Director, Claims Risk Management for Sun Life Canada responsible for excellence in claims risk assessment and leading claims adjudicators. Collaborating with internal and external parties to enhance the claims experience.
About the role
- Claims Adjuster managing TPA services for CFC's claims department. Building relationships and ensuring fair settlements while supporting the Emerging Risks Claims Team.
Responsibilities
- Ensure our claims department continues to deliver outstanding TPA services for capacity providers, always upholding Treating Customers Fairly (TCF) and Conduct Risk principles.
- Proactively manage claims from first notification of loss to settlement, analysing coverage, legal liability, and quantum within delegated authorities.
- Build strong relationships with policyholders, brokers, underwriters, and capacity providers—delivering a customer experience that sets us apart.
- Guarantee prompt, accurate reserving, pursue third-party recoveries, and minimize claims leakage.
- Identify and escalate key issues to the Emerging Risks Claims Manager and Claims Director as needed.
- Support the Emerging Risks Claims Manager, Claims Director, and the wider claims team, collaborating closely with underwriters and providing valuable feedback on claims trends and product development.
Requirements
- CII qualification (or working towards it)
- Excellent verbal and written communication skills
- A confident grasp of insurance policy wordings across multiple territories
- Experience with ECF (a strong advantage)
Benefits
- **Love what you do:** We show up each day ready to take on the world. Our passion and intensity set us apart and makes the difference to our colleagues, customers, brokers and carriers.
- **Challenge everything:** We’re never afraid to question the way that things are done and we constantly challenge ourselves and others to makes things better.
- **Have fun, be good:** Insurance is a serious business, but we don’t take ourselves too seriously. We make it fun to work at CFC, we welcome all viewpoints, and we treat everyone how we would expect to be treated.
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