Director, Corporate Claims Quality Assurance

21 hours ago


Regina, Canada Saskatchewan Government Insurance Full time

**Location:** **Regina Head Office (100% in Office)*** Leads the establishment of a quality definition and quality objectives for claims handling.* Accountable for the development of a quality assurance (QA) strategy and framework for applicable Claims Operations.* Oversees the establishment, monitoring, and review of the QA program effectiveness, including the establishment key quality indicators (KQI’s) and key performance indicators (KPI’s).* Provides strategic oversight to claims quality assurance by ensuring the QA strategy, framework, and programs are aligned with corporate and divisional strategies and goals.* Leads a team responsible for assessing and monitoring relevancy of KQI’s to ensure ability to deliver on corporate and divisional objectives, identifying areas of concern, potential process improvements and training needs.* Leads a team in conducting independent claims file audits, reporting audit results, providing remediation plans, and following up to ensure identified issues have been addressed in compliance with Corporate Claims audit requirements.* Provides objective, independent, risk-based claims quality and control oversight to continually improve claims portfolio performance.* Collaborates with Corporate Underwriting and other areas in the company (Audit, Risk Management, etc) to ensure quality assurance program is consistent and utilizes best practices.* Provides strategic oversight to and leads a team in the development and execution of claims training requirements.* Collaborates with Human Resources/Corporate Technical Training and other business areas on the technical learning framework and implementation of a training strategy for claims.* Oversees the implementation and management of a governance structure for claims training development, maintenance, and delivery.* Leads a team responsible for establishing claims training programs, monitoring and reviewing program effectiveness (establish measures, readiness of learners, delivery methods, etc.) and continuously improving the training program.* Develops a continuous improvement framework for Corporate Claims and leads the ongoing maintenance of the framework.* Leads a team that maps and analyses key processes and monitors the outputs of the continuous improvement framework to identify process improvement opportunities.* Ensures developed key performance and quality indicators meet divisional and corporate goals and will provide advice, guidance, and recommendations on the achievement of desired business outcomes.* Supports the management of process improvement initiatives, ensuring alignment to divisional and corporate goals, mitigation of identified risks, reporting on benefits realization, and efficient management of project timelines.* Consults with and advises leadership on process and performance improvement opportunities, both short-term and long-term.* Supports the management and coordination of a portfolio of projects impacting business processes on behalf of the business area.* Collaborates with Corporate Claims, Product Management & Corporate Underwriting, and Claims Operations to envision and design strategies that will improve workflows and ensure cohesive cross-functionality within Corporate Claims and Operations.* Collaborates with Corporate Claims Product leadership to implement effective claims workflows for Claims Operations.* Establishes and monitors standards for best practices to capture data/information for use in research, analysis, reporting and strategy development.* Ensures programs and policies are in alignment with corporate, strategic, and divisional strategies.* Manages risk in area of authority.* Prepares, reviews, manages and/or approves departmental/divisional budgets.* Prepares decision requests, decision and/or information items and/or SGI board items.* Ensures that the Health, Safety and Emergency Management Policy is applied in area of responsibility, including development, implementation and managing of program components specific to departmental health and safety requirements.* Makes decisions for departmental operations that are efficient, effective and in alignment with strategic direction and priorities.* Ensures department and program policies, procedures and guidelines are in compliance with applicable federal and provincial legislation and regulations; implements and evaluates changes to legislation and regulations in area of authority.* Establishes and maintains an effective system of internal controls to support reliable financial reporting and compliance in accordance with applicable laws and regulations within the span of control and communicates the importance of internal controls to staff.* Four-year degree from an accredited post-secondary education institution in a relevant field of study such as Business, Mathematics & Applied Science or Social Services.* Ten years of related experience comprised of six years progressively challenging leadership experience and four years’ experience in claims.* Knowledge of quality and process improvement methodologies, tools, and techniques.* Knowledge of the insurance industry.* Knowledge of claims processes, procedures, products, philosophies, risk information sources and how they interact to support the business.* Knowledge of the applicable regulatory environment and the ability to interpret and apply jurisdictional laws and regulations.* Knowledge of claims internal and external systems.* Knowledge of organizational units, and how they interact to support the corporation’s operations.* Knowledge of how financial information contributes to management understanding and decisions.* Knowledge of project management methodologies and techniques required to plan, manage, and execute projects.* Ability to write technical and high-quality reports that are clear, concise, and targeted to the audience.* Ability to understand business imperatives and drivers, find relevant data correlations, and recommend changes that help drive business value.* Ability to prepare and deliver effective presentations.* Analytical, critical thinking and problem-solving skills to resolve or propose solutions or new approaches to business problem or needs.SGI has offered affordable insurance products and great service to our customers since 1945. SGI has 2 distinct operations — the Saskatchewan Auto Fund and SGI CANADA. The Auto Fund is Saskatchewan’s compulsory auto insurance program, operating the driver licensing and vehicle registration system. SGI CANADA is the property and casualty insurance division which offers products in Saskatchewan, British Columbia, Alberta, Manitoba and Ontario through a network independent insurance brokerages. SGI and SGI CANADA are Crown corporations, owned by the Government of Saskatchewan.Our culture is one of personal accountability, where all of us are empowered to be leaders. We encourage a growth mindset that sees change as an opportunity to learn, innovate and continuously improve. We value respectful collaboration and open communication where your voice is welcome and appreciated. Each of us has a role in SGI and SGI CANADA’s success and we acknowledge everyone’s contributions. We care about each other. We treat one another with kindness and celebrate each person’s uniqueness so we can all be our authentic selves at work. That’s because diversity, equity and inclusion are foundational to our culture and who we are. Different backgrounds and perspectives make for a vibrant and creative community where innovation flourishes.We offer more than a paycheque (although we do provide competitive pay). Everyone at SGI and SGI CANADA enjoys great benefits, perks and options to balance work and everything else life sends their way. We also believe in you and your future career aspirations. Regardless of where you start, SGI and SGI CANADA will invest in you by supporting education, accreditation and professional development.#J-18808-Ljbffr



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