Investigative Advisor

Investigative Advisor – Investigative Services

Build the future with us

Are you driven by protecting the integrity of insurance programs and uncovering complex patterns of risk and fraud? As an Investigative Advisor – Investigative Services, you will play a key role in safeguarding our health and dental plans by conducting in‑depth investigations, analyzing suspicious activities, and supporting sound, evidence‑based decisions that protect both clients and the organization.

This position is a great opportunity to showcase your skills and fully realize your potential within a caring and trustworthy company. Here, people and their development are at the heart of our priorities, fostering an environment that encourages collaboration and innovation.

What you’ll accomplish with us

As an Investigative Advisor – Investigative Services, you’ll be at the core of our mission. Here are the main responsibilities:

• Review referrals and information from internal and external sources regarding suspected fraud, abuse, or irregularities in health and dental claims.

• Analyze alerts generated by fraud detection tools by performing in‑depth analyses and independently exploring data to identify suspicious patterns and potentially fraudulent activities, adapting investigative efforts based on risk, financial exposure, and value added.

• Conduct thorough, objective investigations by collecting and validating evidence from plan members, service providers, internal systems, and other relevant sources.

• Clearly document findings, formulate recommendations, and prepare structured, well‑supported investigation and client reports.

• Collaborate closely with analytics teams to enhance alert quality and improve detection rules, scenarios, and parameters based on field insights.

• Contribute to the continuous improvement of investigation processes, tools, and best practices.

• Ensure rigorous, professional follow‑up on escalated or complex cases.

• Promote fraud prevention through awareness initiatives and strategic recommendations to internal and external partners.

• Stay current on emerging fraud trends, schemes, and industry best practices.

What could accelerate your success in this role

We’re looking for someone who:

• Holds a university degree in a relevant field such as criminology, finance, actuarial science, accounting, or another related discipline.

• Has 3 to 5 years of experience in investigation, auditing, insurance, healthcare, or financial services.

• Demonstrates strong analytical and technical capabilities, including data analysis, transaction review, comfort with analytical tools, and exposure or curiosity toward the professional use of generative artificial intelligence in analytical or process‑improvement contexts.

• Is recognized for their professional judgment, autonomy, initiative, and adaptability, with the ability to navigate ambiguity, manage multiple investigations simultaneously, communicate effectively in difficult situations, and handle sensitive information with discretion.

• Charter of the French language clause: Advanced level of English proficiency is required, as the role involves preparing investigation reports, analyzing documentation, and collaborating regularly with English‑speaking internal and external stakeholders.

Why you’ll love working with us

· A work environment where learning and development merge with a collective pursuit of excellence;
· A healthy, safe, fair, and inclusive environment where potential can be freely expressed and developed;
· The opportunity to work in a hybrid environment, supported by flexibility and access to inspiring and innovative workspaces;
· Competitive benefits: Flexible group insurance, competitive pension plan, stock purchase plan, vacation and wellness/personal development days, telemedicine, employee and family assistance program, ergonomic furniture program, performance bonus, discounts on iA products, and much more!

Apply now and get ahead of your career, where your talent really belongs!

Still unsure about applying? At iA, we believe in potential and value diverse experiences. If this role inspires you, go ahead and apply – your place might be with us, and we want to get to know you!

The typical hiring range for this position is between 65 371 $ et 115 371 $ CAD per year; the base salary offered may vary depending on knowledge, skills, years of experience, and internal equity related to the role. At iA, we are committed to offering a fair, equitable, and market-based compensation structure. Our market data is updated annually to reflect the most current market conditions.