Disability Claims Management

2 months ago


Edmonton, Canada ASEBP Full time

**DISABILITY CLAIMS MANAGEMENT (INTAKE AND EARLY INTERVENTION PROGRAM)**
Full-time Permanent - Competition #22-85

**Position Summary**

If you are a skilled disability case management professional who has experience working with individuals who are ill or injured regain their health and return to work, then this could be the job for you

**Your Key Responsibilities**
- Build early relationships with covered members and assist with coordination of treatment in conjunction with their health care providers with the goal to facilitate recovery and return to work.
- Coordinate communication with the covered member, health care providers and employer to assess anticipated recovery time, develop an action plan in support of modified work hours or gradual return to full-time equivalent, and to modify the plan as needed.
- Follow-up regularly with covered members to monitor their recovery status and assess their perception of health to foster a shared understanding of progress and next steps.
- Adjudicate decisions regarding eligibility for EIP and rehabilitation programs.
- Monitor the success of the modified/gradual return to work plan and make adjustments as needed.
- Liaise with employer regarding individuals with short-term health issues; provide advice to ensure that the health issues are addressed with appropriate resources and creative options and strategies in the workplace are implemented to support the individual's ability to remain at work.
- Effectively communicate and manage the results of difficult or adverse decisions.
- Link covered members to appropriate community resources and ensure they are aware of their benefit coverage.

**Your Education and Experience**
- Two to five years of health experience in disability case management within WCB, an insurance company and/or employer environment, active case management or equivalent clinical work.
- Health-related degree or diploma in disability management or equivalent is preferred

A combination of education and experience may be considered.

**Your Abilities**
- A caring, supportive approach that considers the "whole person" rather than a narrower medical management approach, while remaining focused on proactive case management.
- Exceptional organizational skills with an ability to prioritize work and manage a busy portfolio with ease and efficiency.
- A collaborative and integrated approach to work, with a demonstrated ability to work as part of a team to best serve our covered members and employer.
- A positive perspective and flexibility to deal with complex and challenging situations that might arise.
- A creative approach to solving issues and resolving barriers that are preventing individuals from remaining at work and/or returning to work.

**Unique Working Conditions**

You will be working with groups across the province, so some travel may be required in this role. This position is eligible to participate in the hybrid workforce program.

All offers of employment for this position are conditional upon satisfactory background and reference checks, which may include a criminal record check, and/or education and employment verification.



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