Senior Manager overseeing Medicare DSNP Market, collaborating across teams for compliance and product performance at CVS Health. Driving sales growth and member satisfaction.
About the role
- Claims Manager leading fraud control strategies at Intact to reduce exposure to fraud losses. Managing investigations and providing technical expertise to ensure efficient work processes and quality service.
Responsibilities
- Work with the Director to develop solutions utilizing our various fraud tools to reduce the organization’s exposure to fraud losses, improve fraud controls, and provide information for other ancillary purposes.
- Manage highly sensitive investigations involving multiple stakeholder interests including other regulatory and investigative authorities.
- Liase with IBC and Crown Attorneys in preparation of physical evidence and briefing materials.
- Appear as witness and give evidence during trials.
- Ensure investigations are objective, fair, thorough, unbiased and timely.
- Manage the day-to-day operation of the ISU teams to ensure results produced meet team, department, corporate, Provincial and regulatory standards and goals; provide regular feedback to leadership on results.
- Manage the Investigative Team by setting and monitoring goals and objectives; evaluating performance; and holding regular status meetings to keep staff informed of changes and new projects.
- Review metrics and report to Director and VP.
- Maintain effective communication links with the COE's and ensure standardized IS workflow processes with the SHU teams.
- Provide effective leadership, responsible for recruiting, coaching and mentoring Direct resources within budget allocation and ensure adherence to corporate policies and standards.
- Accountable for the overall engagement of the ISU creating agility in a dynamic changing environment.
Requirements
- University degree or any combination of training and experience deemed relevant for the role
- Experience with fraud investigation protocols is an asset or prosecution
- Three years’ experience at supervisory level or equivalent work experience
- Leadership, coaching and career development skills
- Strong technical skills in automobile, accident benefits, and/or property claims
- Analytical skills to deal with policy, legal and regulatory interpretation and implementation
- Sense of urgency and willingness to manage a changing schedule due to unpredictable events
- Proven experience with successful change management initiatives
- Strong ability to collaborate and influence diverse groups
- Strong communication and negotiation skills
Benefits
- A financial rewards program that recognizes your success
- An industry leading Employee Share Purchase Plan; we match 50% of net shares purchased
- An extensive flex pension and benefits package, with access to virtual healthcare
- Flexible work arrangements
- Possibility to purchase up to 5 extra days off per year
- An annual wellness account that promotes an active and healthy lifestyle
- Access to tools and resources to support physical and mental health, embracing change and connecting with colleagues
- A dynamic workplace learning ecosystem complete with learning journeys, interactive online content, and inspiring programs
- Inclusive employee-led networks to educate, inspire, amplify voices, build relationships and provide development opportunities
- Inspiring leaders and colleagues who will lift you up and help you grow
- A Community Impact program, because what you care about is a part of what makes you different.
Job title
Job type
Experience level
Salary
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Degree requirement
Location requirements
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