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 contractCommunicate with the insured and the policyholder to obtain all the information required to establish the causes and context of the absenceApprove and adjudicate claims for disability benefits and process waivers of premium. Communicate its decision to the insured and the policyholder according to the defined processEstablish 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 fileEstablish 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 systemsWhat 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
Advantages apply based on eligibility criteria.
What you bring to the tableGeneral college diploma in a related fieldA minimum of three years of relevant experience, including a minimum of two years of experience in a similar position in group insurancePlease note that other combinations of qualifications and relevant experience may be considered. Situational adaptability#LI-RemoteTrade Union Non SyndiquéAt 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 Life and health insurance (FG)Unposting Date 2024-05-9
