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Specialist, National Claims Quality Assurance (Property)
at Economical Insurance
# of openings:
LOVE WHAT YOU DO
Work is a big part of our lives, so it makes sense to choose a company that offers truly rewarding work. At Economical Insurance®, your contributions, creativity, and energy won’t go to waste. Our passionate culture and pioneering mentality infuse everything we do, which is why our one-million-plus policyholders know we’ll protect their homes, businesses, farms, cars, and pets like they’re our own.
We’re not afraid to see how far we can push the envelope to make insurance better. Our family of companies includes Sonnet, the only Canadian home and auto insurer offering a fully online buying experience, and Petline, the largest Canadian pet insurance company. We’re also preparing to become a publicly traded company, a once-in-a-lifetime career opportunity for everyone who joins our team.
If you’re looking for a company that takes care of its people — and its customers — and has a track record of doing big things, get ready to love it here.
The Specialist, National Claims Quality Assurance (Property) will lead the design, implementation and execution of a technical file review program mainly for Property but also across all lines of business and multiple regions/jurisdictions. This Line 1 defence mechanism will be new for Claims to ensure our claims file handlers and leaders are:
Meeting customer expectations
Ensuring case reserves are timely and accurate
Managing claims according to regulatory requirements
Adhering to other file handling practices to Economical standards
What can you expect in this role?
Work with Claims VPs and Directors, Actuarial and Insurance Risk teams - within their areas of expertise (e.g. Property, Accident Benefits, Bodily Injury, Auto) - to drive claims handling insights and impact while supporting Claims in their action planning and resolution
Report the results of these reviews into 2 new sub-committees (Claims Risk & Control and Reserving committee/sub-committee) to promote a strong risk and control environment
Support the development of claims technical file review audit methodology framework and processes
Provide input/insight in developing the annual audit plan
Support the development of audit quality standards for each step of the audit process such as: testing scripts and interpretation notes, working papers, etc.
Complete file reviews
Make recommendations on findings, agreeing with key claims stakeholders to appropriately manage risks
Report findings to Risk & Reserving committees, senior leaders and other key stakeholders as required
Manage internal and external resources supporting this work
Recommend and influence any necessary changes to company policies, guidelines and best practices
Ensure all reviewers (Claims Leaders, Claims Technical Advisors, Claims Quality Assurance) are calibrated for a consistent approach in auditing claims files
Obtain agreement with Claims Leaders and Claims Technical Advisors on establishing best-in-class standards for audit and minimum thresholds for lines of business and file handling performance, including developing leakage methodology
Incorporate data analytics to measure and monitor adherence to regulatory and company standards, including idea generation, designing automated testing procedures and investigating potential gaps and incorporating findings into the reporting process
Provide advisory and consultative services on claims file management, claims process effectiveness, risk management and control on new initiatives, process changes, existing processes and from ad hoc requests
Problem solving from root cause analysis on issues to developing and implementing solutions
Work with Claims, Actuarial, Risk, IT, Legal & Compliance, Finance and Underwriting
Foster awareness of the company's policies and procedures through regular communication, training and employee engagement
Help to implement any new requirements, controls, close action items as needed, including assisting with new regulatory requirements, process and controls mapping/documentation, framework updates and/or development
Monitor emerging best practices in risk management, audit and control to improve the organization's ability to identify, assess, mitigate, govern and report
Develop techniques to make control testing more efficient and effective
What do you bring to the role?
- 5+ years of experience in Property claims handling, either as a leader or Claims Technical Specialist
Experience in 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 at all levels to help foster a positive compliance culture
Proficient in Excel, Powerpoint and Word
Strong organizational and problem-solving skills with the ability to gather information, analyze critically and cut through complexities to arrive at workable solutions
Strong personal integrity
Bilingualism is an asset
We also take potential into consideration. If you don’t have this exact experience, but you know you have what it takes, be sure to give us more insight through your application and cover letter.
Go ahead and expect a lot — you deserve it.
Competitive salaries, with potential for an annual raise and bonus
Pension and savings programs, with company-matched RRSP contributions
Generous time away, including vacation and personal needs days
Paid volunteer days and company matching on charitable donations
Educational resources, tuition assistance, and paid time off to study for exams
Two annual wellness campaigns — participants earn up to $300 each year to spend on almost anything supporting health and work-life balance (think things like spa days, daycare, pet grooming)
An unlimited employee referral bonus program
Flexible work schedule
Discounts on products and services
HOW TO APPLY
To complete the online application process, you’ll need to upload your resume and cover letter in one document. The posting will close at midnight on the deadline date; in order to successfully apply, please ensure your application is submitted by 11:59 p.m. the day before the deadline.
Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting: firstname.lastname@example.org.
Visit economical.com to learn more about us and what we’re up to.