Senior Quality Assurance Testing Specialist

1 month ago

Montreal, Quebec, Canada Definity Financial Corporation Full time $66,300 - $122,100
Job Title: Senior Quality Assurance Testing Specialist

The Senior Quality Assurance Testing Specialist will lead the implementation and execution of a technical file review program within the claims area of the business, covering multiple regions and jurisdictions. This role ensures our claims file handlers and leaders are managing claims according to regulatory requirements, working with Claims VPs and Directors, Actuarial and Insurance Risk teams to drive claims handling insights and impact, and reporting findings and results to promote a strong risk and control environment.

Key Responsibilities:
  • Develop and implement a technical file review program to ensure compliance with regulatory requirements
  • Work with Claims VPs and Directors, Actuarial and Insurance Risk teams to drive claims handling insights and impact
  • Report findings and results to promote a strong risk and control environment
  • Support the development of claims technical file review audit methodology framework and processes
  • Make recommendations on findings, agreeing with key claims stakeholders to appropriately manage risk
  • Recommend and influence any necessary changes to company policies, guidelines, and best practices
  • Ensure all reviewers are calibrated for a consistent approach in auditing claims files
  • Obtain agreement with Claims Leaders and Claims Technical Advisors on establishing best-in-class standards for audit and minimum thresholds for lines of business and file handling performance
  • Incorporate data analytics to measure and monitor adherence to regulatory and company standards
  • Provide advisory and consultative services on claims file management, claims process effectiveness, risk management, and control on new initiatives, process changes, existing processes, and ad hoc requests
Requirements:
  • Strong 10+ years claims career, including 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
  • Experience as a claims leader is an asset but not necessary
  • Strong understanding of business operations and related legislative, regulatory, and internal policy and procedure requirements
  • Ability to build strong relationships externally and internally at all levels to help foster a positive compliance culture
  • Proficient in Excel, Powerpoint, and Word
  • Bilingualism is mandatory (French/English)

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