Claims Technical Specialist - Strategy

Job Overview

Working under minimal supervision, the Claims Technical Specialist - Strategy contributes to Wawanesa's goal of delivering an exceptional and consistent claims service experience by analyzing business processes to support design and/or modification of operational policies and procedures to improve efficiency and effectiveness in the adjusting function.

Job Responsibilities

• Contributes to the design and execution of the Claims Technical strategic plan and collaborates with stakeholders to identify opportunities in support of our business goals.
• Contributes to and supports the development of Wawanesa's claims policies and procedures.
• Supports the end-to-end claims handling process; ensuring any changes are evaluated and quantified prior to implementation.
• Ensures that processes are designed and executed to understand, escalate, track, and remediate risk events.
• Leverages data and performs analysis to identify training needs and opportunities for continuous improvement that will ensure our ability to deliver industry best outcomes, superior member service, and consistency in reserving practices and claim settlements, nationally.
• Partners with claims operations to develop and implement action plans identified through data analysis, that will improve our ability to deliver industry best outcomes, superior member service, and consistency in reserving practices and claim settlements nationally.
• Performs ongoing support and subject matter expertise to regional claims teams on claim file handling, strategy, action planning and resolution.
• Supports the Large Loss claim process.
• Provides claims expertise to various stakeholders that impact development of new and updated products.
• Stays current with industry, regulatory and company changes or trends that influence our claims strategic objectives.
• Maintains strong relationships with internal business units and other stakeholders to support Wawanesa's objectives.
• Adheres to all statutory and regulatory requirements, fair claims practices and local compliance requirements.
• Promotes and contributes to a work environment that is respectful and rewarding.
• Is a committed change champion, drives change initiatives and supports change management so that genuine understanding and commitment can occur.
• Performs other duties as assigned.

Qualifications

• 7+ years Accident Benefits claims experience with focus in Ontario, Maritimes, and Alberta regulations
• Minimum 3 years of claim leadership experience.
• Completed (or in progress) CIP or equivalent Property and Casualty industry designation.
• Post secondary degree preferred.
• Demonstrated excellent leadership skills with the ability to positively influence others.
• Excellent analytical and problem-solving skills, with the ability to conduct detailed analysis of information, and to select and implement best solutions in a timely manner.
• Excellent interpersonal, communication and presentation skills, with the ability to communicate in effective and persuasive manner.
• Excellent teamwork skills, with the ability to ensure group objectives are met within timelines.
• Superior knowledge of coverage wordings, policy interpretation, case law, legislation, and insurance regulations
• Effective customer service skills including empathy and concern for our members.
• Highly proficient time management and organizational skills with the ability to prioritize work in a fast paced, changing environment.
• Expert knowledge of Microsoft office suite
• Ability and willingness to travel, where required.