Director Claims Management

Role Responsibilities

As the Claims Management Director within the Risk Management and Insurance (RMI) division, you will play a pivotal role in ensuring the financial security and operational efficiency of the Government of Alberta’s Risk Management Fund (the Fund). This position offers the chance to participate in high-impact initiatives, manage complex claims, and shape the strategic direction of claims handling for the Province.

Reporting to the Executive Director of RMI, the Claims Management Director is accountable for the management, administration and adjudication of all losses covered under the Fund, in accordance with provincial legislation, including the Financial Administration Act (FAA).. You will ensure that the needs of participants are met and third party claimants are dealt with fairly and efficiently. In this leadership role, you will pursue recoveries against insurance policies, manage complex claims, provide critical data for the actuarial assesments of the Fund, and safeguard the financial stability of the Fund through effective loss reserve management.

As a key member of the division’s management team, you will participate in setting and communicating the strategic direction of the division and ensuring targets are met . You will also help shape strategic goals, provide regular reports on claims development, and ensure collaboration across multiple stakeholders, both internally and externally. You will assign claims to claims staff, approve payments and provide input to the Executive Director for budget purposes. This position offers a mix of strategic leadership, team management, and technical expertise, allowing you to directly impact the Government of Alberta’s risk management landscape.

Role Responsibilities Continued

Roles and Responsibilities:
In this multifaceted leadership role, your key responsibilities will include:

•    Claims Management: Develop best practices for the management of claims under the Alberta Risk Management Fund (the Fund), ensuring compliance with provincial legislation. Conduct audits, monitor claims expenses, and manage sensitive claims.
•    Loss Reserve Management: Ensure claims reserving protocols are followed and updated, reviewing reserves regularly and staying informed of legal trends and outcomes that impact financial forecasting.
•    Participant Support: Communicate with participants, providing timely advice and support on claims and claims management. Ensure fair handling of all claims files and offer recommendations to reduce future losses.
•    Collaboration with Stakeholders: Work closely with Alberta Justice and appointed outside legal counsel , insurers, brokers, and other internal and external stakeholders to ensure legal strategies are aligned and to improve claims outcomes. Participate in
      business planning and identify process improvements.
•    Team Leadership: Supervise, mentor, and coach a team of claims managers (three Senior Claims Examiiners) and adjusters, ensuring they have the necessary training and resources to handle the diverse nature of claims. Guide the professional     
      development of your team, fostering an environment of excellence and continual improvement.
•    Strategic Direction: Participate in the broader management of the division, contributing to business plans and driving the strategic goals of the Claims Management team.

This role provides the opportunity to influence the financial health and risk management strategies of the Government of Alberta. As the Claims Management Director, you will lead a critical team within the Risk Management and Insurance (RMI) division, overseeing complex claims, collaborating with key stakeholders, and ensuring the stability and effectiveness of the Fund. You will have the chance to participate in the division’s approach to risk management, helping shape policies, processes, and future coverage strategies. In addition to leadership and strategy, the position offers opportunities for ongoing professional development through complex problem-solving and negotiations with legal, insurance, and financial experts.

Please click the Link to view the job description.

APS Competencies

Competencies are behaviors that are essential to reach our goals in serving Albertans. We encourage you to have an in depth understanding of the competencies that are required for this opportunity and to be prepared to demonstrate them during the recruitment process. 

The link below will assist you with understanding competencies: https://www.alberta.ca/system/files/custom_downloaded_images/psc-alberta-public-service-competency-model.pdf
In this role, you will contribute to our team by demonstrating the following behavioural competencies:

Systems Thinking: Helps others to see their role in achieving results.

Develop Networks: Is strategic in the impression that is being made on others. Inspires and connects with the values, beliefs and interests of others.

Agility: Champions a plan of action and finds ways to overcome or remove barriers. Anticipates, evaluates and proactively addresses organizational barriers to agility.

Drive for Results: Uses courage and provides bold advice to elected officials, colleagues across the APS, and external stakeholders. 

Build Collaborative Environments: Creates and inspires a bold, compelling, shared vision that generates excitement, enthusiasm, commitment and a sense of empowerment to achieve results.

Develop Self and Others: Champions and highlights the strategic importance of ongoing development and learning.

Creative Problem Solving: Actively encourages a culture of innovation and imaginative thinking. Challenges self and others to expand their thinking.

Qualifications

A University degree, related college diploma, or equivalent and relevant certifications in insurance or risk management plus a Minimum of 10 years experience adjudicating losses of every nature, including decision making with respect to method and amount of final settlement, preferably at a corporate claims manager level, is required.Additionally, relevant management or supervisory experience and related coaching and developing team members are required. 

Preference:
Preference will be given to candidates with professional certifications such as FCIP, CIP or CRM.

Assets:
•    Hands-on experience with insurance policy interpretation, claims negotiation, and risk management strategies.
•    Practical knowledge and understanding of the litigation process as it applies to civil litigation and insurance settlements.
•    Proven skills in problem solving, decision making, conflict resolution and mediation.
•    Extensive knowledge of and experience with all aspects of claims management and commercial insurance policies and practices.
•    Experience with actuarial fundamentals related to calculations of outstanding reserves, including amounts for incurred but not reported claims.

A cover letter outlining what makes you the ideal fit is required and will be used to help us assess your written communication skills.

Notes

This position is a permanent, full-time position working 36.25 hours per week, Monday to Friday. 

Location:
Risk Management and Insurance, 8th Floor, 9820 – 107 Street NW, Edmonton, AB

Candidates with lesser qualifications may be considered at a lower classification and salary. This competition may be used to fill future roles at the same or lower classifications.

Candidates may be asked to participate in a written assessment prior to the interview. The final candidate for this position will be asked to undergo pre-employment checks.

The successful candidate will be required to undergo a security screening.

What we offer:
•    Pension plans: Management Employees Pension Plan (MEPP) – https://www.mepp.ca
•    Alberta Public Service Benefit Information - https://www.alberta.ca/alberta-public-service-benefits 
•    Leadership and mentorship programs 
•    Professional learning and development - https://www.alberta.ca/alberta-public-service-human-resource-directives
•    Positive workplace culture and work-life balance
•    Opportunity to participate in flexible work arrangements such as working from home up to two days per week according to operational needs. 
•    Research Alberta Public Service Careers tool – https://researchapscareers.alberta.ca

Any costs associated with obtaining the required documents/checks as noted or interview travel expenses, will be the responsibility of the candidate. Out-of-province applicants can obtain the required documents/checks from the province they currently reside in. 

Links and information on what the GoA has to offer to prospective employees.
Working for the Alberta Public Service – https://www.alberta.ca/about-the-alberta-public-service#jumplinks-2