Quality Assurance Advisor Claims Compliance

Support claims compliance and continuous improvement as a Quality Assurance Advisor with Pacific Blue Cross in British Columbia’s hybrid workplace.This opportunity suits a Disability Management professional ready to apply deep claims expertise differently. You will conduct file audits, quality assurance reviews, compliance evaluations, and external audit coordination. Working with operational managers, you will communicate findings, identify trends, and provide recommendations that support quality outcomes. The role requires independent portfolio management, strong relationships, and confident feedback.Key Responsibilities:
Conduct detailed reviews of disability claims filesCoordinate audits involving internal and external stakeholdersCommunicate findings to operational managers and stakeholdersRecommend improvements supporting compliance and quality outcomesCollaborate with Learning and Development on trainingRequirements:
Disability Management certificate or degree in related disciplineFive to eight years of relevant insurance claims experienceAt least three years as a Disability Case ManagerComplex case management and modified work experienceStrong relationship-building, communication, judgement, and attention to detailApply Disability Management, claims compliance, and audit expertise to help Pacific Blue Cross strengthen operational capability.
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