Fraud Specialist

Out-of-Scope
Location:
Saskatchewan, Alberta, Manitoba, Ontario
Permanent, Full-Time
Multiple Positions
Division:
Corporate Insurance
Pay Range: $90,116 - $120,147
Close Date:
August 3rd, 2026

Work Location: This role is eligible for hybrid – this means you’ll have the flexibility of working from home and in the office on a scheduled rotation once probation requirements have been met. Until then, the successful incumbent will be expected to work on-site, full-time.

GENERAL ACCOUNTABILITY

The Fraud Specialist supports the Enterprise Fraud Program and is accountable for governance, fraud risk management and quality assurance. This role establishes and maintains fraud standards, indicators, and escalation protocols to ensure a consistent approach to fraud management. This role contributes to the evolution of the fraud strategy, program enhancements and recommends policy and process changes. The Fraud Specialist leverages advanced detection tools, analytics, and industry partnerships to protect SGI and SGI CANADA from fraudulent activity, minimize financial losses, and safeguard honest policyholders.

This role collaborates with internal teams, the Special Investigation Unit (SIU), law enforcement, and vendor networks to ensure suspected fraud is handled accurately, fairly, and efficiently.

KEY ACCOUNTABILITIES


Note:

This section is not intended to be an exhaustive list of duties and responsibilities – other duties and responsibilities may be assigned.

Fraud Program Enablement

• Supports the Enterprise Fraud Program by leading in the implementation and maintenance of fraud prevention and detection measures, including policies, procedures, and controls in accordance with industry best practices and regulatory guidelines.

• Establishes and maintains fraud standards, indicators, and escalation protocols to guide detection and response efforts.

• Builds partnerships with internal teams, operational leadership, legal, and product management for fraud prevention and detection alignment and integration.

• Leads the development, implementation, and use of advanced fraud detection tools/platforms and analytics, actively researches emerging trends and technologies to ensure continuous improvement and alignment with industry best practices.

• Develops fraud thresholds, scoring calibrations, and validation methods to enhance detection accuracy.

• Maintains awareness of industry developments and internal concerns and identifies emerging fraud risks, including but not limited to, Vehicle Identification Number (VIN) tampering, cloning, vehicle identity fraud, staged accidents, ghost broking, misrepresentation, and opportunistic fraud.

• Partners with SIU to escalate complex files requiring litigation, EUO (Examination Under Oath), or external enforcement.

• Conducts research and provides recommendations on the development, maintenance and execution of fraud strategy, program enhancements, resources planning, policy and process changes and risk mitigation strategies.

Operational Process Support

• Collaborates with internal departments, such as SIU, FIU (Fraud Investigation Unit), Quality Assurance, Auto Fund, Underwriting, Corporate Insurance, Privacy, Risk management, Legal, and IT, to develop and implement fraud prevention strategies and controls.

• Provides guidance and subject matter expertise to operational teams in collaboration with SIU, supporting investigation best practices and fraud awareness.

• Monitors and identifies legislative and regulatory changes; assesses impact to fraud programs, collaborates and provides recommendations to leadership on next steps, and develops communications for operations and other impacted stakeholders.

• Accountable for quality assurance, contributing to ongoing improvement by regularly reviewing fraud detection processes, analytics, and performance. Collaborates with internal stakeholders to implement corrective actions and continuous improvement initiatives based on findings,…