Manager, National Claims Quality Assurance

Job ID : 7343
Category :
Brand : Definity
Regular/Temporary : Regular
Fulltime/Parttime : Full Time
Location : North York, Canada
Posting Range : $74,100 - $136,500

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Definity is the parent company to some of Canada’s most long-standing and innovative insurance brands, including Economical Insurance, Sonnet Insurance, Family Insurance Solutions, and Petline Insurance. Our ambition is to be one of Canada’s leading and most innovative property and casualty insurers. We can’t do that without our people, so we embrace and encourage a culture that’s collaborative, ambitious, rewarding, and empowering.

We offer a flexible, hybrid work experience where employees work from the office and virtually depending on the type of work they are doing and who they are working with. Bring your true self and be a part of our journey. It’s better here.

What can you expect in this role?

       •  Work with insurance Claims VPs & Directors, Actuarial and Insurance Risk teams to drive insurance claims handling insights and
          impact while supporting Claims in their action planning and resolution
       •  Lead a team of highly technical and/or professionally insurance designated staff while promoting a strong risk and control environment
       •  Develop and manage the insurance claims technical file review program
       •  Ensure all reviewers (Claims Leaders, Claims Technical Advisors, Claims Quality Assurance) are calibrated to ensure
          consistent approach in reviewing claim files
       •  Obtain agreement with Claims Leaders and Claims Technical Advisors on establishing best-in-class standards to audit against minimum thresholds
       •  Lead a Claims Quality Assurance review team while supporting their development to ensure team objectives are met
       •  Modernize approaches to technical file reviews by incorporating data analytics to measure and monitor adherence to regulatory
          and company standards
       •  Provide advisory and consultative services on claims file management, claims process effectiveness, risk management and
          control on new initiatives, process changes, existing processes and ad hoc requests
       •  Conduct root cause analysis and implement solutions in partnership with Claims, Actuarial, Risk, IT, Legal & Compliance,
          Finance & Underwriting
       •  Foster awareness of the company's policies and procedures through regular communication, training and employee engagement
       •  Monitor emerging best practices in risk management, audit and controls to improveEconomical's ability to identify, assess,
          mitigate, govern and report

What do you bring to the role?

       •  10+ years of experience in P&C claims handling either as a leader or Claims Technical Specialist
       •  Experience in/strong exposure to: audit, risk management, regulatory compliance, processes and controls
       •  Strong understanding of business operations and related legislative, regulatory, and internal policy and procedure requirements
       •  Excellent analytical, written and verbal communication skills
       •  Ability to build strong relationships externally and internally with all levels to help foster a positive compliance culture
       •  Proficient in Microsoft Excel, Power Point and Word
       •  Strong organizational, planning skills and critical problem-solving skills

Salary range is $74,100 - $136,500

Interested in this role, but don't meet every requirement? We encourage you to apply! We know from experience that a candidate doesn't need 100% of the qualifications listed to bring incredible value to our team. We're actively seeking diverse backgrounds and perspectives to help us make insurance better. At Definity, inclusion, diversity, and equity aren't just "nice to have" — they're essential to our success.

What's in it for you?

  • Hybrid work schedule for most roles
  • Company share ownership program
  • Pension and savings programs, with company-matched RRSP contributions
  • Paid volunteer days and company matching on charitable donations
  • Educational resources, tuition assistance, and paid time off to study for exams
  • Focus on inclusion with employee groups, support for gender affirmation surgery, access to BIPOC counsellors, access to programs for working parents
  • Wellness and recognition programs
  • Discounts on products and services

Actual salary for the role may vary depending on work location of the successful candidate and other factors including but not limited to, skills, education, experience, working conditions and the local labour market.  In addition to base pay, eligible employees may participate in various incentive plans which are paid out at the discretion of the company and subject to individual and company performance.

Go ahead and expect a lot — you deserve it.
It's better here — but don't take our word for it. Definity was named by Great Place to Work® as one of the Best Workplaces™ in Canada for women, for youth, and for inclusion.

Our inclusive work environment welcomes diversity and supports accessibility. If you require accommodation at any time during the recruitment process, please let us know by contacting [email protected].

Background checks
This role requires successful clearance of background checks (including criminal checks and leadership references).


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