Claims Quality Assurance Specialist
2 days ago
We are seeking a highly skilled Claims Quality Assurance Specialist to join our team at Definity. This role will be responsible for leading the implementation and execution of a technical file review program within the claims area of the business, ensuring compliance with regulatory requirements and adherence to company standards.
Key Responsibilities- Develop and implement a technical file review program to ensure claims file handlers and leaders meet customer expectations, manage claims according to regulatory requirements, and adhere to company standards.
- Work with Claims VPs and Directors, Actuarial and Insurance Risk teams to drive claims handling insights and impact, supporting Claims in their action planning and resolution.
- Report findings and results to promote a strong risk and control environment, and provide input in developing the annual audit plan.
- Support the development of claims technical file review audit methodology framework and processes, and provide advisory and consultative services on claims file management, claims process effectiveness, risk management, and control.
- Monitor emerging best practices in risk management, audit, and control to improve the organization's ability to identify, assess, mitigate, govern, and report.
- Strong 10+ years claims career, including 5+ years as Sr. Adjuster and/or Specialist.
- Experience in minimum 2 lines of claims business (Auto, Property, Bodily Injury/Casualty).
- Experience in audit, risk management, regulatory compliance, processes, and controls is preferred but not necessary.
- Strong stakeholder management skills, excellent analytical, written, and verbal communication skills, and ability to build strong relationships externally and internally at all levels.
- Proficient in Excel, PowerPoint, and Word, and strong organizational and problem-solving skills.
- Hybrid work schedule for most roles.
- Company share ownership program.
- Pension and savings programs, with company-matched RRSP contributions.
- Paid volunteer days and company matching on charitable donations.
- Educational resources, tuition assistance, and paid time off to study for exams.
- Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents.
- Wellness and recognition programs.
- Discounts on products and services.
Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience, working conditions, and the local labour market. In addition to base pay, eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.
Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting.
This role requires successful clearance of background checks (including criminal checks and leadership references).
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Claims Quality Assurance Specialist
1 week ago
Québec, Quebec, Canada Definity Full timeJob SummaryWe are seeking a highly skilled Claims Quality Assurance Specialist to join our team at Definity. As a key member of our Governance and Compliance department, you will play a critical role in ensuring the quality and integrity of our claims handling processes.Key ResponsibilitiesLead the implementation and execution of a technical file review...
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Claims Quality Assurance Specialist
1 week ago
Québec, Quebec, Canada Definity Full timeJob SummaryWe are seeking a highly skilled Claims Quality Assurance Specialist to join our team at Definity. As a key member of our Governance and Compliance department, you will play a critical role in ensuring the quality and integrity of our claims handling processes.Key ResponsibilitiesLead the implementation and execution of a technical file review...
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Claims Quality Assurance Specialist
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Québec, Quebec, Canada Definity Full timeJob SummaryWe are seeking a highly skilled Claims Quality Assurance Specialist to join our team at Definity. As a key member of our Governance and Compliance department, you will play a critical role in ensuring the quality and integrity of our claims handling processes.Key ResponsibilitiesLead the implementation and execution of a technical file review...
-
Claims Quality Assurance Specialist
5 days ago
Québec, Quebec, Canada Definity Full timeJob SummaryWe are seeking a highly skilled Claims Quality Assurance Specialist to join our team at Definity. As a key member of our Governance and Compliance department, you will play a critical role in ensuring the quality and integrity of our claims handling processes.Key ResponsibilitiesLead the implementation and execution of a technical file review...
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