Vendor Management Specialist - Claims

Wawanesa Insurance•Edmonton, AB

12d•CA$80,000 - CA$100,000•Hybrid

About The Position

The Vendor Management Specialist is a pivotal role in supporting the Vendor Management team to develop, coach and performance manage the Preferred Provider Network (PPN) working towards our goals to achieve best in class results driving a high-performance culture. The Vendor Management Specialist is an agent of change and continuous improvement, challenging the status quo and thinking creatively to identify issues and resolve challenges and liaises between the PPN vendor and the claims operation. The Vendor Management Specialist contributes to Wawanesa’s goal of delivering an exceptional and consistent member experience through active coaching and guidance of local Preferred Provider Network (PPN) vendors.

Requirements

Proven ability to support and facilitate change initiatives, particularly those impacting vendor networks, service delivery models, or claims processes, while maintaining a positive and solutions-focused approach.
Ability to quickly adopt and facilitate change in a positive environment.
Demonstrates accountability, reliability, transparency and alignment with Wawanesa values.
Effective and self-managed contributor driven to achieve targets, provides alternative solutions and positive mindset during adversity.
Excellent communication skills both oral and written.
Strong investigative and analytical skills, supported by effective negotiation skills.
Detail oriented with a critical degree of accuracy regarding data entry.
Agile and flexible to organize and/or shift priorities as needed in a fast-paced, changing and ambiguous environment.
Ability to shift priorities or line of business within Vendor Management to support departmental objectives.
Commitment to continuous/continuing education.
Proficiency in MS Office applications (Excel, PowerPoint), with the ability to analyze data, support reporting, and present insights related to vendor performance and claim outcomes.

Nice To Haves

Experience in legal sourcing, claims, or healthcare related fields is considered an asset, including backgrounds such as occupational therapy, kinesiology, or other casualty or medical disciplines

Responsibilities

Directly or indirectly manages contracted spend of $10+ Million and responsible to identify and operationalize opportunities for improved expense / indemnity management.
Through the Vendor Management team structure, provide coaching and guidance to local Preferred Provider Network vendors.
Conduct technical reviews or analysis of services provided by PPN vendors for performance and program status.
Utilizing available data, conduct and report on compliance with company standards and industry best practices.
Manage and resolve claims related concerns or escalations.
Prepares reports for Vendor Management regarding the performance of PPN providers or PPN Program.
Perform vendor evaluations as assigned with capability to provide well written, descriptive reports as required to assist with claim resolution as required.
Identify trends in service delivery behaviours by reviewing data and performing evaluations during any phase of the service cycle.
Coaching for performance improvements based on identified trends and in adherence to the direction of Vendor Management.
Performance manage and oversee suppliers on a program level aligned to service level agreements and organizational objectives.
Participates or leads monthly operational performance reviews with PPN vendors.
Participates or leads the management of a various vendor commodities.
Assist or lead vendor activities related to Catastrophe (CAT) events and provide support as requested (remotely and/or in the field).
Remain up to date with legislative changes, trends in the insurance industry, or relevant to supported line of business.
Adherence to Wawanesa Gift & Gratuities policy and Vendor Governance Model.
Travel (local and out of province) as required (up to 50% of the time).
Flexible work schedule as needed to respond to CATs and member needs.
Performs other duties as assigned.