Claims Auditor - Hybrid, Full Time (Toronto, Ontario, Canada)

Company :

Groupe de programmes internationauxClaims Auditor - Hybrid, Full Time (Toronto, Ontario, Canada)

International Programs Group (IPG) is an independent third-party claims administration team that provides claims services for Lloyd's of London, self-insured entities, and organizations with high deductibles.

We provide our clients with peace of mind knowing that their interests are looked after by a team of professionals who understand the specific language and technicalities of this market and who are dedicated to providing the highest quality of Third-Party Administrator (TPA) services.

IPG also provides clients with the added value of local, on-the-ground knowledge and coast-to-coast coverage across Canada and the UK.

Role Summary :

Claims Auditor must ensure that quality standards and procedures are established and aligned with operational and customer specifications.

This individual is responsible for auditing claim files within the organization's quality assurance programs and will assist in establishing performance standards, procedures, and audit controls to meet business requirements, as well as identify and implement process improvements to increase the efficiency, effectiveness, and quality of company operations.

Please note this role will have a hybrid work model. The successful candidate will be required to work from home and from our downtown Toronto office.

Education, Knowledge, and Experience Required :

• CIP, FCIP designation or equivalent
• 5-10 years of industry experience within claims environment
• Multi-line experience

Competencies Required to Succeed :

• Strong team player
• Superior attention to detail
• Excellent written, oral, and presentation skills
• Experience developing and implementing action plans
• Demonstrated organizational skills with the ability to prioritize and manage conflicting priorities in an effective manner
• Intermediate computer skills word processing, spreadsheet, dBase applications, claims management system

Responsibilities :

• Complete regular or specified reviews of electronic files measured against a set of performance indicators which are aligned with client-specific and corporate expectations
• Assist with creation of guidelines as required to develop / maintain high quality claims management delivery
• Monitor to ensure audit, special account instructions and other program specific details are linked to client requirements

We offer a dynamic work environment, career development opportunities, competitive compensation, benefits and RRSP matching programs, and many more company perks!

SCM Insurance Services and affiliates welcome and encourage applications from people with disabilities. Accommodations are available on request for candidates throughout the recruitment and assessment process.

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SCM Insurance Services (SCM) and its affiliated companies will not accept unsolicited resume submittals from third- party recruiters and hereby request agencies to not contact SCM employees or managers directly to present candidates.

Be advised SCM will NOT pay a fee for any placement resulting from the receipt of an unsolicited resume and will consider any unsolicited resumes forwarded public information.

SCM welcomes resumes submitted directly from candidates.