Disability Claims Management Specialist
1 week ago
About Pacific Blue Cross
Pacific Blue Cross is a leading provider of health, dental, life, disability, and travel coverage to individuals and groups in British Columbia. We are committed to keeping healthcare sustainable for all British Columbians.
Job Summary
We are seeking a highly skilled Disability Claims Management Specialist to join our team. The successful candidate will be responsible for managing disability claims, ensuring that they are processed in a timely and accurate manner, and providing excellent customer service to our clients.
Key Responsibilities
- Manage disability claims from intake to resolution, ensuring that all necessary documentation is obtained and that claims are processed in accordance with company policies and procedures.
- Conduct thorough investigations of claims, including reviewing medical records and interviewing claimants and healthcare providers.
- Make informed decisions regarding the acceptance or denial of claims, based on medical evidence and company policies.
- Develop and implement return-to-work plans for claimants, in collaboration with healthcare providers and employers.
- Provide excellent customer service to claimants, employers, and other stakeholders, responding to inquiries and resolving issues in a timely and professional manner.
- Stay up-to-date with changes in company policies, procedures, and legislation, and ensure that claims are processed in accordance with these changes.
- Collaborate with other departments, such as underwriting and customer service, to ensure that claims are processed efficiently and effectively.
Requirements
- High school graduation, or equivalent.
- Completion of a 1-year Disability Management Diploma (288 hours), or equivalent.
- Demonstrated proficiency in basic Word and Excel.
- 3 years of previous related experience in disability claims management with 2 years in a Disability Claims Specialist or Disability Claims Management Specialist 1 position, or equivalent.
- Demonstrated proficiency in disability claims management including assessment, oversight of interventions and claim resolution.
Working at Pacific Blue Cross
Pacific Blue Cross is a dynamic and growing organization that values its employees and provides a range of benefits and opportunities for professional development. We are committed to creating a workplace that is inclusive, diverse, and respectful of all employees.
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