Adjudicator, Disability Claims

3 weeks ago


Toronto, Canada People Corporation Full time

We are seeking an Adjudicator, Disability Claims to join our BPA team in Toronto.

As a disability claims adjudicator, you will make initial short term disability claim decisions based on eligibility requirements. You will work directly with clients by assessing their functional abilities, exploring opportunities for return to work, and coordinating referrals for expedited care to promote speedier recoveries and return to health.

**The Adjudicator, Disability Claims will**:

- Evaluate claims by communicating with clients, employers, and health professionals and collecting any additional documentation required for the adjudication of the claim
- Assess functional abilities to determine work-readiness and coordinate suitable return to work
- Coordinate expedited treatment and assessments
- Communicate decisions to clients both verbally and in writing
- Resolve client issues in an accurate and timely manner
- Oversee case until return to work or refer claim internally for case management

**To be successful as an Adjudicator, Disability Claims with BPA, you will need**:

- Bachelor’s degree or diploma in a health-related field
- Minimum two years experience in a medical, benefits administration, or claims setting; and
- Understanding of medical and mental health conditions and treatments
- Strong assessment and decision-making skills
- Highly organized with strong attention to detail
- Ability to prioritize and multi-task in a fast-paced environment
- Demonstrate ability to respond effectively to challenging and time-sensitive situations
- Ability to maintain a high degree of confidentiality in handling confidential medical information
- Ability to effectively manage and resolve conflict
- Excellent written and verbal communication skills
- Computer literacy - MS Word, Excel, Outlook, etc.
- Fluency in Portuguese, Spanish, and/or Italian (both written and verbal)

**What's in it for you**:

- Learn by working alongside our experts
- Extended health care and dental benefits
- A retirement savings plan with company contributions
- A suite of Health & Wellness offerings
- Mental Health programs and support for you and your family
- Assistance for the completion of industry designations
- Competitive compensation

At People Corporation we are committed to helping businesses succeed. We are a national provider of benefits, retirement, wealth, wellness, and human resource solutions. Our experts and solutions serve over 20,000 clients representing nearly 3 million Canadians. We offer customized solutions designed to fit the unique needs of businesses and their employees, members and stakeholders.

About BPA:
BPA is a division of People Corporation and has served members and beneficiaries in their local communities since 1958. BPA is dedicated to providing a superior benefits experience to our members, businesses, and trusts in the local communities in which they live and operate.



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