overpayments and other risk indicators.
• Partner with Claims and SIU teams to support investigation prioritization case reviews and indicator refinement.
• Review historical fraud cases and pending claims to identify recurring themes emerging trends and opportunities to improve detection.
• Develop dashboards reports and analysis that help business partners understand fraud trends payment patterns vendor activity and claim behaviours.
• Support the design testing and monitoring of fraud indicators rules models and alerts in partnership with data and technology teams.
• Conduct deep-dive analysis on claim payments payees vendors body shops service providers recoveries and claims expenses.
• Validate data quality definitions and business rules to help ensure fraud insights are accurate explainable and actionable.
• Prepare clear summaries recommendations and presentations for Claims SIU and leadership stakeholders.
• Collaborate with cross-functional teams to improve data access reporting consistency and the responsible use of analytics in fraud detection.
• Stay current on emerging fraud trends analytical techniques and opportunities to use data and AI-enabled capabilities responsibly.

Job Qualifications - What you bring to the table

Required:

• Bachelors Degree and 3 or more years of experience in the Statistical Analysis area

OR

• High School Diploma or Equivalent and 5 or more years of experience in the Statistical Analysis area

Preferred:

• Bachelors Degree and 2 years of experience in claims fraud analytics business intelligence investigations insurance operations or a related field.
• Strong analytical skills with the ability to interpret data identify patterns and connect insights to business actions.
• Experience working with claims data operational data payment data or other complex business datasets.
• Strong communication skills with the ability to explain findings clearly to both technical and non-technical audiences.
• Strong attention to detail curiosity sound judgment and ability to handle confidential information appropriately
• Insurance claims fraud special investigation or claims analytics experience.
• Experience with Power BI SQL Databricks Python or similar analytics tools.
• Experience analyzing claims payments vendor patterns recoveries leakage expenses or fraud indicators.
• Understanding of claims processes claim systems policy information and fraud investigation workflows.
• Experience building dashboards recurring reports data quality checks or analytical summaries.
• Knowledge of predictive analytics anomaly detection machine learning or AI-enabled fraud detection is an asset.
• Ability to work independently manage multiple priorities and build trusted relationships across business and technical teams.

At Zurich Canada we are committed to pay equity. We determine compensation based on objective criteria such as skills experience and internal equity. The salary range for this position is $65000 - $85000. This range reflects the expected pay for the role across Canada and may vary depending on factors like office location specific responsibilities and individual qualifications. As required by local law Zurich provides in good faith a reasonable compensation range but starting salaries may exceed this range based on a candidates skills and experience.

Our Culture

• At Zurich we are proud of our culture. We are passionate about Diversity Inclusion Equity and Belonging (DIEB). We want you to bring your whole self to work and we want our employees to be reflective of the communities in which we live and work. Our DIEB initiatives are creating an environment where everyone feels welcome.
• We have a collaborative culture where diversity of thought is valued. We value your input and strive to give our employees the tools they need to make an impact.
• We care about our employees well-being and offer a comprehensive health/benefits plan with varying levels of coverage to suit your specific needs and a competitive total compensation package.
• We understand how important it is to rest recharge and do the things you love. At Zurich all employees receive a minimum of four weeks of vacation per year to do just that.
• We also understand that employees require time off for personal reasons. Maybe you have an appointment during a workday a cultural or religious holiday you would like to observe or you need time off to focus on your mental health. Zurich employees receive four personal days per year to be used at their discretion.
• We are committed to continuous improvement and offer access to a comprehensive range of training and development opportunities.
• We care about our communities. Our communities are where our customers people and shareholders live and work. While we can be proud of the contribution to society Zurich makes through our core business of insurance we must also give back to our communities through our talent time and resources.
• We have won numerous awards for our workplace culture. We are proud to be one of Greater Torontos Top Employers and to have received Insurance Business Canadas 5-Star Diversity Equity and Inclusion Award.
  

Make a difference. Be challenged. Be inspired. Be supported. Love what you do. Work for us.

About Us

Zurich Canada is part of the Zurich Insurance Group a multi-line insurer with approximately 55000 employees worldwide serving customers in global and local markets. Zurich Canada has been a leading insurance provider serving mid-sized and large companies including multinational corporations in the Canadian commercial market for 100 years. With over 900 employees in offices across the country Zurich offers the global strength of a top insurance provider combined with in-depth knowledge of industries and local markets. Zurich Canada aspires to be risk management professionals first choice as their premier partner to help meet the risk challenges of today and tomorrow. Read more at .