Desjardins

Disability Case Manager

Toronto Full time

At Desjardins Insurance, our mission is to support our members, clients and partners in the event of a disability claim by providing the support and assistance they need to ensure a lasting return to health, while managing the cost of claims. To achieve this mission, we want to simplify and optimize the way we do business to modernize and ensure that doing business with Desjardins is simple, modern and human. In a sector undergoing a major transformation, claims specialists play a key role: they proactively and responsibly manage claims while also contributing to people’s well-being and financial security. As a Disability case manager, you help process life and health insurance claims, promote occupational health, and manage disabilities. Your creativity, curiosity, adaptability, and collaboration will have a positive impact on people's lives, and you will contribute to the financial security of our members and clients. Join a great team that will enable you to develop your knowledge of the insurance industry and your customer service skills, giving you the opportunity to follow diversified career paths and acquire expertise in the life and health insurance sector. More specifically, you will be required to:

  • Develop strategies and build strong relationships to establish an intervention plan to facilitate the insured's recovery and return to work in a timely and sustainable manner

  • Communicate by phone and mail with various parties to develop a comprehensive understanding of the elements and context related to the absence and communicate decisions to the insured and the policyholder

  • Approve and adjudicate claims, process waivers of premium, establish the amount of the benefit, determine the period payable and proceed with the payment and ensure the necessary follow-ups are completed

  • Prepare documents needed by the organization’s rehabilitation coordinator for claimant interviews. Review claims with medical consultants and the legal department as required

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

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.

#LI-Remote #ON07-

What you bring to the table

  • College diploma in a related field

  • A minimum of three years of relevant experience as a disability claims specialist (short- and/or long-term disability management)

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

Action oriented, Customer Focus, Decision quality, Differences, Nimble learning, Situational adaptability

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

Life and health insurance (FG)