Manager leading quality audits, claims decision reviews, and strategic improvement projects for Medavie’s insurance operations. Guiding teams to improve service quality and customer outcomes.
Responsibilities
Lead high-impact initiatives improving operational effectiveness, service quality, employee capability and customer outcomes across Life and Disability operations
Lead a team of quality analysts and projects from concept through implementation
Establish and lead a Quality Audit & Decision Review Team
Develop decision-review methodologies, scoring frameworks and calibration processes
Evaluate the quality, consistency and effectiveness of claim management and LTD, COD and MBP claim decisions
Identify decision-making trends, risks, coaching opportunities and systemic issues
Facilitate decision-calibration sessions with operational leaders and subject matter experts
Report recommendations to leadership to strengthen decision quality, customer outcomes, risk management and operational effectiveness
Monitor quality review findings and ensure corrective actions are implemented and sustained
Collaborate with training teams to create materials and tools addressing quality gaps and trends
Lead Life and Critical Illness Specialists
Provide regular coaching and feedback
Participate in engagement activities
Focus on succession planning
Requirements
Post-secondary education in Business, Health Administration, Project Management, Adult Education or a related field, or an equivalent combination of education and experience
Experience leading cross-functional projects and process-improvement initiatives
Experience in change management and stakeholder engagement
Experience leading teams in disability or insurance operations
Deep knowledge of disability management, insurance operations and claim adjudication principles, including LTD, COD and MPB products
Expertise in quality assurance, decision quality assessment and calibration practices
Strong analytical, critical thinking and problem-solving skills
Experience with process mapping, root-cause analysis, continuous improvement methodologies and operational excellence frameworks
Strong project management, planning and organizational capabilities
Proven ability to influence stakeholders and drive change across cross-functional teams
Excellent written and verbal communication skills
Experience developing operational documentation, procedures, job aids, quality standards and training materials
Strong facilitation, coaching and consultation skills
Proficiency in data analysis, reporting and performance measurement
Bilingualism in French and English; English proficiency is required
Benefits
Health and dental coverage that is 100% employer paid from day one
Wellness benefits
Health resources
Fitness center discounts
Flexible work environment supporting work–life balance
Robust professional development opportunities, including leadership programs, ongoing learning, and career growth pathways
Collaborative and inclusive culture
Performance-based incentive programs for eligible employees
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