Senior Property and Casualty Insurance Advisor
Desjardins
Bilingual Disability Claims Specialist
Medavie
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇨🇦 Canada
Visit company websiteJob Level
Mid-LevelSenior
About the role
- Responsible for disability claim adjudication from the initial decision to building the right case management plan
- Identify supports needed for each case, monitor treatment and achievement of the plan, and work with the claimant, employer and providers
- Active case management of files, providing regular communication with all stakeholders and assessing 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 required tasks within assigned caseload 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 claimants, treatment providers and physicians, employers, group administrators, human resources, and lawyers to support recovery and return to work
- Ensure effective and consistent use of electronic case management system
- Participate in a 15-week paid training program and ongoing professional development
Requirements
- University degree or a completed college diploma related to occupational health, disability management, kinesiology, Education, Human Resources, Legal (Study areas are assets, but are not limited)
- Combination of education and/or experience with well-developed analytical, decision-making and problem solving skills
- Experience related to disability claims management, insurance benefits, adult education, kinesiology or other health-related industries is an asset
- New graduates with a Degree or Diploma in Disability Management, Kinesiology, Rehabilitation Medicine or other health-sciences are considered
- Experience in a professional setting with demonstrated ability to make critical decisions and solve problems
- Experience reviewing contracts, medical files and reports; assessing different information sources to inform decisions and advise customers is an asset
- Proficiency working with Microsoft Office applications (Word, Excel and Outlook)
- Strong technical aptitude and ability to multitask across multiple software applications while ensuring detailed online notes and tracking of information
- Be fluently bilingual (English-French)
- Exceptional written and oral communication skills
- Well-developed organizational and prioritization skills
- Experience providing customer care, support, and assistance and communicating complex or difficult information
- Ability to maintain a high degree of accuracy in a fast-paced environment
Benefits
- Flexible work arrangements and emphasis on work-life balance
- Comprehensive health, vision and dental plan that is 100% employer paid effective on your first day
- 100% employer-matched Defined Contribution Pension Plan
- Annual Incentive Bonus which recognizes your contribution to our success
- Paid vacation and additional Vacation Purchase Program
- Wellness benefits, health resources and fitness center discounts
- 15-week paid training program (paid)
- Learning and career growth opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
disability claim adjudicationcase managementanalytical skillsdecision-makingproblem solvingdisability claims managementcontract reviewmedical file assessmentMicrosoft Officebilingual (English-French)
Soft skills
communication skillsorganizational skillsprioritization skillscustomer carerelationship buildingmultitaskingcritical decision makingsupport and assistanceaccuracyescalation management
Certifications
University degreecollege diplomaDegree in Disability ManagementDiploma in KinesiologyRehabilitation Medicine certification