Senior Claims Quality Advisor Accident Benefits

Allstate Canada; Ontario; Remote; CAD 70,000 - 90,000; Full time

Job summary

Allstate Canada recherche un Senior Claims Quality Advisor – Accident Benefits pour rejoindre son équipe. Dans ce rôle, vous serez responsable de l'analyse des données des réclamations et de la collaboration avec les parties prenantes pour garantir la conformité et améliorer les processus. Ce poste à distance offre l'opportunité d'utiliser votre expertise en réclamations pour influencer les changements positifs au sein de l'organisation.

Benefits

Accommodations de travail disponibles

Qualifications

• Minimum 5+ ans d'expérience en réclamations Accident Benefits.
• Connaissance approfondie des règlements en assurance.
• Compréhension des meilleures pratiques en matière de réclamations.

Responsibilities

• Effectuer des examens de dossiers et des évaluations ciblées.
• Assurer la conformité aux normes internes et réglementaires.
• Analyser les données pour recommander des améliorations.

Skills

Analyse de données

Compétences en communication

Gestion des changements

Collaboration

Education

Inscription ou volonté de s'inscrire au CIP

Job description

Senior Claims Quality Advisor Accident Benefits

Join us at Allstate Canada as a Senior Claims Quality Advisor – Accident Benefits. We are seeking experienced professionals to ensure the integrity and quality of our claims processes.

Role Overview: This role involves analyzing complex claim data to identify risks, irregular patterns, and ensure compliance with internal and regulatory standards. The position requires collaboration with stakeholders for risk mitigation and process improvements.

About Allstate: Since 1953, Allstate Insurance Company of Canada has been dedicated to providing excellent home and auto insurance services. We pride ourselves on our 'You're in Good Hands' promise and have been recognized as a top employer in Canada for nine consecutive years. We are committed to community engagement and employee development.

Position Details: Remote work arrangement. The role involves reviewing employee files, call quality, and data analysis to support business initiatives and compliance.

Key Responsibilities:

• Perform employee file reviews, call reviews, and targeted assessments
• Ensure adherence to file and customer service standards
• Maintain compliance with internal policies, regulatory, legal, and ethical standards
• Analyze data to identify gaps and recommend improvements
• Complete control reviews and reporting for Corporate Compliance and SOX requirements
• Participate in calibration sessions and provide feedback to Claim Managers
• Communicate findings and updates effectively to stakeholders

Qualifications:

• Minimum 5+ years of Accident Benefits CCU claims experience, RSA (CAT) & ADR (dispute) experience is an asset
• Extensive claims knowledge and insurance regulation expertise
• Understanding of Claims Best Practices
• Strong influencing and change management skills
• Ability to collaborate with stakeholders
• Knowledge of Legal and Regulatory requirements, including Provincial Insurance Acts
• Excellent communication skills and customer service orientation
• Ability to work independently and in teams
• Enrolled or willing to enroll in CIP designation

We provide workplace accommodations for those who need them. Please inform us of any requirements.

Additional Details:

• Seniority Level: Mid-Senior level
• Employment Type: Full-time
• Job Function: Quality Assurance
• Industries: Insurance and Financial Services