Claims Quality & Compliance Advisor

Zurich 56 Company Ltd; Toronto; Hybrid; CAD 75,000 - 90,000; Full time

Job summary

A leading insurance provider in Toronto seeks a Claims Quality Assurance Advisor to enhance quality review processes in claims management. The successful candidate will analyze claims files to identify issues, support continuous improvement, and collaborate with teams to ensure compliance and service excellence. This role requires at least 4 years of experience in a technical claims role or relevant experience with a high school diploma. The position follows a hybrid work model and offers competitive compensation.

Benefits

Comprehensive health/benefits plan

Minimum four weeks of vacation per year

Personal days for mental health

Qualifications

• 4+ years of experience in a technical claims role.
• Knowledge of business compliance practices.
• Proficiency in Microsoft Office suite.

Responsibilities

• Analyze claims to identify leakage and compliance issues.
• Support process improvements for claims handling.
• Liaise with managers about significant issues.

Skills

Knowledge of business and compliance practices in the insurance industry

Proficiency in Microsoft Office suite

Strong communication and negotiation skills

Effective conflict resolution, presentation, and project management abilities

Commitment to continuous learning and professional growth

Education

Bachelor’s degree in a technical claims role

High School Diploma and 6 or more years of experience

Job description

A leading insurance provider in Toronto seeks a Claims Quality Assurance Advisor to enhance quality review processes in claims management. The successful candidate will analyze claims files to identify issues, support continuous improvement, and collaborate with teams to ensure compliance and service excellence. This role requires at least 4 years of experience in a technical claims role or relevant experience with a high school diploma. The position follows a hybrid work model and offers competitive compensation.