Senior Claims Analyst

Reporting to the Supervisor of the Claims Department, the Senior Claims Analyst provides support to the department with respect to process documentation, escalations, complex inquiries, staff training and technical assistance.

The Senior Claims Analyst is responsible for the timely and accurate handling of high impact claims and assists the department with claims processing or clerical work when workloads fluctuate or during team member absences.

The Senior Claims Analyst is responsible for general technical assistance, project support and performing related tasks to assist with other initiatives supporting the strategic direction of the department.

What you will do :

• Research and advise on claims related items, including escalations in a timely manner
• Point of technical support to the team
• Interact with a variety of internal and external stakeholders and other team members to complete day-to-day tasks
• Oversee and assist with internal and external audits
• Process stop-payments, system adjustments, overpayments, and overrides
• Review and approval of High Dollar Claims
• Process and adjudicate claims for assigned clients
• Perform tasks in accordance with service level agreements, client demands and regulatory requirements
• Process various administrative and claims-related inquiries and ad-hoc tasks
• Assist with Analyst or Clerk work as required
• Keep the Supervisor(s) informed of department concerns and / or obstacles
• Act as back up to other senior roles within the department
• Participate in various special projects including continuous improvement initiatives
• Test and evaluate system changes
• Assist with new client implementations
• Develop and maintain standardized documentation tools and methods
• Develop, prepare and maintain templates, educational aids and materials
• Coordinate and provide employee training and feedback
• Train the staff on using the tools developed by the department and maintain procedure guides
• Facilitate learning through a variety of delivery methods including classroom training, virtual training, or on-the-job coaching
• Develop and apply assessment tools to measure training effectiveness
• Proactively identify topics to be addressed or areas in need of additional instruction

What you will bring :

• Post-secondary diploma in a related field, such as business administration or equivalent training acquired from a combination of relevant work experience and education
• 2-3 years of work experience in a field related to employee benefits or equivalent training
• Comfortable working independently with minimal supervision
• Proficiency in MS Office products with advanced knowledge of Excel and Word
• Demonstrate good judgement, reliability, and professionalism in fast paced environment
• Superior interpersonal skills, excellent written and verbal communication skills
• Strong initiative, planning, and problem-solving skills, attention to detail, organizational, time management and prioritizing skills
• Comfortable dealing with company personnel at various levels
• Sound judgement and critical thinking skills
• The ability to use tact, discretion, and maintain information in the strictest of confidence
• Bilingual, written and oral (English and French), is considered an asset

Please note the incumbent must be flexible to work non-standard business hours and / or overtime from time to time, when required.

Who we are

Proudly independent and Canadian-owned, Cowan Insurance Group has been a true market leader in the insurance industry since 1927.

With an extensive range of product offerings and integrated commercial and personal insurance, group benefits, and wealth management solutions, we provide our clients with outstanding customized, comprehensive insurance and risk management professional advice and placement.

Recognized as one of Canada's Most Admired Cultures and a Canada's Best Managed Companies Platinum Club Member, Cowan Insurance Group's award-winning client-centric approach emphasizes innovation, excellence, and collaboration.

Join our team as we prepare for our centennial celebration in 2027!

What sets us apart?

Be in good company

Integrity matters. It drives our award-winning workplace culture and fuels our collective desire to help our clients, employees, and communities thrive.

Challenge your thinking

You're valued for your passion, drive and creativity. The pace is fast but the work is meaningful, interesting, and complex, just the way you like it.

Grow together

We believe in your potential. If you’re looking to develop your expertise with learning opportunities and mentoring, we’ll make that happen.

Benefits and perks

• Competitive salary
• Participate in our comprehensive benefits plan on day one no waiting period
• Company-matched Retirement Savings Plan
• Company-paid training and development courses
• Community involvement
• Hybrid work environment

Are you interested?

Please Apply!

This position is subject to appropriate background checks that may include, credential, employment, credit, criminal and reference checks.

While we appreciate the interest of all applicants, we will contact only those selected for interviews. If you are an applicant with disabilities and require accommodations, please let us know at the time of our contact so that we may arrange for their provision.

We are an Equal Opportunity Employer. Employee candidates will be selected strictly on the basis of an individual's technical qualifications, knowledge and experience, as they relate to the requirements of a particular position.

Selections will be made without regard to : race, ancestry, place of origin, colour, ethnic origin, citizenship, creed (religion), sex, sexual orientation, handicaps (physical or mental), age, marital status, family status, or the receipt of public assistance or record of offences.

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