Operational Review Specialist

5 days ago


Mississauga, Ontario, Canada Echelon 56 Full time
Company Overview
Echelon Insurance specializes in Personal and Commercial Specialty Insurance solutions, serving Canadian families and businesses across the country. Our trusted network of Broker partners enables us to deliver exceptional service and support. As a member of the CAA Club Group of Companies, we prioritize a professional environment that fosters collaboration, trust, and growth. Our purpose-driven culture champions employee well-being and satisfaction.

We focus on cultivating a dynamic working environment that prioritizes the needs of our associates, brokers, and customers. This approach enables us to deliver outstanding results and drive success.

Job Requirements
The Quality Assurance Specialist will be responsible for conducting operational reviews of claims files, ensuring adherence to best practices and compliance. Key responsibilities include:
  • Reviewing and documenting compliance adherence and updating process and procedure documents.
  • Conducting call quality reviews to focus on customer experience.
  • Ensuring adherence to reporting requirements related to regulatory and internal compliance matters.
  • Maintaining documentation to coordinate department-level workflows, audit processes, and associated compliance.
  • Maintaining awareness of industry trends and changes to ensure Echelon is prepared to respond in a manner consistent with our vision and values.
  • Supporting Senior Quality Assurance Specialists in delivering on quality assurance goals.
  • Driving change and continuous improvement, identifying issues and resolving challenges within the Claims Department.
  • Participating in special projects, targeted reviews, assignments, and other duties as assigned.


Requirements
The ideal candidate will possess:
  • 3-5 years of experience in the Property and Casualty insurance industry.
  • Prior experience with file review and call quality audits with knowledge of Claims Monitor.
  • Experience in creation and management of workflow processes with strong data analytics skills.
  • Strong understanding of regulatory compliance and claims workflows and procedures.
  • Post-secondary education in Insurance Management, Business Administration, or a related field, or industry experience preferred.
  • CIP / FCIP designation or working towards completion preferred.


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