Case Manager
3 days ago
**Summary**
**Join in being part of an exciting and challenging opportunity**
Raymond Chabot Grant Thornton Consulting Inc. (RCGT CI) is looking for multiple Case Managers. This position requires prior case management experience, working knowledge of claims management principles, and technological know-how to support the customers and clients of RCGT Consulting. The Case Managers will be directly responsible for overseeing and executing the successful operations of his or her program. These individuals will provide professional expertise and monitor performance to ensure that objectives are achieved within scheduled timelines and budgets.
**Job Duties**
- Oversee and execute operations on claims management process
- Gather information from applicants needed and validate their contents
- Ensure all applicants receive a fair and data driven assessment that is consistent with defined process and eligibility criteria
- Provide applicants with information about the program and case status
- Utilize case management software to administer cases, record case notes and provide records management of case information
- Review program performance and ensure objectives are met, and lead and implement corrective actions when needed
- Manage all administrative processes
- Ensure compliance with company policy, procedures and applicable regulations
- Create and update assigned reports as required
- Chair assigned meetings with medical experts panel, create agenda, and take minutes
- Maintain assigned records and databases
- Maintain a productive working environment with all staff
- Perform other duties as necessary
**Mandatories**
- 3+ years of experience in managing multiple customer care cases
- Excellent customer service skills, including proven experience dealing with dissatisfied applicants/customers
- Extensive experience determining eligibility for complex benefits/services, or adjudicating claims, or adjusting involving serious loss and/or complex claims
- Strong experience with data processing and document management
**Assets**
- Bilingual
- A university degree or related certification
- Previous experience dealing with health-related cases
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