Disability Claims Adjudicator

4 weeks ago


Mississauga, Ontario, Canada People Corporation Full time

Job Title: Disability Claims Adjudicator

We are seeking a Disability Claims Adjudicator to join our team at People Corporation. As a Disability Claims Adjudicator, you will play a critical role in reviewing short-term disability applications and determining initial eligibility and entitlement to benefits based on medical and contractual requirements.

Key Responsibilities:

  • Review short-term disability applications to determine initial eligibility and entitlement to benefits
  • Ensure applications are complete and all pertinent information is secured for the assessment of the claim
  • Evaluate claims by communicating with clients, employers, and health professionals
  • Assess function to determine work-readiness and coordinate a suitable return to work
  • Communicate decisions to clients both verbally and in writing
  • Resolve client issues and concerns in an accurate and timely manner
  • Oversee case until return to work or refer claim for case management, as appropriate

Requirements:

  • Bachelor's degree or diploma in a health-related field
  • Fluency in French is required
  • Minimum two years experience in a medical, benefits administration, or claims setting
  • Understanding of medical and mental health conditions and treatments
  • Strong assessment and decision-making skills
  • Highly organized with strong attention to detail
  • Ability to prioritize and multi-task in a fast-paced environment
  • Ability to maintain a high degree of confidentiality in handling confidential medical information
  • Ability to effectively manage and resolve conflict
  • Excellent written and verbal communication skills

What's in it for you:

  • Learn by working alongside our experts
  • Extended health care and dental benefits
  • A retirement savings plan with company contributions
  • A suite of Health & Wellness offerings
  • Mental Health programs and support for you and your family
  • Assistance for the completion of industry designations
  • Competitive compensation


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