Claims Risk Assurance Specialist

Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values Care, Commitment, Community, and Confidence.

We are looking for an individual to work in the Long Tail claims area of the Claims Risk Assurance team, with a particular focus on the Healthcare Claims.

The successful candidate will support the Long Tailed Lines Sr. Manager through proactive Quality review, control attestations, reporting and issue management.

Don't miss out on this unique opportunity!

What you'll do

Support the quality assurance plan which defines level of coverage required to meet ORCM obligations together with a view as to the resource requirements vital to support delivery.

Provide vertical or desktop claims Quality, Governance and Regulatory Compliance expertise whilst balancing customer purpose

Assist with the delivery of an effective and efficient program of monitoring across Claims and associated third party suppliers to provide accurate view on quality and control assessments across long tailed lines / Shared services.

Conduct Business Reviews of each claims department and work as a business partner with Claims Risk leads, Unit management and customer facing line leaders to support development of capability across the claims function .

through providing timely, fact-based analysis and opinion to support management action through QA reviews and control attestations.

Provide support to achieve organization’s strategy around Claims QA including measurement, oversight, tracking, improvements & ensuring all practices are within Aviva’s risk appetite while evolving to a best-in-class QA Program

Provides support for risk identification, assessment, monitoring & testing to support strategic claims handling & the reduction of leakage.

Conduct external vendor audits (including delegated authority arrangements) to ensure adherence to all contractual processes, regulatory requirements, and to ensure that our vendors are meeting Aviva’s expectations with respect to customer service and indemnity management.

Conduct special thematic quality audits, reviews, and claims desktop data analytics reviews as required. Such assignments will be limited in scope.

Assist with all internal investigations, including GIFA support, FCRM, and Internal Audit support.

Assist with issues tracking for all internally and externally raised issues, and support the ongoing tracking and closure of issues.

What you'll bring

6 or more years of relevant claims experience, with a focus on Accident Benefits within the insurance industry, with progressively professional experience preferably including the area of risk management.

Prior risk / quality assurance experience is preferred but not essential

Strong verbal, written, presentation communication skills, including with Senior levels of leadership

Ability to foster and build good working relationships with various internal and external stakeholders

Ability and desire to influence change in a complex and fluid environment.

Demonstrated commitment to high standards of performance.

Strong analytical and decision-making skills.

Commitment to ongoing professional and technical development.

CIP / FCIP designations will be considered an asset

What you’ll get

Competitive rewards package including base compensation, eligibility for annual bonus, retirement savings, share plan, health benefits, personal wellness, and volunteer opportunities.

Our vacation package starts at 4 weeks + the opportunity to buy an extra week.

Exceptional Career Development opportunities.

We’ll support your professional development education

Hybrid working model

Aviva Canada has an accommodation process in place to provide accommodations for employees with disabilities. If upon commencement of employment you require a specific accommodation because of a disability, please contact your Talent Acquisition Partner so that an appropriate accommodation can be arranged.

This process applies throughout your career with Aviva Canada.