Manager, Corporate Claims Quality Assurance

6 months ago

Regina, Canada Saskatchewan Government Insurance 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.

Out-of-Scope

Location: Regina Head Office

Key Accountabilities

Note: This section is not intended to be an exhaustive list of duties and responsibilities - other duties and responsibilities may be assigned.

Quality Assurance
- Oversees the development and maintenance of a quality assurance [QA] strategy and framework for Corporate Claims and Claims operations.
- Oversees the development and maintenance of QA programs including the establishment of KQI’s and KPI’s.
- Oversees consistent implementation of QA best practices by Corporate Claims and Claims Operations and ensures they align with department and division strategic goals.
- Leads Corporate Claims and Claims Operations on internal and external audit inquiries including periodic updates on audit findings as they relate to Claims.
- Coordinates weakness investigations and risk assessments to determine the impact of exceptions found as par of the audit processes and provides clarification or supporting evidence on a process of key control.
- Provides detailed communication of resolution recommendations to Corporate Claims and Claims Operations senior and executive leadership, seeks alignment, and directs implementation of solutions.
- Provides expertise in analysis of complex, multi-faceted business problems and provides detailed recommendations to resolve issues.
- Oversees the QA queue of projects, ensuring initiatives are appropriately prioritized and resourced and collaborates with other divisions as required

Continuous Improvement
- Ensures the continual improvement of the overall QA program and coordinates the ongoing development and maintenance of the Corporate Claims continuous improvement framework.
- Oversees the mapping and analysis of key processes.
- Ensures KQI’s are monitored to identify potential process improvements and ensure continued relevancy for the business and that they are in alignment with department and divisional goals.
- Oversees the development of key performance and quality indicators that will meet business needs
- Reviews recommended approaches to mitigate identified process risks and oversees the implementation of necessary control measures amongst the various departments.
- Reviews recommended process improvements prior to implementation to ensure overall workflows within claims operations will be improved
- Ensures process improvements are monitored post implementation to confirm benefits are realized and that outcomes are meeting expectations.
- Collaborates with cross-functional teams, and Managers/Directors to facilitate the identification of processes requiring review, prioritizing processes to review, and conducting reviews to identify opportunities to increase business process efficiency and effectiveness.

Collaboration and Relationship Management
- Oversees cross functional collaboration necessary to obtain required information for root cause analysis and the formulation of solution options.
- Reviews stakeholder impact assessments and leads change adoption.
- Builds and improves the relationship between QA team and other stakeholders, including Managers and Directors, through regular communication and education.
- Works collaboratively with other areas in the corporation to ensure QA process is embedded in all relevant projects.
- Oversees collaboration with OCM (Organizational Change Management) and PRM’s (People Relationship Manager) to ensure change management plans are developed and in place prior to implementation.
- Collaborates with Internal Audit and Enterprise Risk Management functions of the corporation to manage claims related risks and implement mitigation strategies.
- Coordinates with audit and relevant business area to identify emerging risks due to environmental, process, or technology changes and ensures work is done to mitigate identified risks.
- Reviews and provides feedback on initiative charters, scoping documents, and action plans.
- Ensure processes are aligned with policies and standards.
- Present findings and other communications to different audiences and will facilitate (or co-facilitate) stakeholder meetings.
- Ensures that documentation of key internal department processes/standards is completed and that there is a historical record for future reference.

People Leadership
- Builds a high performing workforce by actively leading human resource activities.
- Ensures development of divisional succession plans.
- Builds a culture of leadership and accountability to effectively deliver on strategic and corporate strategies, ensuring integration with employee performance development and career development plans.
- Drives performance through team members and is committed to leadership development across the company, supporting employ

  • Claims Examiner Iii Reinsurance

    5 months ago

    Regina, Canada Canada Life Assurance Company Full time

    Claims Examiner III Reinsurance **Description: - Permanent Full Time- As a Claims Examiner III, you’ll provide senior level adjudication of Reinsurance and Retrocession Individual Life and Health (DI & Waiver) claim decisions. Every day could look a little different as you perform a range of tasks to support the claim team by resolving client inquiries,...

  • Quality Assurance Technician

    5 months ago

    Regina, Canada Brandt Full time

    Brandt is currently seeking a **Quality Assurance Technician** to join our team in **Regina, Saskatchewan**.** This position ensures the products produced at Brandt adhere to Brandt’s quality standards and/or the customer’s applicable quality standards. It is also responsible for the development and implementation of procedures related to inspection...

  • Quality Assurance Technician

    7 months ago

    Regina, Canada Brandt Full time

    Brandt is currently seeking a Quality Assurance Technician located in Regina, SK. This position ensures the products produced at Brandt adhere to Brandt’s quality standards and/or the customer’s applicable quality standards. It is also responsible for the development and implementation of procedures related to inspection activities, the detection and...

  • Quality Assurance Tester

    3 months ago

    Regina, Canada InSync Full time

    We are looking for a **Quality Assurance Tester** for a **12-month contract** position in **Regina, Saskatchewan**. **Must be legally entitled to work in Canada.** **On-site, Hybrid, and remote work available. 8 hours a day, 40 days per week.** **Role Description** **Responsibilities** - Create and execute test strategies, test calendars, test coverage,...

  • Quality Assurance Analyst

    6 months ago

    Regina, Canada Plannera Pension & Benefits Full time

    **About Us** **Join the Plannera Team: A Career with Purpose. A Future with Possibilities**. Join our team of passionate pension and benefits professionals dedicated to helping members build a secure financial future! Plannera Pensions & Benefits (Plannera), formerly known as the Public Employees’ Benefits Agency, is on the lookout for talented...

  • Quality Assurance Manager

    4 weeks ago

    Regina, Saskatchewan, Canada KPMG-Canada Full time

    Unlock Your Potential as a Quality Assurance ManagerAt KPMG in Canada, we're seeking a talented Quality Assurance Manager to join our IT Advisory team in Regina. As a key member of our team, you'll play a crucial role in ensuring the quality of our services and delivering exceptional results for our clients.About the RoleAs a Quality Assurance Manager,...

  • Property Claims Adjuster

    5 months ago

    Regina, Canada Avenue Living Asset Management Full time

    Avenue Living Asset Management is dedicated to sourcing, analyzing, and strategizing long-term investments. Our unique approach has led to rapid growth across North America now representing one of Canada’s largest alternative asset managers. Since 2006, we have acquired over $5.5 billion in assets under management across a variety of sectors throughout...

  • Disability Case Manager

    5 months ago

    Regina, Canada Canada Life Assurance Company Full time

    Disability Case Manager **Description: - Permanent Full Time- We are looking for a Disability Case Manager in Regina SK.- Are you looking for an environment where integrity, partnership, excellence, and constant improvement are at the heart of your everyday life? In our organization, we believe in working collaboratively in a team environment to share our...

  • Disability Case Manager

    6 months ago

    Regina, Canada Canada Life Assurance Company Full time

    Disability Case Manager **Description: - Permanent Full Time- We are looking for a **Disability Case Manager. **This position is based in Regina, SK.- Are you looking for an environment where integrity, partnership, excellence, and constant improvement are at the heart of your everyday life? In our organization, we believe in working collaboratively in a...

  • Claims Adjuster

    22 hours ago

    Regina, Saskatchewan, Canada Xpera Full time

    About the RoleWe are seeking a seasoned claims adjuster to join our team in Regina, SK. As an insurance claims expert, you will be responsible for adjusting claims while identifying business development opportunities and maximizing their growth.Job SummaryThis is a full-time position that requires immediate eligibility for a Level 1 SK adjuster's license....

  • Disability Case Manager

    5 months ago

    Regina, Canada Canada Life Assurance Company Full time

    **Job Description**: We are looking for a **Disability Case Manager** Are you looking for an environment where integrity, partnership, excellence and constant improvement are at the heart of your everyday life? In our organization, we believe in working collaboratively in a team environment to share our knowledge with one another and to coach and mentor...

  • Claims Adjuster

    22 hours ago

    Regina, Saskatchewan, Canada Xpera Full time

    **Xpera is seeking a Claims Adjuster in Saskatoon, SK.**As a Claims Adjuster with Xpera, you will play a crucial role in maximizing business development opportunities while adjusting claims efficiently.The ideal candidate will have at least 2 years of experience in claims adjusting and be able to obtain a level 1 Adjuster's license in SK. Ongoing commitment...

  • Quality Assurance Manager

    1 month ago

    Regina, Saskatchewan, Canada KPMG-Canada Full time

    OverviewKPMG in Canada is seeking a talented professional to join our QA team in Regina. As a Quality Assurance Manager, you will play a key role in ensuring the delivery of high-quality software solutions to our clients.Key ResponsibilitiesDevelop and execute test plans, strategies, and project documentation using risk analysis methodologies.Lead the...

  • Claims Investigator

    5 months ago

    Regina, Canada City of Regina Full time

    Position Summary Reporting to the Risk Manager, the Claims Investigator is responsible for the investigation and processing of claims for and against the City of Regina, determining the extent of the City’s liability to achieve successful settlement of claims. The Claims Investigator may deal with emotional situations and must be able to clearly...

  • Corporate Auto Fund Specialist

    2 weeks ago

    Regina, Canada Saskatchewan Government Insurance 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. Out of Scope / Full Time Multiple Permanent Opportunities Work Location: Regina This role is eligible for hybrid -...

  • Claims Investigator

    4 weeks ago

    Regina, Saskatchewan, Canada City of Regina Full time

    Job SummaryThe City of Regina is seeking a skilled Claims Investigator to join our team. As a Claims Investigator, you will be responsible for investigating and processing claims against the City, determining liability, and negotiating settlements.Key ResponsibilitiesInvestigate claims against the City, gathering information and evidence to determine...

  • Quality Assurance Specialist

    3 weeks ago

    Regina, Saskatchewan, Canada Health Careers in Sask Full time

    Quality Assurance Role DetailsWe are seeking a Quality Assurance Specialist to join our team at the Wascana Rehabilitation Centre in Regina. This is a full-time temporary position with a expected end date of July 15, 2025.Key Responsibilities:Support the Quality Assurance-Continuous & Quality Improv DepartmentContribute to ensuring high-quality patient...

  • Claims Adjuster Specialist

    22 hours ago

    Regina, Saskatchewan, Canada Xpera Full time

    We are seeking an experienced Claims Adjuster to join our team in Saskatoon, SK. This is a full-time position that requires a strong understanding of claims adjusting principles and practices.About XperaXpera is the largest supplier of claims management services in Canada, with over 90 branches coast-to-coast. Our claims professionals offer a broad range of...

  • Content Claims Specialist

    4 weeks ago

    Regina, Saskatchewan, Canada Crawford & Company Full time

    Job Title: Content Claims SpecialistCrawford & Company is seeking a highly skilled Content Claims Specialist to join our team. As a Content Claims Specialist, you will play a critical role in the accurate and timely processing of content claims, utilizing our claims handling methodology and content claims processing and pricing platform, exclaim.Key...

  • Claims Investigator

    1 month ago

    Regina, Saskatchewan, Canada City of Regina Full time

    Job SummaryThe City of Regina is seeking a skilled Claims Investigator to join our team. As a Claims Investigator, you will be responsible for investigating and processing claims against the City, determining liability, and negotiating settlements.Key ResponsibilitiesInvestigate claims against the City, gathering information and evidence to determine...