Senior Claims Quality Advisor Accident Benefits

Allstate Insurance Company; Hamilton; Remote; CAD 70,000 - 95,000; Full time

Job summary

A leading home and auto insurer in Canada is seeking a Senior Claims Quality Advisor to safeguard assets by analyzing complex claim data. The role involves conducting reviews to support compliance and enhance quality performance. Ideal candidates will have significant claims experience and a strong knowledge of insurance regulations. Join a company recognized for its commitment to employee growth and community engagement.

Qualifications

• Minimum 5+ years of Accident Benefits CCU claims experience.
• Knowledge of Provincial Insurance Acts.
• Ability to work independently and in teams.

Responsibilities

• Conduct employee file reviews and ensure compliance with standards.
• Analyze data to identify gaps and provide insights.
• Communicate effectively with stakeholders about results.

Skills

Claims Best Practices

Regulatory Knowledge

Influencing Skills

Collaboration

Verbal Communication

Written Communication

Education

CIP designation (willing to enroll)

Job description

At Allstate, great things happen when our people work together to protect families and their belongings from life’s uncertainties. For more than 90 years, our innovative drive has kept us a step ahead of our customers’ evolving needs, from advocating for seat belts and air bags to leading in pricing sophistication, telematics, and device and identity protection.

Job Description

This role is responsible for safeguarding Allstate's assets by analyzing complex claim data to identify potential risks or integrity issues. It involves analyzing data to spot irregular patterns, reviewing and assessing internal controls, and collaborating with others to identify emerging risks and resolutions.

About Allstate

Allstate Insurance Company of Canada is a leading home and auto insurer focused on providing prevention and protection products and services for every stage of life. Serving Canadians since 1953, Allstate is committed to its "You’re in Good Hands" promise and has been named a Best Employer in Canada for nine consecutive years. We actively contribute to our communities through charitable partnerships, employee giving, and volunteerism. Learn more at www.allstate.ca and for safety tips at www.goodhandsadvice.ca.

Our Employee Value Proposition fosters a culture where employees feel valued, experience personal growth, have career options, and truly enjoy their work.

Position: Senior Claims Quality Advisor – Accident Benefits

Role Designation: Remote

Accountabilities:

1. Conduct employee file reviews, call reviews, and targeted reviews to support business projects and initiatives.
2. Ensure understanding and compliance with file and customer service standards.
3. Adhere to internal best practices, regulatory, legal, and ethical policies.
4. Analyze data to identify gaps, provide insights, and recommend improvements.
5. Complete control reviews, analysis, and reporting to meet Corporate Compliance and SOX requirements.
6. Participate in calibration sessions.
7. Provide feedback to Claim Managers and Claim Advisors to meet quality performance targets.
8. Communicate effectively with stakeholders regarding results, trends, and updates.

Qualifications:

1. Minimum 5+ years of Accident Benefits CCU claims experience; RSA (CAT) & ADR (dispute) experience is an asset.
2. Extensive claims and insurance regulation knowledge.
3. Deep understanding of Claims Best Practices.
4. Strong influencing skills and adaptability to change.
5. Ability to collaborate with stakeholders.
6. Knowledge of Provincial Insurance Acts and legal/regulatory requirements.
7. Excellent written and verbal communication skills.
8. Ability to work independently and in teams.
9. Enrolled or willing to enroll in CIP designation.

We provide workplace accommodations. Please let us know if you require any.

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