Claims Quality Assurance Advisor Job Toronto area,Ontario Canada,Insurance

The Opportunity

Are you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? Do you have the ambition and desire to be the best and thrive at the most impactful global insurance provider in the world? Look no further than Zurich Canada.

If you have experience in claims quality assurance and are looking for a new challenge, we would love to hear from you.

Zurich Canada is currently looking for a Claims Quality Assurance Advisor to enhance and execute quality review processes for our claims area, supporting continuous improvement in alignment with business goals.

Reporting to the Head of Claims QA & Governance, you will play a pivotal role by analyzing and reviewing claims files, collaborating across teams to improve processes, and helping Zurich deliver on our promise of service excellence. Your work will help reduce leakage, ensure compliance, and support best-in-class claims handling across the organization.

This is a unique opportunity to build your knowledge and experience for the future in a supportive environment where your voice matters. This posting is for an existing vacancy.

Zurich Canada uses artificial intelligence–enabled tools to support certain aspects of the recruitment process, including the initial review and screening of applications. Artificial intelligence is not the sole basis for candidate shortlisting or selection. All hiring decisions are reviewed and made by qualified hiring professionals.

Zurich follows a hybrid work model requiring three days per week of in-person presence, which may include time in the office or market-facing engagements.

What you will do

Analyze and assess claims through both open and closed file reviews to identify and measure leakage and compliance issues in the claims assessment process

Identify improvement opportunities and support development of solutions to continuously enhance the claims handling process

Liaise closely with senior managers to ensure stakeholders are promptly aware of any significant issues identified during file reviews

Conduct regular technical and best practice reviews with claims management to ensure our quality assurance program aligns with business strategies and industry best practices

Ensure closed files comply with pre-determined industry standards and Zurich’s internal benchmarks

Support delivery of key business objectives, including financial effectiveness, operational efficiency, customer satisfaction, and compliance as measured by the Zurich Global Claims Scorecard

Prepare draft manuals for claims procedures and contribute to the development and implementation of new policies and process improvements

Research, analyze, and provide recommendations on claims protocols to inform continuous improvement

Provide specialist advice to internal teams and support colleagues through knowledge sharing and technical guidance

Model Zurich’s core values and foster a positive team environment

Job Qualifications - What you will do

Required:

Bachelor’s degree and 4 or more years of experience in a technical claims role

High School Diploma (or equivalent) and 6 or more years of experience in a technical claims role

AND

Knowledge of business and compliance practices in the insurance industry

Proficiency in Microsoft Office suite

Preferred:

Strong communication and negotiation skills

Effective conflict resolution, presentation, and project management abilities

Commitment to continuous learning and professional growth

At Zurich Canada, we are committed to pay equity. We determine compensation based on objective criteria such as skills, experience, and internal equity. The salary range for this position is $75,000 – $90,000. This range reflects the expected pay for the role across Canada and may vary depending on factors like office location, specific responsibilities, and individual qualifications. As required by local law, Zurich provides in good faith a reasonable compensation range, but starting salaries may exceed this range based on a candidate’s skills and experience.

Our Culture

At Zurich, we are proud of our culture. We are passionate about Diversity, Inclusion, Equity and Belonging (DIEB). We want you to…


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