Appeal Case Manager, Quality Assurance and Continuous Improvement

Posted 2 days ago

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About the role

  • Appeal Case Manager managing union-governed disability appeals at TELUS Health. Ensuring accurate, timely, privacy-compliant support for employees, employers, and representatives.

Responsibilities

  • Manage a high volume of active appeal files while maintaining accuracy and attention to detail
  • Follow defined appeal processes across five distinct union agreements, ensuring compliance with union-specific rules and timelines
  • Engage with employees, employers, and union representatives to gather updated functional information
  • Communicate appeal status, next steps, and expectations clearly
  • Collaborate with Quality Assurance Advisors and subject matter experts
  • Ensure case information is accurately documented, properly shared within agreed timelines, and compliant with privacy regulations
  • Review files transferred back from specialists for completeness and correctness
  • Return complete and accurate information to employees or employers to prevent delays and escalations
  • Navigate complex, multi-stakeholder situations while maintaining confidentiality

Requirements

  • Ability to follow defined processes precisely and consistently, with strong attention to detail and accuracy in a high-volume environment
  • Excellent written and verbal communication skills, with the ability to explain complex information clearly to diverse audiences
  • Ability to handle difficult conversations with empathy, sensitivity, and professionalism
  • Strong organizational and time management skills, with ability to manage multiple active files and competing priorities
  • Basic knowledge of medical terminology
  • Ability to review medical information at an entry level
  • Proficiency in Microsoft Office (Word, Excel, Outlook)
  • Customer service mindset with commitment to accuracy, privacy, and support during sensitive processes
  • Previous experience in disability case management, benefits administration, or related customer-facing roles
  • Bilingualism (French and English) is a great-to-have
  • Familiarity with union processes, collective agreements, or unionized work environments is a great-to-have
  • Subject to Government of Canada Personnel Security Screening where applicable under the TELUS Health Solutions Data Center Security Policy

Benefits

  • Inclusive culture embracing diversity
  • Accommodation for applicants with disabilities during the recruitment process, as required
  • Potential employment with TELUS Health, including access to a people-focused, customer-first, purpose-driven team culture

Job title

Job type

Full Time

Experience level

Mid levelSenior

Salary

Not specified

Degree requirement

No Education Requirement

Location requirements

OnsiteTorontoCanada

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