Director Claims Management (Employment Services)

Job Description

About the role

Location : Work from home in Canada

Like WCG, you believe in the power of work. The Director Claims Management will provide leadership and oversight for the Claims Management department, ensuring compliance with auditing standards and accurate, timely processing of financial claims as part of WCG’s Funding Model Guidelines, and for the management and implementation of the Quality Improvement Framework to ensure the effective delivery and quality of employment services delivered by Service Provider Partners and WCG direct delivery team(s).

Claims Management is responsible for leading continuous improvement efforts, conducting quality audits, identifying areas for improvement, ensuring compliance with standards, and mitigating contractual risks.

The department is also responsible for the monitoring of targets, deadlines, and compliance to Service Level Agreements.

This position requires a high level of confidentiality pertaining to client records and financial information, excellent interpersonal skills to build quality relationships with the team and external partners, goal-driven, and the ability drive team performance.

What you'll do

• Monitor and evaluate the performance of the Claims Management function, analyzing key metrics and trends to identify areas for improvement
• Monitor workflows to ensure SLA’s are maintained, particularly through periods of peak demand, particularly at month, quarter and fiscal year end
• Provide direction and leadership for the claims management function, aligning objectives with the program’s goals and priorities
• Lead and manage the department, fostering a collaborative and high-performance culture. Provide guidance, coaching and support to ensure team effectiveness and individual development
• Ensure that partners’ expectations are exceeded with the quality of service received and that quality of contract delivery consistently conforms to expectations
• Ensure effective monitoring and compliance of service delivery within the department, working in collaboration with other leaders to drive key performance measures
• Support the continuous evaluation of programs through the collection and analysis of statistics and program data
• In consultation with Director, Service Design and Quality, develop, implement, monitor and evaluate a risk management plan for the department
• Drive a continuous improvement mindset, leading program management to develop and monitor action plans which improve and optimize performance;

ensuring lessons are learned from challenges

• Oversee development of budgets for the department, and lead the development and implementation of strategies ensuring responsible financial performance in line with operational effectiveness and efficiency
• Monitor financial performance closely and works with program management to develop strategies and contingency plans to ensure attainment of financial goals

Qualifications

What you bring

• Bachelor’s Degree in Business, Finance, Administration or related discipline or equivalent work experience
• A minimum of ten (10) years’ cumulative experience in a claims, financial and / or auditing environment, with a minimum of five (5) years’ experience in a leadership role in this capacity
• Proven ability to drive strategic initiatives and delver results in a complex organizational setting
• Experience with oversight of performance measurement and quality management of an employment services program
• Extensive experience in developing and coaching staff to maximize their potential and performance
• Must successfully pass a Criminal Record Check
• Proven ability to adapt seamlessly to changing circumstances, , priorities, and environments. Resilient and resourceful in navigating ambiguity and uncertainty, with a track record of driving positive outcomes amid evolving business landscapes
• Deep understanding of the importance of confidentiality and integrity in handling sensitive information and operating within highly confidential environments.

Adherence to ethical principles and compliance standards to safeguard organizational interests and collaborator trust

Preferred Criteria :

Bilingual (French and English)

For complete job requirements, see the full Job Description here .

Additional Information

What we offer

• Competitive salary of $100,000 - $110,000 per year
• Comprehensive and flexible health and dental benefits
• RRSP Matching program of 1.5% base earnings
• Ongoing learning and development opportunities
• Generous time-off policies that promote work / life balance
• A diverse and inclusive workplace with a track record of high employee engagement and teamwork
• The opportunity to do work that makes a difference!

ICWCGPROGSUPP

WCG is strengthened by diversity. We are committed to achieving a workplace that is equitable and representative of Canada’s diverse population.

We actively work to attract, develop, and retain employees from diverse and equity-deserving backgrounds who have exceptional ability and the desire to make a difference.

We continuously strive to support individual needs and differences in a work environment that is built on inclusivity and respect for everyone.

WCG is committed to providing an accessible, barrier free recruitment and selection process. If contacted for an employment opportunity, please advise us if you require accommodation in advance of any part of the recruitment and selection process.