Bilingual Field Investigator, Life & Health Claims
RBC Capital
Job Description
What is the opportunity?
The Bilingual Field Investigator is responsible for conducting timely and thorough, objective investigations for the Life & Health Claims Department. They will actively support and collaborate with our Corporate Investigative Services Team and the Life & Health Claims Team to mitigate and prevent fraud. They play a critical role in protecting the integrity of claims process, mitigating fraud risk, and ensuring compliance with regulatory and company policies and procedures
What will you do?
Conduct in-person or on-site interviews, complete site visits, arrange surveillance and background checks as necessary
Gather, verify, and analyze information from claimants, healthcare providers, employers, witnesses, and other relevant parties to identify potential fraud indicators in claim files.
Assess the authenticity of claims documents, including medical records, death certificates, employment records
Prepare clear, concise, and factual investigative reports
Produce regular fraud reporting to senior leadership team
Act as a liaison between our Life & Health Claims department & our Corporate Investigative Services team
What will you need to succeed?
Must have:
Extensive experience in claims adjudication
Knowledge of Life and Health insurance products across various business lines (Disability, Life, Specialty)
Experience conducting investigations and interviews, site inspections and gathering evidence
University and/or post-graduate degree
Bilingualism (English and French) required, as you will regularly serve our clients and do business with RBC partners and/or employees across Canada with English and French speaking needs
High level of written skills required (French and English)
Valid unrestricted Driver’s License
Nice to have:
Industry designations
Experience in gathering and preserving evidence, and presenting the evidence before the court
What's in it for you?
A Total Rewards program that includes flexible benefits, work/life balance and career development programs and investment and retirement savings plans
Competitive pay and high-earning potential
All the tools, training, and team support you need to grow your career
Flexible work/life balance options
RBCI software tools to boost your productivity
RBC is an organization that succeeds by bringing out the best in its people. You’ll be part of a supportive, inclusive team that shares common values – including a fundamental respect for each other. At the heart of this is a commitment to diversity. RBC respects and responds to the many competing and evolving priorities in our lives – so you can focus on what you can do best – putting clients first.
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Job Skills
Commercial Laws, Decision Making, Equal Employment Opportunity Law, Fraud Management, Fraud Monitoring, Fraud Prevention, Fraud Risk Management, Investigation Techniques, Investigative Interviewing, Legal Practices, Long Term Planning, Management Reporting, Quality Orientation, Surveillance, Waterfall ModelAdditional 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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Expand your limits and create a new future together at RBC. Find out how we use our passion and drive to enhance the well-being of our clients and communities at jobs.rbc.com.