Desjardins team leader coordinating management support, strategic initiatives, and budgets. Coaching experienced professionals and influencing senior decision - making across Montréal and Lévis.
About the role
- Team Leader leading Life and Critical Illness claims adjudication and Appeals quality at Medavie, a Canadian health solutions partner. Coaching teams, reviewing complex cases, and improving claims processes.
Responsibilities
- Lead the Life & Critical Illness Claims team and Appeals team
- Provide day-to-day leadership, coaching, guidance, and technical expertise to adjudicators and Appeals specialists
- Support complex, sensitive, or precedent-setting claims
- Ensure Appeals reviews are objective, consistent, timely, and within service standards
- Oversee workload distribution, case prioritization, and team performance
- Interpret Life, Critical Illness, and Disability contracts
- Review complex or escalated cases and provide recommendations or direction
- Ensure decisions are well-reasoned, documented, and aligned with policy wording and best practices
- Identify decision-making trends and coach employees to improve adjudication quality
- Enhance claims processes, workflows, and decision-making tools
- Collaborate with Operations, Medical, Legal, and other internal partners on guidelines and procedures
- Develop and maintain training materials, job aids, and reference documents
- Participate in system and process enhancement initiatives
- Prepare reports on team performance, Appeals outcomes, trends, and emerging issues
- Communicate updates, risks, and recommendations to leadership
- Set goals, conduct performance reviews, and develop action plans
- Foster a collaborative, supportive, and high-performance team culture
Requirements
- Post-secondary university or college degree
- Minimum 5 years previous experience in Life, CI and/or Disability Claims
- 10 years of experience in the insurance industry (Life and Disability)
- 1 year in a supervisory capacity in Life and Disability Case Management
- Strong understanding of adjudication and Appeals processes
- Demonstrated leadership with the ability to coach, support team performance, and drive high engagement effectively
- Excellent communication skills
- Strong analytical and decision-making skills
- Ability to manage competing priorities
- Deep understanding of contract wording and claims practices
- Bilingualism in French and English
- English proficiency required for daily collaboration with teams and partners outside Québec
Benefits
- Health and dental coverage that is 100% employer paid from day one
- Wellness benefits
- Health resources
- Fitness center discounts
- Flexible work environment supporting work–life balance
- Professional development opportunities, including leadership programs and ongoing learning
- Career growth pathways
- Collaborative and inclusive culture
- Performance-based incentive programs for eligible employees
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