Investigate, evaluate and negotiate accident benefit claims of moderate to high complexity, ensuring compliance with regulatory and contractual obligations, as well as DGIG best practices
Maintain clear and timely communication with clients, providing updates on the status of their claims, addressing inquiries and guiding them through the claims process
Manage Disability claims with a keen focus on functional recovery and return to work
Identify and resolve challenges, including complex or sensitive issues, with a focus on achieving fair outcomes and supporting client well-being
Collaborate effectively with internal and external stakeholders
such as medical professionals, legal representatives, and rehabilitation providers
to support client recovery and claim resolution
Apply accurate reserving practices and ensure timely issuance of claim payments in accordance with company standards and best practices.

Bachelor's degree in a related field
A minimum of three years of relevant experience in accident benefits claim handling
Intermediate experience managing medical and disability files within the constraints of the Statutory Accident benefits schedule with a focus on functional recovery and return to work.
CIP designation or enrolled in the program
Knowledge of French is required for positions in Quebec
Advanced proficiency of 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
Advanced knowledge of regulatory and contractual obligations (Statutory Accident Benefits Schedule)
Advanced knowledge of medical and legal terminology, vocational rehabilitation concepts and disability management principles
Action oriented, Business insight, Complexity, Customer Focus, Differences, Nimble learning

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

Accident Benefits Claims Advisor

Key skills