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Bilingual (French/english) Disability Claim Manager
3 weeks ago
We are looking to hire a **Bilingual (French/English) Disability Claim Manager** to join Empire Life’s Group Operations team. The Claim Manager applies disability management best practices to effectively manage the payment, expenses and risk associated with weekly indemnity and long-term disability claims within approved authority limits. Successful applicants will report to the Manager, Life and Disability Claim Management.
**What will you do?**
- Investigate, evaluate and determine eligibility for initial and ongoing payment claims based on medical information, job requirements, non-medical factors, contract terms and department/industry protocols within established service standards
- Manage active claims duration by utilizing best practices
- Interview claimants and employers through telephone interviews
- Ensure accurate and timely documentation of all communication with customers
- Formulate and implement a detailed case management plan on each file with a focus on a timely, sustainable and safe return to work; interact with and appropriately challenge treating physicians and employers; make referrals for independent medical assessments and to alternate insurance organizations (federal, provincial and private insurers)
- Collaborate with in-house return-to-work facilitators to design and monitor return-to-work programs
- Collaborate with team members to exchange ideas, gather information and offer solutions on claims
- Ensure proactive communication with our customers regarding claim status and developments based on department standards,
- Be accountable for positive file resolution and appropriate outcomes
**What is in it for you?**
- Competitive salary with annual pay increases
- Annual bonus program, which recognizes both strong company performance and individual contributions
- A comprehensive employer-funded benefits package that includes life insurance, disability, health and dental and a generous health account
- Flexible work arrangements and an annual allotment of personal health days.
- Four weeks annual vacation from the hire date
- A defined contribution pension plan with generous employer-matching
- Top-up programs for parental leave and compassionate leave
- Employer-sponsored wellness and recognition programs
- A cash employee referral program
- Impactful work - get to work on meaningful projects that positively impact our customers, company, and society.
- Deliver excellence - provide a personal, accurate, professional, and courteous service and resolution to our customers.
**What makes you a good fit?**
- The ability to read write and speak fluently in both French and English
- 3+ years of work experience in disability claim management
- Knowledge of medical terminology and Disability Management best practices/protocols
- Knowledge of relevant provincial employment legislation and legal requirements
- Completion of a university degree in anatomy, biology, kinesiology, life sciences or psychology an asset
- Well-developed verbal/written communication and interpersonal skills
- Well-developed customer relations skills
- Ability to work independently and as a collaborative team member
- Ability to prioritize and balance multiple tasks
- Ability to research, analyze, evaluate, negotiate, make decisions and resolve problems
- LOMA 280, 290, HIAA, CEBS - GBA are assets
- Have the ability to travel to an Empire Life location, if required
