Senior Disability Claims Consultant coaching bilingual claims specialists and consultants. Managing complex disability cases for Medavie, a Canadian health, insurance, and emergency medical services provider.
Responsibilities
Provide quality and cost-effective coaching strategies designed to increase individual and organizational productivity
Provide development opportunities that enhance knowledge, develop skills and enrich Disability claims specialists and consultants’ capability
Monitor, review, and support critical components of the case management lifecycle
Review initial claim decisions
Develop appropriate case management plans
Support effective communication practices
Monitor key milestones, including COD and CPPD
Identify required support
Monitor treatment progress and plan outcomes
Collaborate with members, employers, and healthcare providers to ensure timely, well-informed, and effective case management practices
Coach and develop disability claim specialists and consultants
Increase and monitor quality of case management according to the active case management protocol
Build effective relationships to support employee development and engagement
Review and correct disability management files and reports
Manage action plans and decisions, or provide recommendations, on highly complex disability claims
Requirements
University degree or college diploma in a relevant discipline
At least 5 years’ experience in disability case management with another insurer or government agency managing short- and long-term disability claims
Demonstrated written and verbal communication skills to successfully review and correct various communications, interview and decision letters to claimants, providers, physicians, employers, group administrators, human resources, and lawyers.
Demonstrated strong knowledge of contract wording
Ability to thoroughly analyze disability management trend reports, medical reports, and other available tools, including Independent Medical Exams, Functional Capacity Evaluations, surveillance, and medical consultant reviews
Background in training or coaching is considered a strong asset
Deep understanding of the health care and insurance fields
Knowledge of health-related terminology, concepts of accommodation and return to work
Bilingualism (English and French) is required
Ability to collaborate daily with teams and partners in Canada who operate in both English and French
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
Career Growth: We offer a career path encouraging you to follow your passions, learn new skills and focus on growing your career with Medavie.
Accommodations or adjustments at any stage of the recruitment process
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