Accident Benefits Claims Advisor

5 days ago


Mississauga, Canada Desjardins Full time

If you are passionate about helping people, we provide the technical training and insurance expertise to move your career forward. As an Accident Benefits Claims Advisor for Ontario, you focus on proactive, positive communications with clients to promote and facilitate their recovery for accident-related impairments. You will investigate, evaluate and negotiate accident benefits claims and help serve and maintain business relationships with members and clients. You contact clients to establish rapport, discuss the claims process, and explain applicable benefits. You guide them through the claims process, understanding their unique needs while providing empathetic support. You manage and interact with stakeholders in the claims process to ensure client's rehabilitation needs are met. You ensure effective reserving practices and issue claim payments on a timely basis. More specifically, you will be required to:Investigate, evaluate, negotiate accident benefits claims that fall within the Minor Injury Guideline Maintain clear and timely communication with clients, providing updates on the status of their claims, addressing inquiries and guiding them through the claims processIdentify and resolve challenges that may arise during the claims process, with a focus on always doing what is best for the clientCollaborate effectively with internal and external stakeholdersReserve case claims in line with company best practices.What we offer*Competitive salary and annual bonus4 weeks of flexible vacation starting in the first yearDefined benefit pension plan that provides predictable, stable income throughout retirementGroup insurance including telemedicineReimbursement of health and wellness expenses and telework equipment#LI-Hybrid, #ON07*What you bring to the tableBachelor's degree in a related field or CIP designationA minimum of two years of relevant experiencePlease note that other combinations of qualifications and relevant experience may be consideredAdvanced knowledge of English both oral and written, due to the nature of the duties or work tools or because the position involves interactions with English-speaking partners, members and/or clientsMastery of communication and a passion for helping peopleBasic knowledge of regulatory and contractual obligations (Statutory Accident Benefits Schedule)Basic knowledge of medical and legal terminology, vocational rehabilitation concepts and disability management principlesAction oriented, Communicates effectively, Customer Focus, Decision quality, Differences, Interpersonal Savvy, Nimble learningTrade Union (If applicable)



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