Senior Manager, Claims - Toronto, ON MX C

250 Yonge Street Toronto Ontario,M5B 2L7 · The opportunity: Senior Manager to provide leadership, guidance and direction to a team of Case Specialists adjudicating Individual Life, Critical Illness and disability claims. The position is responsible for the service, risk, financia ...

Job description

250 Yonge Street Toronto Ontario,M5B 2L7

The opportunity: Senior Manager to provide leadership, guidance and direction to a team of Case Specialists adjudicating Individual Life, Critical Illness and disability claims. The position is responsible for the service, risk, financial performance, leadership and development of a team of Case Specialists. This role is accountable for Client experience and strong claims management practices which require aligning work practices, performance, and initiatives to reflect the organization's strategic priorities.

• A minimum of five+ years management experience of an Absence or Individual Life and Critical Illness claims team.
• Proven success in developing, building and fostering high performance teams.
• Strong leadership skills with an ability to engage employees to deliver top performance related to service, risk and quality.
• Able to set direction, monitor performance and initiate and communicate changes in direction as needed.
• Able to build agreement on actions by resolving conflicts in an open and positive manner.
• Demonstrated ability to influence others to achieve results.
• Ability to work professionally and effectively with a diverse group of people.
• Strong organizational skills, including the ability to prioritize work and multi-task.
• Strong research, analytical, critical thinking, problem solving skills and decision-making skills.
• Strong computer skills, proficient in PC environment and MS Word, Excel, and email systems.
• Attention to detail with documentation, reporting and communication.
• Ability and desire to work in a fast-paced, service-oriented environment.
• Excellent verbal and written communication skills, with the ability to be both pleasant and professional.
• Ability to initiate and prioritize regular work duties and projects.
• Regularly connects work to BMO's purpose, sets inspirational goals, defines clear expected outcomes, and ensures clear accountability for follow through.
• Builds interdependent teams that collaborate across functional and operating groups to create the highest value for all stakeholders.
• Attracts, retains, and enables the career development of top talent.
• Improves team performance, recognizes and rewards performance, coaches employees, supports their development, and manages poor performance.
• Helps determine business priorities and best sequence for execution of business/group strategy.
• Conducts independent analysis and assessment to resolve strategic issues.
• Supports the execution of strategic initiatives in collaboration with internal and external stakeholders.
• Builds effective relationships with internal/external stakeholders.
• Ensures alignment between stakeholders.
• Designs and produces regular and ad-hoc reports, and dashboards.
• Prepares report on claims trends and issues, and identifies issues or concerns that require remediation.
• Breaks down strategic problems, and analyses data and information to provide insights and recommendations.
• Monitors and tracks performance, and addresses any issues.
• Builds change management plans of varying scope and type; leads or participates in a variety of change management activities including readiness assessments, planning, stakeholder management, execution, evaluation and sustainment of initiatives.
• Assesses, negotiates and resolves disputed claims including those in third level appeal, includes working with the Complaints Ombudsman.
• Escalates claim issues to the Claim Committee and prepares Case Summary.
• Provides consultation to Legal regarding litigation or pre-litigation strategy and reports status based on their merits in a fair and cost effective manner.
• Represents during the course of a lawsuit including being a witness at trail, examinations for discovery, participate in mediations and settlement conferences.
• Identifies business needs, designs/develops tools and training programs; may include delivery of training to audiences.
• Works independently and regularly handles non-routine situations.
• Contribute to fraud detection and prevention efforts.
• Broader work or accountabilities may be assigned as needed.

Qualifications:

• Typically between 5 - 7 years of relevant experience and post-secondary degree in related field of study or an equivalent combination of education and experience.
• Expert level knowledge of insurance products, contracts and benefit plans (all individual, disability products).
• Deep knowledge and technical proficiency gained through extensive education and business experience and Microsoft Copilot.
• Verbal & written communication skills - In-depth.
• Collaboration & team skills - In-depth.
• Analytical and problem solving skills - In-depth.
• Influence skills - In-depth.
• Data driven decision making - In-depth.

Salary:

$69, $129,000.00

Pay Type:

Salaried

The above represents BMO Financial Group's pay range and type.

Salaries will vary based on factors such as location, skills, experience, education, and qualifications for the role, and may include a commission structure. Salaries for part-time roles will be pro-rated based on number of hours regularly worked. For commission roles, the salary listed above represents BMO Financial Group's expected target for the first year in this position.

BMO Financial Group's total compensation package will vary based on the pay type of the position and may include performance-based incentives, discretionary bonuses, as well as other perks and rewards. BMO also offers health insurance, tuition reimbursement, accident and life insurance, and retirement savings plans. To view more details of our benefits, please visit:

About Us

At BMO we are driven by a shared Purpose: Boldly Grow the Good in business and life. It calls on us to create lasting, positive change for our customers, our communities and our people. By working together, innovating and pushing boundaries, we transform lives and businesses, and power economic growth around the world.

As a member of the BMO team you are valued, respected and heard, and you have more ways to grow and make an impact. We strive to help you make an impact from day one – for yourself and our customers. We'll support you with the tools and resources you need to reach new milestones, as you help our customers reach theirs. From in-depth training and coaching, to manager support and network-building opportunities, we'll help you gain valuable experience, and broaden your skillset.

To find out more visit us at

BMO is committed to an inclusive, equitable and accessible workplace. By learning from each other's differences, we gain strength through our people and our perspectives. Accommodations are available on request for candidates taking part in all aspects of the selection process. To request accommodation, please contact your recruiter.

Note to Recruiters: BMO does not accept unsolicited resumes from any source other than directly from a candidate. Any unsolicited resumes sent to BMO, directly or indirectly, will be considered BMO property. BMO will not pay a fee for any placement resulting from the receipt of an unsolicited resume. A recruiting agency must first have a valid, written and fully executed agency agreement contract for service to submit resumes.