Bilingual Quality Analyst

Sun Life Québec; Montreal; 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. In this role, you'll conduct independent quality assessments of disability claims, ensuring adherence to best practices. Your expertise will help improve processes and provide actionable recommendations. With a commitment to diversity and inclusion, this innovative firm offers flexible benefits and opportunities for career advancement. Join a workplace recognized for excellence and make a meaningful impact on the lives of individuals and communities.

Benefits

Flexible benefits

Career advancement opportunities

Inclusive work environment

Recognition for mental health at work

Qualifications

• 3-5 years of experience in Long Term Disability Claims Management.
• Proficiency in PC applications and bilingualism in French and English.

Responsibilities

• Conduct quality reviews of assigned disability claims files.
• Provide feedback on evaluations and suggestions for improvement.

Skills

Long Term Disability Claims Management

Disability Case Management

Auditing

Sampling

Reconciliation

Bilingualism (French and English)

PC Applications (Windows, Excel, Word)

Job description

Join to apply for the Bilingual Quality Analyst role at Sun Life Québec.

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Join to apply for the Bilingual Quality Analyst role at Sun Life Québec.

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 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 GB strategy.
5. In-depth knowledge of disability claims processes, controls, and systems (STD, LTD, Health Management) with 3-5 years of experience.
6. Proficiency in PC applications (Windows XP, Excel, Word).
7. Bilingualism (French and English, oral and written) is required for interactions across Canada and worldwide.

What's in it for you?

• Opportunities for career advancement with extensive networking potential.
• Flexible benefits starting from day one to meet your needs.
• Commitment to an inclusive, respectful environment that fosters full potential.
• Recognition as a 2024 Best Workplace in Ontario by Great Place to Work Canada.
• 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, depending on location and other factors. In addition to base pay, employees may participate in discretionary incentive plans based on performance.

We value diversity and inclusion and welcome applicants from all backgrounds. Accommodation requests can be made via email at [e-mail].

Sun Life offers flexible work arrangements to support work-life balance. Only shortlisted candidates will be contacted for an interview.