Claims Quality Assurance Expert
5 days ago
Echelon Insurance is a leading provider of Personal and Commercial Specialty Insurance solutions, serving Canadian families and businesses across the country. Our company is part of the CAA Club Group of Companies, which means we share a commitment to excellence, innovation, and customer satisfaction. We strive to create a dynamic working environment that prioritizes employee well-being and satisfaction.
Our team is dedicated to delivering exceptional service and support, thanks to our trusted network of Broker partners. By focusing on collaboration, trust, and growth, we aim to drive success and make a positive impact on our customers' lives. If you're passionate about working in an award-winning, purpose-driven culture, we invite you to explore this opportunity further.
Job Summary
The Quality Assurance Specialist will play a vital role in ensuring the accuracy and timeliness of claims processing, while adhering to regulatory compliance and industry best practices. Key responsibilities include:
- Reviewing and verifying claims information to ensure accuracy and completeness.
- Conducting call quality reviews to focus on customer experience.
- 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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