Disability Claims Technician, Case Manager

2 weeks ago

Toronto, Canada Desjardins Full time

As claims technician, complex disability cases, you are responsible for analyzing and processing disability claims. You compile information on the causes and context of health-related absences. You determine eligibility. You establish a customized return-to-work action plan. You are the employee's main contact throughout their absence. More specifically, you will be required to:
Communicate by phone and mail with claimants, policyholders, administrators, other insurers, physicians, government pension plans, workers’ compensation boards and other stakeholders regarding claims.

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

Communicate with the insured and the policyholder to obtain all the information required to establish the causes and context of the absence

Approve and adjudicate claims for disability benefits and process waivers of premium. Communicate its decision to the insured and the policyholder according to the defined process

Establish an intervention plan to facilitate the insured's recovery and return to work in a timely and sustainable manner for each case of absence treated. *Communicate to the insured and the policyholder the content of the intervention and return to work plan and inform the HR practitioner, if applicable, while respecting the confidential information in the file

Establish the amount of the benefit, determine the period payable, proceed with the payment and ensure the necessary follow-ups. Codify and enter data into the appropriate systems

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

General college diploma in a related field

A minimum of three years of relevant experience, including a minimum of two years of experience in a similar position in group insurance

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

Situational adaptability

LI-Remote

Trade Union

Non Syndiqué

At Desjardins, we believe in equity, diversity and inclusion. We're committed to welcoming, respecting and valuing people for who they are as individuals, learning from their differences, embracing their uniqueness, and providing a positive workplace for all. At Desjardins, we have zero tolerance for discrimination of any kind. We believe our teams should reflect the diversity of the members, clients and communities we serve.

Job Family

Life and health insurance (FG)

Unposting Date

2024-05-9

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