The Opportunity
Are you looking for a caring, collaborative, values-driven workplace with inspiring teammates and leaders? Do you have the ambition and desire to be the best and thrive at the most impactful global insurance provider in the world? Look no further than Zurich Canada.
If you excel at improving process efficiency, are detail-oriented and proactive, and have experience with Third Party Administrators we would love to hear from you.
Zurich Canada is currently looking for a TPA Ops Compliance Consultant.
Reporting to the Senior Manager TPA Operations, you will manage the replenishment process for Third Party Administrators (TPAs), ensuring timely and accurate fund disbursement, and leading a team of data entry coders to drive efficiency and optimal performance through effective capacity planning and process discipline.
This is a unique opportunity to build your knowledge and experience for the future in a supportive environment where your voice matters.
This is a hybrid work opportunity.
What you will do
Replenishment Oversight
Ensure accurate and timely replenishment of TPA float accounts
Monitor fund usage, prepare replenishment requests, and coordinate with finance and TPA teams to avoid shortfalls or delays.
Track discrepancies in fund reconciliation and escalate unresolved issues.
Team Management
Act as a Team Lead to claims coders handling claims-related data.
Allocate workload effectively to optimize productivity and maintain turnaround time
Train, guide, and support team members to maintain accuracy and productivity.
Process Optimization
Analyze operational workflows and implement improvements to optimize replenishment cycles.
Define, track, and report on key SLAs for TPA fund disbursement and data entry operations.
Identify and implement automation or digital tools to enhance efficiency.
Ensure adherence to internal SOPs and compliance standards.
Capacity Planning
Create and maintain a robust capacity model aligned with claims volumes
Continuously monitor workload trends and proactively adjust resource planning to meet demand.
Identify bottlenecks and implement resourcing strategies to maintain SLA compliance.
Reporting & Analysis
Prepare daily, weekly, and monthly dashboards on fund utilization, replenishment cycles, SLA adherence, and team productivity.
Present key insights and action plans to senior management.
Ensure compliance with internal controls, audit requirements, and regulatory standards.
Job Qualifications
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