TPA Ops & Compliance Consultant

Zurich 56 Company Ltd; Toronto; Hybrid; CAD 70,000 - 90,000; Full time

Job summary

Zurich Canada is seeking a TPA Ops & Compliance Consultant to manage fund disbursement processes and lead a team of data entry coders. This hybrid role requires strong analytical skills and a background in insurance operations. Join a collaborative workplace that values diversity and offers comprehensive benefits.

Benefits

Comprehensive health/benefits plan

Minimum of four weeks of vacation per year

Four personal days per year

Access to training and development opportunities

Qualifications

• Minimum 5 years of experience in insurance claims or operations.
• Strong experience in managing teams and SLA-driven environments.
• Ability to manage multiple priorities in a dynamic environment.

Responsibilities

• Ensure accurate and timely replenishment of TPA float accounts.
• Act as a Team Lead to claims coders handling claims-related data.
• Analyze operational workflows and implement improvements.

Skills

Process Optimization

Team Management

Analytical Skills

Communication

Education

Bachelor’s degree in business, Insurance, Finance, or related field

Tools

MS Excel

Data Tracking Tools

Job description

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TPA Ops & Compliance Consultant

123520

The Opportunity

Are you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? Do you have the ambition and desire to be the best and thrive at the most impactful global insurance provider in the world? Look no further than Zurich Canada.

If you excel at improving process efficiency, are detail-oriented and proactive, and have experience with Third Party Administrators we would love to hear from you.

Zurich Canada is currently looking for a TPA Ops Compliance Consultant.

Reporting to the Senior Manager TPA Operations, you will manage the replenishment process for Third Party Administrators (TPAs), ensuring timely and accurate fund disbursement, and leading a team of data entry coders to drive efficiency and optimal performance through effective capacity planning and process discipline.

This is a unique opportunity to build your knowledge and experience for the future in a supportive environment where your voice matters.

This is a hybrid work opportunity.

What you will do

Replenishment Oversight
• Ensure accurate and timely replenishment of TPA float accounts
• Monitor fund usage, prepare replenishment requests, and coordinate with finance and TPA teams to avoid shortfalls or delays.
• Track discrepancies in fund reconciliation and escalate unresolved issues.

Team Management
• Act as a Team Lead to claims coders handling claims-related data.
• Allocate workload effectively to optimize productivity and maintain turnaround time
• Train, guide, and support team members to maintain accuracy and productivity.

Process Optimization
• Analyze operational workflows and implement improvements to optimize replenishment cycles.
• Define, track, and report on key SLAs for TPA fund disbursement and data entry operations.
• Identify and implement automation or digital tools to enhance efficiency.
• Ensure adherence to internal SOPs and compliance standards.

Capacity Planning
• Create and maintain a robust capacity model aligned with claims volumes
• Continuously monitor workload trends and proactively adjust resource planning to meet demand.
• Identify bottlenecks and implement resourcing strategies to maintain SLA compliance.

Reporting & Analysis
• Prepare daily, weekly, and monthly dashboards on fund utilization, replenishment cycles, SLA adherence, and team productivity.
• Present key insights and action plans to senior management.
• Ensure compliance with internal controls, audit requirements, and regulatory standards.

Job Qualifications

What you bring to the table

Required:

• Bachelor’s degree in business, Insurance, Finance, or a related field.

AND

• Minimum 5 years of experience in insurance claims or operations
• Advanced proficiency in MS Excel and data tracking tools.
• Strong experience in managing teams, process optimization, and SLA-driven environments.
• Excellent communication, leadership, and analytical skills.

Preferred:
• Exposure to Third Party Administrator management
• Understanding of insurance claims workflows, financial reconciliations, and regulatory compliance.
• High sense of ownership and attention to detail.
• Ability to manage multiple priorities in a dynamic, high-volume environment.
• Strong problem-solving mindset with a continuous improvement approach.

Our Culture

• At Zurich, we are proud of our culture. We are passionate about Diversity, Inclusion, Equity and Belonging (DIEB). We want you to bring your whole self to work, and we want our employees to be reflective of the communities in which we live and work. Our DIEB initiatives are creating an environment where everyone feels welcome.

• We have a collaborative culture where diversity of thought is valued. We value your input and strive to give our employees the tools they need to make an impact.

• We care about our employees’ well-being and offer a comprehensive health/benefits plan with varying levels of coverage to suit your specific needs and a competitive total compensation package.

• We understand how important it is to rest, recharge and do the things you love. At Zurich, all employees receive a minimum of four weeks of vacation per year to do just that.

• We also understand that employees require time off for personal reasons. Maybe you have an appointment during a workday, a cultural or religious holiday you would like to observe, or you need time off to focus on your mental health. Zurich employees receive four personal days per year to be used at their discretion.

• We are committed to continuous improvement and offer access to a comprehensive range of training and development opportunities.

• We care about our communities. Our communities are where our customers, people, and shareholders live and work. While we can be proud of the contribution to society Zurich makes through our core business of insurance, we must also give back to our communities through our talent, time and resources.

• We have won numerous awards for our workplace culture. We are proud to be one of Greater Toronto’s Top Employers and to have received Insurance Business Canada’s 5-Star Diversity, Equity and Inclusion Award.

Make a difference. Be challenged. Be inspired. Be supported. Love what you do. Work for us.

About Us

Zurich Canada is part of the Zurich Insurance Group, a multi-line insurer with approximately 55,000 employees worldwide serving customers in global and local markets. Zurich Canada has been a leading insurance provider serving mid-sized and large companies, including multinational corporations, in the Canadian commercial market for 100 years. With over 500 employees in offices across the country, Zurich offers the global strength of a top insurance provider combined with in-depth knowledge of industries and local markets. Zurich Canada aspires to be risk management professionals’ first choice as their premier partner to help meet the risk challenges of today and tomorrow. Read more at www.zurichcanada.com.