Chargé ou chargée de dossiers, Invalidité

Desjardins; Toronto; Remote; CAD 60,000 - 80,000; Full time

Job summary

A leading insurance provider in Toronto is seeking a Disability Case Manager to support members in claims processing and occupational health. The ideal candidate will have at least three years of relevant experience, communicate effectively, and adapt strategies to facilitate timely recoveries. This role offers competitive salary, flexible vacation, and a defined benefit pension plan.

Benefits

4 weeks of flexible vacation

Annual bonus

Defined benefit pension plan

Group insurance including telemedicine

Reimbursement of health and wellness expenses

Qualifications

• Minimum three years of relevant experience.
• Experience managing short and long-term disability claims.
• Knowledge of French required for Quebec positions.

Responsibilities

• Develop intervention plans for recovery and return to work.
• Communicate with parties to assess absence context.
• Approve and adjudicate claims and process payments.
• Prepare necessary documents for rehabilitation interviews.
• Process disability claims per group insurance terms.

Skills

Communication skills

Adaptability

Collaboration

Education

College diploma in a related field

Job description

At Desjardins Insurance, our mission is to support our members, clients and partners in the event of a disability claim by providing the support and assistance they need to ensure a lasting return to health, while managing the cost of claims. To achieve this mission, we want to simplify and optimize the way we do business in order to modernize and ensure that doing business with Desjardins is simple, modern and human. As a Disability case manager, you help process life and health insurance claims, promote occupational health, and manage disabilities. Your creativity, curiosity, adaptability, and collaboration will have a positive impact on people's lives, and you will contribute to the financial security of our members and clients. Join a great team that will enable you to develop your knowledge of the insurance industry and your customer service skills, giving you the opportunity to follow diversified career paths and acquire expertise in the life and health insurance sector. More specifically, you will be required to :

Develop strategies and build strong relationships to establish an intervention plan to facilitate the insured's recovery and return to work in a timely and sustainable manner

Communicate by phone and mail with various parties to develop a comprehensive understanding of the elements and context related to the absence and communicate decisions to the insured and the policyholder

Approve and adjudicate claims, process waivers of premium, establish the amount of the benefit, determine the period payable and proceed with the payment and ensure the necessary follow-ups are completed

Prepare documents needed by the organization’s rehabilitation coordinator for claimant interviews. Review claims with medical consultants and the legal department as required

Process disability claims in accordance with the terms of the group insurance contract.

What we offer

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

Group insurance including telemedicine

Reimbursement of health and wellness expenses and telework equipment

What you bring to the table

College diploma in a related field

A minimum of three years of relevant experience

Please note that other combinations of qualifications and relevant experience may be considered

Experience in managing short and long-term disability claims or in a similar position in group insurance or experience as a healthcare professional

Knowledge of French is required for positions in Quebec

Advanced intermediate 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

LI-Remote, #MVT2