Senior National Claims Specialist, QA

Company : Sovereign Insurance

Department : SOV - Claims

Employment Type : Regular Full-Time

Work Model : Hybrid (2 days / week in office)

Language : This role operates in English, French is an asset

The Opportunity :

As a wholly owned subsidiary of the Cooperators General Insurance,believes your experience matters. This is our promise to not only our clients but to our employees as well, because we know the strength of our company starts with our people.

The smart, curious and collaborative people who bring their whole heart and passion to work each day. But you can't pour from an empty cup;

we take care of the well-being of our people so that they are inspired to protect Canadian businesses and the lives, families and communities we impact.

Join us and begin shaping your experience at Sovereign.

Our dynamic National Claims Operations team is looking for an experienced Senior National Claims Specialist , QA to join our highly respected team.

Our ideal candidate will be an expert in claims auditing, examining, including monitoring claims in legal proceedings, negotiating and settling claims, conduct internal claims audits as well as providing support, training and mentoring to more junior team members.

If you have a passion for problem solving, a keen sense of urgency, and take great pride in providing exemplary customer service, this could be the opportunity for you!

How you will create impact :

• Prepare, plan and conduct file audits Nationally including : review adjudicated files (internally), review vendor files (externally) for content and quality of claims resolution, assess and report on training needs and prepare audit reports.
• Consolidate and analyze results or trends and make recommendations to leadership on audit findings to support risk mitigation and expense control.
• Provide Claims SME support on projects as required and support the execution of the claims roadmap.
• Manage adjuster and / or litigation programs to ensure timely progress
• Develop solutions for complex claims problems and staff training
• Monitor regions' bodily injury and property damage , major loss / reinsurance reporting and identify second look claims.

How you will succeed :

• You thrive on leading and motivating others to embrace accountability to deliver our exceptional client experience and achieve results.
• You ensure you and your team's day to day actions are in harmony with the company's purpose, vision, and values even when challenged.
• You take responsibility for guiding others through changing conditions and creating a supportive culture that encourages the exploration of new opportunities or innovations.
• You value and encourage others to have cooperative and collaborative dialogue because diverse perspectives offer more creative and productive solutions.

To join our team :

• Minimum 10 years of commercial claims experience is required.
• Previous experience auditing claims files
• Having Chartered Insurance Professional (CIP) designation is an asset.
• Proficiency in English is essential to the main duties in this role, including servicing and communicating primarily with majority non-francophone clients, groups, teams.

Drafting complex English documents and preparing daily reports for anglophone leaders. The essential non-French duties are not assignable to adjacent or other team members.

What you need to know :

• You will be subject to a Criminal Record and Consumer History background check as a condition of employment, in the event you are the successful candidate.
• Detail oriented work that requires a high degree of mental concentration for extended periods of time.
• You will provide support to clients who are experiencing a personal or financial loss. A high degree of confidentiality and discretion is required.
• You will travel occasionally.

What's in it for you?

• The opportunity to take on challenging work and contribute your expertise, creativity, and passion in meaningful ways.
• A comprehensive total rewards package, including competitive salary, bonus, paid time off, pension and benefits.
• A holistic approach to your well-being, with physical and mental health programs andflexible work options.
• The opportunity to work on an inclusive team who inspire each other to explore and achieve what's possible.
• A company that is committed to support the social, environmental and financial well-being of the lives, families and communities we impact

Expected Salary Range : $108,000 $180,000

• The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to : local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education. "
21 days ago