AVP, Health & Dental Claims

Role Overview

• Oversight of key business support and operational functions and programs that drive the delivery of services and execution of business processes and transactions
• Accountable for the quality service delivery, process efficiency and execution of operational KPIs
• Ensure adherence to internal and external service standards, compliance requirements and industry standards
• Enable a positive customer experience by providing market-competitive turnaround times, high quality service and utilizing best practices throughout experience
• Establish governance around account management, process control, and ensure proper controls are documented and implemented, and risks are effectively mitigated
• Responsible for ensuring internal compliance requirements are met in addition to external regulatory requirements
• Collaborate with other areas of the business to ensure operational excellence in executing operational related activities
• Oversee the creation/development, delivery, and analyses of operational reporting and KPI's; provide recommendations to senior management for greater effective decision making, opportunities for enhancing profitability
• Collaborate with leadership team to identify opportunities to optimize operations, service and cost efficiency sales structure, roles and territory assignment
• Drive automation and digitization of services
• Business lead on assigned strategic and operational initiatives and projects
• Lead research efforts and analysis, and recommend solutions in support of strategic priorities
• Enhance and eliminate non-value-added activities; manage implementation of new approaches contributing to sustainable and quantifiable business process improvements
• Increase performance at the individual and team level inspire, coach, guide and actively engage employees; motivate and encourage staff
• Build talent capability and engage employees through focused career discussions as well as providing professional development opportunities
• Business continuity plan oversight and maintenance.

Requirements

• 10+ years progressive experience including the successful execution of complex projects
• 10+ years progressive experience leading large operational / administration functions
• Demonstrated success in implementing process automation, efficiency and service initiatives
• Excellent understanding of financial services industry and business operations
• Strong financial acumen and ability to support detailed business cases
• Excellent communication skills (verbal and written)
• Influencing, negotiating and conflict management skills
• Demonstrated ability to be flexible and exercise judgment in a changing environment
• Collaborative and ability to work and influence cross-functional teams
• Effective conceptual, diagnostic, analytical and problem-solving skills
• Ability to work in a non-structured environment
• Process and change management abilities
• Post-university degree or professional designation.

Benefits

• health, dental, mental health, vision, short
• and long-term disability, life and AD&D insurance coverage
• adoption/surrogacy and wellness benefits
• employee/family assistance plans
• various retirement savings plans (including pension and global share ownership plan with employer matching contributions)
• financial education and counseling resources
• generous paid time off program including holidays, vacation, personal and sick days