Ontario Catastrophic Claims Advocate

Desjardins; Burlington; On-site; CAD 90,000 - 120,000; Full time

Benefits offered by this job

Competitive salary

Annual bonus

Vacation: 4 weeks

Pension plan

Group insurance including telemedicine

Telework equipment

Job summary

Desjardins seeks a Catastrophic Claims Advisor in Ontario to guide clients through complex accident benefits claims, coordinating with healthcare providers, legal representatives, and rehabilitation specialists. The role emphasizes empathy, advocacy, and a client-centered approach to functional recovery.

You will investigate high-complexity claims, maintain clear client communications, and collaborate with internal and external counsel to resolve LAT disputes, reconsiderations, and hearings,

Qualifications

• Bachelor's degree in a related field is required.
• Minimum of five years of relevant accident benefits claim handling experience.
• CIP designation or enrollment in the program.

Responsibilities

• Investigate, evaluate and negotiate high-complexity accident benefit claims, ensuring compliance with regulatory and contractual obligations and DGIG best practices.
• Maintain clear and timely communication with clients, providing updates and guiding them through the claims process.
• Manage Catastrophic claims with a focus on functional recovery and fair outcomes.

Skills

Client communication

Edging on English proficiency

Advocacy

Education

Bachelor's degree

CIP designation

Job description

Desjardins seeks a Catastrophic Claims Advisor in Ontario to guide clients through complex accident benefits claims, coordinating with healthcare providers, legal representatives, and rehabilitation specialists. The role emphasizes empathy, advocacy, and a client-centered approach to functional recovery.

You will investigate high-complexity claims, maintain clear client communications, and collaborate with internal and external counsel to resolve LAT disputes, reconsiderations, and hearings,