Injury Quality Support Specialist

Injury Quality Support Specialist

Permanent Full-Time

Out-of-Scope

Location:
In office:
Regina South Claims, Saskatoon Central Claims, Prince Albert Claims, Meadow Lake Claims, Moose Jaw Claims, or North Battleford Claims

Pay Range: $90,116.00 - $

Closes
Monday, March 9, 2026

The successful candidate will be responsible for quality control monitoring and for conducting reviews and assessments to evaluate the operational risks and improve processes for the Income Replacement Benefits (IRB) department, Rehabilitation Services department, and Injury operations. In this role you will develop plans and solutions that reduce and/or control risks and liabilities within the Saskatchewan No Fault injury program.

Key Accountabilities

Note:
This section is not intended to be an exhaustive list of duties and responsibilities – other duties and responsibilities may be assigned.

Operational Quality Control Monitoring and Risk Management

• Develops and implements the front-line operational risk-management system and creates the risk management protocols to align with the established quality control framework set by Corporate Claims.

• Considers root cause analysis provided by analyst and reviews all pertinent data to provide recommendations to remediate operational business problems.

• Prepares and presents value-added stakeholder reports that contain practical recommendations for business improvements, and which incorporate best practices, align with strategic priorities, and as required will include risk, governance, and control concepts.

• Performs internal process and vendor process audits to ensure policies, legislation, and service standards are adhered to.

• Analyzes legislation, policy, and procedure deviations in claims and provides feedback to program leaders so they can incorporate learnings into staff training, become more consistent, and can make appropriate policy changes when needed.

• Collaborates with cross-functional teams to facilitate the identification of processes requiring reviews, prioritizes the process reviews, and completes the reviews to identify opportunities to increase business process efficiency and effectiveness.

• Leads the mapping and analysis of key processes.

Data Analysis

• Prepares ad hoc operational reports with available data and requests reports as needed from other reporting sources depending on the complexity of the need.

• Plans for data collection and will complete analysis within the Saskatchewan No Fault injury program to identify trends risks, and opportunities.

• Analyzes reports to identify trends and patterns, recommends solutions and process changes that align with best practices.

• Contributes to the development of key performance and quality indicators that will meet business needs.

• Works closely with Data Office in informing and supporting SGI data policies and reporting standards.

• Evaluates data quality, reports any issues and the scope/severity of the impact, and recommends potential resolutions.

Operational Support

• Provides advice and direction to IRB Representatives, injury adjusters, and management.

• Completes financial audits, e.g., where a large volume of information is provided by a farmer or self-employed customer and all the information is considered to determine an appropriate income benefit.

• Discusses and reviews information submitted by claims branch personal injury representatives and external adjusters to determine No Fault and Tort coverage entitlements and the validity of those claims which require additional interpretation of the Automobile Accident Insurance Act (AAIA), policy wordings and other applicable acts and regulations due to uncommon variables.

• Supports staff with the submission, interpretation, calculation, and application of IRB legislation, particularly for injury claims with complicated considerations/factors involving self-employment, corporations, and fatalities.

• Supports the maintenance of and the annual changes to the IRB tax table, the No Fault and tort table of benefits and expenses, and the classes of employment table.

• Assists Manager with the 10% Lump Sum Program and the annual issuance of associated T5’s.

• Supports the preparation of the administrative expense budget for the Claims Division and will share pertinent information with staff and feedback to leadership on where budget is tracking.

People Leadership

• Builds a high performing workforce by actively leading human resource activities.

• Ensures development of divisional succession plans.

• Builds a culture of leadership and accountability to effectively deliver on strategic and corporate strategies, ensuring integration with employee performance development and career development plans.

• Drives performance through team members and is committed to leadership development across the company,…