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Claims Adjudicator

2 months ago

Mississauga, Ontario, Canada People Corporation Full time
Job Summary

We are seeking a highly skilled 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, determining initial eligibility and entitlement to benefits, and ensuring that all pertinent information is secured for the assessment of the claim.

Key Responsibilities
  • Claims Review and Assessment: Review short-term disability applications to determine initial eligibility and entitlement to benefits based on medical and contractual requirements.
  • Client Communication: Communicate with clients, employers, and health professionals to gather information and assess claims.
  • Return to Work Coordination: Assess function to determine work-readiness and coordinate a suitable return to work.
  • Decision Making and Communication: Communicate decisions to clients both verbally and in writing, and resolve client issues and concerns in an accurate and timely manner.
  • Case Management: Oversee case until return to work or refer claim for case management, as appropriate.
Requirements
  • Education: Bachelor's degree or diploma in a health-related field.
  • Experience: Minimum two years experience in a medical, benefits administration, or claims setting.
  • Skills: Strong assessment and decision-making skills, highly organized with strong attention to detail, ability to prioritize and multi-task in a fast-paced environment, and ability to maintain a high degree of confidentiality in handling confidential medical information.
What We Offer
  • Competitive Compensation: We offer a competitive salary and benefits package.
  • Opportunities for Growth: We are committed to helping our employees grow and develop in their careers.
  • Collaborative Work Environment: We have a collaborative and supportive work environment that encourages teamwork and open communication.