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Added 5 hours ago
BV
Security and Emergency Services Manager
Bow Valley College
Calgary, AB
- Full-time
…services, business, technology, and creative industries. Every program has a Work Integrated Learning requirement, ensuring students contribute to the workplace before they graduate. With a…
Added 18 hours ago
AU
Outside Sales Consultant
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Toronto, ON
- Full-time
…into. In this position, you will report to a Regional Sales Manager that will train you, coach you and assist you in closing new business. After your 13-week training period, you will be…
Added 2 days ago
AH
Supervisor
Alberta Health Services
AB · Greater Edmonton Metropolitan Area
- Part-time
Classification: Supervisor Union: Exempt Unit and Program: Patient Food Services - Royal Alexandra Hospital Primary Location: Royal Alexandra Hospital Location Details: As Per Location…
Added 3 days ago
Commercial Project Manager - Montreal, Canada (m/f/d)
Nordex Group
Montreal, QC
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Added 3 days ago
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Added 3 days ago
C&EM Program Manager, Indigenous Communities
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CB
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- Full-time
Advises on critical strategic priorities for the Annual Operating Plan and long-term business strategy, acting as the voice of the consumer and shopper.
Added 3 days ago
AU
Outside Sales Consultant
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Toronto, ON
- $75,000 CAD / year
- Full-time
…into. In this position, you will report to a Regional Sales Manager that will train you, coach you and assist you in closing new business. After your 13-week training period, you will be…
Added 4 days ago
A
Sr Channel Sales Manager- Broker, Consultant and VAR
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Mississauga, ON
- $156,310 to $206,310 CAD / year
- Other
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Added 4 days ago
Business Development (Student Position)
The Canada Life Assurance Company
Winnipeg, MB
This is a student position that is 4 months in duration for the term: January - April. You must be a student registered in a Canadian College or University. This position is for students…
Added 4 days ago
CL
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Canada Life
Winnipeg, MB
- Full-time
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Added 4 days ago
AH
Supervisor
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AB · Edmonton, AB
- Part-time
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Added 4 days ago
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Supervisor
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Added 4 days ago
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Burnaby, BC · Prince George, BC · Trail, BC
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Added 5 days ago
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Toronto, ON
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Manager, Aviation Forecasting & Analytics
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Added 5 days ago
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Added 6 days ago
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Added 6 days ago
PB
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Added 6 days ago
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Added 6 days ago
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Registered Nurse, Temporary Full-Time, Surgical Services
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Pacific Blue Cross

Quality Assurance Advisor

Burnaby, BC, Canada

Salary Range: $90,000 - $110,000 ( Pacific Blue Cross’ compensation program is built on a pay-for-performance philosophy, rewarding both individual and organizational achievements. · Full-time

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Job details

Pay: Salary Range: $90,000 - $110,000 ( Pacific Blue Cross’ compensation program is built on a pay-for-performance philosophy, rewarding both individual and organizational achievements.
Job type: Full-time
Apply by: Nov 18, 2026
Working hours: 37.5 hours per week
Posting language: English
Posted: Oct 19, 2026

Original job description

At Pacific Blue Cross, we're committed to improving the health and wellbeing of British Columbians. Delivering on that commitment means ensuring our claims management practices are consistent, compliant, and focused on delivering quality outcomes for our members.

We're looking for an experienced Quality Assurance Advisor to bring their Disability Management and claims expertise into a role where they can have a broader impact across our operations.

This is an exciting opportunity for an experienced Disability Management professional who is ready to step away from day-to-day claims adjudication and use their expertise in a different way. You'll independently conduct quality assurance reviews, claims file audits, compliance reviews, and evaluations of claims management practices, turning your findings into meaningful recommendations that strengthen how we work.

Reporting to the Senior Manager, Continuous Improvement, you'll work closely with operational managers to identify trends and opportunities, share findings, and provide insights that support training, performance management, compliance, and continuous improvement.

This role is ideal for someone who has deep Disability Management experience, strong judgement, and the confidence to provide constructive feedback in a way that is both compassionate and clear. You'll work independently, manage your own portfolio of reviews, and have the opportunity to influence claims practices without having direct reports.

If you've held roles such as Disability Management Specialist, Disability Case Manager, Senior Disability Case Manager, Claims Quality Assurance Specialist, Claims Quality Analyst, Claims Auditor, Disability Claims Auditor, Quality Assurance Advisor, Claims Consultant, or Disability Management Consultant, we'd love to hear from you.

Key Details

Position Title: Quality Assurance Advisor
Work Arrangement: Hybrid - 3 days in the office and 2 days’ work from home
Office Location: 4250 Canada Way, Burnaby, BC V5G 4W6
Classification: Exempt
Salary Range: $90,000 - $110,000 ( Pacific Blue Cross’ compensation program is built on a pay-for-performance philosophy, rewarding both individual and organizational achievements. We determine starting salaries by considering a variety of factors, including relevant skills, education, experience, and internal equity, ensuring compensation decisions are consistent, equitable, and reflective of each candidate’s unique background and qualifications)
Incentive Compensation Plan (ICP bonus) per year based on performance: Up to 10%

Total Rewards Highlights

Flexible working hours of 7.5 hours per day, Monday to Friday (i.e., 37.5 hours per week).
Paid vacation starts at 4 weeks per year and increases with years of service.
Generous benefits, including extended health, dental, and life insurance; depending on the plan that you choose, these benefit premiums can be 100% paid by PBC.
PBC contributes the equivalent of 8% of your base salary to a Defined Contribution pension plan. No employee contribution or matching is required, giving you more take-home pay

About Pacific Blue Cross

Pacific Blue Cross (PBC) has been British Columbia’s leading benefits provider for over 80 years. We are an independent, not-for-profit society with strong roots in BC’s health care system.

Why You'll Love Working Here

Retiree Benefits plan that is available to employees who have at least 10 years of service with PBC and have reached the age of 55.
Access to an onsite fitness center and cafeteria, along with employee events and activities designed to foster a collaborative and engaging work environment.
Access to virtual doctors/counsellors 24/7 via our Employee Family Assistance Program!
Learning and development opportunities
Wellness initiatives and onsite amenities

Keyways This Position Makes an Impact

Success in this role means providing timely, objective, and meaningful evaluation of our claims management practices to support quality, compliance, and continuous improvement. Through independent audits and file reviews, you'll identify trends and opportunities, provide actionable recommendations, and help operational leaders strengthen claims practices and team capabilities.

In This Position, You Will

Conduct independent quality assurance reviews and claims file audits, applying your Disability Management expertise to evaluate current claims management practices and identify areas of strength, risk, and opportunity.
Support ongoing compliance with insurance requirements, providing consistent quality assurance oversight and identifying areas requiring attention or improvement.
Turn audit findings into meaningful insights and recommendations, identifying trends and providing clear summaries that can inform training, performance management, and continuous improvement initiatives.
Partner with operational leaders to strengthen claims practices, communicating findings and recommendations in a compassionate, constructive, and confident manner that creates a psychologically safe environment for feedback and learning.
Drive continuous improvement across claims management, using your experience and observations to identify opportunities to strengthen processes, improve consistency, and support quality outcomes.
Coordinate and facilitate audit reviews conducted by internal and external shareholders (we have audits done by blue cross life regulary and the QA advisor is key to that)
Work with the Learning & Development Trainer to inform design of learning modules and continuous training requirements

What You'll Bring

Required Qualifications

Certificate in Disability Management or a bachelor’s degree in Kinesiology, Health Sciences, or a related discipline.
5–8 years of related experience in short-term disability (STD), long-term disability (LTD), Life, Critical Illness, Accidental Death & Dismemberment (AD&D), waiver claims adjudication, and case management.
Minimum three years of experience in a Disability Case Manager role, with demonstrated experience managing complex disability claims.
Demonstrated experience in complex case management planning, intervention, modified work, and return-to-work programs for STD and LTD claims.
Experience conducting claims audits, quality assurance reviews, or file reviews within a claims management environment..

Key Competencies

Ability to conduct detailed claims file reviews and audits, identify gaps and trends, and provide clear recommendations based on findings.
Ability to provide constructive feedback in a compassionate, respectful and firm manner that supports learning and continuous improvement.
Strong judgement and attention to detail, with the ability to objectively assess claims management practices and identify quality or compliance concerns.
Ability to work independently, effectively manage priorities and maintain a self-directed workload.
Strong relationship-building skills with the ability to communicate findings effectively and collaborate with operational managers and other stakeholders.

Ready to Apply?

If you're excited about this opportunity and eager to make an impact, we'd love to hear from you. When applying please ensure to upload your cover letter and resume. We thank all applicants for their interest. Only candidates selected for an interview will be contacted.

Diversity, Equity & Inclusion

At Pacific Blue Cross, we are committed to creating a workplace where everyone feels valued, respected, and empowered to contribute. We welcome applications from all qualified candidates and are proud to be an equal opportunity employer.

We believe diversity, equity, and inclusion are essential to fostering innovation, collaboration, and a strong sense of belonging. Through ongoing learning, meaningful action, and community partnerships, we continue to build an inclusive culture where employees and members can thrive.

If you require accommodation at any stage of the recruitment process, please contact careers@pac.bluecross.ca. We are committed to providing accessible and inclusive candidate experience.

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More about this job

Responsibilities

Conduct independent quality assurance reviews, claims file audits, and compliance evaluations to identify strengths, risks, trends, and opportunities for improvement. Share clear, constructive recommendations with operational leaders and coordinate audits and training input to strengthen claims practices, compliance, and team capabilities.

Requirements

Requires a certificate in Disability Management or a bachelor’s degree in Kinesiology, Health Sciences, or a related discipline, along with 5–8 years of relevant claims experience and at least three years as a Disability Case Manager. Candidates must have experience with complex disability claims, case management planning, return-to-work programs, and claims audits or quality reviews.

Skills

Disability Claims Management
Claims Adjudication
Claims File Auditing
Quality Assurance
Compliance Review
Complex Case Management
Return-To-Work Planning
Modified Work Planning
Trend Analysis
Continuous Improvement
Constructive Feedback
Stakeholder Collaboration
Communication
Independent Work
Prioritization
Attention To Detail

Benefits

Flexible Working Hours
Paid Vacation
Extended Health Insurance
Dental Insurance
Life Insurance
Retiree Benefits
Onsite Fitness Center
Onsite Cafeteria
Employee Assistance Program
Learning And Development Opportunities
Wellness Initiatives

Visa sponsorship

Not detected in the job text

Keywords

Disability Management
Short-Term Disability
Long-Term Disability
Life Claims
Critical Illness Claims
Accidental Death And Dismemberment
Waiver Claims
Claims Adjudication
Complex Case Management
Claims Audits
Quality Assurance Reviews
File Reviews
Insurance Compliance
Modified Work
Return-To-Work Programs
Trend Analysis
Performance Management
Continuous Improvement
Learning And Development
Audit Coordination
Stakeholder Collaboration
Kinesiology
Health Sciences

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