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Claims Manager

2 months ago

Toronto, Ontario, Canada Zurich Insurance Company Ltd. Full time
TPA Claims Manager Job Description

Manage claims department operations, lead a team of claims specialists, and ensure prompt processing of travel insurance claims in line with company policies.

About the Job

As a Third-Party Administrator (TPA) Claims Manager, you will oversee the complete claims management process, ensuring precision, efficiency, and empathy in managing travel insurance claims.

Key Responsibilities
  • Manage day-to-day claims department operations, including reviewing and approving claims decisions.
  • Handle disputes and escalations, working with claimants, internal teams, peers, brokers, and underwriters to find fair resolutions.
  • Lead, mentor, and develop a team of claims specialists, setting performance expectations and providing ongoing feedback.
  • Implement and uphold best practices, process improvements, and measures to prevent fraudulent claims, ensuring compliance with regulatory and contractual standards.
  • Conduct regular claim file reviews and performance assessments, identifying trends and areas for improvement to enhance claims operations and efficiency.
  • Participate in overseeing the onboarding and training of new team members, supporting their development and fostering a collaborative and positive work environment.
Requirements
  • 5+ years of supervisory and/or leadership experience in claims management within a TPA or high volume insurance industry.
  • Proven track record in claims adjudication, strong customer service orientation, and commitment to ensuring high levels of satisfaction.
  • Skilled in process improvement and change management to enhance claims operations and efficiency.
  • Excellent communication skills with the ability to convey complex information clearly to various stakeholders.
  • Relevant educational background with a Bachelor's degree or certifications in business administration, Insurance, Risk Management, or related fields/experience.
About World Travel Protection

We are a global group of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts, and customer service professionals, dedicated to protecting travellers and supporting those responsible for their safety.

Why Choose Us

We value optimism, caring, togetherness, reliability, and determination. We offer a comprehensive onboarding program, ongoing professional development opportunities, and a supportive work environment that encourages growth.

We encourage you to take the time you need, when you need it. We offer regular vacation leave, along with 5 personal days and a comprehensive paid parental leave scheme. We also offer a competitive medical insurance package and company-matching pension contributions, as well as wellbeing benefits and quarterly transit subsidies.

We respect who you are and thoroughly embrace diversity. So whatever walk of life you wander, just be you and come as you are.