Description:
You get to help others, be decisive and creatively connect people to the resources they need! You will use critical thinking, a strategic approach while demonstrating compassion and empathy. Being a Claim Manager allows you to work freely, manage your time and feel the satisfaction of checking items off your to-do list while also providing support and guidance to employers and employees navigating disability absences. Come make an impact on people's wellbeing and future.
Impactful work - get the opportunity to work on meaningful projects that have a positive impact on our customers, our company, and society as a whole.
Play an integral role - this is an opportunity that allows for you to grow your skills, while directly contributing to the business unit you are a part of.
Deliver excellence - provide a personal, accurate, professional, and courteous service and resolution to our customers.
What you’ll be working on
- Investigate, evaluate and determine eligibility for initial and ongoing payment claims based on medical information, job requirements, non-medical factors, contract terms and department/industry protocols within established service standards
- Manage active claims duration by utilizing best practices
- Interview claimants and employers through telephone interviews
- Ensure accurate and timely documentation of all communication with customers
- Formulate and implement a detailed case management plan on each file with a focus on a timely, sustainable and safe return to work; interact with and appropriately challenge treating physicians and employers; make referrals for independent medical assessments and to alternate insurance organizations (federal, provincial and private insurers)
- Collaborate with in-house return to work facilitators to design and monitor return to work programs
- Collaborate with team members to exchange ideas, gather information and offer solutions on claims
- Based on department standards, ensure proactive communication with our customers regarding claim status and developments
- Accountable for positive file resolution and appropriate outcomes
What we’re looking for you to have
- Bilingualism (English/French) is required
- 1+ years of experience in long term disability or short term disability claim management
- Knowledge of medical terminology and Disability Management best practices/protocols
- Knowledge of relevant provincial employment legislation and legal requirements
- Knowledge of word processing, spreadsheet, email, internet and database software, and simple numerical calculations
- Well-developed time management and organizational skills
- Well-developed written/verbal communication and interpersonal skills
- If you are applying for a position which is open to applicants across Canada, unless otherwise indicated in the position, language proficiency in English is required for communicating with customers, advisors, or employees across Canada.