Claims Quality Management Specialist - Accident Benefits
Avantages principaux
About the role
Company: CGIC
Department: Claims
Employment Type: Temporary Full-Time (12 months)
Work Model: Hybrid (2 days in office)
Language: English is required, French is an asset.
Additional Information: This/these role(s) is/are currently vacant.
The Opportunity:
We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society and our team is essential to deliver on this strategy. That’s why we prioritize our people, to ensure we provide a strong culture and development opportunities which enables our team to thrive and to live our purpose. The best part is that you will work with people that care passionately about you, our clients, and our communities.
Our Claims team aspires to create peace of mind for our clients and our communities. Our national team of knowledgeable and trusted professionals serve our clients with compassion. We are passionate about continuous improvement and operate with high-integrity, motivated by our desire to do the right thing for our clients.
As the Claims Quality Management Specialist you will plan, prioritize and perform quality observations, review claims, assess performance, identify trends and deliver feedback and coaching to Claims leaders for service and intermediate Accident Benefits claims. You will lead quality training sessions to ensure consistency in the application of claims handling standards, client service and quality management.
How you will create impact:
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Performing quality reviews on service and intermediate claims to understand and inform achievement of quality management key performance indicators (KPIs).
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Participating in the preparation of reports on department KPIs, including recommendations to address areas of improvement.
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Conducting quality management reviews for Claims leaders with a focus on consistency in application of behaviours based skill sets and claims handling outcomes across the department.
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Partnering with Learning colleagues to design, deliver and facilitate calibration workshops and training to address quality improvement trends.
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Delivering timely feedback and coaching to support mastery and autonomy in quality management, compliance and legislative reviews.
How you will succeed:
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You have an innovative mindset to improve operational efficiencies and ability to influence change, with a primary focus on client needs.
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You use critical thinking skills to recognize assumptions, evaluate arguments, draw conclusions and proactively propose solutions.
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You have strong communication skills to clearly convey messages and explore diverse points of view.
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You build trusting relationships and provide guidance to support the development of colleagues.
To join our team:
- You have five years of experience in accident benefits claims handling.
- You have completed post-secondary education in a related discipline.
- You have or are working towards the Fellow Chartered Insurance Professional (FCIP) designation or have the Chartered Insurance Professional (CIP) designation and are pursuing further development.
- You have expert knowledge of claims handling and an excellent understanding of the application of client service principles.
- You have superior knowledge and application of the client service principles, insurance policy wordings, legislation, regulations and construction practices, as applicable to the claims discipline.
- Having experience with the Ontario Statutory Accident Benefits Schedule is an asset.
What you need to know:
- You will travel occasionally.
- Extended work hours, including evenings and weekends, may be required.
- You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.
What’s in it for you?
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Training and development opportunities to grow your career.
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Flexible work options and paid time off to support your personal and family needs.
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A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
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Volunteer opportunities to give back to your community.
Salary information
Expected salary/hourly range $72,847.00 to $121,411.00 CAD
The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.