Senior Manager, Claims Quality Review

Royal Bank of Canada

  • Mississauga, ON
  • Permanent
  • Temps-plein
  • Il y a 5 jours
Job DescriptionWhat is the opportunity?Play a leadership role by providing an independent and objective review of Claims Management by way of portfolio quality reviews, influencing and collaborating with internal partners to address findings and action recommendations. Liaise with risk management, internal audit, and claims leadership to ensure claims adjudication processes and decisions are aligned with risk appetite and internal controls, presenting opportunities to improve the client experience, simplify processes, and realize efficiencies.What will you do?
  • Conduct quarterly portfolio quality reviews on Life & Health claims adjudication and report results to management identifying trends, gaps, and training opportunities as well as raising issues requiring management action
  • Lead the development and implementation of risk assessments and audit plans, and collaborate with internal partners on audit findings and recommendations to support business process optimization, compliance, and internal and external audit
  • Perform independent quality reviews on claims and actuarial reserve data to identify and report gaps and anomalies for corrective action and management review
  • Be a trusted advisor on special projects as the Claims Management Risk subject matter expert (SME), supporting the development from idea stage through to execution
  • Collaborate with Claims, Legal, Group Risk, and 2LOD on recommendations with respect to current processes and claim management guidelines and requirements
What will you need to succeed?
  • University degree, insurance designation (FLMI, CEBS, FALU)
  • Minimum 10 years’ experience in Life/Health Claims Adjudication, expert knowledge of L&H products, risk selection principles, insurance regulations, and claims adjudication processes
  • Proven skills in conflict resolution as well as strong decision making skills
  • Ability to communicate at all levels with clarity and precision both written and verbal; proven ability to earn the trust and collaborate with key stakeholders
  • Excellent facilitation and presentation skills
  • Advanced skills in MS Word, Excel, and PowerPoint, and experienced with data mining and working with large datasets
What's in it for you?
  • A Total Rewards program that includes flexible benefits, work/life balance and career development programs and investment and retirement savings plans
  • Competitive pay and high-earning potential
  • All the tools, training, and team support you need to grow your career
  • Flexible work/life balance options
  • Sophisticated RBCI software tools to boost your productivity
RBC Insurance is an organization that succeeds by bringing out the best in its people. You’ll be part of a supportive, inclusive team that shares common values – including a fundamental respect for each other. At the heart of this is a commitment to diversity. RBC respects and responds to the many competing and evolving priorities in our lives – so you can focus on what you can do best – putting clients first.Job Skills Adaptability, Auditing, Commercial Acumen, Detail-Oriented, Internal Controls, Interpersonal Relationship Management, Multi-Level Communication, Organizational Savvy and Politics, Results-Oriented, Waterfall ModelAdditional Job DetailsAddress: MEADOWVALE BUSINESS PARK, 6880 FINANCIAL DR:MISSISSAUGACity: MississaugaCountry: CanadaWork hours/week: 37.5Employment Type: Full timePlatform: INSURANCEJob Type: RegularPay Type: SalariedPosted Date: 2025-08-29Application Deadline: 2025-09-13Note: Applications will be accepted until 11:59 PM on the day prior to the application deadline date aboveInclusion and Equal Opportunity EmploymentAt RBC, we believe an inclusive workplace that has diverse perspectives is core to our continued growth as one of the largest and most successful banks in the world. Maintaining a workplace where our employees feel supported to perform at their best, effectively collaborate, drive innovation, and grow professionally helps to bring our Purpose to life and create value for our clients and communities. RBC strives to deliver this through policies and programs intended to foster a workplace based on respect, belonging and opportunity for all.Join our Talent CommunityStay in-the-know about great career opportunities at RBC. Sign up and get customized info on our latest jobs, career tips and Recruitment events that matter to you.Expand your limits and create a new future together at RBC. Find out how we use our passion and drive to enhance the well-being of our clients and communities at .

Royal Bank of Canada