Quality Assurance Advisor

Pacific Blue Cross (PBC) has been British Columbia's leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system. We provide health, dental, life, disability, and travel coverage to 1 in 3 British Columbians through employee group plans and individual plans.

We are fueled by a commitment to keep health care sustainable for all British Columbians. Through our PBC Health Foundation, we fund projects that improve health outcomes directly related to mental health and wellbeing as well as the prevention and/or management of chronic disease. We are interested in finding people who want to make a difference and who are looking to grow their career with us.

**Perks**
- Work-life balance with flexible working hours of 7.5 hours per day, Monday to Friday (i.e., 37.5 hours per week).
- Paid vacation starts at 4 weeks per year, and increases with years of service.
- Hybrid work environment (i.e., a combination of work from office and work from home days).
- Generous benefits, including extended health, dental, and life insurance; depending on the plan that you choose, these benefit premiums can be 100% paid by PBC.
- Company pension contributions after 1 year of service.
- Education allowance to expand your knowledge and develop your skills.
- Onsite gym, cafeteria, and access to virtual doctors/counsellors 24/7 via our Employee Family Assistance Program

**About the Position**
- We are searching for a temporary (up to 12 months) _Quality Assurance Advisor _to join our Work and Wellness team.
- PBCs compensation offerings are grounded in a pay-for-performance philosophy that recognizes exceptional individual and team performance. The typical hiring range for this position is $90,000 - $110,000 per year; the base pay offered is based on market and may vary depending on job-related knowledge, skills, experience, and internal equity. The starting salary will be determined based on a combination of skills, education, and experience.

**Job Summary**

If you’re passionate about quality assurance and continuous improvement in claims management, this is an exciting opportunity to make a meaningful impact within a dynamic, purpose-driven organization. As a Quality Assurance Advisor with Pacific Blue Cross, you will play a key role in ensuring accuracy, compliance, and operational excellence in claims adjudication. Your work will help improve processes, mitigate risks, and enhance customer service standards.

As a Quality Assurance Advisor, you will conduct regular audits of disability claims, evaluate how policies, contract terms, and case management best practices are applied.

You will assess communication between claimants, policyholders, and medical professionals to ensure clarity and service excellence.

This role would identify trends and areas for improvement, you will provide recommendations to management and contribute to training initiatives that enhance claims assessment quality.

In this position, you will prepare reports on quality assurance findings, track statistical data, and present insights to leadership to support business retention and operational efficiency.

Leveraging your expertise in claims assessment and risk management, you will collaborate with stakeholders to identify trends, provide insights, and drive continuous improvement. If you have experience in disability claims management and are ready to contribute to a purpose-driven organization, we encourage you to apply

We offer an attractive compensation and benefits package and work-life balance. Our workplace culture values health and wellness, diversity and equality, continuing education, environmental sustainability and giving back to the community.

This role is currently working hybrid from home and from our head office in Burnaby, BC.

**Key Experiences You Bring To This Role**
- High school graduation or equivalent.
- Completion of Certificate Program in Disability Management (1 year program) or equivalent.
- Minimum of five years’ combined experience in STD, LTD, Life, AD&D, CI and Waiver claims adjudication and management including at least three years in a Disability Claims Management Specialist role (or equivalent) with demonstrated experience in complex case management planning, intervention, modified and return to work programs of STD and LTD claims.
- Demonstrated proficiency in basic Word and Excel.

**Diversity, Equity, and Inclusion**
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- PBC is an Indigenous Works employer of choice, an Insurance Business Canada Diversity, Equity, and Inclusion award winner, one of Canada’s Greenest employers, a Canadian Centre for Diversity and Inclusion (CCDI) employer partner, and a Pride at Work partner. _