Analyst, Insurance Claims Quality Assurance
4 weeks ago
Job ID : 7062
Category : Personal Insurance
Brand : Definity
Regular/Temporary : Temporary
Fulltime/Parttime : Full Time
Location : Dartmouth, Canada
Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back to 1871, we’ve grown to become a digital leader in the insurance industry. We’re proud to help our clients and communities adapt and thrive in a world of constant change.
Our promise to you: It’s better here. Why? Because we CARE, and we provide an employee experience that’s collaborative, ambitious, rewarding, and empowering.
Our ambition is to be one of Canada’s leading and most innovative P&C insurers. Come be a part of our journey, and love what you do.
Definity offers a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Leaders partner with their teams to find the right balance of on-site and remote work that best meets the needs of their teams, colleagues, brokers and customers, while ensuring collaboration, teamwork and accountability for goals.
18 month secondment
The Analyst, National Claims Quality Assurance, will lead the implementation and execution of a technical file review program within the claims area of the business including coverage of multiple regions/jurisdictions. This Line 1B defense mechanism for Claims ensures our claims file handlers and leaders are:
- Meeting customer expectations
- Ensuring case reserves are timely and accurate
- Managing claims according to regulatory requirements
- Adhering to other file handling practices to Economical standards
**What can you expect in this role?**
- Work with Claims VPs and Directors, Actuarial and Insurance Risk teams - within claims operations to drive claims handling insights and impact while supporting Claims in their action planning and resolution
- Report the results of these reviews into 2 new sub-committees (Claims Risk & Control and Reserving committee/sub-committee) to promote a strong risk and control environment
- Support the development of claims technical file review audit methodology framework and processes
- Provide input/insight in developing the annual audit plan
- Support the development of audit quality standards for each step of the audit process such as: testing scripts and interpretation notes, working papers, etc.
- Complete file reviews
- Make recommendations on findings, agreeing with key claims stakeholders to appropriately manage risks
- Report findings to Risk & Reserving committees, senior leaders and other key stakeholders as required
- Manage internal and external resources supporting this work
- Recommend and influence any necessary changes to company policies, guidelines and best practices
- Ensure all reviewers (Claims Leaders, Claims Technical Advisors, Claims Quality Assurance) are calibrated for a consistent approach in auditing claims files
- Obtain agreement with Claims Leaders and Claims Technical Advisors on establishing best-in-class standards for audit and minimum thresholds for lines of business and file handling performance, including developing leakage methodology
- Incorporate data analytics to measure and monitor adherence to regulatory and company standards, including idea generation, designing automated testing procedures and investigating potential gaps and incorporating findings into the reporting process
- Provide advisory and consultative services on claims file management, claims process effectiveness, risk management and control on new initiatives, process changes, existing processes and from ad hoc requests
- Problem solving from root cause analysis on issues to developing and implementing solutions
- Work with Claims, Actuarial, Risk, IT, Legal & Compliance, Finance and Underwriting
- Foster awareness of the company's policies and procedures through regular communication, training and employee engagement
- Help to implement any new requirements, controls, close action items as needed, including assisting with new regulatory requirements, process and controls mapping/documentation, framework updates and/or development
- Monitor emerging best practices in risk management, audit and control to improve the organization's ability to identify, assess, mitigate, govern and report
- Develop techniques to make control testing more efficient and effective
**What do you bring to the role?**
- Strong 5+ years claims career including; 5+ years of Sr. Adjuster and/or Specialist experience in direct claims handling of at least one major line of long tail claims business (Bodily Injury/Casualty or Accident Benefits)
- Multi-line claims handling experience is an asset but not necessary
- Experience in audit, risk management, regulatory compliance, processes and controls is preferred but not necessary
- Exper
-
Analyst, Insurance Claims Quality Assurance
4 weeks ago
Dartmouth, Canada Definity Financial Corporation Full timeJob ID : 7061 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back...
-
Analyst, Claims Control
3 weeks ago
Dartmouth, Canada Definity Full time**Analyst, Claims Control & Data**: Job ID : 5965 Category: Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With...
-
Claims Adjuster
3 weeks ago
Dartmouth, Canada Curo Claims Services Inc. Full time**Company Description** Who We Are** With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us. At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the...
-
Claims Adjuster
4 weeks ago
Dartmouth, Canada Curo Claims Services Inc. Full time**Company Description** Who We Are** With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us. At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the...
-
Specialist, Quality Assurance
4 weeks ago
Dartmouth, Canada Definity Full timeJob ID : 6521 Category: Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back to 1871,...
-
Bilingual Claims Adjuster, Automobile
5 days ago
Dartmouth, Canada Curo Claims Services Inc. Full time**Company Description** Who We Are** With every job, there’s always the question of “why”. Why join a company? Why be part of their mission? Here, the why is easy. It’s because at some point, we’ve all needed someone there for us. At the OTIP Group of Companies (OGC), we believe that something special happens when employees feel valued for the...
-
Bilingual Claims Adjuster, Automobile
3 days ago
Dartmouth, Canada Curo Claims Services Inc. Full timeJob DescriptionWhat You’ll Do:Reporting to the Manager, National Auto Claims, you’ll be responsible for serving the members through the investigation and settlement of minor to moderate automobile claims. This includes establishing prompt relationships with insured members, detailed investigation of coverage, liability and quantum ensuring fiduciary,...
-
Quality Assurance Analyst
3 weeks ago
Dartmouth, Canada Medavie Blue Cross Full timeFor over 75 years, Medavie Blue Cross has been a leading health and wellness partner for individuals, employers and governments across Canada. As a not-for-profit organization, we proudly invest in communities to help address some of Canada’s most pressing health care challenges. We are one of Canada's Most Admired Corporate Cultures, one of Canada’s Top...
-
Claims Adjuster 1
4 weeks ago
Dartmouth, Canada Wawanesa Insurance Full time**Date**:Jan 28, 2025 **Location**: Dartmouth, NS (Hybrid), CA Moncton, NB (Hybrid), CA **Company**:Wawanesa Insurance **Job ID**: 8920 **Working Business Language**: Bilingual in French and English. **Salary**: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition...
-
Account Manager
4 weeks ago
Dartmouth, Canada OTC Insurance Full time**The Position** We are looking for a full-time customer solutions SUPERSTAR who will provide exceptional service for our home and auto insurance clients. This new team member would be a confident, forward thinker, who uses creative problem solving skills to ensure a positive experience for our clients. Your responsibilities will include: - Providing high...
-
Claims Representative
2 weeks ago
Dartmouth, Canada Intact Full timeFrom coast-to-coast, our inspiring colleagues are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. With our team, you’ll bring this purpose to life every day by living our Values, being open to change, and pursuing your goals. At Intact, we’ll give you countless opportunities to...
-
Bilingual Claims Representative
3 weeks ago
Dartmouth, Canada Intact Full timeFrom coast-to-coast, our inspiring colleagues are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. With our team, you’ll bring this purpose to life every day by living our Values, being open to change, and pursuing your goals. At Intact, we’ll give you countless opportunities to...
-
Account Manager
3 weeks ago
Dartmouth, Canada Steers Insurance Atlantic Ltd. Full time**The Position** We are looking for a full-time customer solutions SUPERSTAR who will provide exceptional service for our home and auto insurance clients. This new team member would be a confident, forward thinker, who uses creative problem solving skills to ensure a positive experience for our clients. Your responsibilities will include: - Providing high...
-
Claims Advisor I
2 weeks ago
Dartmouth, Canada TD Bank Full time**Claims Advisor I**: - 418277BR **Job Category - Primary** - Insurance **Work Location** - 168 Higney Avenue **Employment Type** - Regular **City** - Dartmouth **Time Type** - Full Time **Province/State** - Nova Scotia **Hours** - 35 **Workplace Model** - Hybrid **Pay Details** **Department Overview** - TD Assurance fait partie du Groupe Banque...
-
Quality Assurance Technician
2 weeks ago
Dartmouth, Canada Atlantic Hardchrome Full time**Atlantic Hardchrome **is a Nova Scotia based full service company. We provide equipment repair, manufacturing, machining, CNC machining, grinding & plating services in the Industrial, Aerospace, Mobile/Heavy Equipment, Construction, Forestry, Oil & Gas, and Energy sectors. **Quality Assurance Technician** Reporting to the Quality/Engineering Supervisor...
-
Quality Assurance Technician
4 weeks ago
Dartmouth, Canada Ace Machining Ltd Full timeReporting to the owners as Quality Assurance Technician you will be responsible for: - Random in-process inspection of machined and repaired parts; - Final inspection of machined and repaired parts; - Final testing of assemblies; - Operate coordinate measuring machine (CMM); - In-house Quality System audits and associated reporting on NCR’s - Manage &...
-
Claim Representative, General Liability
3 weeks ago
Dartmouth, Canada The Travelers Companies, Inc. Full time- Who Are We? - Solid reputation, passionate people and endless opportunities. That’s Travelers. Our superior financial strength and consistent record of strong operating returns mean security for our customers - and opportunities for our employees. You will find Travelers to be full of energy and a workplace in which you truly can make a difference. -...
-
Dartmouth, Canada Definity Full timeJob ID : 6593 Category : Claims Brand : Definity Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Definity includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. With strong roots that date back...
-
Representative, Insurance Service
3 weeks ago
Dartmouth, Canada Petline Full time**Representative, Insurance Service**: Job ID : 5980 Category : Petline Insurance Brand : Petline Regular/Temporary : Regular Fulltime/Parttime : Full Time Location : Dartmouth, Canada Petline is part of Definity, which includes some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family...
-
Claims Representative
3 weeks ago
Dartmouth, Canada Intact Full timeOur employees are at the heart of what we do best: helping people, businesses and society prosper in good times and be resilient in bad times. When you join our team, you’re bringing this purpose to life alongside a passionate community of experts. Feel empowered to learn and grow while being valued for who you are - here, diversity is a strength. You...