Senior Corporate Claims Specialist, Investigative Services

Co-operators • Edmonton, AB

2d • CA$91,058 - CA$151,764 • Hybrid

About The Position

The Senior Specialist, Corporate Claims Investigative Services will provide direction and support with respect to technical claims management for their assigned discipline. As a senior technical discipline leader, you will contribute to the development of investigative and claims practices & procedures, technical training, resources and communication. You will monitor results, identify trends and develop innovative solutions to address opportunities and challenges facing the discipline. The Sr Specialist, Corporate Claims, Investigative Services will work collaboratively with claims peers and leaders to deliver on objectives and client service expectations for their discipline.

Requirements

• Minimum 7 years extensive and progressive experience in a claims environment and 5 years technical experience with P&C Fraud.
• You have a university degree in Business, Financial, Insurance or related field.
• Specialized knowledge and experience required of a P&C fraud department.
• Strong knowledge of national claims guidelines, processes and procedures at national level.
• Strong knowledge of key performance indicators and performance indicators for the claims discipline.
• Working knowledge of statistical methods and claims management dashboards.

Nice To Haves

• FCIP or CIP plus other related courses/pursuing further development is preferred.

Responsibilities

• Participates in the development of Investigative Services procedures, processes, actions, and plans to ensure that agreed upon national discipline benchmarks and goals are met. This includes successful implementation of strategic new technology and systems enhancements.
• Works closely with Fraud analytics and claims portfolio to proactively identify and monitor fraud trends. In collaboration with these partners, use business acumen and technical expertise to develop recommendations to address concerns. Work with operational partners to effectively implement recommendations.
• Participate in the development of KPIs and PIs for the discipline and in setting performance objectives. Uses dashboards and self-service analytics tools to understand and manage the discipline and optimize decision making with manager, Technical consultant, technical supervisors, Learning and Operational peers, supports the development and delivery of discipline related technical claims training, resources, and communication
• As a national senior technical resource for the discipline, maintains expert knowledge on company, legislative, and industry trends affecting technical policy wording, policy interpretation and claims handling.
• Participate in the development of national policies and procedures that align with claims and company goals and objectives, legislative changes, and evolve our claims handling for the future.
• Proactively identify opportunities for continuous process innovations, loss costs controls and systems for discipline and develop implementation plans
• Participates in the development and updating of Investigative Services file handling practices & procedures to ensure quality Investigation delivering on both loss cost controls and quality client service.
• Work with Quality Management team, monitor adherence to corporate standards and performance guidelines, identify gaps and recommend remedies to address gaps and drive achievement of national quality management goals
• Actively respond to business partners technical discipline requests, such as Actuarial, Finance, Underwriting and Product, in collaboration with Claims Analytics and Portfolio Claims.
• Partner closely with Claims Analytics and Claims Portfolio to complement each others strengths, and provide the technical and business acumen needed in achievement of goals and objectives.
• Collaborate with internal business partners, such as product, actuarial, finance and distribution, on technical wording and file handling, representing the discipline.
• With all stakeholders, support the story to explain claims technical application, investigations, processes, procedures, strategies, and tactics to address trends

Benefits

• Training and development opportunities to grow your career.
• Flexible work options and paid time off to support your personal and family needs.
• A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
• Paid volunteer days to give back to your community.
• In addition to our competitive salary and incentive programs, eligible employees also benefit from a comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program

What This Job Offers

• Job Type: Full-time
• Career Level: Senior