Bilingual Quality Analyst

Sun Life; Toronto; Hybrid; CAD 56,000 - 93,000; Full time

Job summary

A leading company in financial services is hiring a Quality Analyst to conduct quality assessments of Disability claims files. The role requires strong analytical skills, experience in Disability Claims Management, and the ability to communicate effectively in both English and French. Join a dynamic team to make a difference for clients and contribute to continuous improvement in disability claims processes.

Benefits

Flexible Benefits

Networking opportunities

Inclusive workplace

Recognition as Best Workplaces in Ontario

Qualifications

• 3-5 years Long Term Disability Claims Management experience required.
• Minimum of 3 years experience as a Disability Case Manager.
• Knowledge of Group Benefits and Organization Effectiveness.

Responsibilities

• Conduct quality reviews and maintain case management principles.
• Review claim decisions for quality assurance.
• Provide feedback for process improvement.

Skills

Analysis

Quality Assurance

Bilingualism

Claims Management

Education

Degree in relevant field

Tools

PC (Windows XP, Excel, Word)

Job description

4 days ago Be among the first 25 applicants

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, 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?

• The opportunity to move along a variety of career paths with amazing networking potential
• Flexible Benefits from the day you join to meet the needs of you and your family
• We’re committed to creating an inclusive and respectful environment. Our goal is to make sure all our employees have the chance to live up to their full potential
• We’re honoured to be recognized as a 2024 Best Workplaces in Ontario by Great Place to Work Canada
• We are thrilled to be recognized by Excellence Canada with their top-level certification, the Canada Order of Excellence for Mental Health at Work, for prioritizing employee well-being, fostering a positive work culture, and achieving excellence in mental health
  
  

The Base Pay range is for the primary location for which the job is posted. It may vary depending on the work location of the successful candidate or other factors. In addition to Base Pay, eligible Sun Life employees participate in various incentive plans, payment under which is discretionary and subject to individual and company performance. Certain sales focused roles have sales incentive plans based on individual or group sales results.

Diversity and inclusion have always been at the core of our values at Sun Life. A diverse workforce with wide perspectives and creative ideas benefits our Clients, the communities where we operate and all of us as colleagues. We welcome applications from qualified individuals from all backgrounds.

Persons with disabilities who need accommodation in the application process, or those needing job postings in an alternative format, may e-mail a request to [e-mail].

We are proud to be a hybrid organization that offers our employees the choice and flexibility to work from both the office and virtually based on the needs of the business, our Clients and you! Several work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.

We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.

Salary Range:

56,000/56 000 - 93,000/93 000

Job Category:

Business Analysis - Process

Posting End Date:

26/06/2025

Seniority level

• Seniority level

  Not Applicable

Employment type

• Employment type

  Full-time

Job function

• Job function

  Quality Assurance

• Industries

  Financial Services and Insurance

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