Quality Analyst
Quality Analyst
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Job Description
You are as unique as your background experience and point of view. Here youll be encouraged empowered and challenged to be your best self. Youll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day youll have new and exciting opportunities to make life brighter for our Clients - who are at the heart of everything we do. Discover how you can make a difference in the lives of individuals families and communities around the world.
Job Description:
The Quality Analyst position is part of a team whose mandate is to conduct independent and objective quality assessments of Disability claims files. The teams focus is to ensure that operational processes and practices are consistent with best practices established on a national basis. The Quality Analyst will complete audit functions on the lifecycle of a disability claim including Short-Term Disability Long-Term Disability and Health Management Consulting including the assessment of the claims decision processes. The ability to learn and apply key concepts across all programs (i.e. Creditor Compliance Case Management Quality Association and Affinity Waiver Plan Sponsor Agreement etc.) will be required.
What will you do
Conduct quality reviews focusing on case management principles as well as overall case management excellence of assigned disability claims files; record quality assurance results using audit tools
Review new claim decisions and/or change of definition decisions to assure the quality of the decision as defined by our contract philosophy and practices
Meet service levels for quality quantity and timeliness (individual and team)
Provide feedback on evaluation along with suggestions of improvement
Remain current on Group Life and Disability practices and processes
Provide input on trends to support actionable recommendations for quality improvement
Participate in calibration sessions to ensure consistency in the application of the measures and to ensure program objectives are met
Provide subject matter expertise input into Disability process related inquiries
Provide feedback on the assessment with strong supporting rationale when there is a disagreement between Quality and Operation
What do you need to succeed
Must have Long Term Disability Claims Management experience 3-5 years
Must have minimum of 3 years of experience as a Disability Case Manager
Experience in auditing sampling and reconciliation
Knowledge of Organizational Effectiveness Group Benefits and understanding of GB strategy
Knowledge of other Group Benefits areas
In-depth level of knowledge of disability claims (STD LTD and Health Management) processes controls and systems (3-5 years of long term disability claims experience)
PC knowledge (Windows XP Excel Word)
As this position is posted in several locations we specify that bilingualism (French English both oral and written) is required for Quebec only for the frequent interactions with English and French-speaking colleagues or internal partners across Canada or worldwide.
Whats in it for you
The opportunity to move along a variety of career paths with amazing networking potential
Flexible Benefits from the day you join to meet the needs of you and your family
Were committed to creating an inclusive and respectful environment. Our goal is to make sure all ouremployees have the chance to live up to their full potential
Were honoured to be recognized as a 2024 Best Workplaces in Ontario by Great Place to Work Canada
We are thrilled to be recognized by Excellence Canada with their top-level certification the Canada Order of Excellence for Mental Health at Work for prioritizing employee well-being fostering a positive work culture and achieving excellence in mental health
The Base Pay range is for the primary location for which the job is posted. It may vary depending on the work location of the successful candidate or other factors. In addition to Base Pay eligible Sun Life employees participate in various incentive plans payment under which is discretionary and subject to individual and company performance. Certain sales focused roles have sales incentive plans based on individual or group sales results.
Diversity and inclusion have always been at the core of our values at Sun Life. A diverse workforce with wide perspectives and creative ideas benefits our clients the communities where we operate and all of us as colleagues. We welcome applications from qualified individuals from all backgrounds.
Persons with disabilities who need accommodation in the application process or those needing job postings in an alternative format may e-mail a request to .
At Sun Life we strive to create a flexible work environment where our employees are empowered to do their best work. Several flexible work options are available and can be discussed throughout the selection process depending on the role requirements and individual needs.
We thank all applicants for showing an interest in this position. Only those selected for an interview will be contacted.
Salary Range:
56000/56 000 - 93000/93 000Job Category:
Business Analysis - ProcessPosting End Date:
08/06/2025Required Experience:
IC
Employment Type
Full-Time
