Bilingual Quality Analyst

Sun Life; Golden Horseshoe; On-site; CAD 56,000 - 93,000; Full time

Job summary

An established industry player is seeking a Bilingual Quality Analyst to join their dynamic team. This role focuses on conducting quality assessments of Disability claims, ensuring adherence to best practices. You'll collaborate with experts, providing insights and feedback to enhance processes and service levels. With a commitment to diversity and inclusion, this organization offers a flexible work environment and various career development opportunities. Join a recognized leader in the industry and make a meaningful impact in the lives of individuals and families across Canada.

Benefits

Flexible Benefits

Career Development Opportunities

Inclusive Work Environment

Recognition as Best Workplace

Mental Health at Work Excellence

Qualifications

• 3-5 years of experience in managing Long Term Disability claims.
• Knowledge of Group Benefits and disability claims processes.

Responsibilities

• Conduct quality reviews of disability claims and record results.
• Provide feedback and suggestions for improvement in claims decisions.

Skills

Disability Claims Management

Auditing

Sampling

Reconciliation

Bilingualism (French and English)

PC Applications (Windows, Excel, Word)

Education

3-5 years of experience in Long Term Disability Claims Management

3 years of experience as a Disability Case Manager

Job description

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You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals, families and communities around the world.

Job Description:

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, etc.) will be required.

What will you do?

1. Conduct quality reviews focusing on case management principles and overall case management excellence of assigned disability claims files; record quality assurance results using audit tools.
2. 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.
3. Meet service levels for quality, quantity, and timeliness (individual and team).
4. Provide feedback on evaluation along with suggestions for improvement.
5. Remain current on Group Life and Disability practices and processes.
6. Provide input on trends to support actionable recommendations for quality improvement.
7. Participate in calibration sessions to ensure consistency in the application of the measures and to ensure program objectives are met.
8. Provide subject matter expertise input into Disability process related inquiries.
9. Provide feedback on the assessment with strong supporting rationale, especially when there is a disagreement between Quality and Operations.

What do you need to succeed?

1. Must have 3-5 years of Long Term Disability Claims Management experience.
2. Minimum of 3 years of experience as a Disability Case Manager.
3. Experience in auditing, sampling, and reconciliation.
4. Knowledge of Organizational Effectiveness, Group Benefits, and understanding of GB strategy.
5. Knowledge of other Group Benefits areas.
6. In-depth knowledge of disability claims processes, controls, and systems (STD, LTD, and Health Management) with 3-5 years of experience.
7. Proficiency in PC applications (Windows XP, Excel, Word).
8. Bilingualism (French and English, both oral and written) is required for interactions with colleagues and partners across Canada and worldwide.

What's in it for you?

1. The opportunity to explore various career paths with extensive networking potential.
2. Flexible Benefits from day one to meet your and your family's needs.
3. An inclusive and respectful environment that fosters your full potential.
4. Recognition as a 2024 Best Workplace in Ontario by Great Place to Work Canada.
5. Recognition by Excellence Canada with the Canada Order of Excellence for Mental Health at Work.

The salary range is from 56,000 to 93,000. In addition to base pay, eligible employees participate in incentive plans, which are discretionary and based on performance. Sales roles may have additional sales incentives.

We value diversity and inclusion, welcoming applications from all backgrounds. Persons with disabilities needing accommodations can contact us at the provided email.

Sun Life promotes a flexible work environment with various options discussed during the hiring process.

We appreciate all applicants' interest. Only those selected for interviews will be contacted.