Investigation Analyst - Member Risk

Manulife’s Group Benefits Health and Dental Claims Risk Management department is a diverse and dynamic team supporting key operational objectives through digital claims risk management, claims abuse monitoring, fraud investigations, data analytics, and claims experience management. Effective management of health and dental claims is crucial for the success of group benefits operations. The Investigation Analyst leverages analytical skills, investigative expertise, customer focus, and knowledge of the Canadian Healthcare environment to manage ongoing risk management priorities.



A key focus is the prevention, detection, and investigation of fraud and abuse related to plan members, proactively identifying risks and championing mitigation strategies. This role involves conducting investigations and liaising with industry contacts, vendors, and internal departments like Legal and Compliance.



Reporting to the Senior Manager, Fraud Risk Management, the An...