Desjardins Group is the largest cooperative financial group in Canada, and one of the largest employers in the country. It offers a full range of financial products and services and is home to a wealth of expertise in property and casualty insurance, life and health insurance, wealth management, services for businesses of all sizes, securities brokerage, asset management, venture capital, and secure, leading-edge virtual access methods.
As a disability claims specialist - case Manager, you help process life and health insurance claims, promote occupational health and manage disabilities.
You serve as technical expert and provide discipline-specific support for your unit’s activities, initiatives and processes. The ability to tailor your approach as needed is therefore essential. You research and analyze processes, information management and data processing.
You draw on your sound decision-making skills to solve technically complex problems and recommend ways to change or adjust methods and procedures to make them as effective and efficient as possible.
General Information on the Position
Recommend courses of action, share technical knowledge and draw on your vast medical knowledge and experience to establish claims eligibility
Communicate by phone and mail with claimants, policyholders, administrators, other insurers, physicians, government pension plans, workers’ compensation boards and other stakeholders regarding claims. Document follow-up efforts
Communicate with multiple parties when an independent medical examination is recommended
Carry out specialized technical studies, research and analysis. Serve as resource person for the submission of solutions and action plans (diagnosis, intervention plan, treatment plan, return-to-work plan, disability monitoring, etc.)
Prepare documents needed by the organization’s rehabilitation coordinator for claimant interviews. Review claims with medical consultants and the legal department as required
Approve and adjudicate claims and process waivers of premiums.
Other working conditions
Workplace : Calgary, Vancouver or Winnipeg according to the candidate's preference
Number of job available : 1
College diploma in a related field
A minimum of three years of relevant experience
Please note that other combinaisons of qualifications and relevant experience may be considered
Desjardins Cross-sector skills
Action oriented, Customer Focus, Differences, Nimble learning
Key competencies for the job
Communicates effectively, Drive results
401 Georgia St. W. Vancouver
Life and health insurance (FG)