People Corporation

Bilingual

• Manage all non-complex and complex claims including but not limited to psychological claims, multiple diagnosis, and co-morbid conditions
• Conduct detailed phone functional interviews regarding activities of daily living (ADL) while providing tips to reduce barriers
• Evaluate medical and workplace information to determine if key elements are present
• Adjudicate all claims in accordance with client and OSI policies, and with a high degree of excellence
• Request clinical notes in any claim that requires additional clarity including, mental health claims with pre-existing documentation, identified workplace concerns, unique circumstances, etc.
• Enter detailed info regarding the claim, status, communications, and next steps, into the Internal Claims Management System
• Ensure a Care Management Action Plan is in place on all files, as required
• Manage all claims with a return to work (RTW) focus and for the lowest duration possible and with a continuous improvement impact
• Produce appropriate tools to communicate status of claim to clients and claimants (varies based on client)

Bilingual Disability Management Specialist

Consultant

• Assurer la gestion quotidienne d'un portefeuille de clients
• Agir comme point de contact principal pour les clients
• Coordonner les activités liées aux régimes de retraite

Consultant, Gestion client

Client Services Representative

• Handle incoming and outgoing mail for the Client Service team.
• File enrolments and member change requests as appropriate.
• Manage the general email inbox - converting requests onto appropriate platforms.
• Support the portal approvals process for standard transactions.
• Complete written communications and letters to Plan Members and Plan Sponsors.
• Support the month end billing cycle.
• Perform accurate and timely data entry tasks, while supporting various ad hoc administrative duties as needed to ensure smooth operations.

Client Service Administrator

Director

• Drive strategic advisor engagement and revenue growth
• Develop and execute a territory strategy focused on building long-term partnerships
• Lead consultative discussions with advisors to uncover business challenges
• Educate and influence the market
• Build and maintain trusted advisor relationships

Director, TPA Solutions

Systems Engineer

• Manage the functional & non-functional requirements solicitation & requirements management process.
• Work closely with business and technology stakeholder to facilitate, interview, extract, and document detail functional and non-functional requirements.
• Liaise with business stakeholders to understand industry trends and business priorities that must be factored into solution designs.
• Define and communicate system requirements at the appropriate level of detail to ensure requirements are concise enough to drive the establishment of the right technology solution.
• Analyze and conceptualize design of the solution, working with the Solution Architects, Vendors, Software Developers and Quality Assurance Analysts to achieve the business objectives.
• Facilitate requirements gathering workshops with business, technology and vendor teams.
• Build trusted relationships with stakeholders and effectively manage competing priorities, scope changes, and conflicting requirements.

Business Systems Analyst

Insurance

• Building relationships with clients
• Identifying client needs and delivering tailored insurance solutions
• Providing expert guidance to clients
• Supporting both new and existing clients
• Assessing individual insurance needs and obtaining quotes from insurers
• Proactively working prospect list and cross-selling policies
• Ensuring proper coverage based on client’s needs
• Documenting interactions in management and insurance company portals

Bilingual Disability Management Specialist

Consultant, Gestion client

Client Service Administrator

Director, TPA Solutions

Business Systems Analyst

Registered Insurance Broker – Sales