Disability Benefits Specialist managing CPP/QPP disability claims for Medavie, a national Canadian health solutions partner. Supporting member applications, appeals, benefit offsets, and financial analysis.
Responsibilities
Manage QPP/CPP files following referral by the Disability Case Specialist, including referrals, applications, follow-ups, appeals, and decisions
Initiate applications and support plan members through the process
Complete follow-ups and ensure processes are completed
Explain benefit offsets and their impact to plan members by phone and in writing
Act as a subject matter expert for QPP and CPP files
Provide guidance on complex cases and emerging government disability program practices
Contribute to knowledge sharing, process enhancements, and operational best practices
Provide file status updates
Determine QPP/CPP retroactive payment amounts
Initiate recovery steps with QPP/CPP
Enter information and apply offsets in relevant systems, ensuring file continuity and calculation accuracy
Communicate with QPP/CPP regarding timelines and decisions
Ensure QPP/CPP receives necessary information and documentation
Process refusal decisions and support insured persons with appeals
Identify opportunities to improve processes, member experience, and operational effectiveness
Participate in innovation, quality, and disability management initiatives
Requirements
Post-secondary diploma in administration, insurance, accounting, finance, or another related field
1-3 years of experience in disability management, group insurance, claims administration, finance, or a related field
Experience in finance or accounting
Professional written and verbal communication skills
Strong organization and prioritization skills
Excellent customer service and telephone skills
Strong analytical skills and problem-solving abilities
Ability to work with minimum supervision
Strong knowledge of government disability benefit programs, including QPP and CPP, or ability to develop expertise quickly
Analytical ability and attention to detail
Ability and confidence in explaining financial concepts
Customer focus and ability to manage multiple priorities
Proficient keyboarding and technical aptitude in Microsoft Office
Experience with an electronic case management system, such as Fineos, considered an asset
Bilingualism (English/French) required
Benefits
Health and dental coverage that is 100% employer paid from day one
Wellness benefits
Health resources
Fitness center discounts
Flexible work environment supporting work–life balance
Professional development opportunities, including leadership programs, ongoing learning, and career growth pathways
Collaborative and inclusive culture
Performance-based incentive programs for eligible employees, discretionary and subject to individual and organizational results
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