Jobs

    Manager, National Claims Quality Assurance - Dartmouth, Canada - Definity Careers

    Definity Careers
    Definity Careers Dartmouth, Canada

    5 days ago

    Default job background
    Full time
    Description
    What can you expect in this role?


    • Work with insurance Claims VPs & Directors, Actuarial and Insurance Risk teams to drive insurance claims handling insights and
    impact while supporting Claims in their action planning and resolution


    • Lead a team of highly technical and/or professionally insurance designated staff while promoting a strong risk and control environment
    • Develop and manage the insurance claims technical file review program
    • Ensure all reviewers (Claims Leaders, Claims Technical Advisors, Claims Quality Assurance) are calibrated to ensure
    consistent approach in reviewing claim files


    • Obtain agreement with Claims Leaders and Claims Technical Advisors on establishing best-in-class standards to audit against minimum thresholds
    • Lead a Claims Quality Assurance review team while supporting their development to ensure team objectives are met
    • Modernize approaches to technical file reviews by incorporating data analytics to measure and monitor adherence to regulatory
    and company standards


    • Provide advisory and consultative services on claims file management, claims process effectiveness, risk management and
    control on new initiatives, process changes, existing processes and ad hoc requests


    • Conduct root cause analysis and implement solutions in partnership with Claims, Actuarial, Risk, IT, Legal & Compliance,
    Finance & Underwriting


    • Foster awareness of the company's policies and procedures through regular communication, training and employee engagement
    • Monitor emerging best practices in risk management, audit and controls to improveEconomical's ability to identify, assess,
    mitigate, govern and report

    What do you bring to the role?


    • 10+ years of experience in P&C claims handling either as a leader or Claims Technical Specialist

    Experience in/strong exposure to:
    audit, risk management, regulatory compliance, processes and controls


    • Strong understanding of business operations and related legislative, regulatory, and internal policy and procedure requirements
    • Excellent analytical, written and verbal communication skills
    • Ability to build strong relationships externally and internally with all levels to help foster a positive compliance culture
    • Proficient in Microsoft Excel, Power Point and Word
    • Strong organizational, planning skills and critical problem-solving skills
    Salary range is $74,100 - $136,500
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