Claims Practices and Standards Consultant

2 weeks ago

Mississauga, Canada Beneva Full time

Job Posting Title:
Claims Practices and Standards Consultant

Status:
Regular

**Job Description**:
Under the immediate authority of the Director, the incumbent acts as a resource person for his team and other sectors of the company in matters of products, standards, procedures and business solutions in the field of claims. In addition, the incumbent will participate actively to various projects or mandates for Quality Assurance, and other IT projects. By developing and writing new standards and procedures, develops tools and related insurance documents for all policy categories (automobile, property, personal lines and commercial lines) specifically for Unica Insurance.

Summary of Role & Responsibilities:

- Analyze, develop, write and update claims standards and procedures.
- Participate in analysis and work to track legal and regulatory changes on compensation operations.
- Participate in various multi-disciplinary committees and working groups assessing the feasibility of "new" avenues that could influence the processing of operational files.
- Participate in the execution of the Claims roadmap by ensuring that development projects are launched as planned and completed successfully.
- Participate in the implementation of projects (set up, development of solutions, support) and monitor operational performance as well as coordinate continuous improvement initiatives.
- Collaborate in the implementation of the Quality Program for UNICA, implementing a schedule of file audits to assess the overall quality.
- Identify and recommend ways to improve operations in order to facilitate and improve the knowledge, procedures and efficiency of the experts.
- Provides second level technical support to the various stakeholders in the Vice Presidency as a compensation content expert.
- Monitor and manage risk exposure, including claims processing and loss control recommendations.
- Keep abreast of industry trends, the competitive landscape and regulatory developments to identify emerging risks and opportunities.
- Collaborate in the development of training programs required for the implementation of various company projects.
- Analyze and modify the steering of the standards in the mission system to meet the needs of the stakeholders and perform the tests.
- Ensure compliance with company policies, procedures and guidelines.
- Write or validate the insurance content of documents to be sent to policyholders or brokers, advertising content, columns for the media or training for experts.
- Be available to assist Operations during large-scale weather events (natural disasters) or during periods of high traffic requiring a collaboration with front line teams.
- Participates in the execution of management objectives and performs any other duties consistent with the position.

Necessary Knowledge, Skills and Attributes:

- A good knowledge of the brokerage industry is an asset.
- Strong oral and written communication skills.
- Knowledge of the laws and regulations for property and casualty insurance, specifically in Ontario.
- Knowledge of Office - M365 and Computer skills that enable independent management of a variety of programs.
- Strong analytical skills, problem solving skills and attention to detail.
- Be customer, action and results oriented.
- Proven ability to work independently and as part of a team.
- Great negotiating skills.

Education and Experience:

- University degree or College degree in general Insurance / Administration or related field, or equivalent.
- A minimum of 5 years experience in Underwriting or Claims in Personal Lines or Commercial Lines.
- Certified Insurance Professional (CIP) designation is an asset.
- Functional comprehension (verbal and written) in French.

LI-Hybrid

LI-ENG
- L'Unique and Unica are equal opportunity employers, so we encourage all Women, persons with disabilities, Indigenous people as well as visible and ethnic minorities to apply._

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