Catastrophic Claims Advisor

Desjardins

. Investigate, evaluate, and negotiate high-complexity accident benefit claims while ensuring compliance with regulatory and contractual obligations and DGIG best practices .

Posted 10/28/2026full-timeBurlington • CanadaMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managing high-complexity accident benefit claims, ensuring compliance with regulatory standards, and facilitating effective communication with clients and stakeholders. Proficient in negotiating resolutions and applying best practices in claims processing and functional recovery.

Highest-signal resume keywords

Accident Benefits Claim HandlingStatutory Accident Benefits ScheduleCIP DesignationMedical And Legal TerminologyDisability Management Principles

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims InvestigationClaims NegotiationFunctional Recovery ManagementReserving PracticesSettlement DiscussionsRegulatory ComplianceContractual ObligationsClaims Process GuidanceIssue ResolutionTimely Claim Payments

Soft Skills

Clear CommunicationClient SupportCollaborationProblem SolvingSensitivity

Certifications & Qualifications

CIP Designation

Industry Keywords

Accident Benefit ClaimsVocational RehabilitationDisability Files ManagementLegal Counsel CollaborationMediations And Hearings

About the role

Key responsibilities & impact

Investigate, evaluate, and negotiate high-complexity accident benefit claims while ensuring compliance with regulatory and contractual obligations and DGIG best practices
Maintain clear and timely communication with clients, provide claim-status updates, address inquiries, and guide clients through the claims process
Manage catastrophic claims with a focus on functional recovery
Identify and resolve complex or sensitive issues to achieve fair outcomes and support client well-being
Conduct settlement discussions and negotiate resolutions where appropriate
Collaborate with internal and external legal counsel on LAT disputes, reconsiderations, judicial reviews, mediations, and hearings
Collaborate with medical professionals, legal representatives, rehabilitation providers, and other stakeholders to support client recovery and claim resolution
Apply accurate reserving practices and ensure timely issuance of claim payments according to company standards and best practices

Requirements

What you’ll need

Bachelor's degree in a related field
A minimum of five years of relevant experience in accident benefits claim handling
Other combinations of qualifications and relevant experience may be considered
Advanced experience managing medical and disability files within the constraints of the Statutory Accident Benefits Schedule with a focus on functional recovery
CIP designation or enrolled in the program
Advanced proficiency of English
Advanced knowledge of regulatory and contractual obligations, including the Statutory Accident Benefits Schedule
Advanced knowledge of medical and legal terminology, vocational rehabilitation concepts, and disability management principles

Benefits

Comp & perks

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
Workplace accommodations at any stage in the recruitment process, based on eligibility criteria