Team Leader, National Siu New

Job ID : 7515
Category : Claims
Brand : Definity
Regular/Temporary : Regular
Fulltime/Parttime : Full Time
Location : North York, Canada
Posting Range : $66,300 - $122,100

Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.

We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.

In this role, you will report to the Manager - SIU and is accountable for the performance of a National SIU Specialized Handling Unit. The purpose of this role is to investigate questionable and fraudulent files is in adherence with corporate policies, standards, and procedures in the administration and resolution of SIU claims.

**What can you expect from this role?**
- Oversee the work of SIU Specialized Handling Unit. Must accurately interpret policies and procedures, model them and hold others accountable to consistently perform.
- Works in collaboration with the SIU Team Leaders to provide direction to triage, and SIU Inside and Field Investigation team to support fraud handling.
- Works in collaboration with all Lines of Business - Auto, Property, Accident Benefits, Bodily Injury and Sharing Economy in the investigation of fraud related files. We strategize decisioning with consultation with Legal, Underwriting, Subrogation and Governance.
- The Specialize Handling Unit investigates project based investigation and internal investigations.
- Works closely with Enterprise Fraud to investigate post-bind policies for fraudulent concerns.
- Communicate and drive execution of key performance indices. Measures staff’s performance progress, adjust to stay on track, analyze patterns, and problem solve or tackle opportunities.
- Attract, retain, mentor, and develop top talent by motivating, encouraging, and training staff to achieve high performance levels.
- Effective communication of expectations and vision.
- Provide technical guidance and consultation on questionable and fraudulent claims
- Support the Manager - SIU in industry and fraud claims trending. Act when needed in the absence of the Manager - SIU.
- Case manage and track the handling capacity and workload of the SIU Specialized Handling Unit. Ensure appropriate prioritization and assignment of cases are based on the skill and resources of the team.
- Create and modify strategies for the business unit to move the business unit towards meeting its goals.
- Provide fraud technical guidance and consultation to others in the investigation of complex and non-complex claims in the claims operation.
- Assist with the management of expenses that impact the annual operating budget for the National SIU team.
- Analyze fraud industry trends. Use the data collected to identify new opportunities to combat fraud.
- Foster cooperation among individuals and departments to accomplish goals.
- Develop and implement plans for prospective and retrospective loss avoidance, detection, investigation, and recovery.
- Monitor and analyze referral trends from the fraud analytics tool. When necessary, deliver and implement activities to improve engagement to increase technical abilities of claims staff to recognize questionable claims.
- Coordinate SIU activities with other departments, providers, members, vendors, regulatory and law enforcement agencies.
- Conduct internal and external audits to monitor regulatory compliance, develop a plan to address gaps, and critically evaluate the effect of the plan on conclusion.
- Assist in recruitment, onboarding and develop succession plans
- Design, coordinate and facilitate training materials nationally to raise SIU related awareness for our staff, within other departments of the company and Broker partners.
- Coordinate litigation support for SIU matters referred to Legal.

**What do you bring to the role?**

Superior leadership skills:

- Change management - leads transition through influence on the benefits of change.
- High EQ (emotional intelligence) and AQ (adaptability) to navigate challenges or opportunities.
- Continuous learning approaches digital transformation.
- Prioritizing diversity - stay at pace with employee needs and learn from diverse and unique perspectives.
- Taking measured risks.
- Innovative and evolving.
- Self - accountability and taking responsibility for my actions

Effective communication skills - oral, written, and active listening skills:

- Translate and communicate our vision and values into the operation’s day-to-day activities and behavior to dive