REMOTE - Bilingual Disability Claims Specialist

REMOTE - Bilingual Disability Claims Specialist

As a Bilingual Disability Claims Specialist, you will be working and collaborating with a team of talented professionals in a high-energy work environment to ensure service level standards are met by managing a block of short or long-term disability cases.

You will support our plan members through illness, recovery, and return to work by providing them with disability benefits and proactive case management.

At Medavie, you have the flexibility to work from wherever you're most productive and inspired - be it your home office, a few days at home, or full-time in our offices.

Key Responsibilities:

• Responsible for the disability claim adjudication from the initial decision to building the right case management plan including: identifying the supports needed for each case, monitoring treatment and the achievement of the plan, and working with the claimant, employer, and providers involved in the case.
• Active case management of files, providing regular communication with all stakeholders and assessing the use of claims tools (rehab etc.) and requesting ongoing medical as needed.
• Provide assessment of key dates within the lifecycle of the claim and ensure case management plans are updated regularly.
• Ensure that required tasks within the assigned case load meet service level standards.
• Render timely and potentially difficult decisions and effectively communicate these decisions, while managing escalations with employers and claimants.
• Build effective relationships with key stakeholders (the claimants, the treatment providers and physicians, the employers, group administrators, human resources, and lawyers) to support recovery and return to work.
• Ensure effective and consistent use of our electronic case management system.

Qualifications:

• Education: Bachelor's Degree or equivalent.
• Work Experience:
  • Experience in a Healthcare related field would be an asset but not required.
  • Insurance industry knowledge is an asset, along with health-related terminology, concepts of accommodation and return to work.
  • Experience and knowledge of managing files related to mental health is an asset.
  • An understanding of contract wording and the ability to thoroughly review medical reports and other tools available (e.g., Independent Medical Exams, Functional Capacity Exams, surveillance, medical consultant reviews) is an asset.
• Computer Skills:
  • Proficiency working with Microsoft Office applications (Word, Excel, and Outlook).
  • Experience working with an electronic case management system (we use Fineos) an asset.
• Language: Be fluently bilingual (English-French); in order to meet the needs of the English-speaking clientele, this position requires bilingualism.

Professional Experience:

• Exceptional written and oral communication skills.
• Well-developed organizational and prioritization skills.
• You have an innovative mindset to improve operational efficiencies and the ability to influence change, with a primary focus on client needs.
• Experience providing customer care, support, and assistance with the ability to communicate complex and difficult information clearly.
• Strong initiative, leadership, and strategic thinking.
• Excellent problem-solving with the ability to work independently and with all levels of the organization.
• Ability to maintain a high degree of accuracy in a fast-paced environment.
• Ability to make decisions and problem-solve, taking the initiative to do so with minimal direction/supervision.

We believe our employees should reflect the communities we serve and welcome applications from candidates of all backgrounds. To provide the best experience possible, we will support you with accommodations or adjustments at any stage of the recruitment process. Simply inform our Recruitment team of your needs. We are committed to making sure recruitment, retention, advancement, and compensation are fair and accessible while following all relevant human rights and privacy laws. We appreciate everyone who has shown interest in this position. Only those selected for an interview will be contacted.

If you experience any technical issues throughout the application process, please email: Medavie.Recruitment@medavie.ca.