Medical Specialist

Desjardins Group Aurora , CO 80041

Posted 2 weeks ago

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.

Job Level

NV-09

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.

Main Responsibilities

  • 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

Qualifications

  • 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

Specific knowledges

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

Work Location
1 Robert Speck Parkway

Trade Union

Non Syndiqu

Unposting Date
2019-03-20

Job Family

Property and casualty insurance (FG)


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Medical Specialist

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