MONTRÉAL, Quebec, Canada
1 day ago
Field Investigator, Life & Health Claims

Job Description

What is the opportunity? 

The Field Investigator is responsible for conducting timely and thorough, objective investigations for the Life & Health Claims Department. You 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 on site interviews/ gather statements

Gather, verify, and analyze information from claimants, healthcare providers, employers, witnesses, and other relevant parties

Complete site visits, surveillance, background checks as necessary

Assess the authenticity of claims documents, including medical records, death certificates, employment records

Prepare clear, concise, and factual investigative reports

Identify potential fraud indicators in claim files

Ensure all activities comply with privacy regulations, insurance regulations and company protocols.

Maintain the highest level of integrity, professionalism, and discretion

Produce regular fraud reporting to senior leadership team

Act as a liaison between our Life & Health Claims department & our Corporate Investigative Services team

What do you need to succeed?

Must-have 

10+ years of experience in insurance investigations and/or claim adjudication

Knowledge of Life and Health insurance products across various business lines (Disability, Life, Critical Illness)

University degree or equivalent experience

A valid unrestricted driver’s license

Fully Bilingual; French and English speaking 

Excellent verbal & written communication skills

Nice-to-have 

Experience conducting investigations and interviews, site inspections and gathering evidence.

Industry Designations

What’s 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.

A comprehensive Total Rewards Program including bonuses and flexible benefits, competitive compensation

Leaders who support your development through coaching and managing opportunities

Ability to make a difference and lasting impact

Work in an agile, collaborative, progressive, and high-performing team

The opportunity to interface with senior level executives from many different parts of the organization

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.

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 Model

Additional Job Details

Address:

1 PLACE VILLE MARIE:MONTRÉAL

City:

Montréal

Country:

Canada

Work hours/week:

37.5

Employment Type:

Full time

Platform:

INSURANCE

Job Type:

Regular

Pay Type:

Salaried

Posted Date:

2025-08-08

Application Deadline:

2025-08-23

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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