Anti-Fraud Analytics & Administration Specialist

Release Date: 11/06/2025
Staff Reference: clhia careers

Imagine a job where YOU can utilize your exceptional interpersonal skills to liaise effectively with both internal and external teams.

Add a great collaborative team, a challenging variety of work, excellent work life balance, and you have imagined a job at the CLHIA.

About the CLHIA

CLHIA is the respected voice of Canada's Life and Health insurers. Our work concerns the lives of all Canadians. We work alongside our members to advance public policy solutions that ensure a sound and vibrant life and health insurance industry that allows Canadians to enjoy greater financial security and access to valuable supplementary health benefits. Every day at the CLHIA, we bring:

• our authentic selves to the job
• our best ideas to every challenge
• our open minds to other perspectives
• our full trust in one another’s abilities
• our commitment to exemplify respect, accountability, teamwork, and excellence in how we work together; and
• our genuine enthusiasm for a job well done – whether it’s your own achievement or someone else’s.

We are a stable and secure association that has been busier than ever. We are a small close-knit team that works together to make sure the association runs smoothly. This position is currently a hybrid position where you are expected to attend the Toronto office at least 2 days a week but exceptions can be made for candidates residing outside the GTHA.

The Right Fit

We believe the kind of person you are matters. We have a culture of respect and caring, and we want employees who will thrive in our environment. When we hire, we consider your potential and how you may fit with our team.

You will succeed here if you are:

An excellent communicator – you will be collaborating with not only our internal team but with stakeholders and member companies. Your ability to communicate clearly and with several different parties will support your success.

Independent – you are self-motivated and manage your time well. You are able to organize your day to meet often conflicting priorities and deadlines.

Flexible – this is a position where you will have to approach an issue through different angles and the ability to analyze a situation or problem.


The Position:

Reporting to the Senior Manager, Anti-Fraud Program, the Anti-Fraud Analytics & Administration Specialist is responsible for the administration of the industry’s joint investigation program including reporting and data analysis.

The position package includes:

• Prescription, dental and paramedical benefits, with employer paid premiums
• A defined contribution pension plan with employer matching
• A competitive compensation package
• 3 weeks paid vacation
• 10 sick days
• 2 floater days
  

What you will be working on:

• Tracking the status of investigation submissions and lead investigators, ensuring proper documentation and follow-up.
• Preparing and formatting documents for posting on the CLHIA's website or microsites and coordinating the receipt of materials and database entries.
• Responding to internal and external inquiries professionally and preparing materials for meetings and case referrals.
• Maintaining program datastore, updating contact information, and ensuring the datastore is current with proper authority restriction and access rights.
• Managing tasks required to maintain and advance the program, such as updating reference materials, contract and meeting coordination.
• Preparing data in our reporting tools for trending and analysis.
• Suggesting ongoing improvements.
• Additional tasks as required.

What you will bring:

• University degree in a related field with 3+ years of experience, including working with fraud investigators, data analytics, and operational functions.
• Knowledge of the life and health insurance industry, and/or experience with member-based organizations. Previous fraud investigation experience is an asset.
• Knowledge of anti-fraud technologies and other management tools.
• Skills in data management and analytics.
• Strong background in operations and data analysis in the life and health insurance industry - group benefits an asset.
• Organizational and time management skills to manage activities, including those with tight deadlines and changing priorities.
• Ability to facilitate collaboration and knowledge sharing across various stakeholders.
• Excellent communication and stakeholder management skills.
• Advanced knowledge of MS Office, Power BI, SQL, and database applications.
• CFE or similar designations available or in progress.
• Bilingual (English/French) or ability to read and speak some French is an asset.

How to apply:

Please submit your resume through LinkedIn, Indeed or email to clhiacareers@clhia.ca

The CLHIA is committed to ensuring fair and inclusive employment practices. On request, we provide accommodation for applicants with disabilities in accordance with the requirements of the Accessibility for Ontarians with Disabilities Act, 2005. If you require accommodation, please advise us. We thank all applicants for their interest. However, only those applicants selected for an interview will be contacted.