Case Manager

Join our dynamic 24/7 team as a Case Manager, where you'll play a critical role in reviewing and managing Emergency Assistance cases, ensuring optimal customer support, and controlling costs for our organization. You will be responsible for investigating and making decisions on cases up to an approved authority level, all while striving to meet performance objectives on a monthly basis. Challenge yourself and grow your career with us.

What you do

• Conduct daily monitoring of hospitalized patients and/or outpatient care, updating notes and keeping records of decisions in computer system.
• Secure Medical Consultant’s or Registered Nurse’s assessment of medical information.
• Provide approvals for defined procedures and liaises with medical team as required.
• Liaise with patient and/or family regarding benefit information (incl. LOB), itinerary, technical benefits and arrangements for the case.
• Review client’s policies and investigate file to determine most appropriate course of action.
• Establish reserve based on the known incurred costs and estimated costs; update reserves when new information is received that changes the cost estimate.
• Investigate and coordinate existence of insurance coverage under additional policies such as Provincial Health or Extended Health plans.
• Make billing arrangements (incl. coverage letters etc.) and obtain updated bill amounts.
• Obtain various types of documents as it pertains to the case being managed.
• Conduct administrative/logistical maintenance of case requirements.
• Communicate with business partners regarding escalated cases or requirements outside benefits.
• Provider contact (UR, role presentation, H&P request, I&I scripting, limitation of benefits etc.)

What you bring

• Post-secondary education and preferred 2 years’ experience in the Emergency Assistance Department.
• Ability to pay close attention to detail and multi-task.
• Superb verbal communication skills, specifically the ability to communicate professionally and articulately via phone with clients and colleagues.
• Demonstrated ability to use initiative and independent judgment in solving customer problems.
• Proven ability to showcase a high level of accountability and ownership over a task.
• Good understanding of world geography and current events.
• Familiarity with medical terminology.
• Bilingual French is highly preferred for this role.

What we offer

• Our employees play an integral part in our success as a business. We appreciate that each of our employees are unique and have unique needs, ambitions and we enjoy being a part of their journey.
• We are there to empower and encourage you with your personal and professional development ensuring that you take control by offering a large variety of courses and targeted development programs. All that in a global environment where international mobility and career progression are encouraged.
• Caring for your health and wellbeing is key priority for us. This is why we build Work Well programs to provide you with peace of mind and give the flexibility in planning and arranging for a better work-life balance.

Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.

We at Allianz believe in a diverse and inclusive workforce and are proud to be an equal opportunity employer. We encourage you to bring your whole self to work, no matter where you are from, what you look like, who you love or what you believe in.

We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, disability or sexual orientation.

Join us. Let's care for tomorrow.