Claims Manager, Accident Benefits Technical Services

JOB DESCRIPTION

Our employees are at the heart of what we do best : helping people, businesses and society prosper in good times and be resilient in bad times.

When you join our team, you’re bringing this purpose to life alongside a passionate community of experts.

Feel empowered to learn and grow while being valued for who you are here, diversity is a strength. You have our commitment to support you in reaching your goals with tools, opportunities, and flexibility.

It’s our employee promise.

Our hybrid work model provides the balance between working from home and enjoying meaningful in-person interactions.

Read on to see how you can shape the future, win as a team, and grow with us.

About the role

As a Claims Manager, Accident Benefits Technical Services you will provide technical expertise and lead a diverse team of Technical Consultants.

This team has a large impact on the Claims operation along with having oversight of the largest dollar impact on Accident Benefit claims.

You will influence efficiency, compliance and best practices. In this role as a Claims Manager, Accident Benefits Technical Services, you will motivate staff to achieve the company and team objectives, develop a highly engaged workforce while actively manage / develop talent within the team and succession planning for all key positions.

This opportunity can be based in any of the following Ontario office locations : Ottawa, Ajax, Mississauga, Toronto, Richmond Hill and London offices.

What you'll do here :

Manage a team of consultants responsible for providing direction and oversight of reserve activity and payments on large or more complex claims files for the Accident Benefits Claims Operation.

Ensure claims are handled within corporate standards.

• Liaise with other claims experts on technical and claims issues.
• Act in a consultative and advisory capacity on claims matters such as coverage, policy interpretation and settlement negotiation to help resolve claims related issues.
• Support remediation and knowledge transfer on best practices, processes, and regulatory compliance.
• Effective management of loss costs and expenses through critical evaluation of the policies and procedures and execution.

Provide direction on complex claims.

• Provide corporate governance over claims adjudication practices ensuring the technical services and operational teams are managing claims in accordance with regulatory requirements, company policies and procedures, complete portfolio trend analysis, and support external and internal audits and attestation processes.
• Maintain a respectful and productive business relationship with vendors, service providers, legal firms and internal stakeholders.
• Collaborate, co-ordinate and lead projects in conjunction with Shared Services, and the Claims Operation
• Monitor key performance indicators on a monthly basis to identify trends. Monitor trends and develop strategies and action plans in consultation with the claim’s operations.
• Manage oversight initiatives as assigned.

What you bring to the table :

• University degree or any combination of training and experience deemed relevant for the role
• Pursuing your Chartered Insurance Professional (CIP) designation is an asset
• 8 to 10 years of technical claims knowledge within Accident Benefits
• 3 to 5 years of management experience
• Experience and ability to identify, manage and collaborate on projects
• Experience identifying, reporting and presenting on Accident Benefit Claims trends
• Superior facilitation, communication and interpersonal skills
• Strategic thinking and influencing skills
• Exceptional understanding of Legislation and Compliance

This role is eligible for employee referral bonus. #myReferrals

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What we offer

Working here means you'll be empowered to be and do your best every day. Here is some of what you can expect as a permanent member of our team :

A financial rewards program that recognizes your success

An industry leading Employee Share Purchase Plan; we match 50% of net shares purchased

An extensive flex pension and benefits package, with access to virtual healthcare

Flexible work arrangements

Possibility to purchase up to 5 extra days off per year

An annual wellness account that promotes an active and healthy lifestyle

Access to tools and resources to support physical and mental health, embracing change and connecting with colleagues

A dynamic workplace learning ecosystem complete with learning journeys, interactive online content, and inspiring programs

Inclusive employee-led networks to educate, inspire, amplify voices, build relationships and provide development opportunities

Inspiring leaders and colleagues who will lift you up and help you grow

A Community Impact program, because what you care about is a part of what makes you different. And how you contribute to your community should be just as unique.