Disability Case Manager managing group insurance claims, benefits, and recovery plans for Desjardins members. Supporting sustainable return to work across eligible Canadian provinces.
Responsibilities
Develop strategies and build strong relationships to establish intervention plans facilitating insured individuals’ recovery and timely, sustainable return to work
Communicate by phone and mail with various parties to understand the absence context and communicate decisions to insured individuals and policyholders
Approve and adjudicate claims
Process waivers of premium
Establish benefit amounts and payable periods
Process payments and complete necessary follow-ups
Prepare documents for rehabilitation coordinator claimant interviews
Review claims with medical consultants and the legal department as required
Process disability claims according to group insurance contract terms
Requirements
College diploma in a related field
Minimum of three years of relevant experience as a disability claims specialist, including short- and/or long-term disability management, return-to-work, or claims adjudication
Relevant healthcare experience such as rehabilitation, nursing, kinesiology, physiotherapy, psychology, or occupational health
Other combinations of qualifications and relevant experience may be considered
Advanced proficiency in English
Must reside in Ontario, British Columbia, Alberta, Saskatchewan, Manitoba, or the Atlantic region
Action oriented
Ambiguity
Complexity
Customer Focus
Decision quality
Differences
Interpersonal Savvy
Nimble learning
Benefits
Competitive salary and annual bonus
4 weeks of flexible vacation starting in the first year
Defined benefit pension plan that provides predictable, stable income throughout retirement
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