Director, Corporate Claims Quality Assurance

3 days ago


Regina, Canada SGI CANADA Full time

Do you value integrity and innovation? How about passion and caring? Great Us too, and that's why you'll fit right in. Our intentional culture promotes trust and participation, encouraging you to bring your heart and mind to work every day. General Accountability The successful candidate will be responsible for leading the Corporate Claims quality assurance program, claims training program and continuous improvement framework for Auto Fund (AF) claims. In this role you will develop and implement a strategic quality assurance (QA) framework, ensuring the alignment of QA programs with corporate and divisional goals and lead independent claims file audits. You will establish key quality and performance indicators to monitor and improve claims handling performance. You will collaborate with other departments to ensure the QA program adheres to best practices and regulatory standards. You will also develop internal control frameworks and regulatory compliance programs focused on Claims Operations. You will lead implementing enhancements that improve the overall efficiency and effectiveness of the claims processing system. You will oversee claims training programs, ensuring they are developed and delivered effectively in collaboration with Human Resources and other business areas to align the training strategy with the overall technical learning framework. As well, collaboration will be required between the SGIC and AF Corporate Claims Quality Assurance & Training teams to ensure consistency and alignment where it is appropriate. Key Accountabilities Note: This section is not intended to be an exhaustive list of duties and responsibilities – other duties and responsibilities may be assigned. Corporate Claims Quality Assurance Leads the establishment of a quality definition and quality objectives for claims handling. Accountable for the development of a quality assurance (QA) strategy and framework for applicable Claims Operations. Oversees the generates, monitoring, and review of_SC QA program effectiveness, including the establishment key quality indicators (KQI’s) and key performance indicators (KPI’s). Provides strategic oversight to claims quality assurance by ensuring the QA strategy, framework, and programs are aligned with corporate and divisional strategies and goals. Leads a team responsible for assessing and monitoring relevancy of KQI’s to ensure ability to deliver on corporate and divisional objectives, identifying areas of concern, potential process improvements and training needs. Leads a team in conducting independent claims file audits, reporting audit results, providing remediation plans, and following up to ensure identified issues have been addressed in compliance with Corporate Claims audit requirements. Provides objective, independent, risk-based claims quality and control oversight to continually improve claims portfolio performance. Collaborates with Corporate Underwriting and other areas in the company (Audit, Risk Management, etc) to ensure quality assurance program is consistent and utilizes best practices. refers to Internal Controls and Regulatory Compliance Accountable for the development of a claims focused internal control framework that is aligned with CEO/CFO certification. #J-18808-Ljbffr



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