Bilingual Disability Claim Adjudicator

5 months ago

Kingston, Canada THE EMPIRE LIFE INS. CO Full time

**Bilingual Disability Claim Adjudicator**:
**Location: Remote - Ontario**

Empire life is looking to hire a Disability Claim Adjudicator to join our Group Operations team

**Why pursue this opportunity**Play an integral role**:

- this is an opportunity that allows for you to grow your skills, while directly contributing to the business unit you are a part of.**The opportunity**:

- collaborate with cross-functional teams and work on a variety of projects that will keep you engaged and continuously learning.**Deliver excellence - **provide a personal, accurate, professional, and courteous service and resolution to our customers.

**What you’ll be working on**- Set up, input and assess new claims for required initial information (Accident & Sickness - Disability, AD&D, Life, Hospital Benefits)- Review and analyze data to determine benefit eligibility and gather contract provision information- Provide ongoing and timely communication with our customers based on department protocols; provide claim status updates, request information and address claim-specific inquiries-
- Investigate, evaluate and determine eligibility for initial and ongoing payment of claims based on medical information, job requirements, non-medical factors, contract terms and department/industry protocols within established service standards- Interview claimants through telephone interviews- Ensure accurate and timely documentation of all communication with customers- Formulate and implement a detailed case management plan on each file with a focus on a timely, sustainable and safe return to work; interact with and appropriately challenge treating physicians, make referrals for independent medical assessments and to alternate insurance organizations (federal, provincial and private insurers)- Collaborate with in-house return to work facilitators to design and monitor return to work programs- Collaborate with team members to exchange ideas, gather information and offer solutions on claims- Accountable for positive file resolution and appropriate outcomes- Facilitate the timely payment of claims

**What we’re looking for you to have**:
- Completion of a university degree in anatomy, biology, kinesiology, life sciences or psychology- Relevant experience managing accident & sickness benefits- Knowledge of individual disability products- Bilingualism (English/French)- Ability to prioritize/adapt and balance multiple tasks and attention to detail/accuracy- Customer focus, service orientation- Well-developed written/verbal communication and interpersonal skills- Ability to work independently and as a collaborative team member-
- Ability to research, analyze, evaluate, negotiate, make decisions and resolve problems- Knowledge of medical terminology and Disability Management best practices/protocols- Knowledge of relevant provincial employment legislation and legal requirements-
**Beyond the salary**:
For regular full-time positions, Empire Life offers a comprehensive total rewards package that includes:
- Competitive salaries with annual pay increases- Annual bonus program, which recognizes both strong company performance and individual contributions- Competitive uncapped commission for sales positions- A comprehensive employer-funded benefits package that includes life insurance, disability, health and dental and a generous health account- Flexible work arrangements and an annual allotment of personal health days.- Four weeks annual vacation from hire date- A defined contribution pension plan with generous employer matching- Top up programs for parental leave and compassionate leave- Employer-sponsored wellness and recognition programs
- A cash employee referral program

**Get to know us**:

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