Bilingual Senior Disability Claims Consultant

Posted 3 weeks ago

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About the role

  • 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

Job title

Job type

Full Time

Experience level

Senior

Salary

CA$82,648 - CA$91,831 per year

Degree requirement

Associate's Degree

Location requirements

RemoteCanada

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