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Disability Claims Adjudicator
2 months 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. As a Disability Claims Management Specialist, you 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, interviewing claimants, and gathering additional information as needed.
- Make informed decisions regarding the acceptance or denial of claims, ensuring that all decisions are fair and consistent with company policies and procedures.
- Develop and implement return-to-work plans for claimants, working closely with employers and healthcare providers to ensure a smooth transition back to work.
- 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 disability management best practices, laws, and regulations, ensuring that company policies and procedures are compliant and effective.
Requirements
- High school graduation or equivalent.
- Completion of a 1-year Disability Management Diploma or equivalent.
- 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.
- Demonstrated proficiency in basic Word and Excel.
What We Offer
- A competitive salary and benefits package.
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
How to Apply
If you are a motivated and detail-oriented individual with a passion for disability management, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information].
