Close Date: 01/01/2025
Company: CLIC
Department: Group Benefits
Employment Type: Temporary Full-Time (12 months)
Work Model: Hybrid
Language: This role operates in English.
Job Grade: 3
Hiring Manager: Amy Duchek
Referral Award: No
Additional Information: There are 2 positions available
We are a leading Canadian financial services co-operative committed to being a catalyst for a sustainable and resilient society. Our Group Benefits team is a leader in our target markets through service excellence and innovative technology and products. As the Disability Case Manager I, you will investigate, adjudicate and resolve short-term disability claims and begin the management of long-term disability claims. You will develop case management plans, initiate and implement interventions to minimize claim durations, and contribute to our client service culture through daily interactions with claimants, employers, and treatment providers.
Assessing eligibility of claims in accordance with policy provisions including reviewing documentation received, ensuring the accuracy of data and requesting additional information if required.
Interviewing and communicating with claimants and stakeholders to assess and inform of claims decisions within established service timeframes and triaging claims as necessary to evaluate rehabilitation potential.
Calculating and issuing benefit payments, initiating necessary assessments, developing and monitoring case management and return to work plans and utilizing available resources to ensure appropriate and timely treatment.
Preparing claim files for transition to long-term disability where necessary, including gathering and assessing pre-existing condition information and triaging with the long-term disability case manager.
Developing claims management strategies through triage, referrals to senior case managers or consulting with supervisors, legal and medical professionals.
You influence change and are committed to continuous improvement, in order to exceed client expectations.
You leverage critical thinking skills to identify problems and proactively propose solutions.
Your strong communication skills allow you to clearly convey messages.
You’re an effective team player who shares knowledge to support your peers.
You have 2-3 years of disability claims management experience.
You have a post-secondary degree in Kinesiology, Psychology, Disability Management or a related discipline.
You hold the Associate, Life and Health Claims (ALHC) designation.
You have working knowledge of disability management protocols and practices.
Proficiency in English is essential to the main duties in this role, including servicing and communicating primarily with majority non-francophone clients, groups, teams. Drafting complex English documents and preparing daily reports for anglophone leaders. The essential non-French duties are not assignable to adjacent or other team members.
Strict confidentiality with respect to client’s medical history, financial status and other personal information.
You will be subject to a Background check as a condition of employment, in the event you are the successful candidate.
Training and development opportunities to grow your career.
Flexible work options and paid time off to support your personal and family needs.
A holistic approach to your well-being, with physical and mental health programs and a supportive workplace culture.
Paid volunteer days to give back to your community.
In addition to our competitive salary and incentive programs, eligible employees also benefit from a comprehensive total rewards package including group retirement savings plans, pension and benefits (e.g., health and wellness, dental, disability and life coverage), mental health support and an employee assistance program.
Expected Salary Range: $47,625 - $79,375
The salary amount for the successful candidate is determined by Co-operators in its discretion and will vary depending on several criteria including but not limited to: local market conditions, geography and relevant job-related factors such as knowledge, skills, qualification, experience and education.