Fraud Investigator
Fraud Investigator
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Salary Not Disclosed
1 Vacancy
Job Description
Job Summary
Job Description
What is the opportunity
In this role as Fraud Investigator you will gather prepare and analyze documents and information relating to specific events in an attempt to mitigate financial reputational regulatory and legal risk using established procedures and in accordance with RBC Insurance Policy. Shares responsibility for all components of investigations/fraud detection with peers and Managers of IIS. Ensures investigation work is accurate and up to date.
*This role has a Hybrid work model with 4 days in-office*
What will you do
- Set up and triage of cases as well as the ownership of tracking and reporting tools for cases and invoices.
- Gather and analyze documents in Insurance with a particular focus on loss prevention as well as intelligence gathering and identification of offenders.
- Investigate routine events with limited complexity.
- Update and maintain paper and electronic files ensuring accuracy timeliness and thoroughness.
- Communication to Managers and Director fraud trends issues significant control weaknesses or deficiencies identified during investigations.
- Complete root cause analysis of your closed investigations and proactively enhance IIS policy and procedure in conjunction with Investigators.
- Assist in triaging and upfront analytics on identified claims supporting investigations as required.
- Active participation in projects that enhance fraud detection in Insurance business.
- Develop and maintain a network of internal partners and external peers in the industry police and other authorities to ensure a consistent approach to the detection and investigation of criminal activity against RBCI.
What do you need to succeed
Must-have:
- A minimumof 3 years fraud analytics and/or medical fraud adjudication experience
- Effective and strong written and oral communication skills
- Good research organizational and analytical skills
- Ability to lead by example through provision of knowledge cooperation and teamwork.
- Skills in Microsoft Office computer applications
- Strong technical knowledge of excel
Nice to have:
- University degree or equivalent experience
- Experience with gathering evidence
- Knowledge of RBC systems/processes an asset
- Bilingual (French & English speaking)
Whats in it for you
We thrive on the challenge to be our best progressive thinking to keep growing and working together to deliver trusted advice to help our clients thrive and communities prosper. We care about each other reaching our potential making a difference to our communities and achieving success that is mutual.
This role includes the following:
A comprehensive Total Rewards Program including bonuses and flexible benefits competitive compensation
Leaders who support your development through coaching and managing opportunities
Work in a dynamic collaborative progressive and high-performing team
Opportunities to do challenging work
Job Skills
Coverage Analysis Detail-Oriented Information Capture Insurance Claims Investigations Insurance Fraud Investigations Interview Techniques Liability Loss Control Litigation Management Risk Assessments Vendor ManagementAdditional Job Details
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Note: Applications will be accepted until 11:59 PM on the day prior to the application deadline date above
Inclusion and Equal Opportunity Employment
At RBC we believe an inclusive workplace that has diverse perspectives is core to our continued growth as one of the largest and most successful banks in the world. Maintaining a workplace where our employees feel supported to perform at their best effectively collaborate drive innovation and grow professionally helps to bring our Purpose to life and create value for our clients and communities. RBC strives to deliver this through policies and programs intended to foster a workplace based on respect belonging and opportunity for all.
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Employment Type
Full-Time
