Insurance and Risk/Claims Coordinator

4 weeks ago

Old Toronto, Ontario, Canada Zurich Australian Insurance Ltd. Full time
TPA Claims Manager Job Description

As a Third-Party Administrator (TPA) Claims Manager, you will play a crucial role in overseeing the complete claims management process, ensuring that all travel insurance claims are managed with precision, efficiency, and empathy.

Key Responsibilities:
  • Manage day-to-day claims department operations, including reviewing and approving claims decisions, ensuring prompt processing in line with company policies.
  • Lead, mentor, and develop a team of claims specialists, setting performance expectations and providing ongoing feedback.
  • Work as part of a team to implement and uphold best practices, process improvements, and measures to prevent fraudulent claims, ensuring compliance with regulatory and contractual standards.
  • Conduct regular claim file reviews and performance assessments, identifying trends and areas for improvement to enhance claims operations and efficiency.
  • Participate in overseeing the onboarding and training of new team members, supporting their development and fostering a collaborative and positive work environment.

Requirements:

  • 5+ years of supervisory and/or leadership experience in claims management within a TPA or high volume insurance industry, demonstrating strong team management and mentoring capabilities.
  • Proven track record in claims adjudication, strong customer service orientation, and commitment to ensuring high levels of satisfaction.
  • Skilled in process improvement and change management to enhance claims operations and efficiency.
  • Relevant educational background with a Bachelor's degree or certifications in business administration, Insurance, Risk Management, or related fields/experience.

About Us:

We are a global group of digital specialists, actuaries, marketers, doctors, nurses, case managers, claims specialists, finance experts, and customer service professionals. We are dedicated to helping our employees reach their full potential through a comprehensive onboarding program, ongoing professional development opportunities, and a supportive work environment that encourages growth.

Benefits:

  • Competitive medical insurance package and company-matching pension contributions.
  • Wellbeing benefits and quarterly transit subsidies.
  • Diversity and inclusion.

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