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Lead Case Management Specialist

3 months ago

Steinbach, Manitoba, Canada Manitoba Public Insurance Full time
Position Overview

As the Senior Claims Rehabilitation Manager, you will oversee the management of a portfolio of moderately to highly intricate injury claims. Your role involves guiding and supporting claimants in their recovery journey while facilitating access to benefits and external resources. You will assess files for potential return-to-work (RTW) opportunities, track rehabilitation and RTW progress, and manage claim finances to ensure cost-effectiveness while being vigilant for potential claims leakage.

Key Responsibilities
  • Design and implement rehabilitation strategies, RTW plans, and long-term case management plans tailored to the individual needs of claimants.
  • Continuously monitor the recovery process of claimants, anticipating and addressing potential obstacles to recovery and benefit closure.
  • Assist claimants in understanding their recovery responsibilities, advising them of any changes in their medical status, and ensuring adherence to the agreed-upon actions in their recovery plan.
  • Collaborate with the claimant's rehabilitation team, facilitating medical consultations as necessary.
  • Engage actively in a collaborative pod environment, contributing to decision-making, sharing information, and identifying areas for improvement.
  • Provide mentorship to fellow pod members, recognizing teachable moments and fostering the professional development of the team.
Qualifications
  • Degree in Psychology, Social Work, Medical Rehabilitation (Athletic, Occupational, or Physical Therapy, or Kinesiology), or a related field.
  • Degree in Business, Arts, or a relevant discipline.
  • Certification in Case Management, such as:
    • Rehabilitation Case Management Certificate
    • Rehabilitation Benefit Administration Certificate
    • Disability Management Practitioner Certificate
    • NIDMAR designation is considered an asset.
  • A minimum of five years of experience in case management.
  • Strong analytical skills to assess various claimant scenarios and determine appropriate actions, with an understanding of underlying causes and implications of decisions.
  • Excellent communication skills, both verbal and written, to convey complex information clearly and concisely.
  • Proficient in financial calculations and managing claim finances, ensuring adequate reserves and accurate payments.
  • Willingness to travel as required.
  • Access to a personal vehicle and a valid driver's license.
Employee Benefits

Health Benefits

We provide a comprehensive health benefits program that includes:

  • Flexible health, dental, and vision plans
  • Health spending account
  • Travel health coverage
  • Extended health benefits such as ambulance services, massage therapy, and physiotherapy

Financial Security

To support financial well-being, we offer:

  • Registered pension plan
  • Group, dependent, and optional life insurance coverage
  • Critical illness insurance
  • Sick leave for short-term disability
  • Long-term disability coverage

Wellness Programs

We promote a healthy work-life balance and workplace culture through:

  • Flexible work arrangements
  • Vacation entitlements
  • Maternity, parental, and adoptive leave
  • Bereavement and family responsibility leave
  • Employee and family assistance programs
  • Mental health initiatives
  • Lunch-and-learn sessions
  • Discounted gym memberships and wellness accounts

Diversity and Inclusion

We believe that diversity and inclusion enhance our organization. We strive to be a barrier-free workplace where individual values, beliefs, and practices are respected and appreciated.

Employee Recognition

Recognizing our employees' contributions is vital. We celebrate milestone achievements and provide various avenues for leaders and peers to acknowledge each other's efforts.

Professional Development

We are committed to the growth of our employees, offering in-house training, professional development opportunities, and educational assistance programs.

Safety and Health

To foster a safe and healthy work environment, we implement various safety policies and programs, providing technical expertise and support for employee safety initiatives.