Claims Quality Assurance Specialist

7 days ago

Québec, Quebec, Canada Definity Full time
Job Summary

We are seeking a highly skilled Claims Quality Assurance Specialist to join our team at Definity. As a key member of our Governance and Compliance department, you will play a critical role in ensuring the quality and integrity of our claims handling processes.

Key Responsibilities
  • Lead the implementation and execution of a technical file review program within the claims area of the business, covering multiple regions and jurisdictions.
  • Develop and maintain a strong risk and control environment, working closely with Claims VPs and Directors, Actuarial and Insurance Risk teams.
  • Support the development of claims technical file review audit methodology framework and processes, ensuring compliance with regulatory requirements.
  • Provide advisory and consultative services on claims file management, claims process effectiveness, risk management, and control.
  • Collaborate with Claims, Actuarial, Risk, IT, Legal & Compliance, Finance, and Underwriting teams to foster awareness of company policies and procedures.
  • Monitor emerging best practices in risk management, audit, and control to improve the organization's ability to identify, assess, mitigate, govern, and report.
Requirements
  • Strong 10+ years claims career, including 5+ years as Sr. Adjuster and/or Specialist.
  • 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.
  • Strong stakeholder management skills, excellent analytical, written, and verbal communication skills.
  • Ability to build strong relationships externally and internally at all levels to help foster a positive compliance culture.
  • Proficient in Excel, PowerPoint, and Word.
  • Strong organizational and problem-solving skills, with the ability to gather information, analyze critically, and cut through complexities to arrive at workable solutions.
  • Strong level of personal integrity, highly positive attitude, and open-minded.
  • Thrives in a team environment and ability to also work independently.
  • Bilingualism is mandatory (French/English).
What We Offer
  • Hybrid work schedule for most roles.
  • Company share ownership program.
  • Pension and savings programs, with company-matched RRSP contributions.
  • Paid volunteer days and company matching on charitable donations.
  • Educational resources, tuition assistance, and paid time off to study for exams.
  • Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents.
  • Wellness and recognition programs.
  • Discounts on products and services.

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