Claims Manager
1 week ago
We are seeking an experienced Claims Manager to lead our Accident Benefits Technical team. As a key member of our leadership team, you will be responsible for providing technical expertise and oversight to a diverse team of Technical Advisors. Your leadership skills and experience will be essential in driving efficiency, compliance, and best practices within the Claims operation.
Key Responsibilities- 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.
- 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 direction on complex claims.
- 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. Monitor trends and develop strategies and action plans in consultation with the Claims Operations.
- Manage oversight initiatives as assigned.
- 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.
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. Bring your true self and be a part of our journey.
We are committed to creating an inclusive work environment that welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting us.
This role requires successful clearance of background checks (including criminal checks and leadership references).
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