Claims Technician, Total and Permanent Disability

Role Description

This role involves processing life and health insurance claims, promoting occupational health, and managing disabilities.

• Provide discipline-specific technical support to help your unit carry out its activities, initiatives, and processes in accordance with established policies and procedures.
• Support more experienced employees and assist with technical work and analysis involving processes, information management, and data processing.
• Process claims in accordance with the contractual clauses of the insurance policy.
• Escalate more complex claims to another processing level, if applicable.
• Establish the benefit amount, determine the payable period (for PTD: integration), proceed with payment, and carry out the necessary follow-up (e.g., close the file or continue making payments).
• Assist insureds with the CPP or QPP application process.
• Calculate and explain deductions and negotiate reimbursements if necessary.
• Communicate with partners, professionals, and clients to obtain and provide information, justifications, and interpretations.
• Communicate with claims management offices across the country (Lévis, Montreal, Toronto, Calgary, and Vancouver).

Qualifications

• College diploma in a related field
• Minimum of one year of relevant experience
• Knowledge of French is required
• Advanced proficiency in English due to the nature of the duties or work tools, or because the position involves interactions with English-speaking partners, members, and/or clients

Requirements

• Action oriented
• Customer Focus
• Decision quality
• Differences
• Nimble learning
• Plans and aligns
• Situational adaptability

Benefits

• 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

Company Description

Desjardins Group is the largest cooperative financial group in North America. We're the choice for over 52,000 employees and we're named one of Canada's top employers by Mediacorp and Forbes. We offer a full range of financial products and services and share our expertise in personal services, business services, wealth management, life and health insurance, and property and casualty insurance.