Desjardins Group is the largest cooperative financial group in Canada, and one of the largest employers in the country. It offers a full range of financial products and services and is home to a wealth of expertise in property and casualty insurance, life and health insurance, wealth management, services for businesses of all sizes, securities brokerage, asset management, venture capital, and secure, leading-edge virtual access methods.
As a medical specialist, you are responsible for completing in-depth medical reviews of Accident Benefits files to determine the necessity of Insurer Examinations. As part of the review, you provide recommendations to support the most optimal health outcomes for our clients. You also provide your recommendations on the gathering, utilization and interpretation of complex medical information.
Use medical expertise and clinical experience, completes in-depth medical reviews of files to determine if insurer examination is necessary.
Determine most appropriate assessor to examine the client if insurer Examination is necessary.
Change clients injury category if medical review supports.
Analyze holistic evaluation of treatment recommendations that embraces an evidence-based approaches.
Consider context of the Statutory Accident Benefits Schedule, Desjardins claims philosophies and best practices.
Provide recommendations on how to proceed with the medical manangement of files.
Communicate decisions to Claims Advisor.
Other working condition
Location: Mississauga, Aurora or Burlington (candidate's preference)
Number of job available : 1
Bachelor's degree in psychology
Master's degree in a related field (an asset)
Minimum of four (4) years clinical experience in hospital or relevant clinic setting
Please note that other combinations of qualifications and relevant experience may be considered
Insurance knowledge (an asset), knowledge of Accident Benefits in Ontario (an asset)
Desjardins Cross-sector skills
Accountability, Collaborates, Customer Focus, Innovation
Key competencies for the job
Communicates effectively, Decision quality, Interpersonal Savvy
1 Robert Speck Parkway
Property and casualty insurance (FG)