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Claims Manager, Corporate Accident Benefit Claims Specialist
2 months ago
We are seeking an experienced Claims Manager to lead our Accident Benefits Technical team. As a key member of our Claims Operations team, you will be responsible for providing technical expertise and oversight to a diverse team of Technical Advisors.
Key Responsibilities- Team Leadership: Manage a team of 10 to 12 Claims Technical Advisors responsible for providing direction and oversight of reserve activity and payments on large or complex claims files.
- Technical Expertise: Provide technical expertise and guidance to the team on claims handling, reserve management, and payment processing.
- Collaboration: Liaise with other claims experts, underwriting, reinsurance, actuary, and senior leadership to ensure effective claim management.
- Quality Assurance: Conduct quality assurance audits of claims staff and vendors to ensure compliance with corporate standards.
- Training and Development: Assist in training and providing technical support to team members to enhance their skills and knowledge.
- Change Management: Support team members through transformation and lead through change while maintaining a high-performance work environment.
- Consultative Services: Act in a consultative and advisory capacity on claims matters such as coverage, policy interpretation, and settlement negotiation.
- Remediation and Knowledge Transfer: Support remediation and knowledge transfer on best practices, processes, and regulatory compliance.
- Loss Cost Management: Effectively manage loss costs and expenses through critical evaluation of policies and procedures and execution.
- Corporate Governance: Provide corporate governance over claims adjudication practices to ensure technical services and operational teams manage claims in accordance with regulatory requirements, company policies, and procedures.
- Vendor Management: Maintain a respectful and productive business relationship with vendors, service providers, legal firms, and internal stakeholders.
- Project Management: Collaborate, coordinate, and lead projects in conjunction with National AB claims and Claims Operations.
- Performance Monitoring: Monitor key performance indicators monthly to identify trends and develop strategies and action plans in consultation with Claims Operations.
- Education: University degree in any discipline or a 2-year college diploma from a provincially recognized and funded community college or fully completed CIP designation.
- Experience: A minimum of 15 years general claims handling experience and a minimum of 5 years claims leadership experience.
- Skills: Strong interpersonal skills, strong communication skills, proficient in MS Office, and strong computer skills.
- Industry Knowledge: Experience with mediation, arbitration, and litigation, and a demonstrated history of change management.
- Leadership: Experience coaching and mentoring junior staff and a desire to work at the pinnacle of the adjusting experience in a high-performance team.
Definity Financial is a leading property and casualty insurer in Canada. We offer 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. We are committed to creating a culture that is collaborative, ambitious, rewarding, and empowering.
