Bilingual caseworker supporting Cencora’s Canadian patient, healthcare, and HR service programs. Managing cases, calls, documentation, follow - up, and adverse - event reporting.
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Bilingual Disability Case Manager – 13-Month Contract
Posted 8 hours ago
About the role
- Bilingual Disability Case Manager adjudicating short- and long-term disability claims for Canadian benefits administrator Manion. Assessing medical documentation, managing claimants, and resolving complaints.
Responsibilities
- Process and adjudicate short- and long-term disability claims
- Establish eligibility and review medical documentation to determine whether Total Disability is met
- Calculate earnings and benefit levels
- Conduct telephone interviews with claimants
- Request appropriate medical documentation, including MC, MRT, IME, FCE, and rehabilitation records
- Maintain accurate claims documentation and confidentiality of client, corporate, and medical records
- Meet department turnaround times and standards
- Explain coverage details, client responsibilities, and next steps
- Resolve client complaints and build relationships with claimants, unions, employers, clients, and team members
- Release only allowable information to recognized recipients
- Review claims holistically to determine workable policy-compliant solutions
- Identify inefficient processes and propose solutions to management
- Report directly to the Manager, Disability Department
Requirements
- Post-secondary diploma or degree in Health Sciences or a related discipline
- Insurance/industry-related designations considered an asset (CEBS, LOMA, ALHC, CDMP, CRTWC)
- 4 years of disability industry or case management related work experience
- Bilingual communication skills
- Ability to assess medical documentation and essential job duties
- Knowledge of disability claims adjudication and case management
- Ability to maintain confidentiality and comply with privacy regulations
Benefits
- Minimum 3 weeks' vacation
- Flex days
- Wellness programs
- Employee education program
- Flexible work options
- Comprehensive benefits
- Comprehensive mental health resources
- Social and wellness committees
- Paid time off
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