Disability Claims Examiner
2 days ago
We are seeking a skilled Disability Claims Adjudicator to join our team at People Corporation in Mississauga.
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- Review and Assess Claims: Evaluate short-term disability applications, determine initial eligibility and entitlement to benefits, and ensure that all pertinent information is secured for the assessment of the claim.
- Communicate with Stakeholders: Communicate with clients, employers, and health professionals to gather information and assess claims.
- Assess Function and Coordinate Return to Work: Assess an individual's function to determine work-readiness and coordinate a suitable return to work.
- Make Decisions and Communicate Outcomes: Make decisions on claims and communicate outcomes to clients both verbally and in writing.
- Resolve Client Issues and Concerns: Resolve client issues and concerns in an accurate and timely manner.
- Oversee Case Management: Oversee case management until return to work or refer claim for case management, as appropriate.
- Education: Bachelor's degree or diploma in a health-related field.
- Language: Fluency in French is required.
- Experience: Minimum two years of 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, ability to maintain a high degree of confidentiality in handling confidential medical information, and ability to effectively manage and resolve conflict.
- Communication Skills: Excellent written and verbal communication skills.
- Professional Development: Opportunities to learn and grow with our team.
- Benefits: 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, and assistance for the completion of industry designations.
- Competitive Compensation: Competitive compensation package.
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