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Sun Life

Bilingual Investigative Analyst – Fraud Risk Management

Sun Life

Bilingual Investigative Analyst in Fraud Risk Management reviewing dental claims for fraud detection. Collaborating across teams to identify and investigate fraudulent claiming activities.

Posted 6/18/2026full-timeToronto • 🇨🇦 CanadaJuniorMid-Level💰 CA$49,000 - CA$77,000 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
data analysisaudit outcomesinvestigative stepsdental benefitsdental terminology
Soft Skills
bilingualismcommunication skillsdecision-making skillsattention to detailindependence
Tools & Technologies
WordExcelTableauOutlook
Industry Keywords
fraud preventionclaiming behaviorfraud and abuse trendsdental providersplan members

Tech Stack

Tools & technologies
Tableau

About the role

Key responsibilities & impact
  • Conduct reviews of plan member and service provider claiming behavior to rule out fraud or abuse
  • Using data analysis and audit outcomes, recommend dental providers and clinics for investigation
  • Identify, track and communicate emerging fraud and abuse trends
  • Triage tips and referrals related to inappropriate administration practices of dental providers
  • Provide support to the Investigator on active profiling of dental providers
  • Assist in interviewing plan members and prepare packages for onsite audits
  • Timely collection and documentation of investigative steps and outcomes
  • Action and respond to inquiries and escalations
  • Confidently communicate audit findings to a variety of audiences
  • Promote education and awareness related to fraud prevention

Requirements

What you’ll need
  • Bilingualism (French, English, both oral and written) is required
  • Minimum of two years dental industry expertise
  • Excellent communications skills both verbal and written
  • Strong knowledge of dental benefits and dental terminology
  • Ability to work independently in a fast-paced environment
  • Strong decision-making skills and attention to detail
  • Advanced computer skills (Word, Excel, Tableau, Outlook)

Benefits

Comp & perks
  • Health insurance
  • Retirement plans
  • Paid time off
  • Flexible work arrangements
  • Professional development