Disability Case Manager
4 months ago
TeksMed is a leading disability and claims management firm, offering employers across Canada a complete solution to workplace injury and short term disability management. Our team of experts have devised processes and methods that effectively reduce wage loss and claim costs by helping ill and injured workers maximize their work potential. We focus on ability, not disability; provide fast, world-class healthcare, and assist in establishing an early and safe return to work.
We are looking for dynamic, motivated individuals to join our ever-growing team. In addition to a great working atmosphere and opportunities for advancement, we offer generous health benefits, matched RRSP contributions, payment towards monthly fitness memberships, tuition reimbursement programs, and more. If you’re looking for a career to be proud of and think you have what it takes to join our team, we invite you to consider this opportunity.
**Responsibilities**
- Receive and action claim files when a factor arises that may delay RTW or add costs to the claims that are not the responsibility of the employer
- Initiate requests for board Nurse Advisor/Medical Advisor intervention on RTW efforts as appropriate
- Take incoming phone calls from interested parties to either provide information or collect information for those parties
- Assess the costs attached to each claim, to best meet the needs of the client
- Prepare and compile information to be presented for entitlement issues (eg: modified duties refusal)
- Take the necessary action to ensure that entitlement issues are appealed to the appropriate appeal body as required and within required timeframes
- Manage new and contentious claims until all contentious issues have been resolved
- Complete a forensic review of high-cost claims for new clients and take necessary action in order to facilitate cost recovery
- Participate in Return to Work Meetings between our clients and WCB/WSBC/WSIB as required
- Initiate requests for cost relief on our client’s behalf and take the appropriate action
- Field inbound and outbound calls to clients, injured workers, physicians or other parties to gather information to assist in ensuring a safe Return-to-Work (RTW)
- Communicate in a consistent and timely manner with the employer and worker
- Arrange and schedule medical assessments and diagnostics as necessary
- Ensure all documents such as RTW plans and medical assessments are collected, assessed and actioned
- Continually confirm status of worker, to ensure the RTW is successful
- Make decisions on the next course of action by analyzing medical assessments and client/worker information gathered
- Coordinate with co-workers to ensure accurate and imperative information is reviewed, requested and collected for each claim
- Inform client (by phone, when possible) of outcomes and updates
- Prepare scheduled reports for our clients to provide them with an update on the work being undertaken on their behalf
- Participate in client visits and conference calls as required
- Manage customized software database notes on case files by ensuring accuracy and inclusiveness
- Maintain database by updating information and closing case files once all claims have been addressed and advise all the appropriate parties involved
**Operational Knowledge**
- Comprehension of disability management/rehabilitation practices is key
- Comprehension of contentious claims and internal policies, procedures and requirements of WCB/WSBC/WSIB is a nice to have
- Understanding of formal business writing and compilation of documentation
- Understanding of medical terminology
**Skills/Abilities**
- Proven time management, prioritization and attention to detail skills
- Demonstrated ability to communicate actively and comfortably in using negotiation, dispute resolution, and problem sensitivity techniques
- Comfortable working independently and making decisions with confidence
- Ability to conduct research on the internet for medical terminology, medical assessment results, and/or for determining probable medical requirements
- Strong analytical abilities, with the ability to critically think while solving problems is a must
**Job Types**: Full-time, Permanent
**Salary**: $40,000.00-$70,000.00 per year
**Benefits**:
- Casual dress
- Company events
- Dental care
- Employee assistance program
- Flexible schedule
- On-site parking
- Paid time off
- RRSP match
- Tuition reimbursement
- Vision care
- Wellness program
Flexible Language Requirement:
- French not required
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Ability to commute/relocate:
- Chilliwack, BC: reliably commute or plan to relocate before starting work (required)
Work Location: In person
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