As a Claims Specialist, Accident Benefits, you support and coach a team of advisors responsible for the management of Accident benefit claims. In addition to reviewing claims, you analyze risk, provide settlement opinions for complex claims and help internal advisors develop their technical skills. You share ideas and provide support in the management of complex problems using your analytical skills, comprehensive knowledge of your line of business and ability to manage complexity. You serve as subject matter expert for your unit, our clients and our partners. More specifically, you will be required to:
Coach internal advisors to develop their technical skills
Provide policy advice and ensure compliance with claims best practices
Assist in the preparation of action plans that support pro-active file management, based on claims reviews
Review claims and support the advisors during the settlement process (evaluation, negotiation)
Verify and approve payments and claims settlements
Conduct research and serve as a resource person, proposing solutions to conflicts and situations outside the expert's scope of authority
Maintain focus on indemnity accuracy and the continuous improvement of results and outcomes
Consistently model and promote Desjardins behaviours, cooperative values, and a member-client culture
Work closely with the Section Manager, providing continuous feedback and supporting the performance, growth and development of employees
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