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Added 9 mins ago
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Business Analyst – AI and Digital Product Delivery [AQ-20669]
Aquent
Toronto, ON
- $51 to $64 CAD / hour
- Contract
Quickly build a comprehensive understanding of a complex AI transformation program already in progress, including existing requirements, documentation, workflows, stakeholders, and…
Added 9 mins ago
CI
Preventive Medicine (Public Health Services)
Calian in Space & Technology
Kingston, ON
- Full-time
Prepare And Submit Public Health Reports For Each Inspection To The Task Manager Within 15 Calendar Days Of The Inspection Date. Reports Must Include
Added 55 mins ago
NB
Senior ESG Data Engineering Developer
National Bank of Canada
Montreal, QC
- Full-time
A career as a Senior Developer in ESG Data Engineering on the IT-Finance Delivery team – Regulatory Reporting and Internal Audit at National Bank means directly contributing to the…
Added 1 hour ago
Project Coordinator - Capital Projects
Convergint Technologies Ltd
Dartmouth, NS
Work closely with the Project Leads and Project Manager to create work plan, project schedule, and WIP and PMR updates in MS projects and Excel.
Added 2 hours ago
Compliance Assurance Lead
Government of Alberta
Peace River, AB
Reporting to the Compliance Manager (CM) this position provides leadership as the most senior peer to the regional compliance team comprised of inspectors and investigators. This position…
Added 3 hours ago
EH
Business Development Account Manager (AM) - Western Canada
Edgewood Health Network Inc
Canada
- $80,000 to $95,000 CAD / year
- Full-time
The Business Development Account Manager (AM) is responsible for managing, retaining and growing a portfolio of corporate clients while building strong, trusted and long-term partnerships.…
Added 3 hours ago
FA
Maintenance Control Supervisor
Flair Airlines Ltd.
Toronto, ON
- Full-time
Support the Senior Manager, Maintenance Operations, during the Maintenance Control Manager’s absence, maintaining continuity of MCC operations and supporting operational decision-making.
Added 4 hours ago
SE
Field Service Technician
Schneider Electric
Calgary, AB
- Full-time
Grow your skills and career. We commit to helping you grow with ongoing performance and development conversations, Senior Talent Program, global career opportunities, access to our…
Added 4 hours ago
FH
Senior Project Manager - Redevelopment & Major Projects
Fraser Health
Surrey, BC
- Full-time
The Senior Project Manager is responsible for overseeing and supporting the planning, design and/or implementation of assigned large facilities projects with a high degree of complexity,…
Added 4 hours ago
FH
Senior Data Engineer
Fraser Health
Surrey, BC
- Full-time
…(CAADSI) department of Fraser Health, we are looking for a Senior Data Engineer to join our agile and fast paced team. Reporting to the Director, Data Engineering, this position is part of…
Added 4 hours ago
K
Manager, Tax
KPMG
Kamloops, BC
- Full-time
Work closely with a Partner as a senior team member on tax planning work for clients
Added 4 hours ago
K
Senior Manager, Talent Attraction - Advisory (Risk Services & Deal Advisory)
KPMG
AB · Winnipeg, MB · Saint John, NB · Fredericton, NB · Moncton, NB · Sudbury, ON · Hamilton, ON · Kingston, ON · North Bay, ON · London, ON · Toronto, ON · Windsor, ON · Ottawa, ON · Oakville, ON · Kitchener, ON · Vaughan, ON · Waterloo, ON · Perth, ON · St. Catharines, ON · Mont-Royal, QC · Montreal, QC · Brossard, QC · Joliette, QC · Terrebonne, QC · Quebec, QC · Saint-Eustache, QC · Swift Current, SK · Regina, SK · Langley (District), BC · Prince George, BC · Victoria, BC · Chilliwack, BC · Abbotsford, BC · Vernon, BC · Kamloops, BC · Burnaby, BC · Vancouver, BC · Quesnel, BC · Kelowna, BC · Halifax, NS · St. John's, NL · Calgary, AB · Lethbridge, AB · ON · Kanata, Ontario · Edmonton, Alberta · Langley, British Columbia · Mount Royal, Quebec · Saint-Laurent, Quebec
- Full-time
The Advisory team is seeking a Senior Manager, Talent Attraction, to lead talent attraction strategy and delivery for Advisory (Risk Services and Deal Advisory). Reporting to the Director,…
Added 4 hours ago
K
Senior Manager, Transaction Services
KPMG
Vancouver, BC
- Full-time
We are looking for a Senior Manager to join our growing Transaction Services team in Vancouver.
Added 4 hours ago
K
Senior Manager, Tax
KPMG
Kamloops, BC
- Full-time
Work closely with a Partner as a senior team member on tax planning work for clients
Added 4 hours ago
AW
Senior Project Manager
Agilus Work Solutions
Toronto, ON
- $100 to $105 CAD / hour
- Contract
We are looking for an experienced Senior Project Manager to lead large, complex, and high-impact initiatives across digital transformation, software implementation, integration, and data…
Added 4 hours ago
R
Principal Product Manager, AI Solutions
RBC
Vancouver, BC
- Full-time
Communicate product vision, strategy, and progress effectively to senior leadership and other stakeholders, ensuring transparency and buy-in;
Added 5 hours ago
CK
Senior Manager, Financial Information and Control
Circle K
Laval, QC
- Full-time
…a key role in the company. The main responsibilities of the senior manager within this group are as…
Added 6 hours ago
OS
Manager / Senior Manager, Healthcare - Industries and Government Practice
Optimus SBR
Toronto, ON
- Full-time
This role combines hands-on delivery, client leadership, and team development. As a Manager, you will be responsible for structuring complex problems, guiding teams, and working directly…
Added 6 hours ago
M
Senior Manager, Organic Growth
Mistplay
Toronto, ON
- $120,000 to $165,000 CAD / year
- Full-time
Mistplay is seeking a strategic and hands-on Senior Manager of Organic Growth to help build and scale the organic acquisition engine for our fast-growing rewarded gaming platform. This…
Added 6 hours ago
C
Audit Manager, Technology Operations & Security
CIBC
Toronto, ON
- Full-time
…issues to Internal Audit management and contribute to reports to senior management on the results of ongoing reviews of information technology infrastructure, information security,…
Added 7 hours ago
AI
Senior BAS System Designer
Ainsworth Inc
Mississauga, ON
- Full-time
We are currently seeking a highly energetic and organized individual to work in our System Application-Design Department as a Senior System Designer with emphasis on BAS system design.
Added 7 hours ago
AI
Senior BAS Technician - Projects
Ainsworth Inc
Ottawa, ON
- Full-time
We are currently looking for Senior BAS Technicians to join our growing Ottawa BAS team. The individual would be working with our project team and would report directly to the BAS Project…
Added 8 hours ago
ML
Hospitality Manager - Client Centre
MAPLE LEAF LOUNGE
Toronto, ON
- Full-time
The Hospitality Manager - Client Centre is an onsite leadership role responsible for overseeing hospitality operations across the Conference Centre, workplace catering, and Executive…
Added 8 hours ago
WI
Technical Manager, Construction Interface
WSP in Canada
Ottawa, ON
- Full-time
…- you want to shape something meaningful. As the TECHNICAL MANAGER – CONSTRUCTION INTERFACE (CENTRUS PROGRAM), you will play a pivotal leadership role supporting CENTRUS program objectives…
Added 8 hours ago
AC
Senior Manager, Indirect Tax
ACCA Careers
Toronto, ON
- Full-time
Make an impact with our Indirect Tax team as a Senior Manager. This diverse team of professionals delivers customized tax strategies within a complex and dynamic regulatory framework. As a…

Tokio Marine Canada Ltd

Claims Operations Governance & Solution Specialist

Toronto, ON, Canada

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Job details

Experience: 5+ years of progressive experience in claims operations, claims handling, delegated authority, TPA oversight, insurance systems, or insurance operations.
Posting language: English
Posted: Oct 2, 2026

Original job description

Join Us as a Claims Operations Governance & Solutions Specialist

Who We Are

Tokio Marine Canada (TMCan) is a Canadian early-stage entrepreneurial commercial P&C insurer based in Toronto. We partner with select brokers to deliver tailored business insurance solutions across Canada. As part of the Tokio Marine Group, we are able to collaborate under a shared framework while maintaining autonomy and local decision-making.

We support Canadian businesses in taking smart risks by delivering practical insurance solutions and exceptional service through trusted broker partnerships.

The Opportunity

The Claims Operations Governance & Solutions Specialist supports the development, implementation, enhancement, and ongoing effectiveness of claims systems and related operational processes. The role leads assigned discovery, requirements gathering, business analysis, bordereau mapping, testing, implementation, and enhancement activities in collaboration with Claims Operations, Claims Handlers, internal technology partners, vendors, and other stakeholders.

The position also supports the Director, Claims Operations in administering third-party administrator (TPA) audits and selected governance activities, including audit planning, pre-work, fieldwork, documentation, remediation tracking, and the coordination of annual standard operating procedure (SOP) and workflow reviews.

What You Will Be Doing

Claims Systems, Technology & Projects

Systems & Enhancement

Lead assigned claim discovery, requirements gathering, business analysis, and workflow-assessment activities, and support IT in solution design and development.
Translate operational and claims-handling needs into documented business requirements, system requirements, process flows, mapping specifications, validation rules, test scenarios, and implementation materials, and support IT in defining the related system requirements.
Work collaboratively with the Manager, Claims Operations, Claims Handlers, IT/ Systems, vendors, and other stakeholders to ensure system solutions support operational, technical, reporting, and control requirements.
Support new-program implementation by assessing system and workflow requirements, coordinating bordereau mapping, contributing to configuration decisions, and preparing testing and implementation documentation.
Support the deployment of new systems and enhancements and coordinate testing activities.

Bordereau Mapping & Data Support

Lead the analysis and mapping of bordereaux for new and existing programs.
Document source data, field definitions, transformation requirements, validation rules, exceptions, and expected system outputs.
Collaborate with Manager, Claims Operations to confirm that mapping and system outputs reflect actual processing requirements.
Coordinate mapping testing, investigate discrepancies, and support remediation.

TPA Audits & Governance Support

TPA Audit Support

Support the Director, Claims Operations in administering the TPA audit program.
Assist with audit planning, scope development, information requests, audit schedules, evidence tracking, sample preparation, and audit templates.
Conduct assigned pre-work, file reviews, fieldwork, control testing, evidence assessment, and documentation.
Maintain remediation trackers and follow up on agreed corrective actions, supporting evidence, due dates, and closure status.

Governance Administration

Assist the Director, Claims Operations in managing selected governance activities, including TPA audit remediation tracking, annual SOP and workflow review coordination, control evidence collection, and reporting.
Monitor assigned review dates, action items, evidence requirements, and remediation commitments, and escalate delays or gaps.

SOPs, Workflows & Process Documentation

Develop and maintain SOPs, workflows, process maps, and supporting documentation for the Manager’s assigned system, TPA audit, and governance responsibilities.
Support the development or revision of broader Claims Operations SOPs and workflows when assigned by the Director, Claims Operations.
Assist with coordinating the annual review of Claims SOPs and workflows, while functional leaders remain responsible for documentation supporting their respective day-to-day responsibilities.

Operational & Claims-Handling Knowledge

Claims Operations Knowledge

Maintain sufficient working knowledge of claims intake, assignment, bordereau review and processing, reconciliations, delegated and fronting program structures, policy mapping, loss-fund processes, and related operational workflows.
Collaborate with the Manager, Claims Operations to understand operational requirements, validate system and workflow solutions, supporting testing and implementation, and ensure enhancements are practical and executable.

Claims-Handling Knowledge

Maintain sufficient claims-handling knowledge to understand how coverage, reserves, settlement authority, financial activity, escalations, and TPA handling requirements affect systems, workflows, reporting, mapping, and controls.

Who You Are

This role is well suited to an insurance professional who enjoys connecting claims operations, technology, data, governance, and process improvement. The successful candidate will be comfortable working across business and technical teams, managing detailed documentation, and helping turn operational needs into practical, controlled solutions.

What You Bring

Education and Professional Development

Post-secondary education in insurance, business, operations, technology, or a related field, or an equivalent combination of education and experience.
Chartered Insurance Professional (CIP) designation or equivalent industry education is preferred.

Experience

5+ years of progressive experience in claims operations, claims handling, delegated authority, TPA oversight, insurance systems, or insurance operations.
Experience supporting systems discovery, requirements gathering, process mapping, bordereau mapping, testing, implementation, or system enhancement activities.
Experience with claims bordereaux, operational reporting, process documentation, audit administration, file reviews, or control testing.
Experience supporting fronting, MGA, DUA, or TPA-administered programs is preferred.

Knowledge and Skills

Strong knowledge of the claims lifecycle, settlement authority, reserves, bordereau reporting, delegated-authority controls, and the interaction between Claims Operations and Claims Handling.
Ability to translate operational and claims-handling requirements into system requirements, mappings, process flows, test scenarios, SOPs, and implementation materials.
Strong analytical, organizational, documentation, facilitation, project-coordination, and stakeholder-management skills.
Ability to work collaboratively.
Ability to define business requirements for operations reports and support the development of report specifications and outputs.
Advanced proficiency in Microsoft Excel and experience with dashboards, reporting tools, claims systems, testing, data mapping, and document repositories.

This posting is for an existing vacancy at Tokio Marine Canada. We are actively hiring for this position and encourage qualified candidates to apply.

Tokio Marine Canada may use AI tools during the recruitment process to assist with screening, assessment or selection of applicants for a position.

The anticipated base salary range for this position is (80,000-95,000). Compensation may vary for roles in other regions to reflect local market conditions and currency differences. At Tokio Marine Canada, our salary ranges are designed to reflect the skills, experience, and responsibilities required for each role while providing room for growth. For experienced professionals, offers are typically positioned near the midpoint of the range. The upper end of the range is reserved for individuals who consistently deliver exceptional performance and impact. Candidates who are newer to the role may start below the midpoint, with opportunities to progress as they develop. Final offer decisions take into account factors such as location, relevant experience, and individual skill set.

Life at Tokio Marine Canada

At TMCan, we’re a relationship company. We value collaboration, innovation, and inclusion, where every voice matters and every team member makes an impact. We believe in flexibility, authenticity, and growth: because when our people thrive, so does our business. TMCan offers the unique opportunity to work side by side with senior leaders, gaining direct exposure to strategic decision-making and business planning.

Our CARE values guide everything we do:

Collaborative: We communicate openly, support one another, and work as one team.

Achieving Excellence: We challenge the status quo and exceed expectations.

Responsive: We anticipate needs and deliver timely, exceptional service.

Ethical & Respectful: We act with integrity and empower our people to do the right thing.

Our Commitment to an Inclusive and Respectful Workplace

At TMCan, we are deeply committed to fostering a culture of equity, diversity, and inclusion. We strive to create a workplace where every individual is welcomed, respected, and valued for their unique identity and perspective. By embracing our differences and learning from one another, we aim to build a positive and empowering environment for all.

Tokio Marine Canada was proudly recognized as one of the Best Places to Work in Canada by Canadian HR Reporter in 2024.

We work in a hybrid model, and you should expect to split your time between working in the office and working remotely, with flexibility based on the role and the business needs. We currently have an office in downtown Toronto and will eventually be establishing offices in other provinces. Should you currently work in a province where we do not have an office, you will remain remote until such time as we do establish an office.

Tokio Marine Canada is not accepting unsolicited resumes from search firms for this position. If you are a search firm, you will not be compensated in any way for your submission of a candidate, even if TMCan hires that candidate.

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More about this job

Responsibilities

The specialist leads the development, implementation, and enhancement of claims systems and operational processes while collaborating with internal and external stakeholders. They also support the Director of Claims Operations in managing TPA audits, governance activities, and the maintenance of standard operating procedures.

Requirements

Candidates should have 5+ years of progressive experience in claims operations, TPA oversight, or insurance systems, along with strong analytical and documentation skills. A post-secondary education in a relevant field is required, and a Chartered Insurance Professional (CIP) designation is preferred.

Skills

Claims operations
Governance
Business analysis
Requirements gathering
Bordereau mapping
System testing
Process documentation
TPA audit support
Data mapping
Project coordination
Stakeholder management
Microsoft Excel
SOP development
Claims handling
Workflow assessment

Benefits

Hybrid work model
Professional development opportunities

Visa sponsorship

Not detected in the job text

Keywords

Claims Operations
Governance
TPA Audits
Bordereau Mapping
Business Analysis
Insurance
P&C Insurer
SOP
Workflow Assessment
Data Mapping
System Implementation
Project Coordination
Stakeholder Management
Microsoft Excel
CIP Designation
Delegated Authority
Claims Handling
Control Testing
Process Mapping
Reporting Tools
Commercial Insurance
Risk Management
Compliance
Remediation Tracking
Audit Planning

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