Claims Specialist Advisor

1 day ago

Markham, Ontario, Canada Sécurité Nationale Compagnie d'Assurance Full time

Company Overview


Sécurité Nationale Compagnie d'Assurance, a leading insurance provider in Canada, offers a wide range of products to protect clients from life's uncertainties.



About the Role


We are seeking an experienced Claims Specialist Advisor to join our team. As a key member of our claims department, you will be responsible for handling complex claims, collaborating with internal and external partners, and providing expert advice to clients.



Key Responsibilities



  • Use subject matter expertise to handle complex high-risk claims that typically take over a year to resolve.
  • Collaborate with internal and external partners while valuing speed and accuracy to deliver exceptional customer experience.
  • Apply claims management principles and procedures in order to manage claims costs and leakage.
  • Identify potential fraudulent claims and handle according to organizational processes/procedures.
  • Work with claim management vendors to maintain service standards.
  • Act as a subject matter expert in their area of expertise to increase knowledge base within claims.
  • Support the timely and accurate completion of business processes and procedures.
  • Protect the interests of the organization – identify and manage risks, and escalate non-standard, high-risk transactions / activities as necessary.
  • Ensure documentation that is prepared / completed is accurate and properly reflects client / business intentions and is consistent with relevant rules / regulations.
  • Identify, suggest and actively participate in process improvement opportunities.
  • Actively manage relationships within and across various business lines/ corporate and/or control functions and ensure alignment with enterprise and/or regulatory requirements.
  • Participate in cross-functional / enterprise initiatives as a subject matter expert helping to provide guidance for complex situations.
  • Ensure necessary due diligence to support the accuracy of all customer transactions / activities.
  • Keep abreast of emerging issues, trends, and evolving regulatory requirements and assess potential impacts.
  • Maintain a culture of risk management and control, supported by effective processes in alignment with risk appetite.
  • Assume responsibility to minimize operational and regulatory risk by complying with Bank and industry Code of Conduct.


What We Offer


In this role, you will have the opportunity to work with a dynamic team, develop your skills and expertise, and contribute to the success of our organization. You will also receive a competitive salary and benefits package, including health and well-being benefits, savings and retirement programs, paid time off, banking benefits and discounts, career development, and reward and recognition programs.



Requirements


To be successful in this role, you will need:



  • 5+ years of relevant experience in claims management or a related field.
  • Undergraduate degree preferred.
  • Expert knowledge and understanding of the operating environment, business processes and procedures, and transactions lifecycle for own area and as applicable across TDI claims.
  • Subject matter expertise in complex high-risk claims and ability to provide guidance to others.
  • Strong analytical and problem-solving skills, with the ability to think critically and make sound decisions.
  • Excellent communication and interpersonal skills, with the ability to build strong relationships with internal and external stakeholders.
  • Ability to work independently and as part of a team, with a strong sense of accountability and ownership.


Salary Estimate


The estimated salary for this role is $120,000 - $150,000 per year, depending on experience and qualifications.



About Sécurité Nationale Compagnie d'Assurance


Sécurité Nationale Compagnie d'Assurance is a leading insurance provider in Canada, offering a wide range of products to protect clients from life's uncertainties. We are committed to providing exceptional customer service, building strong relationships with our clients, and contributing to the success of our community.

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