Senior Manager, National Claims Quality Assurance

Economical Insurance Group   •  

Waterloo, ON

Industry: Accounting, Finance & Insurance


11 - 15 years

Posted 117 days ago

This job is no longer available.

Because a changing industry calls for a new way of doing things. An ambitious, innovative and fast-paced company, we offer exceptional training and development programs, competitive pay, great benefits, a company-matched savings plan, and paid volunteer days — all within an engaging, fun, and collaborative work environment.

Founded more than 145 years ago, Economical is one of Canada’s leading property and casualty insurance companies. We rely on our national network of more than 800 independent brokers to sell a range of car, home, business, and farm insurance solutions. With Sonnet and Petline, we’re extending our reach through the direct-to-customer channel. With more than 2,400 active employees across the country and a commitment to rethinking the insurance experience, we’re poised for great things.

We’re now adding to our high-performance team to take us into the future. Let’s rethink insurance, together.

In this role, you will:

  • Work with Claims VPs & Directors, Actuarial and Insurance Risk teams to drive claims handling insights and impact while supporting Claims in their action planning and resolution
  • Lead a team of highly technical and/or professionally designated staff while promoting a strong risk and control environment

Your Responsibilities

  • Develop and manage the claims technical file review program
  • Ensure all reviewers (Claims Leaders, Claims Technical Advisors, Claims Quality Assurance) are calibrated to ensure consistent approach in reviewing claim files
  • Obtain agreement with Claims Leaders and Claims Technical Advisors on establishing best-in-class standards to audit against minimum thresholds
  • Lead a Claims Quality Assurance review team while supporting their development to ensure team objectives are met
  • Modernize approaches to technical file reviews by incorporating data analytics to measure and monitor adherence to regulatory and company standards
  • Work with Actuarial and Claims Leaders in establishing standard case reserves
  • Provide advisory and consultative services on claims file management, claims process effectiveness, risk management and control on new initiatives, process changes, existing processes and ad hoc requests
  • Conduct root cause analysis and implement solutions in partnership with Claims, Actuarial, Risk, IT, Legal & Compliance, Finance & Underwriting
  • Foster awareness of the company's policies and procedures through regular communication, training and employee engagement
  • Implement any new requirements, controls and close action items as needed
  • Monitor emerging best practices in risk management, audit and controls to improve Economical’s ability to identify, assess, mitigate, govern and report
  • Develop techniques to make control testing more efficient & effective

Your Skills and Experience

  • 10+ years of experience in P&C claims handling either as a leader or Claims Technical Specialist
  • Experience in/strong exposure to: audit, risk management, regulatory compliance, processes and controls
  • Strong understanding of business operations and related legislative, regulatory, and internal policy and procedure requirements
  • Excellent analytical, written and verbal communication skills
  • Ability to build strong relationships externally and internally with all levels to help foster a positive compliance culture
  • Proficient in Microsoft Excel, Power Point and Word
  • Strong organizational skills and critical problem-solving skills