Claims Specialist LAT/CAT

2 days ago

Mississauga, Ontario, Canada Desjardins Full time US$90,000 - US$140,000 per year

As a Claims Specialist LAT/CAT, you support and coach a team of advisors responsible for handling complex catastrophic injury claims as well as claims involving disputes filed with the Licence Appeal Tribunal (LAT). You help review claims and issue claims settlement directives. You provide settlement opinions for complex claims and help internal advisors develop their technical skills. You share ideas, analyze risk, and provide support in the management of complex problems using your analytical skills, comprehensive knowledge of your line of business and ability to manage complexity. You serve as subject matter expert for your unit, our clients, and our partners. More specifically, you will be required to:

  • Coach internal advisors to develop their technical skills

  • Provide policy advice and ensure compliance with claims best practices 

  • Assist in the preparation of action plans that support proactive file management, based on claims reviews

  • Review claims and support advisors during the settlement process (evaluation, negotiation)

  • Conduct research and serve as a resource person, proposing solutions to conflicts and situations outside the expert's scope of authority

  • Verify and approve payments and claims settlements

  • Maintain focus on indemnity accuracy and the continuous improvement of results and outcomes 

  • Consistently model and promote Desjardins behaviours, cooperative values, and a member-client culture

  • Work closely with the Section Manager, providing continuous feedback and supporting the performance, growth and development of employees

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

* Benefits apply based on eligibility criteria.

What you bring to the table

  • Bachelor's degree in a related field

  • A minimum of seven years of relevant experience

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

  • Advanced experience with Accident Benefits claims handling

  • CIP Designation or enrolled in program

  • Intermediate to advanced mathematical proficiency

Action oriented, Customer Focus, Differences, Interpersonal Savvy, Nimble learning, Strategic mindset

Trade Union (If applicable)

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.

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. Just ask

Job Family

Property and casualty insurance (FG)

Unposting Date

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