Disability Case Manager
2 weeks ago
Job Posting Title:
Disability Case Manager
Status:
Regular
**Job Description**:
The Disability Case Manager will adjudicate and manage Short Term and Long Term disability claims and will provide efficient and timely service to all key stakeholders.
RESPONSIBILITIES:
- Provide Long Term and Short Term disability claims assessment
- Identify, obtain and analyze key medical, contractual and eligibility information
- Develop proactive case management plans that identify direction, issues and action plan including methodology and timing to reduce the duration of disabilities
- Review group contract provisions and submitted medical information in order to identify discrepancies and inconsistencies when assessing disability benefit eligibility
- Communicate and consult with internal/external providers, customers, Third Party Administrators, Employers and Plan Administrators
- Participates in meetings with policyholders for a critical review of files as required
- Obtain medical and functional information through interviews, standard and customized questionnaires and written correspondence directed at claimants, policyholders and physicians
- Execute problem resolution: identify, investigate, resolve or develop recommendations to address and resolve issues identified by internal and external parties
- Review issues in light of applicable contractual, legal, medical, procedural system and client specific requirements in order to achieve a resolution
- Recommends measures destined to improve the sector's service and productivity performance
- Proactively acquires and improves knowledge of tools, policies, processes, products and services
- Collaborates on specific projects, and carries out any other administrative tasks upon request
QUALIFICATIONS:
- University degree preferably in Health Sciences or related disability experience
- Ability to plan, develop and implement goal-oriented claim management plans
- Sound knowledge of medical terminology, medical management and pharmacology is an asset
COMPETENCIES/EDUCATION:
- Excellent written and verbal communication skills
- Bilingualism in French/English is an asset
- Excellent customer service
- Intermediate skills with Word and Excel
- Ability to multitask in a fast paced, performance driven environment
- Strong planning and organizing skills, with strong attention to detail
- Analytical thinker with proven problem solving skills
- Ability to adapt quickly and comfortably to change
- Good interpersonal skills
- Professional telephone etiquette
- Demonstrates a positive attitude and a desire to succeed
- Strong team player
- Prefer one or more industry courses completed and working towards an industry designation (e.g. ALHC, FLMI, GBA)
LI-ENG
LI-Hybrid
- Beneva is an equal opportunity employer, so we encourage all Women, persons with disabilities, Indigenous people as well as visible and ethnic minorities to apply._
- Purpose :_
- True to its purpose, Beneva places people at the heart of its actions and contributes to the well-being of the community. It accompanies its clients in all stages of their lives, both for their insurance and for their financial services._
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