Injury Quality Support Specialist

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Injury Quality Support Specialist

Location: Regina, Saskatchewan,

This role is eligible for hybrid – this means you’ll have the flexibility of working from home on a scheduled rotation once probation requirements have been met. Until then, the successful incumbent will be expected to work on-site, full-time

Temporary, Full time
Department: Income Replacement Benefits & Injury Quality Support

General Accountability

Responsible for quality control monitoring and for conducting reviews and assessments to evaluate the operational risks and improve processes for the Income Replacement Benefits (IRB) department, Rehabilitation Services department, and Injury operations. Develops plans and solutions that reduce and/or control risks and liabilities within the Saskatchewan No Fault injury program.   

Key Accountabilities

Operational Quality Control Monitoring and Risk Management

• Develops and implements the front-line operational risk-management system and creates the risk management protocols to align with the established quality control framework set by Corporate Claims.    

• Considers root cause analysis provided by analyst and reviews all pertinent data to provide recommendations to remediate operational business problems.

• Prepares and presents value-added stakeholder reports that contain practical recommendations for business improvements, and which incorporate best practices, align with strategic priorities, and as required will include risk, governance, and control concepts.  

• Performs internal process and vendor process audits to ensure policies, legislation, and service standards are adhered to.

• Analyzes legislation, policy, and procedure deviations in claims and provides feedback to program leaders so they can incorporate learnings into staff training, become more consistent, and can make appropriate policy changes when needed.

• Collaborates with cross-functional teams to facilitate the identification of processes requiring reviews, prioritizes the process reviews, and completes the reviews to identify opportunities to increase business process efficiency and effectiveness.

• Leads the mapping and analysis of key processes.

Data Analysis

• Prepares ad hoc operational reports with available data and requests reports as needed from other reporting sources depending on the complexity of the need.

• Plans for data collection and will complete analysis within the Saskatchewan No Fault injury program to identify trends risks, and opportunities.

• Analyzes reports to identify trends and patterns, recommends solutions and process changes that align with best practices.

• Contributes to the development of key performance and quality indicators that will meet business needs.

• Works closely with Data Office in informing and supporting SGI data policies and reporting standards.

• Evaluates data quality, reports any issues and the scope/severity of the impact, and recommends potential resolutions.

 Operational Support

• Provides advice and direction to IRB Representatives, injury adjusters, and management.

• Completes financial audits, e.g., where a large volume of information is provided by a farmer or self-employed customer and all the information is considered to determine an appropriate income benefit.  

• Discusses and reviews information submitted by claims branch personal injury representatives and external adjusters to determine No Fault and Tort coverage entitlements and the validity of those claims which require additional interpretation of the Automobile Accident Insurance Act (AAIA), policy wordings and other applicable acts and regulations due to uncommon variables.

• Supports staff with the submission, interpretation, calculation, and application of IRB legislation, particularly for injury claims with complicated considerations/factors involving self-employment, corporations, and fatalities.

• Supports the maintenance of and the annual changes to the IRB tax table, the No Fault and tort table of benefits and expenses, and the classes of employment table.

• Assists Manager with the 10% Lump Sum Program and the annual issuance of associated T5’s.

• Supports the preparation of the administrative expense budget for the Claims Division and will share pertinent information with staff and feedback to leadership on where budget is tracking.

People Leadership

• Builds a high performing workforce by actively leading human resource activities.

• Ensures development of divisional succession plans.

• Builds a culture of leadership and accountability to effectively deliver on strategic and corporate strategies, ensuring integration with employee performance development and career development plans.

• Drives performance through team members and is committed to leadership development across the company, supporting employees and workforce readiness through mentoring, training and developmental opportunities.

Corporate Management

• Ensures programs and policies are in alignment with corporate, strategic, and divisional strategies. 

• Manages risk in area of authority.

• Prepares, reviews, manages and/or approves departmental/divisional budgets.

• Prepares decision requests, decision and/or information items and/or SGI board items.

• Ensures that the Health, Safety and Emergency Management Policy is applied in area of responsibility, including development, implementation and managing of program components specific to departmental health and safety requirements.  

• Makes decisions for departmental operations that are efficient, effective and in alignment with strategic direction and priorities.

• Ensures department and program policies, procedures and guidelines are in compliance with applicable federal and provincial legislation and regulations; implements and evaluates changes to legislation and regulations in area of authority.

• Establishes and maintains an effective system of internal controls to support reliable financial reporting and compliance in accordance with applicable laws and regulations within the span of control and communicates the importance of internal controls to staff.

Education and Experience

• Four-year degree from an accredited post-secondary education institution in a relevant field of Business.  

• Chartered Professional Accountant (CPA) designation.

• Eight years’ experience in Quality Control Monitoring or business analytics role (e.g., performing risk assessments and analysis of business problems/data to identify solutions).

Knowledge, Skills and Abilities

• Knowledge of accounting principles and practices and their application to varied departmental requirements, income tax, cost projections, budget preparation, analysis of customer financial information and future income projections.

• Knowledge of methods, techniques and procedures used in quality assurance methodology, project management principles, and risk management practices.  

• Knowledge of how to apply quantitative and analytical skills to make data-driven recommendations.    

• Knowledge of the insurance industry, general insurance theory and the principles, practices, methods, and techniques related to the adjustment of injury claims.

• Knowledge of the methods, techniques and procedures used in financial analysis and reporting.

• Ability to prepare accounting summaries, statements, and reports using computer spreadsheet applications (e.g., Excel).

• Ability to provide practical recommendations for business improvement that incorporates best practices, strategic priority, risk, governance, and control concepts.

• Ability to facilitate meetings and workshops (e.g., process mapping and risk workshops).

Pay Range:$88,349.00 - $117,791.00

Posting Close Date:

February 25, 2025

As you prepare to submit your application, and cover letter if applicable, please highlight the achievements that demonstrate why you're a great candidate for this role.