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Senior Claims Investigator

Date: Apr 2, 2021

Location: San Diego, CA, US, 92108 Orange County, CA, US, 92859 Long Beach, CA, US, 90806 Riverside, CA, US, 92501 Los Angeles, CA, US, 9001 San Bernardino, CA, US, 92410

Company: Wawanesa Insurance

 

Wawanesa Mutual Insurance is one of the largest property and casualty insurers in Canada with $3 billion in annual revenues and assets of more than $9 billion. Wawanesa Mutual, founded in 1896 with executive offices in Winnipeg, is the parent company of Wawanesa General, which offers property and casualty insurance in California and Oregon, and Wawanesa Life, which distributes life insurance products and services throughout Canada. With over 3,500 employees, Wawanesa proudly serves over two million policyholders through nine regional offices and 41 service offices in Canada and the United States.  Wawanesa actively gives back to organizations that strengthen communities where it operates, donating well above internationally recognized benchmarks for excellence in corporate philanthropy.

We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience, advancement on a growing team.

 

Job Overview

 

The Sr. Claims Investigator contributes to Wawanesa’s goal of delivering an exceptional and consistent claims service experience through the thorough investigation of highly complex referred files and to fraud prevention initiatives.

 

Job Responsibilities

 

  • Provide exceptional customer service
  • Review referred claim files to determine the type and scope of investigation required
  • Investigate possible causes of loss via examination of forensic evidence and collection, preservation and submission of evidence to police agencies and or courts
  • Take charge of investigations for cases of a suspect of fraudulent nature
  • Pursue police charges for prosecution, prepare Crown Briefs and provide evidence
  • Understand the application of policy language as it is applied to coverage, liability and settlement of claims
  • Maintain strict confidentiality and ensure compliance with Privacy Regulations
  • Provide ongoing updates on the status of investigations
  • Compose investigation reports and advise claims staff and management of findings and further recommended action
  • Maintain accurate records based on company standards and policies within the claims system
  • Conduct ad hoc internal claims audits
  • Attend court proceedings as required
  • Remain up-to-date with case law, legal tactics, fraud trends and other information that may help limit losses or improve the effectiveness of the detection system  
  • Perform other duties as assigned

Qualifications

 

  • 5+ years related investigative experience
  • Effective customer service skills including empathy and concern for our customers
  • Excellent communication skills, both written and oral
  • Excellent investigative and analytical skills
  • Highly proficient time management and organizational skills with the ability to prioritize work in a fast paced, changing environment
  • Detail oriented with a high degree of accuracy regarding data entry
  • Exceptional advanced negotiation skills
  • Valid driver’s license with acceptable driving record
  • College/University degree preferred

 

Wawanesa General Insurance Company is an equal opportunity employer and is committed to a diverse workforce. Wawanesa provides equal employment opportunity to all employees and applicants without regard to an individual’s protected status: race/ethnicity, color, religion, creed, sex/gender, sexual orientation, gender identity/expression, marital status, pregnancy/childbirth or related conditions, national origin, disability, military or veteran status, or any other protected status.  If you are a qualified individual with a disability, you have the right to request a reasonable accommodation to assist in the application process.  You may request reasonable accommodations by calling the Human Resources department at 858-874-5404 or emailing Human Resources at SD_human_resources@wawanesa.com.

 


Nearest Major Market: San Diego