Quality Assurance Advisor

Quality Assurance Advisor

Full-Time, Permanent

Position Summary

Reporting to the Manager, Disability Services, the Quality Assurance Advisor acts as an expert disability management resource to the Disability Services (DS) teams to ensure ASEBP provides consistent, high-quality service to all of our stakeholders. The Quality Assurance Advisor will support DS staff through targeted file reviews, direct coaching, auditing, training, and other quality assurance responsibilities.

Your Key Responsibilities

Execute the Quality Assurance Plan for the DS Teams

• Assess QA compliance objectives, standards and measurements for the teams.
• Confirm processes and sub process exist, are current and are documented.
• Assess and identify trends where standards and quality objectives are not being met by individuals or across the team, reporting them to the relevant DS leadership team.
• Offer insights to Lead QA and DS Leadership to plan, formulate and agree on comprehensive quality procedures.
• Investigate and thoroughly document issues that may affect quality of service.
• Maintain awareness of Quality Assurance in Disability Services.

Monitor Adherence to Service Standards

• Coach and mentor Disability Service teams to ensure consistency in communication, positive stakeholder experience and application of proactive disability management fundamentals.
• Complete regular file reviews, lead calls and clarify expectations for follow-ups with the assigned DS teams.
• Provide regular summary updates to DS leadership as it pertains to number of reviews completed and if there are any concerning trends.
• Identify opportunities for efficiency and effectiveness of EDB program service delivery, and work with DS leadership team to recommend solutions for identified issues and assist with the implementation of noted solutions.
• Liaise with claims team to ensure file completeness, processes and policies were applied and communicated correctly prior to completing assigned appeals.
• Work with Privacy Officer as part of file reviews and or audit completion to ensure compliance with Privacy Policy.
• Stay up to date with current disability management best practices.  

Identify Relevant Quality-Related Training Needs

• Along with the Lead QA, collect and report to DS leadership trends that will contribute to the overall vision and strategy, and the empowerment of teams.
• Assist with training initiatives as needed.
• Offer insights into the development or continuous improvement of business processes with the purpose of improving the quality of the EDB programs and services delivery for our members and clients.     

Support of Appeals and Escalated Cases

• Preparation of file summaries for claims escalated by School divisions or other stakeholders to ensure appropriate decisions are being made and make recommendations to DS leadership.
• Gather relevant data and produce appropriate reports.
• Preparation of summaries.
• Work with Lead, DS and in some cases, the privacy officer as part of file reviews and or audit completion to ensure compliance with Privacy Policy.
• Assist with consultations with internal auditor, Governance where the Lead, QA is not available.      

Your Education and Experience

• A degree in a health-related field.
• Three to five years experience in a disability case management environment with expert knowledge of the principles of disability case management.
• Proven capability in managing complex claims as well as a background in complex case planning, medical/vocational interventions, modified work arrangements and return-to-work (RTW) programs.
• Experience with QA processes and approach.
• Training in Quality Assurance would be an asset.

Your Abilities

• Strong communication, interpersonal and leadership skills.
• Excellent prioritization, organizational and time management skills.
• Excellent problem-solving capabilities with the ability to adapt quickly to changing priorities.
• Strong analytical skills.
• Strong working knowledge of the benefits industry with a focus in disability management.
• Capable of establishing effective working relationships with the ability to organize workflow and priorities to meet the needs of a variety of clients.
• Demonstrated strength working within a strong team environment to achieve organizational goals.
• Ability to work with a minimal of supervision.
• Ability to work with highly confidential and politically sensitive information in a responsible manner.

Unique Working Conditions

This position is eligible to participate in the hybrid workforce program.

How to Apply

If you have the required qualifications and would like to become a member of our team, please submit your resume and cover letter by 4pm on November 16, 2026.

No phone calls please. We thank all interested individuals, but only those candidates being considered for an interview will be contacted. ASEBP is an equal opportunity employer.

All offers of employment for this position are conditional upon satisfactory background and reference checks, which may include a criminal record check, and/or education and employment verification.