Claims Advisor- Telework (Aurora)

Claims Advisor- Telework (Aurora)

30 Oct
|
Desjardins
|
Aurora

30 Oct

Desjardins

Aurora

Benefits We are seeking highly skilled and empathetic Ontario Accident Benefits Claims professional, looking for an opportunity to make a meaningful impact on the lives of our clients while working in a dynamic, supportive, and collaborative environment. The Catastrophic Claims Advisor serves as a trusted guide and advocate for clients navigating complex catastrophic claims. Partnering with healthcare providers, legal representatives, rehabilitation specialists, and other key stakeholders, the advisor provides guidance, advocacy, and coordination throughout the claims process. Combining technical expertise with professionalism, empathy, and compassion, the role focuses on supporting each client's functional recovery, and ensuring their unique needs are met through a personalized, client-centered approach. You will be a key contributor to our mission of delivering exceptional claims service and client care. Investigate, evaluate and negotiate accident benefit claims of high complexity, ensuring compliance with regulatory and contractual obligations, as well as DGIG best practices

Maintain explicit and timely communication with clients, providing updates on the status of their claims, addressing inquiries and guiding them through the claims process

Manage Catastrophic claims with a keen focus on functional recovery

Collaborate with internal and external legal counsel on LAT disputes, reconsiderations, judicial reviews, mediations, and hearings

Collaborate effectively with internal and external stakeholders - such as medical professionals, legal representatives, and rehabilitation providers - to support client recovery and claim resolution





Apply accurate reserving practices and ensure timely issuance of claim payments in accordance with company standards and best practices.

Competitive salary and annual bonus

- 4 weeks of flexible vacation starting in the first year
- Defined benefit pension plan that provides predictable, stable income throughout retirement
- Reimbursement of health and wellness expenses and telework equipment
- Bachelor's degree in a related field

A minimum of five years of relevant experience in accident benefits claim handling

Advanced experience managing medical and disability files within the constraints of the Statutory Accident benefits schedule with a focus on functional recovery

Advanced proficiency of English due to the nature of the duties or work tools or because the position involves interactions with English-speaking partners, members and/or clients

Advanced knowledge of regulatory and contractual obligations (Statutory Accident Benefits Schedule)

Advanced knowledge of medical and legal terminology, vocational rehabilitation concepts and disability management principles

Action oriented, Business insight, Complexity, Customer Focus, Decision quality, Differences, Interpersonal Savvy, Nimble learning

Equity, Diversity, Inclusion and Accessibility

At Desjardins, we believe in equity, diversity and inclusion. We believe our teams should reflect the diversity of the members, clients and communities we serve.

If there's something we can do to help make the recruitment process or the job you're applying for more accessible, let us know. We can provide accommodations at any stage in the recruitment process. Desjardins uses tools that incorporate artificial intelligence functionalities to screen or assess applicants as part of the recruitment process for this position.

📌 Claims Advisor- Telework (Aurora)
🏢 Desjardins
📍 Aurora

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