Bilingual Claims Specialist
4 weeks ago
Location: Remote - Anywhere in Canada
Job Type: Full-time
About the RoleWe are seeking a highly skilled Bilingual Claim Manager to join our Group Operations team at Empire Life. As a key member of our team, you will be responsible for applying disability management best practices to effectively manage the payment, expenses, and risk associated with weekly indemnity and long-term disability claims.
Key Responsibilities- Investigate, evaluate, and determine eligibility for initial and ongoing payment claims based on medical information, job requirements, non-medical factors, contract terms, and department/industry protocols within established service standards.
- Manage active claims duration by utilizing best practices.
- Interview claimants and employers 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.
- 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.
- Based on department standards, ensure proactive communication with our customers regarding claim status and developments.
- Accountable for positive file resolution and appropriate outcomes.
- Bilingual (French/English).
- Completion of a university degree in anatomy, biology, kinesiology, life sciences, or psychology.
- 3+ years of work experience in disability claim management.
- Knowledge of medical terminology and Disability Management best practices/protocols.
- Knowledge of relevant provincial employment legislation and legal requirements.
- Knowledge of word processing, spreadsheet, email, internet, and database software.
- LOMA 280, 290, HIAA, CEBS - GBA are assets.
- Well-developed verbal/written communication, interpersonal, and customer relations skills.
- Ability to work independently and as a collaborative team member, prioritize and balance multiple tasks, and research, analyze, evaluate, negotiate, make decisions, and resolve problems.
- Ability to apply policy terms and adjudication guidelines.
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, for non-sales positions.
- Competitive uncapped commission, for sales positions.
- A comprehensive employer-funded benefits package starting from day one of employment, 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.
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