Accident Benefits Technical Director

2 months ago

Mississauga, Ontario, Canada Definity Full time
Job Summary

We are seeking a highly experienced and skilled Claims Manager, Accident Benefits Technical to join our team at Definity. This is a leadership role that requires a strong background in claims handling, management, and leadership.

Key Responsibilities
  • Manage a team of Claims Technical Advisors responsible for providing direction and oversight of reserve activity and payments on large or complex claims files.
  • Liaise with other claims experts on technical and claims issues.
  • Actively participate in all Committees.
  • Ensure appropriate governance and provide technical direction and set formal practices in place.
  • Engage all stakeholders in the effective management of a claim, including underwriting, reinsurance, actuary, and senior leadership.
  • Conduct quality assurance audits of our Claims staff and vendors.
  • Assist in training and providing technical support to team members.
  • Support team members through transformation, actively lead through change while maintaining a high-performance work environment.
  • Act in a consultative and advisory capacity on claims matters such as coverage, policy interpretation, and settlement negotiation to help resolve claims-related issues.
  • Support remediation and knowledge transfer on best practices, processes, and regulatory compliance.
  • Effective management of loss costs and expenses through critical evaluation of policies and procedures and execution.
  • Provide corporate governance over claims adjudication practices, ensuring technical services and operational teams are managing claims in accordance with regulatory requirements, company policies, and procedures.
  • Maintain a respectful and productive business relationship with vendors, service providers, legal firms, and internal stakeholders.
  • Collaborate, coordinate, and lead projects in conjunction with National AB claims and Claims Operations.
  • Monitor key performance indicators monthly to identify trends and develop strategies and action plans in consultation with the claims operations.
  • Manage oversight initiatives as assigned.
Requirements
  • University degree in any discipline or a 2-year college diploma from a provincially recognized and funded community college or fully completed CIP designation.
  • A minimum of 15 years general claims handling experience.
  • A minimum of 5 years claims leadership experience.
  • A demonstrated history of change management.
  • Experience with mediation, arbitration, and litigation.
  • Experience coaching and mentoring junior staff.
  • Strong interpersonal skills.
  • Strong communication skills.
  • Proficient in MS Office and strong computer skills.
  • A desire to work at the pinnacle of the adjusting experience in a high-performance team.
  • Strong industry relationships with colleagues at other carriers, vendors, and brokers.
  • Perform well in a busy operation and remain calm under pressure.
  • Strive to continually push the boundaries of your adjusting experience and personal learnings.
What We Offer
  • 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.

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