Claims Quality Assurance Advisor Specialist

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 have experience in claims quality assurance and are looking for a new challenge, we would love to hear from you.

Zurich Canada is currently looking for a Claims Quality Assurance Specialist.

Reporting to the Head of Claims Performance and Delivery, you will develop and execute key quality review processes linked to business outcomes to influence and facilitate organizational quality improvement strategies.

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

1. Review claims to identify and measure leakage and compliance issues.
2. Develop solutions for improvement areas to enhance claims handling.
3. Translate solutions into economic value for the company.
4. Liaise with senior managers to keep stakeholders informed of important issues.
5. Conduct periodic reviews to ensure quality assurance aligns with business strategies and best practices.
6. Manage professional auditors.
7. Facilitate organizational quality improvement strategies.
8. Conduct technical best practice reviews.
9. Ensure closed files comply with industry standards.
10. Work towards personal and business objectives, supporting key goals: Financial Effectiveness, Operational Efficiency, Customer Satisfaction, Compliance, Personal/Professional Development.
11. Prepare draft manuals to reflect updated policies and procedures.
12. Research and analyze data to inform policy and product development.
13. Support senior management in improving processes and systems.
14. Provide specialist advice and solutions for technical queries.
15. Model corporate values and contribute to performance management discussions.
16. Educate and support team members.
17. Manage personal development and encourage others to do the same.

Job Qualifications - What you bring to the table

1. Bachelor’s Degree and 5 or more years of experience in Technical Claims, Claims, or other Insurance areas OR
2. Zurich Certified Insurance Apprentice including an Associate Degree with 5 or more years of experience in Technical Claims, Claims, or other Insurance areas OR
3. High School Diploma or Equivalent and 7 or more years of experience in Technical Claims, Claims, or other Insurance areas AND
4. Knowledge of business and compliance practices in the insurance industry.

Preferred:

1. Microsoft Office experience.
2. Strong communication and negotiation skills.
3. Effective conflict resolution, presentation, and project management skills.

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.

A future with Zurich

Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 148 years of experience managing risk and supporting resilience.

As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here.