Job Description
:*** This is a one year opportunity ***
Hybrid Role
The Quality Analyst position is part of a team whose mandate is to conduct independent and objective quality assessments of Disability claims files. The team’s focus is to ensure that operational processes and practices are consistent with best practices established on a national basis. The Quality Analyst will complete audit functions on the lifecycle of a disability claim, including Short-Term Disability, Long-Term Disability and Health Management Consulting, including the assessment of the claims decision processes. The ability to learn and apply key concepts across all programs (i.e. Creditor, Compliance, Case Management Quality, Association and Affinity, Waiver, Plan Sponsor Agreement etc.) will be required.
What will you do?
Conduct quality reviews focusing on case management principles as well as overall case management excellence of assigned disability claims files; record quality assurance results using audit tools
Review new claim decisions and/or change of definition decisions to assure the quality of the decision as defined by our contract, philosophy and practices
Meet service levels for quality, quantity and timeliness (individual and team)
Provide feedback on evaluation along with suggestions of improvement
Remain current on Group Life and Disability practices and processes
Provide input on trends to support actionable recommendations for quality improvement
Participate in calibration sessions to ensure consistency in the application of the measures and to ensure program objectives are met
Provide subject matter expertise input into Disability process related inquiries
Provide feedback on the assessment with strong supporting rationale, when there is a disagreement between Quality and Operation
What do you need to succeed?
Must have Long Term Disability Claims Management experience 3-5 years
Must have minimum of 3 years of experience as a Disability Case Manager
Experience in auditing, sampling and reconciliation
Knowledge of Organizational Effectiveness, Group Benefits and understanding of GB strategy
Knowledge of other Group Benefits areas
In-depth level of knowledge of disability claims (STD, LTD, and Health Management) processes, controls and systems (3-5 years of long term disability claims experience)
PC knowledge (Windows XP, Excel, Word)
Bilingualism (French, English, both oral and written) is required for the frequent interactions with English and French-speaking colleagues or internal partners across Canada and worldwide.
What’s in it for you?
We’re proud to be recognized as a company with a 2026 Most Trusted Executive team by Great Place to Work® Canada
Access to short-term assignments or ‘Gigs’ across the organization, to help you develop new skills and connections.
A collaborative and interactive team environment
Charitable giving through our You Give, We Give program lets you give back to your community – and in many cases, we’ll match your contributions.
Care Days available for self-care or care of others (i.e., family or others you may support) and Sick Days to support your well-being.
Disability Claims - Bilingual Quality Analyst • Sun Life Waterloo King
Join a team where your passion meets purpose! We're not just colleagues – we're enthusiasts who genuinely love what we do and make work enjoyable for everyone.Join our dynamic claims team as a Clai... Show more
Headquartered in San Francisco, Goeschl Law Corporation provides comprehensive business immigration services to clients ranging from innovative startups to large multinationals.We help our clients ... Show more
Are you ready to explore exciting nursing opportunities internationally? Discover RN positions in Utica, NY, where you can make a difference in patients' lives and thrive in a supportive healthcare... Show more
Senior Privacy & Commercial Counsel.Prospeo is a B2B SaaS sales intelligence platform used by over 2,000 companies worldwide.We help sales teams find verified contact data with 97%+ accuracy throug... Show more
Bilingual Disability Claim Specialist (Complex Claims & COD).Location: Remote, or if local to an office, hybrid - Kingston, Toronto, or Montreal.The total target compensation (TTC) range, including... Show more
Where world‑class product thinking meets real‑world regulatory impact.Do you want to work somewhere your analysis actually shapes the product — not just documents it?.Do you enjoy sitting at the in... Show more
Major Responsibilities of the Role:.As a Mabe Customer Service Specialist, you will receive inbound calls from our customers within Canada.You will be responsible for the effective and efficient ha... Show more
Chef d’équipe du service à la clientèle, bilingue (français/anglais).Échelle salariale de 55 000$ - 65 000$ (selon l’expérience), plus une prime.Avantages sociaux incluant une couverture santé, den... Show more
Client's application support is responsible for the production systems, including Trading, Post-Trade, and PnL software, environment management, and software deployment.Will work closely with devel... Show more
We’re a fast-growing software development agency that helps service-based businesses across the U.Our team values ownership, innovation, and building long-term partnerships with clients.We’re looki... Show more
Navacord is hiring technical talent in the insurance industry! We are accepting applications for a dynamic individual with 5+ years experience in a full stack development environment and with at le... Show more
Employment Hero a pour mission de simplifier et de valoriser l’emploi pour tous.Notre système d’exploitation de gestion de l’emploi réunit le recrutement, les RH, la paie et les avantages sociaux d... Show more
Our founding team has built and shipped digital products at Canada's leading financial institutions—and now we're doing it faster, bolder, and entirely on our own terms.We're growing quickly and lo... Show more
Our client is a multinational manufacturing company.They are looking for a Internal Audit Manager to join their team!.Competitive salary and benefits package.High-visibility role with global scope.... Show more
BET99 is Canada’s Premiere Online Sportsbook and Casino.Since launching in 2020, we have continuously innovated the online gaming landscape, rapidly growing our customer base and expanding our inte... Show more
Communicate with clients as the.Archive all programming deliverables and documentation per SOPs.Mentor team members and support their technical and professional development.CDISC standards, and com... Show more
At ICON Strategic Solutions, you will work in a sponsor-dedicated model, supported by ICON’s global expertise.As the world’s largest FSP organization, with over 90 sponsor partnerships, we offer st... Show more
Putting customers at the center of everything we do, the Supervisor, Health & Dental Claims leads the day‑to‑day operations of a customer‑facing claims team.This role is accountable for team perfor... Show more
