Claims advisor handling property and casualty insurance claims for Desjardins. Investigating losses, assessing eligibility, negotiating settlements, and supporting members and clients.
Responsibilities
Serve and maintain business relationships with members and clients for all claims
Handle medium-complexity property insurance claims and low-complexity accident benefit and bodily injury claims
Investigate and approve claims
Solve problems using analytical skills and discipline-specific knowledge
Develop solutions using sound decision-making
Negotiate claims settlements and enter into agreements with members, clients, third parties, and others
Assist members, clients, and practitioners
Conduct investigations and inspections to assess damage, estimate costs and market value, and produce and review reports and other documents to determine settlement amounts
Analyze medical, financial, and job information and determine eligibility for benefits based on statutory criteria
Settle claims according to organizational standards, policies, quality commitments, and contract terms
Meet deadlines to ensure client satisfaction and avoid penalties
Negotiate with all parties involved to ensure smooth claims processing
Requirements
College diploma in a related field
A minimum of three years of relevant experience
Other combinations of qualifications and relevant experience may be considered
Knowledge of French is required
Ability to conduct claims investigations and inspections
Ability to assess damage, estimate costs and market value, and produce and review reports and other documents
Ability to analyze medical, financial and job information and determine eligibility for benefits based on statutory criteria
Ability to settle claims in accordance with organizational standards, policies, quality commitments, and contract terms
Ability to negotiate with all parties involved in claims processing
Action oriented
Business insight
Communicates effectively
Customer Focus
Interpersonal Savvy
Nimble learning
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
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