Business Controls Specialist

Next Horizon is here. Fueled by investments in talent and technology our bold strategy to transform is nearly complete.

At Gore Mutual weve always set ourselves apart as a modern mutual that does good. Now were proudly building on that legacy to transform our companyand our industryfor the better.

Our path forward sharpens our focus on business performance driven by leading technology innovation and an agile high-performing culture. With Gore Mutual and Beneva announcing their intent to merge in 2026 well be uniting two well-established financially strong and trusted brands to become the strongest mutual insurer in Canada ensuring Canadians have purpose-driven insurance options for generations to come.Come join us.

The role of theBusiness ControlsSpecialistexists to lead theimplementation and executionof thequality assuranceprogramincludingcompleting filereviews for all lines ofbusinessconductingtesting on internal practicescreating and maintaining all processes and procedures and supporting the ManagerClaimsBusiness Controls to ensure Claims is adhering to the highest standards and identifying areas role willobtain both qualitative and quantitative metrics that can be provided to the ManagerClaimsBusiness Controlstoidentifyareas ofimprovement.

What you will do:

Leading Claims Audit and Analysis

• Conduct thoroughQuality Assuranceaudits ofclaimsensuring accuracy and compliancewith processes.

• Analyze audit outcomes toidentifyimprovement areas and potential risks.

• Collaborate with the ManagerClaimsBusiness Controlsto implement audit recommendations and refine processes.

Monitoringand testing internal controls & supporting external audits

• Support theManagerClaims Business Controltomonitorand test internal controls for adherence on a regular basis.

• Supporting the operations to ensure all controls are being met.

• Represent Claims during internal / external audit and providedirection/feedbackrequired.

• Provide reporting on theoperationsperformance as it relates to internal control testing.

• Continuously report on these metrics offering insights and analysis.

Providing Inputs on Claims Processing and Procedures

• Analyze current claims processes suggesting improvements based on data-driven insights.

• Participate in the updating and enhancement of claims handling procedures.

• Collaborate with the Claims Business Controls team tocreate and update procedures and processes related to initiativesimpactingClaims.

Risk & Compliance

• Collaboratewith the Claims Business Controls Manager totrack the Key Risk Indicatorsmonthly.

• Support ERMwith the updating of the KRIsmonthlyasrequired.

• Engagementin all risk and compliance activities as directed by the Claims Business Controls Manager.

• Stay up to date onindustrysbest practices and regulatory changes thatimpactthe Claims Operations.

Stakeholder Communication and Project Support

• Effectively communicate analytical findings and recommendations to a diverse range of stakeholders.

• Engage in ongoing professional development to remain abreast of industry trends and advancements in data analysis and claims management.

• Facilitate workshops and training sessions for supervisors emphasizing theimportanceadhering to audit and oversight requirements

What you need to succeed:

• Post secondary education Undergraduate Degree.
• CIP/FCIP/CRM designation
• IICRC certifications in water remediation and applied structural drying certification including WRT ASF AMRT and FSRT considered an asset.
• ICAR CHIEF or other Automotive certifications considered and asset.
• 3-5 years work relevant work experience
• 5 years of multi Claims line experience considered and asset.
• 2-3 years working as a claims Team Leader considered and asset.
• Experience in audit risk management regulatory compliance processes & controls considered and asset.
• Strong understanding of business operations and internal policies/procedures.
• Data Analysis analysing and interpretingdata.
• Audit and oversight ability to develop andmaintaintactics to measure adherence to internal controls.
• Strategic thinking capable of aligning performance analysis with the overall business strategy.
• Technical Knowledge understanding of the adjudication requirements ofdifferent Claims lines of businesses considered and asset.
• Stakeholder management ability to work willindividualsacross different level and lines of businesses

The expected base salary range for this position is $81000 - $131000. Depending on your relevant experience skills qualifications market conditions and business needs base compensation may vary. You have the potential to earn more through Gore Mutuals discretionary bonus program which gives you an opportunity to increase your total compensation provided the business meets its performance targets and you meet your individual goals.

Please note: This range reflects the expected base salary for this role but may not represent the full compensation range for all experience and skill levels. During the recruitment process we will discuss and consider how your unique qualifications align with the broader range for this position.

Gore Mutual is proud to offer a comprehensive total rewards package which includes extended health and dental benefits disability insurance retirement plan matching paid time off recognition and perk programs.

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This posting pertains to an existing vacancy that is actively being filled.

Accessibility for applicants

Gore Mutual Insurance Company is committed to providing accommodations for people with disabilities during all phases of the recruiting process including the application process.

If you require accommodation because of a disability we will work with you to meet your needs.Contact usand a human resources representative will consult with you to determine an appropriate accommodation.

Should you request an accommodation during the interview process please notify your Talent Acquisition Consultant.