Senior Claims Quality Assurance Specialist

David Aplin Recruiting; Montreal; Hybrid; CAD 100,000 - 120,000; Full time

Job summary

A respected leader in the insurance industry is seeking a Claims Quality Assurance Specialist in Montreal, Quebec. This hybrid role focuses on auditing and improving multi-line claims operations and includes responsibilities such as detailed file reviews, training material development, and stakeholder collaboration. The position requires a significant level of experience, including AMF License and fluency in French.

Benefits

Flexible hours of start time

Hybrid work model - twice a week in the office

Shared purchase plan program

Comprehensive medical and dental coverage

Qualifications

• 10 years of experience in Commercial and Personal Lines claims.
• Mandatory French fluency with proficiency in English.

Responsibilities

• Conduct detailed file reviews for compliance with standards.
• Compile quarterly Claims Quality Audits with actionable recommendations.
• Design and develop training materials for new joiners.

Skills

Analytical skills

Detail-oriented

Auditing skills

Problem solving

Education

AMF License

Job description

Our client, a respected leader in the insurance industry, is seeking a detail-oriented and highly skilled Claims Quality Assurance Specialist to join their team in Quebec. This is an excellent opportunity for a professional with experience in multi-line claims to take on a key role in auditing claims and driving continuous improvement within the claims operation. If you’re looking to make a significant impact in a reputable company focused on operational excellence, this role is a great fit for you.

• 100,000 to 120,000 salary with bonus
• Flexible hours of start time
• Hybrid role – twice a week in the office
• Shared purchase plan program
• Comprehensive medical and dental coverage

Responsibilities

• Conduct detailed file reviews of multi-line claims to ensure compliance with company standards and identify areas for improvement
• Compile and contribute to quarterly Claims Quality Audits, providing actionable recommendations to Regional Claims Operational Leaders
• Analyze the Claims Customer Experience and make recommendations to enhance overall satisfaction
• Collaborate with the Director of Quality Assurance and Claims Excellence to identify training needs based on multiple Training Needs Analysis inputs
• Design, develop, and deliver educational materials for virtual and traditional classroom training environments for new joiners
• Assist with vendor management, ensuring the quality and efficiency of external partnerships
• Provide insights and support for the continuous improvement of the claims operations within the region
• Apply analytical skills and attention to detail to identify trends and areas of opportunity for operational enhancement

Qualifications

• AMF License
• Commercial and Personal Lines claims experience of 10 years
• Mandatory French fluency with proficiency in English

David Aplin & Associates Inc., operating as Aplin, and its associated brands, CompuStaff and Impact Recruitment, is an award-winning employment agency connecting diverse, top-tier talent with exceptional organizations across North America. We welcome applicants from all backgrounds and charge no fees to apply or engage with our recruiters. Our clients partner with us to help expand and diversify their teams. Please note that all applicants must be legally entitled to work in Canada, including holding any necessary work permits.

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Quality Assurance Specialist • Montreal, Montreal (administrative region), Canada