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Disability Claims Adjudicator

1 week ago

Ottawa, Ontario, Canada People Corporation Full time

About the Role

We are seeking a skilled Disability Claims Adjudicator to join our team at People Corporation. As a Bilingual Disability Case Manager (6 Month Term), you will be responsible for processing short-term disability claims for payment by applying established policies and procedures.

Key Responsibilities

  • Review disability claims to determine fitness for work and ongoing eligibility and entitlement to benefits based on medical documentation, functional abilities, job demands, and contractual provisions.
  • In collaboration with the client and treatment providers, develop and implement case management plans focused on recovery and timely return to work.
  • Conduct regular assessments to understand the client's ongoing functional abilities, recovery, and treatment needs.
  • Determine work-readiness and develop suitable RTW programs.
  • Identify barriers impacting recovery or RTW and coordinate expedited health care or rehabilitation services.
  • Manage cases until return to work or claim resolution.

Requirements

  • Completion of a Bachelor's degree or diploma in a health-related field or disability management.
  • 3+ years of experience in disability claims adjudication or case management.
  • Full fluency in French and English.
  • A high degree of confidentiality as you will have access to confidential information.
  • Strong judgement and critical thinking skills - able to exercise judgement in various situations and ensure work is completed in a timely and accurate fashion in order to meet deadlines.
  • Accuracy and Precision - an ability to detect errors before they have a negative impact.
  • Communication skills - responding to clients, members, or other external contacts, preparing correspondence, assisting with appeals, etc.
  • Strong assessment and decision-making skills.
  • Strong understanding of medical and mental health conditions and treatments.
  • Ability to effectively manage and resolve conflict.

Bonus Points