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Disability Claims Evaluator

3 months ago


Mississauga, Ontario, Canada People Corporation Full time

We are looking for a Disability Claims Evaluator to become a vital part of our BPA team.

At People Corporation, we value individuals who are passionate about making a positive impact and are prepared to embrace challenges.

If you possess experience in Disability Management or have a strong interest in health, wellness, and disability services, and thrive in a collaborative environment, we encourage you to consider this opportunity.

This role requires full-time in-office presence.

Key Responsibilities of the Disability Claims Evaluator:
  • Analyze short-term disability claims to establish initial eligibility and benefit entitlements based on medical and contractual criteria.
  • Ensure all applications are comprehensive and that all necessary information is gathered for claim assessment.
  • Evaluate claims through effective communication with clients, employers, and healthcare professionals.
  • Assess functional capacity to determine readiness for work and facilitate appropriate return-to-work plans.
  • Convey decisions to clients both verbally and in written format.
  • Address client inquiries and concerns accurately and promptly.
  • Manage cases until the client returns to work or refer claims for further case management as needed.
Qualifications for Success as a Disability Claims Evaluator:
  • A degree or diploma in a health-related discipline.
  • A minimum of two years of experience in a medical, benefits administration, or claims environment.
  • Knowledge of medical and mental health conditions and their treatments.
  • Strong analytical and decision-making abilities.
  • Highly organized with exceptional attention to detail.
  • Capacity to prioritize tasks and manage multiple responsibilities in a dynamic setting.
  • Proven ability to respond effectively to challenging and urgent situations.
  • Commitment to maintaining confidentiality regarding sensitive medical information.
  • Skills in conflict resolution and management.
  • Excellent communication skills, both written and verbal.
Benefits of Joining Us:
  • Opportunity to learn alongside industry experts.
  • Comprehensive health and dental benefits.
  • A retirement savings plan with employer contributions.
  • A range of Health & Wellness programs.
  • Mental health resources and support for you and your family.
  • Assistance with pursuing industry designations.
  • Competitive salary and compensation package.

At People Corporation, we are dedicated to empowering businesses to thrive. As a national provider of benefits, retirement, wealth, wellness, and human resource solutions, our expertise serves over 20,000 clients and nearly 3 million Canadians. We offer tailored solutions to meet the unique needs of businesses and their employees.

We are committed to fostering an inclusive and accessible environment where all employees and clients feel valued, respected, and supported. Our goal is to build a workforce that reflects the diversity of the communities we serve and to create an environment where every employee can reach their full potential.


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